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The purpose of this study is to determine whether Urinary Kallikrein has an additional effect on enhancing collateral circulation in symptomatic intracranial atherosclerotic patients under clopidogrel and aspirin dual antiplatelet therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Urinary Kallikrein group | Experimental | Urinary Kallikrein for injection, 0.15PNA IU,qd, for 2 weeks, administered within 96 hours after TIA or acute ischemic stroke, with basic therapies like dual antiplatelet therapy, blood pressure-lowering therapy and lipid-lowering therapy. |
|
| control group | No Intervention | with basic therapies like dual antiplatelet therapy, blood pressure-lowering therapy and lipid-lowering therapy. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Urinary Kallikrein | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| the percentage of patients with modified Rankin Score (mRS) equivalent to or less than 2 | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| rLMC scale of Collateral circulation | We use regional leptomeningeal score(rLMC) score to measure collateral circulation.rLMC score is based on scoring pial and lenticulostriate arteries in 6 ASPECTS regions(M1-6) plus anterior cerebral artery region and basal ganglia. Pial arteries in the Sylvian sulcus are scored 0,2, or 4. | 2 weeks, 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Min Lou, Ph.D,M.D. | second affiliated hospital of Zhejiang University, school of medicine | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The second affiliated hospital of Zhejiang University | Hangzhou | Zhejiang | 310000 | China |
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| NIHSS score | 2 weeks, 1month |
| Hemorrhageic complications | Hemorrhageic complications including intracranial, digestive tract | 2 weeks, 1 month, 3 months, 6 months |
| New stroke or transient ischemic attack(TIA) | 6 months |
| ID | Term |
|---|---|
| D002537 | Intracranial Arteriosclerosis |
| D020520 | Brain Infarction |
| ID | Term |
|---|---|
| D020765 | Intracranial Arterial Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D002545 | Brain Ischemia |
| D020521 | Stroke |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
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| ID | Term |
|---|---|
| D020840 | Tissue Kallikreins |
| ID | Term |
|---|---|
| D007610 | Kallikreins |
| D012697 | Serine Endopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D057057 | Serine Proteases |
| D014408 | Biomarkers, Tumor |
| D015415 | Biomarkers |
| D001685 | Biological Factors |
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