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NCT05300737Active, not recruiting

Symptomatic Carotid Outcomes Registry

Symptomatic Carotid Outcomes Registry With Multi-center Evaluation

Source: ClinicalTrials.gov · Last updated 5 Nov 2026

Brief summary (registry, in English)

The purpose of this study is to build upon trials done over 30 years ago, which did not include statins, new antiplatelet agents, and newer antihypertensive medications. Since the landmark trials (NASCET, ECST), there have been new developments in medical stroke prevention, which creates a gap in knowledge. The aim of this study is to evaluate that clinical care with Intensive Medical Therapy (IMT) alone, the one year stroke rate in patients with symptomatic carotid stenosis and low risk clinical features will be <5%.

Status (registry)
Active, not recruiting
Study type
Observational
Enrollment
114 (estimated)
First submitted
9 Mar 2022
Start date
1 Aug 2022
Primary completion date
25 Sept 2026
Lead sponsor
University of Maryland, Baltimore
Diseases
Stroke
NCT number
NCT05300737

What you commit to

  • Study type: Observational
  • Planned participants: 114
  • From 1 Aug 2022 to the primary completion date, 25 Sept 2026
  • 18 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study design.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Alcohol and substance abuse within the prior 24 months

Other illness

  • Atrial fibrillation or other high-risk sources of cardiac embolism unless it is device detected AF only or duration <6 minutes
  • Known allergy or intolerance to aspirin or clopidogrel
  • Moderate/severe dementia (Mini-mental or MOCA score <22

Lab values

  • Clinically significant bleeding diathesis (platelet count <100K, prothrombin time >14 seconds)
  • Left ventricular ejection fraction <20%

Other

  • Clear indication for therapeutic anticoagulation (for example, DVT or pulmonary embolism within past 3 months)
  • Life expectancy less than 12 months
  • Modified Rankin score of >4
  • Nonatherosclerotic cause of carotid stenosis
  • Most recent symptomatic event >180 days from the time of enrollment
  • -

Who the study is looking for

  • Age ≥40 years plus stroke or TIA ipsilateral to 50-99% ICA stenosis
    • In addition, patients must have at least one clinical or radiologic marker of reduced stroke risk
    • Clinical Reduced Stroke RISK:
  • Retinal ischemia only (amaurosis fugax, branch retinal artery occlusion (BRAO), central retinal artery occlusion (CRAO)
  • Female sex
  • Most recent stroke or TIA >1 week ago
    • Radiologic Reduced Stroke RISK:
  • Transcranial Doppler (TCD) study demonstrating lack of microembolic signals
  • Cross-sectional MRI plaque imaging demonstrating absence of intraplaque hemorrhage
  • For patients with TIA: brain MRI shows no DWI lesion

Age in the registry: 40 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (18)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Calgary Health Sciences Center
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CalgaryCanadaUnknown status
University of Alberta
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EdmontonCanadaUnknown status
Northern Ontario School of Medicine
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Greater SudburyCanadaUnknown status
Western University/London Health Sciences Center
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LondonCanadaUnknown status
CHUM
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MontrealCanadaUnknown status
Vancouver General Hospital
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VancouverCanadaUnknown status
University of Manitoba
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WinnipegCanadaUnknown status
Emory University Hospital
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AtlantaUnited StatesUnknown status
University of Maryland Medical Center
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BaltimoreUnited StatesUnknown status
Rush Medical Center
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ChicagoUnited StatesUnknown status
Northwestern Memorial Hospital
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ChicagoUnited StatesUnknown status
Hartford Hospital
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HartfordUnited StatesUnknown status
Baylor Medicine
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HoustonUnited StatesUnknown status
University of Iowa
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Iowa CityUnited StatesUnknown status
Rhode Island Hospital
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ProvidenceUnited StatesUnknown status
University of Rochester
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RochesterUnited StatesUnknown status
Baystate Medical Center
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SpringfieldUnited StatesUnknown status
University of Massachusetts Medical Center
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WorcesterUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.