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The current guideline recommends to give antithrombotic treatment 24 hours after intravenous thrombolysis in acute ischemic stroke. However, early neurological deterioration will occur in some patients due to no antithrombotic treatment, which is closely associated with poor outcome. The current trial aims to investigate the effectiveness and safety of early antithrombotic treatment after intravenous thrombolysis in minor stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| double antiplatelet group | Experimental | aspirin 100mg plus clopidogrel 300mg |
|
| control group | Placebo Comparator | aspirin placebo plus clopidogrel placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aspirin 100mg; Clopidogrel 300mg | Drug | Aspirin 100mg plus Clopidogrel 300mg will be orally administrated after randomization |
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of excellent prognosis | excellent prognosis is defined as modified Rankin Score (mRS) 0-1. The minimum and maximum values of mRS are 0 and 6, respectively; higher score mean a worse outcome | Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of favorable prognosis | Favorable prognosis is defined as modified Rankin Score (mRS) 0-2. The minimum and maximum values of mRS are 0 and 6, respectively; higher score mean a worse outcome. | Day 90 |
| Distribution of modified Rankin Score (mRS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hui-sheng Chen | Shenyang | None Selected | 110840 | China | ||
| Department of Neurology, General Hospital of Northern Theater Command |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41944218 | Derived | Cui Y, Liu JL, Jiang CH, Hou XW, Chen HS. Diabetes Mellitus and Early Antiplatelet Treatment for Minor Stroke Following Intravenous Thrombolysis: Prespecified Secondary Analysis of the EAST Trial. Diabetes Obes Metab. 2026 Jul;28(7):5604-5613. doi: 10.1111/dom.70745. Epub 2026 Apr 7. |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077144 | Clopidogrel |
| ID | Term |
|---|---|
| D013988 | Ticlopidine |
| D058924 | Thienopyridines |
| D013876 | Thiophenes |
| D013457 | Sulfur Compounds |
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The minimum and maximum values of mRS are 0 and 6, respectively; higher score mean a worse outcome. |
| Day 90 |
| Changes in National Institute of Health stroke scale (NIHSS) | the minimum and maximum values of NIHSS are 0 and 42, respectively; higher NIHSS mean a worse outcome. | 24 hours, 48 hours, and 10 days |
| Occurrence of early neurologyical deterioration (END) | END is defined as more than 2 point increase, but not result of cerebral hemorrhage, compared with baseline at 24 hours | 24 hours |
| The incidence of symptomatic intracerebral hemorrhage | any evidence of bleeding on the head CT scan associated with clinically significant neurological deterioration (NIHSS score ≥4 points increase) | 36 hours |
| The incidence of any intracerebral hemorrhage | the evidence of bleeding on the head CT or MRI scan | 36 hours |
| The incidence of stroke recurrence and other vascular events | Day 90 |
| The death due to any cause | Day 90 |
| Shenyang |
| 110016 |
| China |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009930 |
| Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |