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Efficacy and Safety Trial of Transcranial Laser Therapy Within 24 Hours From Stroke Onset (NEST-3) NEST-3

NEUROTHERA® EFFICACY AND SAFETY TRIAL - 3 (NEST-3) A DOUBLE-BLIND, RANDOMIZED, SHAM-CONTROLLED, PARALLEL GROUP, MULTICENTER, PIVOTAL STUDY TO ASSESS THE SAFETY AND EFFICACY OF TRANSCRANIAL LASER THERAPY WITH THE NEUROTHERA® LASER SYSTEM FOR THE TREATMENT OF ACUTE ISCHEMIC STROKE WITHIN 24 HOURS OF STROKE ONSET

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REPEC
Registry ID
PER-073-10
Enrollment
100
Registered
2010-11-03
Start date
Unknown
Completion date
Unknown
Last updated
2023-09-04

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

Conditions

None listed

Interventions

Group 1 Type of group
Patients receive transcranial laser therapy Group name:Group 2 Type of group
Patients receive simulated transcranial laser therapy (placebo)

Sponsors

PHOTOTHERA INC.,
Lead Sponsor

Eligibility

Age
40 Years to 80 Years

Inclusion criteria

Inclusion criteria: • Clinical diagnosis of acute ischemic stroke • Subject is not a candidate for treatment with neurothrombectomy • Initiation of the TLT procedure begins between 4.5 and 24 hours • Baseline NIHSS score range: 7-17 • Full functional independence just prior to the present stroke episode • Negative pregnancy test in females of childbearing potential • Subject Informed Consent obtained prior to enrollment into this study

Exclusion criteria

Exclusion criteria: • Evidence of an intracranial, subdural, or subarachnoid hemorrhage • Acute ischemic strokes located exclusively in the brainstem, or cerebellum, or small deep infarctions, or massive hemispheric strokes • Seizure at stroke onset or within the 7 days prior to stroke onset • Sustained blood glucose >300 or 220 mmHg or DBP >140 mmHg) • Sustained hypotension (SBP <80 mmHg or DBP <50 mmHg) • A presumed and/or confirmed septic embolus • History of CNS vascular disease (e.g. aneurysm, AVM) or history of CNS disease or damage (e.g. neoplasm or dementia) which may influence the subject´s outcome assessment. • Head implant of any kind • Significant skin condition of the scalp (eg. psoriasis) • Use of any intravenous or intra-arterial thrombolytic medication • Use of any diagnostic or therapeutic interventional neurovascular procedure • Female who is pregnant or lactating or who is of childbearing potential and not using a medically acceptable method of birth control.

Design outcomes

Primary

MeasureTime frame
Outcome name:Specifically, the analysis will be performed using a hierarchical model that incorporates previous data from the NEST-2 study designed to prevent exacerbation of type I error, in accordance with the FDA Guide for the use of Bayesian statistics in clinical trials with medical devices ( February 5, 2006). Measure:Dichotomized result of the 90-day mRS score Timepoints:90 days

Secondary

MeasureTime frame
Outcome name:For the result in which the mRS ordinal scale is used, the null hypothesis is that there is no difference between the SCG and TLTG groups with respect to the underlying distribution of the mRS scores as stated in the contingency tables of 2 by 6 stratified according to baseline NIHSS score, TESO and age. Measure:Distribution of mRS scores at day 90 (Change in Rankin test) Timepoints:90 days

Countries

Austria, Canada, Finland, France, Germany, Peru, Spain, Sweden, Switzerland, United States

Contacts

Public ContactYngrid Saldarriaga

PAREXEL INTERNATIONAL (PERU) S.A.

Yngrid.Saldarriaga@parexel.com417-6440

Outcome results

None listed

Source: REPEC (via WHO ICTRP)