
Chinese Journal of Stroke ›› 2025, Vol. 20 ›› Issue (5): 519-528.DOI: 10.3969/j.issn.1673-5765.2025.05.001
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XIONG Yunyun1, WANG Yongjun1,2
Received:2025-03-05
Revised:2025-04-28
Accepted:2025-05-05
Online:2025-05-20
Published:2025-05-20
Contact:
WANG Yongjun, E-mail: yongjunwang@ncrcnd.org.cn
熊云云1,王拥军1,2
通讯作者:
王拥军 yongjunwang@ncrcnd.org.cn
基金资助:CLC Number:
XIONG Yunyun, WANG Yongjun. From Inception to Excellence: Two Decades of Stroke Clinical Research in China[J]. Chinese Journal of Stroke, 2025, 20(5): 519-528.
熊云云, 王拥军. 从起步到辉煌——中国卒中临床研究发展20年[J]. 中国卒中杂志, 2025, 20(5): 519-528.
| [1] International Stroke Trial Collaborative Group. The international stroke trial(IST):a randomised trial of aspirin,subcutaneous heparin,both,or neither among 19 435 patients with acute ischaemic stroke[J]. Lancet,1997,349(9065):1569-1581. [2] CHEN Z M,CAST(Chinese Acute Stroke Trial)Collaborative Group. CAST:randomised placebo-controlled trial of early aspirin use in 20 000 patients with acute ischaemic stroke[J]. Lancet,1997,349(9066):1641-1649. [3] BARER D. Interpretation of IST and CAST stroke trials[J]. Lancet,1997,350(9075):440. [4] HUANG Y N,CHENG Y,WU J,et al. Cilostazol as an alternative to aspirin after ischaemic stroke:a randomised,double-blind,pilot study[J]. Lancet Neurol,2008,7(6):494-499. [5] HANKEY G J. Cilostazol shows promise as an alternative to aspirin for patients with ischaemic stroke[J]. Lancet Neurol,2008,7(6):469-470. [6] SACCO R L,DIENER H C,YUSUF S,et al. Aspirin and extended-release dipyridamole versus clopidogrel for recurrent stroke[J]. N Engl J Med,2008,359(12):1238-1251. [7] MIAO Z R,JIANG L D,WU H,et al. Randomized controlled trial of symptomatic middle cerebral artery stenosis:endovascular versus medical therapy in a Chinese population[J]. Stroke,2012,43(12):3284-3290. [8] MENG R,ASMARO K,MENG L,et al. Upper limb ischemic preconditioning prevents recurrent stroke in intracranial arterial stenosis[J]. Neurology,2012,79(18):1853-1861. [9] WANG Y J,CUI L Y, JI X M,et al. The China national stroke registry for patients with acute cerebrovascular events:design,rationale,and baseline patient characteristics[J]. Int J Stroke,2011,6(4):355-361. [10] LI Z X,WANG C J,ZHAO X Q,et al. Substantial progress yet significant opportunity for improvement in stroke care in China[J]. Stroke,2016,47(11):2843-2849. [11] WANG Y J,JING J,MENG X,et al. The third China national stroke registry(CNSR-Ⅲ)for patients with acute ischaemic stroke or transient ischaemic attack:design,rationale and baseline patient characteristics[J]. Stroke Vasc Neurol,2019,4(3):158-164. [12] WANG Y J,WANG Y L,ZHAO X Q,et al. Clopidogrel with aspirin in acute minor stroke or transient ischemic attack[J]. N Engl J Med,2013,369(1):11-19. [13] WANG Y J,LI S Y,PAN Y S,et al. Tenecteplase versus alteplase in acute ischaemic cerebrovascular events(TRACE-2):a phase 3,multicentre,open-label,randomised controlled,non-inferiority trial[J]. Lancet,2023,401(10377):645-654. [14] MENG X,LI S Y,DAI H G,et al. Tenecteplase vs. alteplase for patients with acute ischemic stroke:the ORIGINAL randomized clinical trial[J]. JAMA,2024,332(17):1437-1445. [15] LI S Y,GU H Q,LI H,et al. Reteplase versus alteplase for acute ischemic stroke[J]. N Engl J Med,2024,390(24):2264-2273. [16] LI S Y,GU H Q,FENG B Y,et al. Safety and efficacy of intravenous recombinant human prourokinase for acute ischaemic stroke within 4.5 h after stroke onset(PROST-2):a phase 3,open-label,non-inferiority,randomised controlled trial[J]. Lancet Neurol,2025,24(1):33-41. [17] GU H Q,YANG X,WANG C J,et al. Clinical characteristics,management,and in-hospital outcomes in patients with stroke or transient ischemic attack in China[J/OL]. JAMA Netw Open,2021,4(8):e2120745[2025-03-02]. https://doi.org/10.1001/jamanetworkopen.2021.20745. [18] XIONG Y Y,CAMPBELL B C V,SCHWAMM L H,et al. Tenecteplase for ischemic stroke at 4.5 to 24 hours without thrombectomy[J]. N Engl J Med,2024,391(3):203-212. [19] CHENG X,HONG L,CHURILOV L,et al. Tenecteplase thrombolysis for stroke up to 24 hours after onset with perfusion imaging selection:the umbrella phase Ⅱa CHABLIS-T randomised clinical trial[J]. Stroke Vasc Neurol,2024,9(5):551-559. [20] LUO Z Y,ZHOU Y,HE Y D,et al. Treatment with intravenous alteplase in ischaemic stroke patients with onset time between 4.5 and 24 hours(HOPE):protocol for a randomised,controlled,multicentre study[J]. Stroke Vasc Neurol,2024,9(3):318-323. [21] CHEN H S,CUI Y,ZHOU Z H,et al. Effect of argatroban plus intravenous alteplase vs. intravenous alteplase alone on neurologic function in patients with acute ischemic stroke:the ARAIS randomized clinical trial[J]. JAMA,2023,329(8):640-650. [22] XIONG Y Y,MENG X,JIN A M,et al. Prourokinase vs. standard care for patients with mild ischemic stroke:the PUMICE randomized clinical trial[J]. JAMA Neurol,2025,82(3):258-266. [23] LIU X F,DAI Q L,YE R D,et al. Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion(BEST):an open-label,randomised controlled trial[J]. Lancet Neurol,2020,19(2):115-122. [24] TAO C R,NOGUEIRA R G,ZHU Y Y,et al. Trial of endovascular treatment of acute basilar-artery occlusion[J]. N Engl J Med,2022,387(15):1361-1372. [25] JOVIN T G,LI C H,WU L F,et al. Trial of thrombectomy 6 to 24 hours after stroke due to basilar-artery occlusion [J]. N Engl J Med,2022,387(15):1373-1384. [26] HUO X C,MA G T,TONG X,et al. Trial of endovascular therapy for acute ischemic stroke with large infarct[J]. N Engl J Med,2023,388(14):1272-1283. [27] YANG P F,ZHANG Y W,ZHANG L,et al. Endovascular thrombectomy with or without intravenous alteplase in acute stroke[J]. N Engl J Med,2020,382(21):1981-1993. [28] ZI W J,QIU Z M,LI F L,et al. Effect of endovascular treatment alone vs. intravenous alteplase plus endovascular treatment on functional independence in patients with acute ischemic stroke:the DEVT randomized clinical trial[J]. JAMA,2021,325(3):234-243. [29] CHEN H S,CUI Y,ZHOU Z H,et al. Dual antiplatelet therapy vs. alteplase for patients with minor nondisabling acute ischemic stroke:the ARAMIS randomized clinical trial[J]. JAMA,2023,329(24):2135-2144. [30] WANG Y L,ZHAO X Q,LIN J X,et al. Association between CYP2C19 loss-of-function allele status and efficacy of clopidogrel for risk reduction among patients with minor stroke or transient ischemic attack[J]. JAMA,2016,316(1):70-78. [31] WANG Y J,MENG X,WANG A X,et al. Ticagrelor versus clopidogrel in CYP2C19 loss-of-function carriers with stroke or TIA[J]. N Engl J Med,2021,385(27):2520-2530. [32] GAO Y,CHEN W Q,PAN Y S,et al. Dual antiplatelet treatment up to 72 hours after ischemic stroke[J]. N Engl J Med,2023,389(26):2413-2424. [33] CHEN H S,CUI Y,WANG X H,et al. Clopidogrel plus aspirin vs. aspirin alone in patients with acute mild to moderate stroke:the ATAMIS randomized clinical trial[J]. JAMA Neurol,2024,81(5):450-460. [34] PAN Y S,MENG X,YUAN B S,et al. Indobufen versus aspirin in patients with acute ischaemic stroke in China(INSURE):a randomised,double-blind,double-dummy,active control,non-inferiority trial[J]. Lancet Neurol,2023,22(6):485-493. [35] ZI W J,SONG J X,KONG W L,et al. Tirofiban for stroke without large or medium-sized vessel occlusion [J]. N Engl J Med,2023,388(22):2025-2036. [36] ZHAO W B,LI S J,LI C H,et al. Effects of tirofiban on neurological deterioration in patients with acute ischemic stroke:a randomized clinical trial[J]. JAMA Neurol,2024,81(6):594-602. [37] LI J J,MENG X,SHI F D,et al. Colchicine in patients with acute ischaemic stroke or transient ischaemic attack(CHANCE-3):multicentre,double blind,randomised,placebo controlled trial[J/OL]. BMJ,2024,385:e079061[2025-03-02]. https://doi.org/10.1136/bmj-2023-079061. [38] HE J,ZHANG Y H,XU T,et al. Effects of immediate blood pressure reduction on death and major disability in patients with acute ischemic stroke:the CATIS randomized clinical trial[J]. JAMA,2014,311(5):479-489. [39] LIU L P,XIE X W,PAN Y S,et al. Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke:multicentre,open label,randomised,controlled trial[J/OL]. BMJ,2023,383:e076448[2025-03-02]. https://doi.org/10.1136/bmj-2023-076448. [40] GAO P,WANG T,WANG D M,et al. Effect of stenting plus medical therapy vs. medical therapy alone on risk of stroke and death in patients with symptomatic intracranial stenosis:the CASSISS randomized clinical trial[J]. JAMA,2022,328(6):534-542. [41] MA Y,WANG T,WANG H B,et al. Extracranial-intracranial bypass and risk of stroke and death in patients with symptomatic artery occlusion:the CMOSS randomized clinical trial[J]. JAMA,2023,330(8):704-714. [42] JIA B X,ZHANG X L,MA N,et al. Comparison of drug-eluting stent with bare-metal stent in patients with symptomatic high-grade intracranial atherosclerotic stenosis:a randomized clinical trial[J]. JAMA Neurol,2022,79(2):176-184. [43] SUN X,DENG Y M,ZHANG Y,et al. Balloon angioplasty vs. medical management for intracranial artery stenosis:the BASIS randomized clinical trial[J]. JAMA,2024,332(13):1059-1069. [44] WANG A X,JIA B X,ZHANG X L,et al. Efficacy and safety of butylphthalide in patients with acute ischemic stroke:a randomized clinical trial[J]. JAMA Neurol,2023,80(8):851-859. [45] FU Y,WANG A X,TANG R H,et al. Sublingual edaravone dexborneol for the treatment of acute ischemic stroke:the TASTE-SL randomized clinical trial[J]. JAMA Neurol,2024,81(4):319-326. [46] CHEN H S,CUI Y,LI X Q,et al. Effect of remote ischemic conditioning vs. usual care on neurologic function in patients with acute moderate ischemic stroke:the RICAMIS randomized clinical trial[J]. JAMA,2022,328(7):627-636. [47] HOU C B,LAN J,LIN Y N,et al. Chronic remote ischaemic conditioning in patients with symptomatic intracranial atherosclerotic stenosis(the RICA trial):a multicentre,randomised,double-blind sham-controlled trial in China[J]. Lancet Neurol,2022,21(12):1089-1098. [48] GAO F,TONG X,JIA B X,et al. Bailout intracranial angioplasty or stenting following thrombectomy for acute large vessel occlusion in China(ANGEL-REBOOT):a multicentre,open-label,blinded-endpoint,randomised controlled trial[J]. Lancet Neurol,2024,23(8):797-806. [49] LIU J M,ZHOU Y,ZHANG L,et al. Balloon guide catheters for endovascular thrombectomy in patients with acute ischaemic stroke due to large-vessel occlusion in China(PROTECT-MT):a multicentre,open-label,blinded-endpoint,randomised controlled trial[J]. Lancet,2024,404(10468):2165-2174. [50] RESCUE BT Trial Investigators. Effect of intravenous tirofiban vs. placebo before endovascular thrombectomy on functional outcomes in large vessel occlusion stroke:the RESCUE BT randomized clinical trial[J]. JAMA,2022,328(6):543-553. [51] LI W L,LAN J,WEI M,et al. Normobaric hyperoxia combined with endovascular treatment for acute ischaemic stroke in China(OPENS-2 trial):a multicentre,randomised,single-blind,sham-controlled trial[J]. Lancet,2025,405(10477):486-497. [52] MARVEL Trial Authors for the MARVEL Investigators. Methylprednisolone as adjunct to endovascular thrombectomy for large-vessel occlusion stroke:the MARVEL randomized clinical trial[J]. JAMA,2024,331(10):840-849. [53] LIU C,GUO C W,LI F L,et al. Intra-arterial urokinase after endovascular reperfusion for acute ischemic stroke:the POST-UK randomized clinical trial[J]. JAMA,2025,333(7):589-598. [54] HUANG J C,YANG J,LIU C,et al. Intra-arterial tenecteplase following endovascular reperfusion for large vessel occlusion acute ischemic stroke:the POST-TNK randomized clinical trial[J]. JAMA,2025,333(7):579-588. [55] YANG P F,SONG L L,ZHANG Y W,et al. Intensive blood pressure control after endovascular thrombectomy for acute ischaemic stroke(ENCHANTED2/MT):a multicentre,open-label,blinded-endpoint,randomised controlled trial[J]. Lancet,2022,400(10363):1585-1596. [56] LIANG F,WU Y X,WANG X Y,et al. General anesthesia vs. conscious sedation for endovascular treatment in patients with posterior circulation acute ischemic stroke:an exploratory randomized clinical trial[J]. JAMA Neurol,2023,80(1):64-72. [57] WANG Y L,LI Z X,ZHAO X Q,et al. Effect of a multifaceted quality improvement intervention on hospital personnel adherence to performance measures in patients with acute ischemic stroke in China:a randomized clinical trial[J]. JAMA,2018,320(3):245-254. [58] WANG C J,GU H Q,ZONG L X,et al. Effectiveness of a quality improvement intervention on reperfusion treatment for patients with acute ischemic stroke:a stepped-wedge cluster randomized clinical trial[J/OL]. JAMA Netw Open,2023,6(6):e2316465[2025-03-02]. https://doi.org/10.1001/jamanetworkopen.2023.16465. |
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