A Multicentre, Randomised, Double-blind, Placebo-parallel Controlled Phase Ⅲ Clinical Trial Evaluating the Efficacy and Safety of BXOS110 Injection in the Treatment of Acute Ischaemic Stroke Within 3 Hours of Onset.

Prior treatment

• Heart rate \< 50 beats /min or heart rate \> 120 beats /min; Heart failure, unstable angina pectoris, acute myocardial infarction, and severe arrhythmias within the previous 6 months;
• Previously diagnosed severe hepatic and renal dysfunction and determined by the investigators as affect the subjects;
• Patients who have been treated with neuroprotective agents after current stoke onset;
• History of severe head trauma or stroke within 3 months before screening;
• History of severe food or drug allergy, or known allergy to the investigational drug and its excipients;
• Participated in other drug or device clinical trial within the 1 months prior to screening or are participating in a other clinical trial;

Other illness

• Imaging confirmed intracranial hemorrhagic disease (hemorrhagic stroke, epidural hematoma, intracranial hematoma, subarachnoid hemorrhage, ventricular hemorrhage, traumatic cerebral hemorrhage, etc.);
• After aggressive antihypertensive therapy, hypertension still not under control: systolic blood pressure ≥180 mmHg, or diastolic blood pressure ≥110 mmHg;
• Patients who have suffered from malignant tumors or are undergoing anti-tumor treatment within the past 5 years;
• Have a epilepsy history or have epilepsy symptoms after current stoke onset;
• Combined with other mental illnesses, resulting in inability or unwillingness to cooperate;
• Suspected or confirmed history of alcohol or drug abuse;
• Other conditions, and the investigator assessed that participation in the study might increase the patient's risk or that participation in the study was deemed inappropriate by the investigator.

Lab values

• Severe hyperglycemia/hypoglycemia: blood glucose≥400 mg/dL (22.2 mmol/L), or ≤50 mg/dL (2.8 mmol/L);

Other

• Severe disturbance of consciousness: NIHSS 1a score ≥2 points;
• Combined with claudication, osteoarthropathy, etc., resulting in limb movement dysfunction, which is determined by investigators to affect neurological function test;
• Expected survival period is less than 3 months;
• Pregnant, planning pregnancy or breastfeeding patients;

• Age18\~85 (including 18 and 85 years)，no gender limitation;
• Subjects diagnosed with acute ischaemic stroke according to the Chinese Guidelines for Clinical Management of Cerebrovascular Disease (2nd edition);
• 8 ≤ NIHSS score ≤ 25 before randomisation，and the sum of the score of the 5th upper limb and the 6th lower limb was ≥ 2 ;
• Within 3h of stroke onset and expected to be able to start receiving the investigational product within 3 h of stroke onset (note: stroke onset time was calculated from the onset time of stroke symptoms; if stroke onset occurs during sleep, the stroke onset time should be taken as the latest normal appearance time);
• First stroke onset, or have a history of stroke but good prognosis (mRS score ≤1);
• Subjects who are able to understand and comply with the study procedures, and who agree to sign the study informed consent form in writing to indicate that they are willing to participate in the trial (the informed consent form can be signed by subjects or their legal representatives).