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NCT06530927Recruiting

Microclots and Neutrophil Activation as Potential Indicators for Stroke Risk and Reperfusion Failure

Micro-clots and Neutrophil Activation as Potential Indicators for Stroke Risk and Reperfusion Failure The CLOTSAFE - Study (Micro-CLOTs, Stroke Risk, Activated Neutrophils, Reperfusion FailurE)

Source: ClinicalTrials.gov · Last updated 29 Aug 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Stroke remains a major health burden worldwide. Many patients are severely disabled and stay in need of care. Mechanical thrombectomy has dramatically improved outcomes for stroke patients with large vessel occlusions, yet 40-50% of patients with successful recanalization remain severely disabled despite successful recanalization, a scenario called "futile recanalization". One of the causes for this lack of treatment effect is capillary obstruction, or "no reflow", potentially resulting from activated neutrophils and micrometer-sized blood clots. To address this issue, we employ digital holotomographic and atomic force microscopy to investigate the structural and chemical characteristics of blood and clot material in stroke patients and individuals at high risk of developing a stroke. Our study elucidates the association of activated neutrophils and microclots with stroke risk, and may be associated with clinical outcome, stroke ethology and reperfusion failure in patients with stroke. Leveraging label-free microscopy tools, could potentially lead to the discovery of new biomarkers for individualized stroke treatment and prevention, ultimately offering rapid identification of at risk patients and improving clinical outcomes

Status (registry)
Recruiting
Study type
Observational
Enrollment
500 (estimated)
First submitted
28 Jul 2024
Start date
1 Feb 2025
Primary completion date
1 Sept 2030
Lead sponsor
University of Zurich
Diseases
Stroke
NCT number
NCT06530927

What you commit to

  • Study type: Observational
  • Planned participants: 500
  • From 1 Feb 2025 to the primary completion date, 1 Sept 2030
  • 1 site 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

  • Acute treatment with IVT or with MT
    • Acute Stroke IVT-Group • Acute treatment with MT or without IVT
    • Acute Stroke MT-Group

Age

  • Age under 18 years
    • Acute Stroke no Therapy

Other

  • All groups:
  • Pregnancy
  • Acute treatment without MT

Who the study is looking for

  • Patients without acute stroke CS or CSG
  • No previous stroke or previous stroke ≥ 1 year ago
  • Signed informed consent
    • Patients with acute stroke (AS-noTx, AS-IVT, AS-MT):
  • Patients admitted with high suspicion of acute ischemic stroke
  • Time of onset of stroke symptoms ≤ 12 hours
  • Consent according to the regulations of research in an emergency situation
  • Ischemic stroke later confirmed

Age in the registry: 18 years to - · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

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

SiteCityCountrySite status
University Hospital Zurich
Coordinator of this site? Confirm its status
ZurichSwitzerlandRecruiting

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