Eptifibatide in Endovascular Treatment of Acute Ischemic Stroke (EPOCH)
Safety and Efficacy of Eptifibatide in Endovascular Treatment of Acute Ischemic Stroke: a Single-arm, Open-label, Multicenter Clinical Trial
1 other identifier
interventional
220
1 country
1
Brief Summary
The study is a single-arm, open-label, multicenter clinical trial.The primary purpose of this trial is to evaluate the incidence of symptomatic intracranial hemorrhage in patients with acute ischemic stroke within 48 hours after the use of Eptifibatide injection. Patients with acute ischemic stroke treated with intravascular thrombolytic therapy, mechanical thrombolysis, angioplasty and so on were treated with Eptifibatide injection on the first day, followed by the second day, the third day, the discharge day and the 90 days.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2019
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
February 14, 2019
CompletedFirst Posted
Study publicly available on registry
February 18, 2019
CompletedStudy Start
First participant enrolled
April 6, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2020
CompletedJune 18, 2019
June 1, 2019
1.2 years
February 14, 2019
June 16, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Symptomatic intracranial hemorrhage
Incidence of symptomatic Intracranial Hemorrhage within 48 hours after treatment
Within 48 hours
Secondary Outcomes (12)
Cerebral parenchymal hemorrhage type (PH1) and (PH2)
48 hours
Serious adverse events
Within 48 hours
Total death rate
Within 48 hours
Adverse events
Within 48 hours
Serious adverse events
Within 90 days
- +7 more secondary outcomes
Study Arms (1)
Eptifibatide Drug: Eptifibatide Injection
EXPERIMENTALInterventions
Recommendation: first, intravenously or intraductal injection of 135ug / kg (completed in 5 minutes), followed by continuous intravenous infusion of 0.75ug / kg / min for 24 hours.
Eligibility Criteria
You may qualify if:
- Age≥18 years.
- Acute ischemic stroke.
- Treated with endovascular treatment, including intra-arterial thrombolysis, mechanical thrombectomy, and angioplasty.
- Written informed consent obtained from patient or patient's legally authorized representative.
You may not qualify if:
- Failed to vascular recanalization (mTICI≤1).
- Diagnosis of intracranial hemorrhagic disease, such as intracranial hemorrhage, subarachnoid hemorrhage and so on.
- Known coagulopathy, Systemic Bleeding Tendency, or baseline platelet count \< 100000/mm3.
- History of chronic hepatopathy, liver and kidney dysfunction, elevating ALT (\> 3 times normal upper limit), elevating serum creatinine (\> 2 times normal upper limit).
- Patients with severe hypertension (systolic blood pressure \> 200mmHg or diastolic blood pressure \> 110mmHg).
- Known drug or food allergy.
- Used other Glycoprotein IIb/IIIa receptor antagonists.
- Contraindications for DSA, severe contrast media allergy or iodine contrast media absolute contraindications.
- Childbearing age women whose pregnancy tests were negative refused to take effective contraception. Pregnant or lactating or positive pregnancy test on admission.
- Incapable to follow this study for mental illness, cognitive or emotional disorder.
- The researchers do not consider the participants appropriate to get into this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beijing Tiantan Hospital
Beijing, Beijing Municipality, 100070, China
Related Publications (1)
Ma G, Sun X, Cheng H, Burgin WS, Luo W, Jia W, Liu Y, He W, Geng X, Zhu L, Chen X, Shi H, Xu H, Zhang L, Wang A, Mo D, Ma N, Gao F, Song L, Huo X, Deng Y, Liu L, Luo G, Jia B, Tong X, Liu L, Ren Z, Miao Z; EPOCH Study and ANGEL-ACT Study Groups. Combined Approach to Eptifibatide and Thrombectomy in Acute Ischemic Stroke Because of Large Vessel Occlusion: A Matched-Control Analysis. Stroke. 2022 May;53(5):1580-1588. doi: 10.1161/STROKEAHA.121.036754. Epub 2022 Feb 2.
PMID: 35105182DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief of Department of Neurological Intervention
Study Record Dates
First Submitted
February 14, 2019
First Posted
February 18, 2019
Study Start
April 6, 2019
Primary Completion
June 30, 2020
Study Completion
December 31, 2020
Last Updated
June 18, 2019
Record last verified: 2019-06