Aneurysm, Subarachnoid Hemorrhage
Conditions
Keywords
Aneurysmal subarachnoid hemorrhage (aSAH), Cerebral vasospasm, impaired cerebral autoregulation, transient hyperaemic response test, delayed ischaemic neurological deficits
Brief summary
In this study the investigators wish to explore the potential neuroprotective effects of acute oral supplementation of lycopene, a natural anti-oxidant derived from tomatoes, on cerebral vasospasm and autoregulation, and examine whether any improvements translate into a reduction of biochemical markers of vascular injury and inflammation a decrease in the prevalence of secondary strokes following subarachnoid haemorrhage.
Interventions
30 mg oral, daily, for 21 days
starch
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: \> 18 years old, * Confirmed aneurysmal subarachnoid hemorrhage (aSAH), * Time from ictus \< 96 hours
Exclusion criteria
* Age: \< 18 years old, * Non-aneurysmal SAH, * Time from ictus \> 96 hours, * Severe carotid atherosclerotic disease (≥70%) * High-dose statin therapy (\>80 mg/day fluvastatin; \>40 mg/day simvastatin; \>40 mg/day pravastatin; \>10 mg/day atorvastatin; \>10 mg/day rosuvastatin 28), * Allergy or hypersensitivity to tomatoes and tomato products and history of any other significant atopy/allergy (e.g. soy, whey, lutein, lecithin)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of vasospasm | Daily for 21 days | Mean flow velocity in MCA \> 120 cm/min; LR \> 3 (4 if age \< 50 years old) |
| Duration of impaired autoregulation measured with transcranial Doppler | Daily for 21 days | Transient hyperaemic response test; Mx |
Secondary
| Measure | Time frame |
|---|---|
| Level of biochemical markers of vascular injury: LDL, oxy-LDL, CRP, circulating endothelial cells, endothelial progenitor cells | Days: 0, 3, 6, 12, 14, 21 |
Countries
United Kingdom