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The ACROSS-China trial
ISRCTN ISRCTN69559777
ClinicalTrials.gov identifier
Public title The ACROSS-China trial
Scientific title Abnormal gluCose Regulation in patients with acute strOke acroSS China: a national multicentre prospective study
Acronym ACROSS-China
Serial number at source ACROSS-protocol 5
Study hypothesis 1. The prevalence of abnormal glucose regulation in patients with acute stroke is high
2. The distribution of stroke subtypes is different in the subtypes of the abnormal glucose regulation
3. Patients with or without abnormal glucose regulation will have different outcomes and recurrent risk of stroke
4. Different subtypes of abnormal glucose regulation have different effects on the outcomes and recurrence of stroke
Lay summary
Ethics approval Ethics approval received from the Tiantan Hospital Ethics Committee on the 28th August 2007
Study design Multicentre observational, prospective, cohort study
Countries of recruitment China
Disease/condition/study domain Abnormal glucose regulation, acute stroke
Participants - inclusion criteria 1. Older than 18, either sex
2. Acute stroke: diagnosed on World Health Organization (WHO) criteria
3. Acute primary stroke patients within 14 days
Participants - exclusion criteria 1. Cerebral infarction without symptoms and signs
2. Non-cerebrovascular events
3. Stroke patients out of 14 days
4. Without the content of patients or their legal agents
Anticipated start date 01/01/2008
Anticipated end date 01/09/2008
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 4000
Interventions All participants without a history of diabetes mellitus will be identified as having abnormal glucose regulation or not by using the oral glucose tolerance test (OGTT) three days before discharge. The outcome and recurrence of stroke will be compared between the patients with and without abnormal glucose regulation respectively at three months and one year after the onset of stroke as below:
1. Modified Rankin Scale (mRS)
2. The times of stroke recurrence

The current therapy measures of abnormal glucose regulation in patients with acute stroke will be observed during in-hospital and follow-up.
Primary outcome measure(s) The prevalence of abnormal glucose regulation after acute stroke in China, measured by OGTT before discharge.
Secondary outcome measure(s) 1. The distribution of stroke subtypes is different in the subtypes of the abnormal glucose regulation
2. The outcome and recurrence risk of stroke in patients with or without abnormal glucose regulation
Sources of funding 1. Bayer (China) Limited
2. 11th Five-year National Supporting Schedule of Science and Technology (China)
Trial website
Publications
Contact name Prof  Yongjun  Wang
  Address Beijing Tiantan Hospital
Tiantan Xili 6
Chongwen District
  City/town Beijing
  Zip/Postcode 100050
  Country China
Sponsor Bayer (China) Limited
  Address Corporate Communications
34/F Jing Guang Centre
Hu Jia Lou, Chaoyang District
  City/town Beijing
  Zip/Postcode 100020
  Country China
  Sponsor website: http://www.bayerchina.com.cn
Date applied 05/01/2008
Last edited 29/05/2008
Date ISRCTN assigned 29/05/2008
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