Brain Infarction, Cerebral Ischemia, Stroke
Conditions
Keywords
Stroke, Fibrinogen, Reperfusion, Thrombolysis
Brief summary
The primary purpose of this study is to determine whether a brief intravenous infusion of ancrod started within 6 hours of stroke onset improves functional outcome at 3 months.
Detailed description
With prior approval by the FDA, an interim analysis for futility was performed when 500 subjects had been entered into the two parallel trials, NCT00141001 and NCT00300196. The analyses were reviewed by the data safety monitoring board, which recommended that both studies be terminated because of futility. This was done at a point where 650 subjects had been entered into both studies, combined, but analyses were conducted only on the initial 500 subjects. Results of the abbreviated analysis will be found with study NCT00141001 since that study contributed most of the subjects to the analysis.
Interventions
0.167 IU/kg/hr (0.6 mL/kg/hr) IV for 2-3 hours
0.6 mL/kg/hr
Sponsors
Study design
Eligibility
Inclusion criteria
* Acute, ischemic stroke with first symptoms within 6 hours of beginning treatment * Baseline NIHSS \> 5
Exclusion criteria
* No intracranial, extravascular blood on CT * Hypertension (systolic \> 185; diastolic \> 105) * Baseline fibrinogen level \< 100 mg/dL * Thrombocytopenia (\< 100,000 / mm3) * Recent (\< 3 days) or anticipated (\< 5 days) use of a thrombolytic agent * Recent (\< 14 days) or anticipated surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Responder analysis based on Modified Rankin Scale (mRS) | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| National Institute of Health Stroke Scale (NIHSS),Barthel Index (BI),Fibrinogen levels with ancrod tx, and Safety of ancrod tx | 90 days |
Countries
Australia, Canada, Czechia, Netherlands, Poland, Russia, South Africa, Taiwan, United Kingdom, United States