Progesterone in the Treatment of Acute Hemorrhagic Stroke
NCT04143880 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 184
Last updated 2019-11-27
Summary
A large number of preclinical studies have confirmed that progesterone and its metabolites have strong neuroprotective effects. As a neuroprotective agent, progesterone has been effective in several animal models of nerve injury, suggesting that the drug has a wide range of neuroprotective effects. Pharmacodynamic studies have shown that some characteristic mechanisms of the action of the neurosteroid on brain injury and cerebral congestion include: prevention of inflammatory reaction and cell death (by inhibiting the activation of inflammatory cytokines and microglia); control of angiogenic brain edema (by reestablishing blood-brain barrier and regulating aquaporin-4 water transporter) and cytotoxic edema (by regulating Progesterone can also improve the neural dysfunction after cerebral hemorrhage, promote the regeneration and repair of damaged axons (activate PI3K / Akt pathway to inhibit the expression of RhoA), prevent the loss of Ca2 + caused by excitotoxicity and improve the survival rate of neurons. It was found that progesterone injection could reduce brain edema and promote the recovery of nerve function after brain injury.
Conditions
Interventions
- DRUG
-
Progesterone
intramuscular injection intranasal administration
- OTHER
-
saline
intramuscular injection intranasal administration
Sponsors & Collaborators
-
Korea University Anam Hospital
collaborator OTHER -
Seoul National University Hospital
collaborator OTHER -
Lishui Country People's Hospital
collaborator OTHER -
Jinhua Central Hospital
collaborator OTHER -
Huzhou Central Hospital
collaborator OTHER -
The Affiliated Hospital of Hangzhou Normal University
collaborator OTHER -
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-02-01
- Primary Completion
- 2020-10-31
- Completion
- 2020-12-31
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