Skip to main content
. 2021 Nov 15;2021(11):CD009286. doi: 10.1002/14651858.CD009286.pub4

He 2018.

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)

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

Notes ChiCTR‐TRC‐12002078
xuanyi_guo@163.com