Patients with acute ischemic stroke with proven occlusion of major brain arteries demonstrated by transcranial ultrasound. MedDRA version: 9.1 Level: LLT Classification code 10059620 Term: Plasminogen activator inhibitor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: male or female >18 year old, the diagnosis of acute ischemic stroke, presence of meaningful neurological deficit (NIHSS>4), initiation of treatment within 3 hours from symptom onset, meets general criteria for tPA administration, occlusion of major brain arteries demonstrated by TCD, and signed informed consent. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria are: absent insonation window (despite echocontrast use), pregnant or breast-feeding females, patients receiving other experimental drugs or therapies prior 30 days of study treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of the study is to provide information on the safety and activity of intravenous tissue plasminogen activator in the dose guided by artery status on transcranial ultrasound or transcranial color coded duplex ultrasound. ;Secondary Objective: The secondary objective is to provide preliminary data on clinical efficacy measured as National Institute of Health Stroke Scale and modified Rankin scale at 3 month.;Primary end point(s): The primary safety endpoint is the symptomatic intracerebral hemorhage on CT 24-36 hours post-treatment defined as parenchymal hemorrhage type 2 accompanied by neurological worsening by =4 points in NIHSS that is related to the ICH based on the opinion of the investigator. The primary activity endpoint is the proportion of the subject achieving complete recanalization at 120 minutes on transcranial ultrasound. | — |
Countries
Czech Republic