NCT07294391Toborzás még nem indult2. fázis
The Preliminary Efficacy and Safety of Intra-Arterial Albumin as Adjunct to Mechanical Thrombectomy in Acute Ischemic Stroke
The Preliminary Efficacy and Safety of Intra-Arterial Albumin as Adjunct to Mechanical Thrombectomy in Acute Ischemic Stroke:Dual-Center, Prospective, Open-Label, Endpoint-Blinded, Randomized Controlled Clinical Trial
Forrás: ClinicalTrials.gov · Utoljára frissítve: 2025. dec. 19.
Rövid összefoglaló (regiszter, angolul)
Albumin-assisted therapy has demonstrated good safety and potential neuroprotective effects following mechanical thrombectomy. To further systematically evaluate its efficacy and safety, we are conducting a Phase IIa clinical trial of intra-arterial albumin administration combined with mechanical thrombectomy in patients with acute ischemic stroke. This is a double-center, prospective, open-label, endpoint-blinded, randomized controlled trial designed to preliminarily assess the efficacy and safety of intra-arterial infusion of 20% human albumin after successful recanalization in patients with acute ischemic stroke caused by anterior circulation large-vessel occlusion who undergo mechanical thrombectomy. A total of 60 patients will be enrolled and randomized in a 1:1 ratio by dynamic minimization into two groups: the albumin group (0.6 g/kg of 20% human albumin solution plus mechanical thrombectomy) and the control group (mechanical thrombectomy alone). The primary objective of this study is to preliminarily evaluate whether intra-arterial infusion of 0.6 g/kg of 20% human albumin via the internal carotid artery immediately after achieving successful recanalization (eTICI ≥ 2b) can reduce infarct volume compared with mechanical thrombectomy alone in patients with anterior circulation large-vessel occlusion who undergo standard mechanical thrombectomy. The secondary objective is to assess the safety and feasibility of intra-arterial infusion of 0.6 g/kg of 20% human albumin immediately after successful recanalization in this patient population.
- Állapot (regiszter)
- Toborzás még nem indult
- Fázis (regiszter)
- 2. fázis
- Vizsgálattípus
- Beavatkozással járó
- Résztvevők száma
- 60 (tervezett)
- Első benyújtás
- 2025. dec. 7.
- Kezdés
- 2025. dec. 10.
- Elsődleges befejezés
- 2026. dec. 1.
- Fő szponzor
- Tianjin Huanhu Hospital
- Betegségek
- Stroke (szélütés)
- NCT-szám
- NCT07294391
Mit vállalsz
- Vizsgálat típusa: Beavatkozással járó · 2. fázis
- Tervezett résztvevők: 60
- 2025. dec. 10. és az elsődleges befejezés (2026. dec. 1.) között
- Nincs megadott helyszín, ország nélkül
- Vizitek és vizsgálatok: kérdezd a vizsgálat csapatát, a regiszter nem sorolja fel őket
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Laborértékek
- 1.Presence of intracranial hemorrhage on head CT or MRI; 2.Midline shift with significant mass effect on head CT or MRI; 3.History of heart failure or severe cardiovascular disease, including but not limited to pulmonary hypertension, pericardial effusion, etc; 4.Arrhythmia accompanied by hemodynamic instability; 5.Symptoms or electrocardiographic evidence of acute myocardial infarction upon admission; 6.Acute or chronic renal failure (serum creatinine >2.0 mg/dL); 7.Severe anemia (hematocrit <32%); 8.Known allergy to albumin or blood products; 9.Pregnant women; 10.Persistent blood pressure ≥180/100 mmHg prior to albumin infusion; 11.Concurrent participation in another clinical trial; 12.Life expectancy of less than 3 months; 13.Coexisting severe pulmonary diseases such as Chronic Obstructive Pulmonary Disease, pulmonary fibrosis, pleural effusion, pulmonary hypertension, or acute respiratory distress syndrome; 14.Any other condition that, in the opinion of the investigator, makes the patient unsuitable for participation in this study.
Kiket keres a vizsgálat
- 1.Age ≥ 18 years; 2.ICA or MCA-M1 occlusion, confirmed by preoperative CTA/MRA/DSA. ICA occlusion can be cervical or intracranial, with or without tandem MCA lesions; Treated with EVT resulting in recanalization ((expanded Thrombolysis in Cerebral Infarction [eTICI] 2b-3); 3.Baseline NIHSS scores ≥ 6; 4.Baseline ASPECTS ≥6 on non-contrast CT; 5.The time from stroke onset/last seen well to arterial puncture is within 24 hours; 6.No significant pre-stroke disability (pre-stroke mRS ≤2); 7.Signed informed consent from the patient or the legally authorized representative
Életkor a regiszterben: 18 év – - · Nem: nők és férfiak · Egészséges önkénteseket nem fogad
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