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. 2021 Nov 15;2021(11):CD009286. doi: 10.1002/14651858.CD009286.pub4

TCTR20181216001.

Study name Randomized controlled trial of fluoxetine or placebo on quality of life after acute ischemic stroke
Methods Study type: interventional (clinical trial)
Allocation: randomised
Intervention model: parallel assignment
Masking: double blind (no detail)
Primary purpose: efficacy
Participants Country: Thailand
Setting: inpatient
Inclusion criteria
  • Age > 18

  • Acute ischaemic stroke patient

  • Consent


Exclusion criteria
  • History of or current psychiatric condition ‐ hemorrhagic complication

  • EQ‐5D‐5L score > 0.9

  • Language barrier

Interventions Experimental: fluoxetine 20 mg once daily for 90 days
Comparator: matching placebo once daily for 90 days
Outcomes Primary outcomes at 3 months
  • Quality of life measured by EQ‐5D‐5L


Secondary outcomes at 3 months
  • Post stroke depression measured by Thai HADS

  • Disability measured by the Modified Rankin Score

Starting date 1 January 2019
Contact information Sirikanya Lorwatanapongsa: sirikanyalor@yahoo.com
Notes TCTR20181216001

BDI: Beck Depression Inventory; 
BDNF: brain‐derived neurotrophic factor; 
BI: Barthel Index; 
CTIMP: Clinical Trial of an Investigational Medicinal Product;
DWI: diffusion‐weighted imaging; 
FLAIR: fluid‐attenuated inversion recovery; 
FMMS: Fugl Meyr Motor Score; 
fMRI: functional magnetic resonance imaging; 
HAM‐A:Hamilton Anxiety Rating Scale;
HAM‐D: Hamilton Depression Rating Scale; 
JTT: Jebsen Taylor Test; 
MADRS: Montgomery‐Åsberg Depression Rating Scale; 
MAOI: mono‐amino‐oxidase inhibitor; 
MCA: middle cerebral artery; 
MHRA: Medicines and Healthcare products Regulatory Agency
MRA: magnetic resonance angiography;
MRI: magnetic resonance imaging; 
mRS: modified Rankin score; 
NHP: Nottingham Health Profile; 
NIHSS: National Institute of Health Stroke Scale
NPI: Neuropsychiatric Inventory Scale; 
PHQ‐9: Patient Health Questionnaire;
QoL: quality of life; 
RCT: randomised controlled trial;
rTMS: repetitive transcranial magnetic stimulation; 
SF‐36: Short Form‐36; 
smRSq: simplified modified Rankin Scale questionnaire; 
SSRI: selective serotonin reuptake inhibitor; 
TCD: transcranial Doppler; 
TIA: transient ischaemic attack;