Cerebral Small Vessel Disease Progression Dependent on Stroke Type
ZMA_BIO
Biomarker-based Assessment of Cerebral Small Vessel Disease Progression After Lacunar and Territorial Stroke - a Prospective Cohort Study
2 other identifiers
observational
180
1 country
1
Brief Summary
The goal of this prospective, observational study is to understand if cerebral small vessel disease (CSVD) has different velocities and patterns of temporal development, dependent on a concurrent ischemic stroke. It focusses on adult patients with known or newly diagnosed CSVD on magnetic resonance imaging. The study will evaluate if blood based, in parts central nervous system specific protein markers, so called biomarkers, have an additional value reflecting the course of CSVD as defined per MRI assessments. Further patient-relevant endpoints include neuropsychological abilities, neurological functional outcomes, quality of life assessments, stroke recurrence risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2026
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 26, 2026
CompletedFirst Submitted
Initial submission to the registry
April 13, 2026
CompletedFirst Posted
Study publicly available on registry
May 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2028
May 28, 2026
May 1, 2026
2 years
April 13, 2026
May 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in White Matter Lesion Volume based on MRI measurements
MRI: White Matter Lesion volume will be measured and compared over the study trajectory (baseline upon study termination) in mm3
1 year
Secondary Outcomes (8)
Changes of Blood Biomarkers
1 year
Occurrence of Cerebrovascular Events
1 year
Changes in Neuropsychological Tests
1 year
Neurological Functional Abilities
1 year
Changes in Neurovascular Duplex/Dopplerultrasound
1 year
- +3 more secondary outcomes
Study Arms (3)
Group 1
cerebral small vessel disease without current stroke
Group 2
cerebral small vessel disease with acute lacunar stroke
Group 3
cerebral small vessel disease with acute territorial stroke
Eligibility Criteria
Adult patients with sporadic, non-genetic cerebral small vessel disease
You may qualify if:
- Age ≥ 18 years
- Evidence of cerebral small vessel disease on brain MRI, defined as white matter hyperintensities (Fazekas grade 1-3)
- Assignment to one of the following study groups based on MRI findings:
- cerebral small vessel disease without evidence of an acute ischemic stroke
- cerebral small vessel disease with acute lacunar ischemic stroke
- cerebral small vessel disease with acute territorial ischemic stroke
- Ability to provide written informed consent
- Sufficient German language skills to understand study procedures and assessments
You may not qualify if:
- Alternative plausible causes of white matter hyperintensities other than cerebral small vessel disease (e.g. inflammatory central nervous system disorders, leukodystrophies, brain tumors)
- Known neurodegenerative diseases (e.g. Parkinson's disease, Alzheimer's disease, other dementias)
- Acute or recent traumatic brain injury
- Contraindications to magnetic resonance imaging
- Pregnancy or breastfeeding
- Life expectancy of less than one year
- Inability to comply with study procedures or follow-up visits
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Johannes Dorstlead
Study Sites (1)
University Hospital Ulm, Department of Neurology, Germany
Ulm, Baden-Wurttemberg, 89081, Germany
Biospecimen
Blood samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Mona E Laible, MD
University Hospital Ulm, Germany
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Year
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Prof. Dr. Johannes Dorst
Study Record Dates
First Submitted
April 13, 2026
First Posted
May 28, 2026
Study Start
March 26, 2026
Primary Completion (Estimated)
April 1, 2028
Study Completion (Estimated)
April 1, 2028
Last Updated
May 28, 2026
Record last verified: 2026-05