NCT02238470

Brief Summary

The purpose of this study is to determine whether Magnetic Resonance Imaging may predict the risk of Intracerebral Hemorrhage for patients with ischemic stroke who receive indefinite oral anticoagulation

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2012

Longer than P75 for all trials

Geographic Reach
2 countries

30 active sites

Status
completed

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

Study Start

First participant enrolled

April 1, 2012

Completed
2.4 years until next milestone

First Submitted

Initial submission to the registry

September 10, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 12, 2014

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2017

Completed
Last Updated

August 3, 2018

Status Verified

August 1, 2018

Enrollment Period

5.4 years

First QC Date

September 10, 2014

Last Update Submit

August 1, 2018

Conditions

Keywords

Ischemic strokeIntracerebral hemorrhageSubdural hemorrhageMicrobleedLeukoaraiosisOral anticoagulants

Outcome Measures

Primary Outcomes (1)

  • Intracranial Hemorrhage

    Telephone interview every 3 months, starting 3 months after ischemic stroke (3, 6, 9, 12, 15, 18, 21 and 24 months)

    every 3 months after stroke, until 24 months

Secondary Outcomes (1)

  • Ischemic stroke

    within 24 months after inclusion

Study Arms (1)

Oral anticoagulants

Patients who will receive oral anticoagulants indefinitely for the secondary prevention of cardioembolic stroke

Drug: oral anticoagulants

Interventions

Comparison of patients receiving oral anticoagulants with or without microbleeds in magnetic resonance imaging

Also known as: warfarin, coumarin, dabigatran, rivaroxaban, apixaban
Oral anticoagulants

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients admitted to tertiaty hospital for cardioembolic ischemic stroke

You may qualify if:

  • Age \> 65 y
  • TIA or ischemic stroke
  • The patient will receive indefinitely treatment with oral anticoagulants for the secondary prevention of cardioembolic stroke
  • No previous treatment with oral anticoagulants
  • Signed consent before performing a Magnetic Resonance
  • Long-term follow-up will be possible

You may not qualify if:

  • The patient will receive oral anticoagulation as a primary prevention treatment
  • The etiology that motivates the onset of oral anticoagulants is not cardioembolism
  • Absolute contraindication to receive oral anticoagulants
  • Arterial hypertension that is not controlled, hypertensive crisis
  • Dementia
  • Live-expectancy less than 1 year
  • Any social or psychological reason that prevents follow-up
  • Contraindication to perform a Magnetic Resonance examination
  • Patients who received oral antiacoagulants prior to the current stroke
  • The Magnetic Resonance imaging was performed more than 1 month after the onset of treatment with oral anticoagulants

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (30)

Arcispedale Santa Maria Nuova IRCCS

Reggio Emilia, Italy

Location

Hospital Germans Trias i Pujol

Badalona, Barcelona, Spain

Location

Fundació Hospital Asil Granollers

Granollers, Barcelona, Spain

Location

Hospital de Mataró

Mataró, Barcelona, Spain

Location

Hospital Parc Taulí

Sabadell, Barcelona, Spain

Location

Hospital Moisés Broggi

Sant Joan Despí, Barcelona, Spain

Location

Mutua de Terrassa

Terrassa, Barcelona, Spain

Location

Hospital de la Cinta

Tortosa, Tarragona, Spain

Location

Hospital de Albacete

Albacete, Spain

Location

Hospital de la Santa Creu i Sant Pau

Barcelona, 08025, Spain

Location

Hospital Clínic

Barcelona, Spain

Location

Hospital del Mar

Barcelona, Spain

Location

Hospital de Basurto

Bilbao, Spain

Location

Hospital CA de Burgos

Burgos, Spain

Location

Hospital San Pedro de Alcántara

Cáceres, Spain

Location

Hospital de Donostia

Donostia / San Sebastian, Spain

Location

Hospital Virgen de las Nieves

Granada, Spain

Location

Hospital de León

León, Spain

Location

Hospital Arnau de Vilanova

Lleida, Spain

Location

Hospital La Rioja

Logroño, Spain

Location

Hospital Gregorio Marañón

Madrid, Spain

Location

Hospital Ramón y Cajal

Madrid, Spain

Location

Hospital Universitario La Paz

Madrid, Spain

Location

Centro Médico Asturias

Oviedo, Spain

Location

Hospital Son Espases

Palma de Mallorca, Spain

Location

Hospital de Navarra

Pamplona, Spain

Location

CHU Santiago de Compostela

Santiago de Compostela, Spain

Location

Hospital Virgen del Rocío

Seville, Spain

Location

Hospital La Fe

Valencia, Spain

Location

Hospital CU de Valladolid

Valladolid, Spain

Location

Related Publications (1)

  • Marti-Fabregas J, Medrano-Martorell S, Merino E, Prats-Sanchez L, Marin R, Delgado-Mederos R, Martinez-Domeno A, Camps-Renom P, Jimenez-Xarrie E, Zedde M, Gomez-Choco M, Lara L, Boix A, Calleja A, De Arce-Borda AM, Bravo Y, Fuentes B, Hernandez-Perez M, Canovas D, Llull L, Zandio B, Freijo M, Casado-Naranjo I, Sanahuja J, Cocho D, Krupinski J, Rodriguez-Campello A, Palomeras E, De Felipe A, Serrano M, Zapata-Arriaza E, Zaragoza-Brunet J, Diaz-Maroto I, Fernandez-Dominguez J, Lago A, Maestre J, Rodriguez-Yanez M, Gich I; HERO study investigators. MRI predicts intracranial hemorrhage in patients who receive long-term oral anticoagulation. Neurology. 2019 May 21;92(21):e2432-e2443. doi: 10.1212/WNL.0000000000007532. Epub 2019 Apr 19.

MeSH Terms

Conditions

Ischemic StrokeCerebral HemorrhageHematoma, SubduralLeukoaraiosis

Interventions

AnticoagulantsWarfarincoumarinDabigatranRivaroxabanapixaban

Condition Hierarchy (Ancestors)

StrokeCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular DiseasesIntracranial HemorrhagesHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsIntracranial Hemorrhage, TraumaticCraniocerebral TraumaTrauma, Nervous SystemHematomaWounds and Injuries

Intervention Hierarchy (Ancestors)

Hematologic AgentsTherapeutic UsesPharmacologic ActionsChemical Actions and Uses4-HydroxycoumarinsCoumarinsBenzopyransPyransHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPyridinesBenzimidazolesThiophenesSulfur CompoundsOrganic ChemicalsMorpholinesOxazines

Study Officials

  • Joan Martí-Fàbregas, MD,PhD

    Biomedical Research Institute Sant Pau (IIB Sant Pau)

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 10, 2014

First Posted

September 12, 2014

Study Start

April 1, 2012

Primary Completion

September 1, 2017

Study Completion

September 1, 2017

Last Updated

August 3, 2018

Record last verified: 2018-08

Locations