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10.1161/STROKEAHA.115.009416

http://scihub22266oqcxt.onion/10.1161/STROKEAHA.115.009416
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C4689177!4689177 !26564102
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suck abstract from ncbi


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pmid26564102
      Stroke 2016 ; 47 (1 ): 151-9
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  • Cerebrolysin and Recovery After Stroke (CARS): A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial #MMPMID26564102
  • Muresanu DF ; Heiss WD ; Hoemberg V ; Bajenaru O ; Popescu CD ; Vester JC ; Rahlfs VW ; Doppler E ; Meier D ; Moessler H ; Guekht A
  • Stroke 2016[Jan]; 47 (1 ): 151-9 PMID26564102 show ga
  • BACKGROUND AND PURPOSE: The aim of this trial was to investigate whether stroke patients who receive Cerebrolysin show improved motor function in the upper extremities at day 90 compared with patients who receive a placebo. METHODS: This study was a prospective, randomized, double-blind, placebo-controlled, multicenter, parallel-group study. Patients were treated with Cerebrolysin (30 mL/d) or a placebo (saline) once daily for 21 days, beginning at 24 to 72 hours after stroke onset. The patients also participated in a standardized rehabilitation program for 21 days that was initiated within 72 hours after stroke onset. The primary end point was the Action Research Arm Test score on day 90. RESULTS: The nonparametric effect size on the Action Research Arm Test score on day 90 indicated a large superiority of Cerebrolysin compared with the placebo (Mann-Whitney estimator, 0.71; 95% confidence interval, 0.63-0.79; P<0.0001). The multivariate effect size on global status, as assessed using 12 different outcome scales, indicated a small-to-medium superiority of Cerebrolysin (Mann-Whitney estimator, 0.62; 95% confidence interval, 0.58-0.65; P<0.0001). The rate of premature discontinuation was <5% (3.8%). Cerebrolysin was safe and well tolerated. CONCLUSIONS: Cerebrolysin had a beneficial effect on function and global outcome in early rehabilitation patients after stroke. Its safety was comparable with that of the placebo, suggesting a favorable benefit/risk ratio. Because this study was exploratory and had a relatively small sample size, the results should be confirmed in a large-scale, randomized clinical trial. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrialsregister.eu. Unique identifier: 2007-000870-21.
  • |*Recovery of Function/drug effects [MESH]
  • |Aged [MESH]
  • |Amino Acids/pharmacology/*therapeutic use [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Neuroprotective Agents/pharmacology/*therapeutic use [MESH]
  • |Prospective Studies [MESH]
  • |Stroke/*diagnosis/*drug therapy [MESH]


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