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Completed

NCT Number: NCT06049498

Trial of Mongolian Medicine ZhenBao Pills for Upper-limb Dysfunction After Stroke

The trial was designed to test the hypothesis that treatment with Mongolian Medicine ZhenBao Pills has a positive effect on upper-limb motor recovery after acute ischemic stroke.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dongzhimen Hospital, Beijing University of Chinese Medicine

Beijing, 100700, China

About this study

The study is a randomized, double-blinded, placebo-controlled, multi-center trial.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult subjects (male or female ≥18 years).
  • The diagnosis of ischemic stroke should be met and the onset should be within 30 days.
  • Patients with prestroke modified Rankin scale score 0-1.
  • FAM-UE score of 20-57 at randomization.
  • The patients and legal guardians signed informed consent.

Exclusion criteria

  • Cranial CT or MRI findings of hemorrhage or other pathologic brain disorders, such as vascular malformations, tumors, abscesses, encephalitis, or other common non-ischemic brain diseases (e.g., multiple sclerosis).
  • Chronic liver disease or elevated ALT, AST (greater than two times the upper limit of normal), renal insufficiency or elevated blood creatinine (greater than 1.5 times the upper limit of normal).
  • Coagulation disorders or history of systemic hemorrhage.
  • Life expectancy is less than 3 months.
  • Unable to complete the study due to mental illness, cognitive or emotional impairment.
  • Suspected or known allergy to the components of the trial medication.
  • Pregnancy, breastfeeding or potential pregnancy.
  • Treatment within the last 3 months that may affect limb function, such as botulinum toxin injections or medications to improve limb motor function, etc.
  • Within three months or currently participating in another investigational study.
  • Other patients who, in the opinion of the investigator, are not suitable for participation of the study.

Treatment and study plan

Mongolian Medicine ZhenBao Pills

Drug

Mongolian Medicine ZhenBao Pills, orally, 15 pills each time, twice a day.

Mongolian Medicine ZhenBao Pills Placebo

Drug

Mongolian Medicine ZhenBao Pills placebo, orally, 15 pills each time, twice a day.

Primary outcomes

  1. The Fugl-Meyer Assessment for Upper Extremity (FMA-UE) scores

    Time frame: 90 days after randomization

    Difference in FMA-UE scores (range =0-66, with lower scores indicating more severe limb dysfunction) between baseline and 90 days after randomization.

Secondary outcomes

  1. Modified Rankin scale (mRS) scores

    Time frame: 90 days after randomization

    Difference in the distribution of patient mRS scores (mRS scores ranged from 0 to 6, with 0 to 1 indicating no disability, 2 to 5 indicating increasing disability, and 6 indicating death.)

  2. FMA-UE scores

    Time frame: 30 days after randomization

    Difference in FMA-UE scores between baseline and 30 days after randomization.

  3. The Fugl-Meyer Assessment for Lower Extremity (FMA-LE)scores

    Time frame: 90 days after randomization

    Difference in FMA-LE scores (range =0-34, with lower scores indicating more severe limb dysfunction) between baseline and 90 days after randomization.

  4. National Institutes of Health Stroke Scale (NIHSS) scores

    Time frame: 90 days after randomization

    Difference in NIHSS scores (range =0-42, with higher scores indicating more severe strokes) between baseline and 90 days after randomization.

  5. The Barthel index of activity of daily living (BI)

    Time frame: 90 days after randomization

    Difference in BI scores between baseline and 90 days after randomization. Functional independence will be measured with BI, which was a commonly used scale for measuring the activity of daily living of people. Score of 10-item scale ranges from 0 (worst) to 100 (best).

  6. Visual analogue scale (VAS) scores

    Time frame: 90 days after randomization

    Difference in VAS scores between baseline and 90 days after randomization. The patients' pain level measured with VAS, which was a conventionally used scale measuring the degree of the pain. Score of scale ranges from 0(best)to 10 (worst).

Sponsors and collaborators

Lead sponsor

Dongzhimen Hospital, Beijing

Other

Registry information

Official study title

Efficacy and Safety of Mongolian Medicine ZhenBao Pills on Limb Function Recovery After Acute Ischemic Stroke: a Randomized Double-blinded Placebo-controlled Trial.

Acronym: PEARL

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Sep 22, 2023
Registry last updated
Jun 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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