Evidence map›Paper›PMID 39915229›Full record

ArticleStroke and vascular neurology2025

Phase II randomised, double-blind, placebo-controlled trial to assess the efficacy and safety of MLC1501 in patients with stroke: the MLC1501 study Assessing Efficacy in post-STrOke Subjects with mOtor deficits (MAESTOSO) study protocol.

Christopher P L H Chen, Romulo U Esagunde, Cyrus G Escabillas, John Harold Hiyadan, Joel M Advincula, Christian Oliver C Co, Maria Epifania V Collantes, Annabelle Y Lao, Yeow-Hoay Koh, Deidre Anne De Silva and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Stroke and vascular neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05289947 (A Randomized, Double-Blind, Placebo-Controlled Trial to Assess the Efficacy and Safety of MLC1501 in Patients With Stroke), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05289947 phase2completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Trial to Assess the Efficacy and Safety of MLC1501 in Patients With Stroke

TypeinterventionalSponsorMoleac Pte Ltd.Ran2023 to 2025Enrolled303ConditionsStroke, Stroke, Ischemic, Strokes Thrombotic, Stroke SequelaeArmsPlacebo, MLC1501
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Christopher P L H ChenNational University of Singapore, Singapore cplhchen@yahoo.com.sg.ORCID 0000-0002-1047-9225
Romulo U EsagundeJose R Reyes Memorial Medical Center, Manila, Philippines.
Cyrus G EscabillasJose R Reyes Memorial Medical Center, Manila, Philippines.
John Harold HiyadanBaguio General Hospital and Medical Center, Baguio, Philippines.
Joel M AdvinculaWest Visayas State University Medical Center, Iloilo City, Philippines.
Christian Oliver C CoQuirino Memorial Medical Center, Quezon City, Philippines.ORCID 0000-0002-7143-5808
Maria Epifania V CollantesManila Doctors Hospital, Manila, Philippines.
Annabelle Y LaoSouthern Philippines Medical Center, Davao City, Philippines.
Yeow-Hoay KohChangi General Hospital, Singapore.
Deidre Anne De SilvaNational Neuroscience Institute-Singapore General Hospital Campus, Singapore.
Carol Huilian ThamNational Neuroscience Institute-Tan Tock Seng Campus, Singapore.
Johnny K LokinUniversity of Santo Tomas Hospital, Manila, Philippines.
Narayanaswamy VenketasubramanianRaffles Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMLC1501, consisting of four herbs, that is,

aimsTo determine the efficacy of MLC1501 on motor recovery as measured by Fugl-Meyer motor Assessment (FMA) total score at 24 weeks in patients with ischaemic stroke (IS).

designA total of 300 patients aged >18 years, diagnosed with IS in the prior 2-10 days, with National Institute of Health Stroke Scale (NIHSS) total score of 8-18 and a combined score of ≥3 on NIHSS motor items 5A, 5B, 6A and/or 6B, will be randomised in a 1:1:1 ratio to receive oral placebo, MLC1501 low dose or MLC1501 high dose for 6 months. The study is governed by a Steering Committee. An independent Data Monitoring Committee oversees patient safety. OUTCOMES: The primary outcome is mean change from baseline in FMA total score at 24 weeks. Efficacy outcomes evaluated in person at baseline, 12 weeks and 24 weeks include the FMA (total, upper extremity and lower extremity motor scores), modified Rankin Scale (mRS), Patient-Reported Outcomes Measurement Information System-Global Health (PROMIS-10) and NIHSS. Additionally, telephone assessment at week 4 includes the simplified mRS and PROMIS-10.Safety will be evaluated by standard assessments and occurrence of adverse events over the duration of the study. DISCUSSION: Interventions that enhance recovery beyond the acute period of stroke are needed. MLC1501 has a good safety profile as well as potential to be a treatment for recovery after brain injury. The results of this study will provide objective level B evidence on the efficacy of MLC1501 on long-term recovery and safety of 24 weeks of treatment among patients with IS. TRIAL REGISTRATION NUMBER: NCT05289947.

Indexed as

Drugs, Chinese HerbalIschemic StrokeMotor ActivityClinical Trials, Phase II as TopicDisability EvaluationDouble-Blind MethodFemaleFunctional StatusHumansMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicRecovery of FunctionTime FactorsTreatment OutcomeDrugs, Chinese HerbalCerebral InfarctionClinical TrialIschemic StrokeStrokeStroke Rehabilitation

Identifiers

PMID39915229
PMCPMC12573393

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.