Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/119
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dc.contributor.authorVenketasubramanian, N.
dc.contributor.authorLee, C.F.
dc.contributor.authorYoung, S.H.
dc.contributor.authorTay, S.S.
dc.contributor.authorUmapathi, T.
dc.contributor.authorLao, A.Y.
dc.contributor.authorGan, H.H.
dc.contributor.authorChua, C.L.
dc.contributor.authorWijekoon, N.
dc.contributor.authorde Silva, H.A.
dc.contributor.authorHiyadan, J.H.
dc.contributor.authorSuwanwela, N.C.
dc.contributor.authorWong, K.S.
dc.contributor.authorPoungvarin, N.
dc.contributor.authorEow, G.B.
dc.contributor.authorChen, C.L.
dc.contributor.authorCHIMES-E Study Investigators
dc.date.accessioned2017-07-05T07:49:21Z
dc.date.available2017-07-05T07:49:21Z
dc.date.issued2017
dc.identifier.citationCerebrovascular Diseases. 2017; 43(1-2): 36-42en_US
dc.identifier.issn1015-9770 (Print)
dc.identifier.issn1421-9786 (Electronic)
dc.identifier.issn1015-9770 (Linking)
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/119
dc.descriptionIndexed In MEDLINEen_US
dc.description.abstractBACKGROUND: The Chinese Medicine NeuroAiD Efficacy on Stroke recovery - Extension (CHIMES-E) study is among the few acute stroke trials with long-term outcome data. We aimed to evaluate the recovery pattern and the influence of prognostic factors on treatment effect of MLC601 over 2 years. METHODS: The CHIMES-E study evaluated the 2 years outcome of subjects aged ≥18 years with acute ischemic stroke, National Institutes of Health Stroke Scale (NIHSS) score 6-14, pre-stroke modified Rankin Scale (mRS) score ≤1 included in a multicenter, randomized, double-blind, placebo-controlled trial of MLC601 for 3 months. Standard stroke care and rehabilitation were allowed during follow-up with mRS score being assessed in-person at month (M) 3 and by telephone at M1, M6, M12, M18 and M24. RESULTS: Data from 880 subjects were analyzed. There was no difference in baseline characteristics between treatment groups. The proportion of subjects with mRS score 0-1 increased over time in favor of MLC601 most notably from M3 to M6, thereafter remaining stable up to M24, while the proportion deteriorating to mRS score ≥2 remained low at all time points. Older age (p < 0.01), female sex (p = 0.06), higher baseline NIHSS score (p < 0.01) and longer onset to treatment time (OTT; p < 0.01) were found to be predictors of poorer outcome at M3. Greater treatment effect, with more subjects improving on MLC601 than placebo, was seen among subjects with 2 or more prognostic factors (OR 1.65 at M3, 1.78 at M6, 1.90 at M12, 1.65 at M18, 1.39 at M24), especially in subjects with more severe stroke or longer OTT. CONCLUSIONS: The sustained benefits of MLC601 over 2 years were due to more subjects improving to functional independence at M6 and beyond compared to placebo. Selection of subjects with poorer prognosis, particularly those with more severe NIHSS score and longer OTT delay, as well as a long follow-up period, may improve the power of future trials investigating the treatment effect of neuroprotective or neurorestorative therapies.en_US
dc.language.isoen_USen_US
dc.publisherKargeren_US
dc.subjectStroke Recoveryen_US
dc.titlePrognostic factors and pattern of long-term recovery with MLC601 (NeuroAiD™) in the chinese medicine neuroAiD efficacy on stroke recovery - extension studyen_US
dc.typeArticleen_US
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