Methods |
Study type: interventional (clinical trial) Actual enrolment: 404 Allocation: randomised Intervention model: parallel assignment Masking: single (outcomes assessor) Primary purpose: prevention |
Participants |
Country: China Setting: inpatient At randomisation numbers allocated: N = 404 Experimental group: fluoxetine n = 202 Comparator group n = 202 % male: 70.5% Age: Experimental: 61.14 ± 10.48; Comparator 62.72 ± 11.86 Subtype of stroke: unclear Severity of stroke NIHSS score at baseline: Experimental: Median 6 (IQR 4, 8) Comparator: Median 5 (IQR 3, 8) Time since stroke onset: mean days, fluoxetine 4.28 ± 1.89; placebo 4.08 ± 2.15 Inclusion criteria
ICD‐10 diagnostic criteria for acute cerebral infarction
Age 18 to 80 years
within 1 week of stroke onset
Written informed consent by participants or legal representatives
Exclusion criteria
Coma
History of stroke
Pregnant or breast feeding
Self‐injury, suicidal intention or depression and need for antidepressants
History of peptic ulcer or gastritis
Life‐threatening illness (e.g. cardiac insufficiency, malignancy)
Use of antidepressants over previous 3 months
Use of benzodiazepines over previous 2 weeks
Allergic
Enrolled in another interventional clinical research trial within previous 3 months
Withdrawal criteria
Violation of randomisation or blinding rules during the follow‐up
Serious adverse reactions, such as anaphylactic shock
Serious infections or medical complications.
Antidepressants use
Self‐injury, suicidal intention or depression and need for antidepressants
Withdrawal from the study (participant or legal relatives)
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Interventions |
Experimental: 20 mg of fluoxetine a day for 90 days and conventional therapy Comparator: conventional therapy |
Outcomes |
Recurrence rate of cerebral infarction within 3 years
Improvement of NIHSS, hypertension, diabetes, hyperlipids at day 90
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Notes |
ChiCTR‐TRC‐12002078 xuanyi_guo@163.com |