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AFFINITY: Assessment of fluoxetine in stroke recovery trial

Lead PI:  Professor Graeme J Hankey and Dr Maree L. Hackett

Status: Recruiting

No. of Patients Currently Recruited: 389                                No. of Patients Required:  1600

An Australian-lead investigator initiated, multi-centre, prospective, randomized, parallel group, double blind placebo-controlled trial to establish the effect(s) of routine administration of fluoxetine (20mg once daily) for 6 months in patients with recent stroke on functional outcome at 6 months and one year.

Setting: Stroke Units in Australia, New Zealand and Vietnam

Primary Aim: Does treatment with fluoxetine, 20 mg once daily, started 2-15 days after stroke onset and continued for 180 days, improve functional outcome at 180 days after randomisation?

Trial URL:

ANZCTR No: ACTRN12611000774921

https://www.affinitytrial.org

http://trialsjournal.biomedcentral.com/articles/10.1186/s13063-015-0864-1

 

 

CHARM: Cirara in large Hemispheric infarction Analysing mRS and Mortality

Lead PI: Dr Bruce Campbell

Status: ASTN endorsed

No. of Patients Currently Recruited: 0                                No. of Patients Required: tbc

Edema in larger hemispheric infarction can cause neurological deterioration and death. Intravenous glyburide acts on SUR-1 receptors to reduce edema after ischemic stroke. The hypothesis of the CHARM phase 3 randomised trial is that intravenous glyburide will improve the functional outcome after large hemispheric stroke compared to placebo.

 

 

COMPARE: Participant Information for People With Aphasia Constraint Induced or Multi-Modal aphasia rehabilitation: A Randomised Controlled Trial (RCT) for stroke related chronic aphasia

Lead PI: Associate Professor Miranda Rose

Status: Recruiting

No. of Patients Currently Recruited: 26                                No. of Patients Required:  216

COMPARE is a randomized controlled trial of 216 participants comparing Constraint Induced Aphasia Therapy and Multi-modality Aphasia Therapy to usual care for people with aphasia 6 months to 15 years following stroke. Primary outcome is aphasia severity immediately following treatment plus secondary outcomes at 3 months post treatment. An economic analysis will occur.

Trial URL:

ANZCTR No: ACTRN126125000618550

www.latrobe.edu.au/compare

www.facebook.com/latrobeaphasia

www.twitter.com/compareaphasia

 

 

EXTEND-IA TNK: Extending the time for thrombolysis in emergency neurological deficits - intra-arterial with tenecteplase 

Lead PI: Dr Bruce Campbell

Status: Recruiting / Site Selection

No. of Patients Currently Recruited: 53                                No. of Patients Required:  tbc

Rapid reperfusion is the key to improved ischemic stroke outcomes. Tenecteplase may be safer and more effective than alteplase. The hypothesis of the EXTEND-IA TNK randomised trial is that intravenous tenecteplase will achieve reperfusion prior to cerebral angiography more frequently than intravenous alteplase in patients eligible for clot retrieval.

Trial URL:

Clinicaltrials.gov NCT02388061

 

 

INSPIRE: INternational Stroke Perfusion Imaging REgistry

Lead PI:  John Hunter Hospital

Status: Recruiting

No. of Patients Currently Recruited: 1500                               No. of Patients Required: 2000

INSPIRE is an international web-based database collecting imaging and clinical stroke data to measure implementation of advanced CT image in stroke, So far, INSPIRE has recruited around 1500 patients from sitesacross Australi, China Canada and India. The fist stage of data analysis has been completed, leading to 4 research papers (3 ongoing and 1 published).

Trial URL:

https://taste.newcastle.edu.au/key=inspire

http://onlinelibrary.wiley.com/doi/10.1002/ana.24714/abstract

 

 

VERSE: Very Early Rehabilitation in Speech after Stroke

Lead PI: Associate Professor Erin Godecke

Status: Recruiting

No. of Patients Currently Recruited: 222                                No. of Patients Required:  246

This 3-arm randomised controlled trial (RCT) aims to determine whether a standardised, intensive aphasia therapy regimen (VERSE) is more effective and cost saving than intensive non-standardised usual care training (UC-Plus) and regular usual care (US) therapy provided at 12 weeks post stroke.

Trial URL:

ANZCTR No: ACTRN12613000776707

http://www.ncbi.nlm.nih.gov/pubmed/?term=2016+Jul%3B11(5)%3A586-92 

 

 

TASTE: Tenecteplase versus Alteplase for Stroke Thrombolysis Evaluation (TASTE) Trial

Lead PI: Professor Mark Parsons

Status: Recruiting

No. of Patients Currently Recruited: 197                                No. of Patients Required: 400

Multicentre, prospective, randomised open-label blinded endpoint (PROBE) phase III study including acute stroke patients with hemispheric ischaemia who have penumbra on perfusion CT (CTP) or MRI within 4.5 hours of stroke onset. The primary objective of this study is to test the hypothesis that patients with acute hemispheric ischaemic stroke who have a penumbra on perfusion CT or MRI within 4.5hrs of symptom onset will have less disability at 3 months when treated with IV TNK compared to IV tPA.

Trial URL:

http://clinicaltrials.gov.show/NCT01472926 

 

 

TEXAIS: A Multicentre, randomised controlled Trial of Exenatide versus standard care in Acute Ischemic Stroke

Lead PI: Professor Chris Bladin

Status: Site Selection

No. of Patients Currently Recruited: 0                               No. of Patients Required: 528

Phase 2, multicentre, prospective, randomised, open label, blinded end-point (PROBE) trial with pre-planned adaptive sample size re-estimation. 10 sites anticipated to randomise 528 (1:1 ratio) patients by 2019. Primary Hypothesis: Treatment with short acting Exenatide (Byetta) in patients with acute ischaemic stroke will improve neurological outcome as measured by >8 point improvement in NIHSS stroke disability score (or NIHSS 0-1) at 7 days.

Trial URL:

https://clinicaltrials.gov/ct2/show/NCT03287076

 

 

ESCAPE NA-1: Extension of Stroke Care by Added neuroProtection to Endovascular treatment

Lead PI: Professor Michael D Hill and Dr Mayank Goyal

Status: Recruiting

No. of Patients Currently Recruited: 143                                No. of Patients Required: 1120

ESCAPE-NA1 is examining the rapid addition of single dose NA-1 to the treatment of acute ischemic stroke patients with large vessel occlusion undergoing endovascular thrombectomy.  Patients are randomized 1:1 to study drug (active drug or saline placebo) and then followed for 90 days.  The primary outcome is disability measured on the modified Rankin Scale at 90 days.  Up to 1120 patients will be recruited from centres in Canada, US, Europe/UK, South Korea and Australia.

Trial URL:

www.escapena1.ca

https://clinicaltrials.gov/ct2/show/NCT02930018?cond=escape-na1&rank=1

NCT02930018

 

 

EXTEND: Extending the time for Thrombolysis in Emergency Neurological Deficits


Phase III, randomised, multicentre, double blinded, placebo controlled trial (2 arm with 1:1 randomisation) within a larger cohort study of ischaemic stroke patients. Patients randomised to treatment will be stratified for time of randomisation after stroke to within <6 hours and 6-9 hours. The primary hypothesis being tested in this trial is that ischaemic stroke patients selected with significant penumbral mismatch (measured by MRI criteria) at 3 - 9 hours post onset of stroke will have improved clinical outcomes when given intravenous tissue plasminogen activator (tPA) compared to placebo.

A total of 400 participants shall be recruited.    

Extend Investigators in China

 

 

INSPIRE: INternational Stroke Perfusion Imaging Registry

The primary objective of INSPIRE will be to use an interationally unique web-based database of imaging and clinical stroke data to validate the use of CTP to predict imaging and clinical outcomes, including the use of CTP to refine the selection of patients for thrombolysis. A total of 20 sites across Australia, New Zealand and China will be involved in the study. INSPIRE is headed by A/Prof Mark Parsons with other members including: Prof Chris Levi, Prof John Attia, Prof Stephen Davis, Prof Geoff Donnan, Dr Qing Yang and A/Prof Bernard Yan.

INSPIRE is the first study to be undertaken under the newly established ASTN CHINA office.

 

 

CIRCIT: Circit class therapy for Increasing Rehabilitation Intensity of Therapy trial

CIRCIT is a multi-centre randomized controlled trial with assessor blinding. It is a 3-armed trial which aims to examine the effectiveness of two distinct models of increasing the dose of physiotherapy provided to people during sub-acute rehabilitation. Usual care physiotherapy (provided over 5 day week) is the control group and will be compared to usual care therapy provided over 7 days a week (7-day therapy) and group circuit therapy provided over 5-days a week (circuit class therapy). The group nature of circuit class therapy has been proven able to deliver an approximate four-fold increase in therapy dose per working day. The primary outcome is walking capacity (6 minute walk test) at 4 weeks. The secondary aim is to examine the relative cost-effectiveness of the dofferent models of care.

We are currently recruiting from three rehabilitation centres in South Australia, one in Western Australia amd a fifth site in Victoria soon to commence recruitment. Our target sample is 282.

 

 

AVERT: A Very Early Rehabilitation Trial  

AVERT is a Phase III, international, multicentre, single blind trial comparing earlier onset and higher dose rehabilitation (mobility emphasis) with standard care. This is an investigator driven trial with NHMRC grant support. Primary outcome is death/disability at 3 months. A cost effectiveness sub-study runs beside the trial. Inclusion criteria are broad: patients > 18 years (no upper age limit), admitted <24 hours of ischemic and haemorrhagic stroke to a stroke unit. Those treated with rtPA are also eligible. Intervention is provided by a nurse/physiotherapist team.

A total of 2104 patients will be recruited to this trial.

AVERT Investigators Australia

 

 

Insulin Resistance Intervention After Stroke Trial


Phase III, randomized, double-blind, placebo controlled trial. The purpose of this study is to determine if pioglitazone is effective in preventing future strokes or heart attacks among non-diabetic persons who have had a recent ischemic stroke. The IRIS trial will test a new treatment strategy based on evidence linking insulin resistance to increased risk for stroke and other vascular diseases. Insulin resistance is a condition in which insulin, a normal human hormone, does not work effectively because the body is resistant to its effects. This condition can lead to diabetes and is thought to cause blood vessel disease, including stroke and heart attack, in patients with and without diabetes.

A total of 3136 participants shall be recruited.  

 

 

Intra-arterial Plasmin Study

A Phase 1/2a, Open Label, Dose Escalation, Safety Study of Intra-thrombus Plasmin (Human) Administration in Acute, Middle Cerebral Artery, Ischemic Stroke.
 
Phase 1/2a, open-label, multi-center, sequential dose escalation, safety study of Plasmin (Human) in acute ischemic stroke caused by middle cerebral artery occlusion documented by arteriography. Plasmin (Human) will be administered through a catheter into the thrombus within 9 hours of stroke onset. A maximum of seventy-five (75) patients will receive Plasmin (Human), a maximum of twenty-five (25) patients at each of the 3 dose levels (20 mg, 40 mg, and 60 mg). The objectives of this study are to determine the safety and tolerability of Plasmin (Human), to select a dose for further testing, and to determine the proportion of patients with partial or full recanalization.

A total of 75 participants shall be recruited.

 

 

IMS III: Interventional Management of Stroke Trial 

Phase III Clinical Trial Examining Whether a Combined Intravenous (IV) and Intra-Arterial (IA) Approach to Recanalization is Superior to Standard IV Rt-PA (Activase®) Alone When Initiated Within Three Hours of Acute Ischemic Stroke Onset. IV rt-PA is an effective therapy for acute ischemic stroke but has substantial limitations when used alone to open blocked arteries The Interventional Management of Stroke (IMS III) Trial is a multi-center study that will compare two different treatment approaches for restoring blood flow to the brain. One approach, giving the clot-dissolving drug rt-PA, is already FDA-approved when given through a vein (IV). This treatment will be compared to a new approach, giving rt-PA at a lower dose first through IV in the arm and then, if a blood clot in the brain artery is found, through a small tube or catheter at the site of the blood clot (intra-arterial or IA) to see which is better. Both approaches must be initiated within three hours of stroke onset.

A total of 900 participants shall be recruited

 


 


 


 


 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Updated ( Tuesday, 23 January 2018 12:39 )  

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