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The effect of allopurinol on carotid ultrasound intima-media thickness and markers of endothelial function in patients with recent stroke - a pilot study
ISRCTN ISRCTN11970568
ClinicalTrials.gov identifier
Public title The effect of allopurinol on carotid ultrasound intima-media thickness and markers of endothelial function in patients with recent stroke - a pilot study
Scientific title The effect of allopurinol on carotid ultrasound intima-media thickness and markers of endothelial function in patients with recent stroke: a double-blind randomised placebo-controlled pilot trial
Acronym N/A
Serial number at source TSA IMT 01
Study hypothesis That allopurinol 300 mg per day will reduce rate of carotid intima-media thickness progression.
Lay summary
Ethics approval West Medical Ethics Committee, approved on 19/08/2008.
Study design Randomised double-blind placebo-controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Cerebral infarction and transient ischaemic attack
Participants - inclusion criteria 1. Both males and females, aged over 18
2. Ischaemic Stroke (including transient ischaemic attack [TIA] where symptoms last less than 24 hours)
3. Brain imaging not suggestive of an alternative diagnosis
4. Randomisation within one year of ictus
Participants - exclusion criteria 1. >70% extra-cranial internal carotid artery stenosis
2. Significant co-morbidity or frailty likely to cause death within 12 months or likely to make adherence to study protocol difficult for participant
3. Contra-indication to or indication for administration of allopurinol
4. Concurrent azathioprine or 6-mercaptopurine therapy
5. Significant hepatic impairment (defined as serum bilirubin, aspartate aminotransferase [AST] or alanine aminotransferase [ALT] greater than three times upper limit of normal [ULN])
6. Estimated glomerular filtration rate <50 mls/min
7. Cognitive impairment deemed sufficient to compromise capacity to consent or to comply with the protocol
8. Women of childbearing potential
9. Prisoners
Anticipated start date 01/11/2008
Anticipated end date 01/11/2011
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 80
Interventions One year course of allopurinol (oral) 300 mg per day or placebo.

Details of Joint Sponsor:
University of Glasgow
University Avenue
Glasgow G12 8QQ
United Kingdom
Primary outcome measure(s) Change in carotid intima-media thickness over a one year period (intima-media thickness [IMT] progression rate).
Secondary outcome measure(s) The following will be assessed at baseline, 6 and 12 months:
1. Levels of endothelial progenitor cells (EPCs) and circulating markers of endothelial function
2. Number of adverse events
Sources of funding The Stroke Association (UK) (ref: TSA 2007/10)
Trial website
Publications
Contact name Dr  Matthew  Walters
  Address Department of Medicine and Cardiovascular Sciences
Western Infirmary
Dumbarton Road
  City/town Glasgow
  Zip/Postcode G11 6NT
  Country United Kingdom
  Tel +44 (0)141 2112821
  Email m.walters@clinmed.gla.ac.uk
Sponsor NHS Greater Glasgow and Clyde (UK)
  Address c/o Dr Erica Packard
Academic Research Co-ordinator
Research and Development Central Office
First Floor
The Tennent Institute
38 Church Street
Western Infirmary
  City/town Glasgow
  Zip/Postcode G11 6NT
  Country United Kingdom
  Tel +44 (0)141 211 8544
  Email erica.packard@ggc.scot.nhs.uk
  Sponsor website: http://www.nhsgg.org.uk
Date applied 19/09/2008
Last edited 16/01/2009
Date ISRCTN assigned 16/01/2009
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