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. 2019 Nov 26;2019(11):CD009286. doi: 10.1002/14651858.CD009286.pub3

Black‐Schaffer 2012.

Methods Study type: interventional (clinical trial)
Intervention model: parallel assignment
Primary purpose: treatment
Participants 0 participants (aimed to recruit 25 participants)
Country: USA
Setting: inpatient
At randomisation number allocated: 0
% male: not available
Age: not available
Subtype of stroke: not available
Severity of stroke: not available
 Time since stroke onset: not available
Inclusion criteria:
  • Ischaemic infarction within 15 days

  • Admission NIHSS item 5 score ≥ 2

  • Able to give informed consent, with surrogate consent acceptable


Exclusion criteria:
  • Pre‐stroke mRS score equal or ≥ 3

  • Pregnant or lactating

  • Taking an SSRI on admission

  • Taking a medication likely to have adverse interaction with an SSRI

  • Unable to return for follow‐up testing days 90, 180

  • Concurrent medical condition likely to worsen patient's functional status over next 6 months

  • Unable to competently participate in testing for 45 minutes to 2 hours with rest breaks

  • for MRI substudy: contraindication to MRI

Interventions Experimental: fluoxetine 20 mg daily for 90 days starting day 5 to10 after stroke
Comparator: placebo participants will take 1 placebo pill daily for 90 days
Outcomes Primary outcome measures:
  • FMMS (baseline to 90 days, baseline to 180 days)


Secondary Outcome Measures
  • Western Aphasia Battery (baseline to 90 days)

  • Behavioral Inattention Test (baseline to 90 days, baseline to 180 days)

  • FIM (baseline to discharge)

  • Fatigue Severity Scale (baseline to 90 days, baseline to 180 days)

  • BDI (baseline to 90 days, baseline to 180 days)

  • Western Aphasia Battery (baseline to 180 days)

  • mRS (baseline to 90 days, baseline to 180 days)

Funding source Not stated
Notes clinicaltrials.gov/ct2/show/NCT01674868
Withdrawn ‐ unable to find patients meeting inclusion/exclusion criteria
Dates study conducted: April 2013 to December 2015 (estimated completion date)
Declarations of Interest: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Allocation concealment (selection bias) Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Selective reporting (reporting bias) Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria
Other bias Unclear risk Withdrawn: unable to find patients meeting inclusion/exclusion criteria