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NCT06139692CompletedPhase 4

Comparison of Perioperative Conscious Sedation During Endovascular Thrombectomy in Acute Ischemic Stroke

Comparison of Perioperative Conscious Sedation During Endovascular Thrombectomy in Acute Ischemic Stroke (PEACE) A Randomised Multicentre Trial

Source: ClinicalTrials.gov · Last updated 24 Sept 2026

Brief summary (registry, in English)

This study aims to conduct a multicenter, prospective, randomized clinical trial to scientifically evaluate the safety and efficacy of different perioperative sedation methods during endovascular thrombectomy in acute ischemic stroke patients with large vessel occlusion in the anterior circulation.

Status (registry)
Completed
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
810 (actual)
First submitted
10 Nov 2023
Start date
21 Nov 2023
Primary completion date
30 May 2026
Lead sponsor
Jinling Hospital, China
Diseases
Stroke
NCT number
NCT06139692

What you commit to

  • Study type: Interventional · Phase 4
  • Participants enrolled: 810
  • From 21 Nov 2023 to the primary completion date, 30 May 2026
  • 4 sites in 1 country
  • 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, not your situation.

Who cannot take part

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

Prior treatment

  • Long-term use of sedative medications, α2-adrenergic receptor agonists (such as clonidine), or potent CYP450 inhibitors or inducers before randomization;
  • Uncontrolled hypertension or hypotension (defined as systolic blood pressure \> 185 mmHg or \< 90 mmHg, diastolic blood pressure \> 110 mmHg or \< 60 mmHg) measured prior to randomization;
  • Any major surgery or serious trauma within 14 days;
  • Receiving hemodialysis or peritoneal dialysis;

Other illness

  • Known allergy to contrast agents or nitinol devices;
  • Known allergy to midazolam or other benzodiazepines;
  • Known allergy to dexmedetomidine or its components;
  • Second-degree or third-degree heart blockage or bradyarrhythmia with a baseline heart rate lower than 50 beats / min;
  • Severe agitation or seizures;
  • Premorbid neurological disease or mental disorders confounding evaluation;
  • Evidence of intracranial hemorrhage on computed tomography (CT) or magnetic resonance imaging (MRI);

Lab values

  • Known genetic or acquired bleeding diathesis (platelet count \< 100\*10\^9/L, activated partial thromboplastin time \> 50 s or international normalized ratio \> 1.7);
  • Blood glucose \< 2.8 or \> 22.2 mmol/L;
  • Severe renal insufficiency (defined as glomerular filtration rate \< 30 ml/min or serum creatinine \> 220 mmol/L \[2.5mg/dl\]);

Other

  • Pregnant or lactating women;
  • Life expectancy ≤ 1 year;
  • Clinical manifestations of central nervous system vasculitis;
  • Unwilling to be followed up within 90 days;
  • Participation in other interventional randomized clinical trials.
    • Imaging exclusion criteria
  • Cerebellar infarction with obvious space-occupying effects and fourth ventricle compression on CT or MRI;
  • Any untreated or incompletely treated intracranial aneurysm or any intracranial vascular malformation;
  • Bilateral occlusion or multiple intracranial vessels occlusions;
  • Intracranial tumors (with mass effect).

Criteria the registry did not label

  • Age ≥ 18 years;
  • Presenting with symptoms of acute ischemic stroke within 24 hours of last known well;
  • Computed tomography angiography or magnetic resonance angiography confirmed occlusion of the intracranial segment of the internal carotid artery, M1 or M2 segment of the middle cerebral artery;
  • Pre-stroke modified Rankin scale (mRS) score ≤ 2;
  • National Institutes of Health Stroke Scale (NIHSS) score ≥ 6 before randomization;
  • Alberta Stroke Program Early CT Score (ASPECTS) ≥ 3 prior to randomization;
  • The patient or their legal representative provides written informed consent.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (4)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The General Hospital of Western Theater Command PLA
Coordinator of this site? Confirm its status
ChengduChinaUnknown status
Liaocheng Third hsopital
Coordinator of this site? Confirm its status
LiaochengChinaUnknown status
Jinling Hospital, Medical School of Nanjing University
Coordinator of this site? Confirm its status
NanjingChinaUnknown status
Yijishan Hospital of Wannan Medical College
Coordinator of this site? Confirm its status
WuhuChinaUnknown status

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