Improving Platelet Activity for Cerebral Hemorrhage Treatment - DDAVP Proof of Concept
IMPACT
1 other identifier
interventional
14
1 country
1
Brief Summary
The investigators intend to show that DDAVP improves platelet activity from baseline to 60 minutes after treatment start.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Dec 2010
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 17, 2009
CompletedFirst Posted
Study publicly available on registry
August 19, 2009
CompletedStudy Start
First participant enrolled
December 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedResults Posted
Study results publicly available
August 28, 2014
CompletedAugust 28, 2014
July 1, 2014
3 years
August 17, 2009
July 16, 2014
August 11, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Platelet Activity, Measured in Seconds on PFA-EPI Assay, From Pre to Post-treatment
The Platelet Function Analyzer (PFA) is a commercially available point-of-care assay that measures the time to closure of an aperature. Longer time to closure indicates less platelet activity. EPI denotes epinephrine (as opposed to adenosine diphosphate) as the stimulant to platelet aggregation. In our laboratory, a time to closure of at least 172 seconds in consistent with an aspirin effect.
60 minutes after treatment start
Secondary Outcomes (1)
Adverse Events : New Fever >=100.4F, Respiratory Distress or Pulmonary Edema on Chest Radiography, Rash, Hypotension (Systolic BP < 100 mm Hg or New Vasopressor Use or Increase in Vasopressor Dose by >25%)
within 6 hours of study treatment
Study Arms (1)
DDAVP
EXPERIMENTALDDAVP 0.4 mcg/kg intravenously in 250 mL NS over 30 minutes
Interventions
0.4 mcg/kg in 250 mL NS intravenously once over 30 minutes
Eligibility Criteria
You may qualify if:
- Spontaneous intracerebral hemorrhage as documented by head CT scan
- Documented regular aspirin use or VerifyNow-ASA result of ≤ 550 aspirin reaction units (ARU), indicating anti-platelet medication
You may not qualify if:
- International normalized ratio (INR) of ≥ 1.7 from coagulopathy or warfarin use
- History of von Willebrand disease
- Pregnancy
- Known hypersensitivity to DDAVP or desmopressin
- Active cardiovascular disease or unstable angina
- Hyponatremia or history of hyponatremia
- Current or historical deep venous thrombosis or pulmonary embolism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northwestern Universitylead
- Northwestern Memorial Hospitalcollaborator
Study Sites (1)
Northwestern Memorial Hospital
Chicago, Illinois, 60611, United States
Related Publications (1)
Naidech AM, Maas MB, Levasseur-Franklin KE, Liotta EM, Guth JC, Berman M, Rosenow JM, Lindholm PF, Bendok BR, Prabhakaran S, Bernstein RA, Kwaan HC. Desmopressin improves platelet activity in acute intracerebral hemorrhage. Stroke. 2014 Aug;45(8):2451-3. doi: 10.1161/STROKEAHA.114.006061. Epub 2014 Jul 8.
PMID: 25005444RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Andrew M Naidech
- Organization
- Northwestern Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Andrew M Naidech, MD MSPH
Northwestern University
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
August 17, 2009
First Posted
August 19, 2009
Study Start
December 1, 2010
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
August 28, 2014
Results First Posted
August 28, 2014
Record last verified: 2014-07