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Selective depletion of C-reactive protein by therapeutic apheresis (CRP-apheresis) in ischemic stroke

Selective depletion of C-reactive protein by therapeutic apheresis (CRP-apheresis) in ischemic stroke - CASTRO1

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00021102
Enrollment
20
Registered
2020-03-13
Start date
2021-01-28
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

I63

Interventions

Group 1: 10 patients receive a maximum of 3 treatments at intervals of 24 ± 12 hours each (from the beginning of the preceeding treatment). No further treatments are carried out if the CRP concentrati

Sponsors

Pentracor GmbH
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Ischaemic stroke with determination of infarct size by imaging, NIHSS 1-24, CRP increase = 5 mg/l within presumably 72 hours after stroke and/or CRP value above 10 mg/l, Legal capacity, Written informed consent of the patient or a legal representative

Exclusion criteria

Exclusion criteria: Age < 18, Severe dysphagia (danger of aspiration pneumonia), Clinical or laboratory evidence of a severe systemic infection, Participation in another interventional study, Contraindications against apheresis therapy, Modified Rankin Scale (mRS) before index event = 3, Intracranial hemorrhage, Epileptic seizure in the context of the acute event, Pregnancy, lactation

Design outcomes

Primary

MeasureTime frame
Safety of CRP apheresis: Incidence of expected and unexpected adverse effects

Secondary

MeasureTime frame
NIHSS score (National Institute of Health Stroke Scale) mRS (modified Rankin Scale) BI (Barthel Index) Infarct size (MRT volume change) The infarct size is determined by 2 additional MRIs 6 ± 3 days and 12 ± 2 weeks after the infarct, the scores at the same time. Biomarker of inflammation (CRP, interleukin-6 and serum amyloid A) are determined twice daily until discharge of the patient, but not more than 7 days after onset of symptoms.

Countries

Germany

Contacts

Public ContactJohannes Dorst

Abteilung für Neurologie, Universität Ulm RKU - Universitäts- und Rehabilitationskliniken Ulm gGmbH

johannes.dorst@uni-ulm.de+49 731 177 5285

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026