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Safety and Use of MLC601/MLC901 (NeuroAiDTM) in Primary Intracerebral Hemorrhage: A Cohort Study from the NeuroAiD Safe Treatment Registry.
Brain Sciences ( IF 3.3 ) Pub Date : 2020-07-30 , DOI: 10.3390/brainsci10080499
Ramesh Kumar 1 , Azizi Abu Bakar 1 , Jegan Thanabalan 1 , Sanmugarajah Paramasvaran 1 , Charng Jeng Toh 1 , Ainul Jaffar 1 , Farizal Fadzil 1 , Palaniandy Kamalanathan 1 , Bee Hong Soon 1 , Narayanaswamy Venketasubramanian 2
Affiliation  

Background: MLC601/MLC901 (NeuroAiD™) is a combination of natural products shown to be safe and to aid neurological recovery after brain injuries, especially ischemic stroke. Few studies have investigated NeuroAiD in primary intracerebral hemorrhage (ICH). The NeuroAiD Safe Treatment (NeST) Registry explores NeuroAiD use in the real-world setting. This cohort study aimed to assess its use and safety in ICH. Methods: The online NeST Registry of subjects with ICH given NeuroAiD prospectively collected clinical data at baseline and monthly visits (V) 1 to 3. Outcome measures included compliance, side effects, Glasgow Coma Scale (GCS), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), and Short Orientation-Memory-Concentration Test (SOMCT). Results: Sixty-six subjects were included. NeuroAiD was well-tolerated with fair compliance over three months. Two non-serious side effects were reported. Mean scores significantly improved on all outcome scales. The proportion of subjects with favorable outcomes significantly improved from baseline to V3: NIHSS 0–4, from 12% to 59% (p < 0.0001); GCS 13–15, from 64% to 88% (p = 0.007); mRS 0–1, from 9% to 37% (p = 0.004); and SOMCT score 0–8, from 44% to 68% (p = 0.029). Conclusions: NeuroAiD in the real-world setting was safe and showed potential for a sustained positive effect on neurological recovery after ICH.

中文翻译:

MLC601 / MLC901(NeuroAiDTM)在原发性脑出血中的安全性和用途:NeuroAiD安全治疗注册中心的一项队列研究。

背景:MLC601 / MLC901(NeuroAiD™)是天然产物的组合,被证明是安全的,并有助于脑部受伤(尤其是缺血性中风)后的神经系统恢复。很少有研究对原发性脑出血(ICH)中的NeuroAiD进行研究。NeuroAiD安全治疗(NeST)注册中心探讨了NeuroAiD在实际环境中的使用。这项队列研究旨在评估其在ICH中的使用和安全性。方法:接受了NeuroAiD治疗的ICH受试者的在线NeST注册中心在基线和每月就诊(V)1至3前瞻性收集临床数据。结果包括依从性,副作用,格拉斯哥昏迷量表(GCS),美国国立卫生研究院卒中量表( NIHSS),改良的Rankin量表(mRS)和短方向记忆力集中测试(SOMCT)。结果:共纳入66名受试者。NeuroAiD的耐受性良好,三个月内依从性良好。据报道有两种非严重的副作用。在所有结局量表上,平均得分均显着提高。从基线到V3:NIHSS 0-4从基线改善到V3的结果显着改善的受试者比例从12%提高到59%(p <0.0001); GCS 13-15,从64%增至88%(p = 0.007);mRS 0-1,从9%到37%(p = 0.004);SOMCT评分为0–8,从44%增至68%(p = 0.029)。结论:在现实世界中,NeuroAiD是安全的,并显示出对ICH后神经系统恢复持续产生积极作用的潜力。
更新日期:2020-07-30
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