Safety and Efficacy of SHPL-49 Injection in Participants With Acute Ischemic Stroke

Prior treatment

• Patients who are ready to receive or have receive intravascular therapy;
• Patients with concurrent malignant tumors or undergoing anti-tumor therapy;
• Suspected or confirmed alcohol dependence, or drinking more than 3 units (male) or 2 units (female) of alcohol within 24 hours prior to onset (1 unit =360 mL beer or 45 mL liquor with 40% alcohol or 150 mL wine);
• Patients have participated in or are participating in another clinical study within the 3 months before singing informed consent;

Other illness

• Complicated with intracranial hemorrhagic diseases, including hemorrhagic stroke, epidural hematoma, intracranial hematoma, ventricular hemorrhage, subarachnoid hemorrhage, etc.;
• Stroke with rapid improvement of symptoms before intravenous thrombolysis, or acute ischemic symptoms suspected to be caused by other causes;
• Severe hypertension: systolic blood pressure ≥185mmHg or diastolic blood pressure ≥110mmHg after taking antihypertensive drugs before thrombolysis;
• Patients with a heart function rating above Class II (according to the New York Heart Association (NYHA) heart function rating) or a history of congestive heart failure;
• Allergic to experimental drugs or similar ingredients or materials used in imaging examinations;
• Patients who have a history of epilepsy or have had seizure-like symptoms at the onset of stroke, or suffer from serious mental disorders, intellectual disabilities or dementia;

Lab values

• After the onset of the disease, drugs with neuroprotective effects have been applied in the instructions. Such as commercially available Edaravone, Edaravone and Dexborneol Concentrated Solution for Injection, Butylphthalide, Nimodipine, Ganglioside, Citicoline, Piracetam, Oxiracetam, Human Urinary Kallidinogenase, Cinepazide, Mouse Nerve Growth Factor For Injection, Cerebrolysin, Deproteinised Calf Blood Serum Injection, Deproteinised Calf Blood Extractives Injection, etc.;
• Severe renal insufficiency: serum creatinine \>2 times the upper limit of normal or creatinine clearance (CLcr)\< 30mL/min (Cockcroft-Gault formula), or other known severe renal insufficiency; (Note: Cockcroft-Gault formula: ① Male: CLcr (mL/min) = \[140 - age (yrs)\]× body weight (kg) / \[0.814 × serum creatinine (μmol/L)\]; (2) female: CLcr (mL/min) = {\[140 - age (years old)\] by weight (kg) / \[0.814 x serum creatinine (μmol/L)\]} x 0.85)
• Severe liver function impairment: Alanine aminotransferase (ALT) or Aspartate aminotransferase(AST)\>3 times the upper limit of normal, or other known liver diseases such as acute and chronic hepatitis, cirrhosis, etc.;

Other

• Severe disturbance of consciousness: patients with NIHSS 1a consciousness level item score ≥2;
• Cerebral Computed tomography (CT) or Magnetic resonance imaging (MRI) indicated a large anterior circulation cerebral infarction (ASPECT score \< 6 or infarct area greater than 1/3 of the middle cerebral artery blood supply area);
• Patients during pregnancy, breastfeeding or planning pregnancy;
• Patients who are judged unsuitable for participation by the investigators in the study.

• Age 18-80 years old (including upper and lower limits);
• Clinically diagnosed as acute ischemic stroke according to the latest guidelines;
• Patients with acute ischemic stroke who plan to receive or have received standard intravenous thrombolysis in hospital (this research center) within 8h after the onset of the disease;
• Participants who have NIHSS ≥5 and ≤ 22 before thrombolysis;
• Pre-stroke mRS Score ≤1;
• Participants or legally authorized representatives who are able and willing to sign informed consent.