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

Guo 2015.

Methods Study type: interventional (clinical trial)
Actual enrolment: 300
Allocation: randomised
Intervention model: parallel assignment
Masking: single (outcomes assessor)
Primary purpose: prevention
Participants Country: China
Setting: inpatient
At randomisation numbers allocated: N = 300
Experimental group 1: fluoxetine immediately after enrolment n = 100
 Comparator group 1: fluoxetine 7 days after enrolment n = 100
 Comparator group 2: no fluoxetine n = 100
% male: unclear
Age: Experimental, unclear; Comparator 1, unclear; Comparator 2, unclear
Subtype of stroke: unclear
Severity of stroke NIHSS score at baseline: unclear
Experimental: unclear
Comparator 1: unclear
Comparator 2: unclear
Time from stroke onset: within 1 week after onset of cerebral infarction
Inclusion criteria:
  • ICD‐10 diagnostic criteria for acute cerebral infarction

  • Age 18 to 80 years

  • First onset of stroke within 1 week

  • NIHSS > 2

  • Stroke‐related impairment

  • Informed consent by participants or legal representative


Exclusion criteria:
  • Coma

  • Haemorhagic stroke

  • Previous neurological impairment

  • Use of antidepressants over previous 3 months

  • Use of benzodiazepines over previous 2 weeks

  • Self‐harm, suicidal ideation or need for antidepressants

  • Abnormal liver enzymes or creatinine levels

  • Gastrointestinal disorders affect drug absorption seriously

  • Life‐threatening illness (e.g. malignancy)

  • Allergic

  • Mental health disorders

  • Pregnant or breast feeding

  • Allergic

  • Enrolled in another interventional clinical research trial within previous 3 months


Withdrawal criteria:
  • Unblinding

  • Serious adverse reactions e.g. anaphylactic shock

  • Need for immediate stroke‐related surgery

  • Complications

  • Antidepressant use

  • Self‐harm, suicidal intention, urgent need for antidepressants

  • Withdrawal from the study

Interventions Experimental: 20 mg of fluoxetine per day for 90 days given immediately after enrolment and conventional therapy of cerebral infarction
Comparator 1: 20 mg of fluoxetine a day for 90 days given 7 days after enrolment and conventional therapy of cerebral infarction
Comparator 2: no fluoxetine and conventional therapy of cerebral infarction
Outcomes Primary outcome at days 15, 90 and 180
  • NIHSS score


Secondary outcome at days 90 and 180
  • BI score

Notes ChiCTR‐TRC‐15007658
xuanyi_guo@163.com
Baseline demographic and clinical characteristics for each group not presented, but rather the baseline demographic and clinical characteristics for those completing the trial (i.e. a subset of all those randomised at baseline) are presented