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This pilot study aims to investigate whether intravenous immunoglobulin is safe and effective in alleviating perihematomal edema and neurologic deficits in patients with intracranial hemorrhage.
The trial consists of two groups: IVIg group and control group. Thirty patients will be recruited into IVIg group. Thirty Patients who are matched for age, gender, National Institutes of Health Stroke Scale scores, hematomal volumes, and locations of hematomas, will be selected into control group. Patients in control group just receive standard management, while those in IVIg group will receive standard management plus intravenous immunoglobulin therapy. The outcome assessor is blinded to the group assignments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IVIg group | Experimental | Participants will receive immunoglobulin therapy plus standard management. The first intravenous infusion of immunoglobulin must be given within 72 hours after the onset. |
|
| Control group | Other | Participants will receive standard management according to Chinese guidelines for intracerebral Hemorrhage. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immunoglobulin Therapy | Drug | Immunoglobulin is given intravenously 0.4 g/kg per day for five consecutive days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of the patients with mRS of 3 or more | 90 days after the onset of ICH |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in hematoma volume | At baseline, 7 days, 14 days and 30 days after the onset | |
| Change in peripheral edema volume | At baseline, 7 days, 14 days and 30 days after the onset | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shabei Xu, Doctor | Contact | 86-13554178768 | xushabei@126.com | |
| Xiang Luo, Doctor | Contact | 86-15172507950 | flydottjh@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Wei Wang, Doctor | Tongji Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neurology, Tongji Hospital, Huazhong University of Science and Technology | Wuhan | Hubei | 430030 | China |
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| ID | Term |
|---|---|
| D020299 | Intracranial Hemorrhage, Hypertensive |
| D002543 | Cerebral Hemorrhage |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D007116 | Immunization, Passive |
| D016756 | Immunoglobulins, Intravenous |
| ID | Term |
|---|---|
| D007114 | Immunization |
| D007167 | Immunotherapy |
| D056747 | Immunomodulation |
| D001691 | Biological Therapy |
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| Standard management | Other | Standard management includes: the use of mild sedation, blood pressure control, management of elevated intracranial pressure, glucose management, temperature management, airway maintenance, and management of medical complications. |
|
|
| All-cause mortality |
| 90 days after the onset |
| mRS score | 30 days, 90 days after the onset |
| mBI score | 30 days, 90 days after the onset |
| Incidence of severe adverse events | 30 days, 90 days after the onset |
| Change in the levels of blood CRP, MMP-9, IL-6, TNF-alpha, and C3 | At baseline, 5 days after the first administration of immunoglobulin |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013812 |
| Therapeutics |
| D007158 | Immunologic Techniques |
| D008919 | Investigative Techniques |
| D007074 | Immunoglobulin G |
| D007132 | Immunoglobulin Isotypes |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |