NCT04393025

Brief Summary

Cerebral Endovascular Stenting of medically refractory Intracranial Stenotic Blood Vessels with Recurrent Ischemic Strokes patients

Trial Health

100
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jun 2016

Typical duration for phase_4

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

June 1, 2016

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2018

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2019

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

December 16, 2019

Completed
5 months until next milestone

First Posted

Study publicly available on registry

May 19, 2020

Completed
Last Updated

May 19, 2020

Status Verified

May 1, 2020

Enrollment Period

2 years

First QC Date

December 16, 2019

Last Update Submit

May 14, 2020

Conditions

Outcome Measures

Primary Outcomes (3)

  • Clinical improvement of IC stented patients in comparison to medically treated

    clinical assessment by National Institute of Health Stroke Scale (NIHSS) for clinical impr

    3 months

  • Functional improvement of IC stented patients in comparison to medically treated

    Functional assessment by modified Rankin Scale (mRS) for functional improvement

    3 months

  • Blood flow velocity accrossed Stenotic Large IC Vessels in comparison to medically treated

    Transcranial doppler (TCD) assessment of Mean Flow Velocity (MFV) across IC vessels

    3 months

Secondary Outcomes (1)

  • No Recurrent Ischemic stroke in stented ICSD patients

    6 months

Study Arms (2)

Intracranial Stenting

OTHER

25 Patients presented with recurrent Ischemic CVS with Large ICSD received ICS

Device: Intracranial Stenting by Intracranial Stent Device

Aspirin+Clopidogrel

ACTIVE COMPARATOR

25 Patients presented with recurrent Ischemic CVS with Large ICSD received optimal medical treatment

Drug: Optimum medical treatment

Interventions

Large Intracranial Vessels with ICSD underwent catheter lab and IC stent is inserted

Also known as: cardiac and wingspan IC stent device
Intracranial Stenting

Optimum Medical treatment

Also known as: Clopidogrel 75 mg +Aspirin 161 mg
Aspirin+Clopidogrel

Eligibility Criteria

Age30 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients age between 30-80 years.
  • Symptomatic ICAS: presented with TIA or stroke, attributed to 70%-99% stenosis of a major intracranial artery: Internal carotid artery (ICA), middle cerebral artery (MCA) \[M1segment\], vertebral artery (VA), or basilar artery (BA).
  • Patient with recurrent TIA or stroke despite medical therapy, including anti-coagulation or antiplatelet and control of all vascular risk factors (DM, HTN and Hyperlipidemia).

You may not qualify if:

  • Patients previously stented at the target lesion or had extracranial stenosis.
  • Patient with acute stroke (within two weeks from the onset).
  • Complete occlusion of the artery on the imaging assessment.
  • Massive cerebral infarction (more than half the MCA territory), intracranial hemorrhage, epidural or subdural hemorrhage, and intracranial brain tumor on CT or MRI scans.
  • Contraindications to antithrombotic and/or anticoagulant therapies.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Ischemic Stroke

Interventions

ClopidogrelAspirin

Condition Hierarchy (Ancestors)

StrokeCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

TiclopidineThienopyridinesThiophenesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingSalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Two armed medical study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical professor of Neurology-Faculty of Medicine-ASU

Study Record Dates

First Submitted

December 16, 2019

First Posted

May 19, 2020

Study Start

June 1, 2016

Primary Completion

June 1, 2018

Study Completion

June 1, 2019

Last Updated

May 19, 2020

Record last verified: 2020-05