Status:

COMPLETED

Superselective Administration of VErapamil During Recanalization in Acute Ischemic Stroke

Lead Sponsor:

Justin Fraser

Conditions:

Ischemic Stroke

Eligibility:

All Genders

21-85 years

Phase:

PHASE1

Brief Summary

The purpose of this study is to determine whether super-selective intra-arterial administration of verapamil immediately following successful intra-arterial thrombolysis is safe as a potential neuropr...

Detailed Description

This trial represents the first time that verapamil will be evaluated in human subjects as a superselectively administered neuroprotective agent administered in an acute time frame as an adjunct to in...

Eligibility Criteria

Inclusion

  • Patients 21-85 years old, male or female
  • Suspected acute ischemic stroke based on clinical and radiographic evidence as determined and documented by the Stroke Neurology team at University of Kentucky.
  • Patients must meet criteria for intra-arterial thrombolysis as determined and documented by Interventional Neuroradiology attending physician (JF or AA).
  • Patients must have an acute thromboembolus within an intracranial artery (internal carotid, anterior cerebral, middle cerebral, posterior cerebral, basilar, vertebral) which undergoes pharmacologic (tissue plasminogen activator - tPA) and/or mechanical (eg. Merci or Penumbra clot retrieval) thrombolysis.
  • Patients with impaired capacity may be included, as the pathology to be studied (stroke) may impair their capacity (please see attached required documentation regarding impaired capacity).
  • Patients must have a TICI 2A or better revascularization via intra-arterial thrombolysis.
  • For reference, the TICI Scale is defined below:
  • 0 = No Perfusion
  • = Perfusion past the initial obstruction but limited distal branch filling with little or slow distal perfusion
  • A = Perfusion of less than 50% of the vascular distribution of the occluded artery
  • 2B = Perfusion of 50% or greater (but not complete) of the vascular distribution of the occluded artery 3 = Full perfusion with filling of all distal branches

Exclusion

  • Pregnant women (would not qualify for intra-arterial thrombolysis as standard of care).
  • Patients who undergo intra-arterial thrombolysis for acute stroke, in whom only TICI 0 or 1 revascularization is obtained.
  • Patients with occlusion of the cervical common or internal carotid artery will be excluded from the study.

Key Trial Info

Start Date :

February 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 21 2016

Estimated Enrollment :

11 Patients enrolled

Trial Details

Trial ID

NCT02235558

Start Date

February 1 2013

End Date

March 21 2016

Last Update

January 23 2017

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of Kentucky Deparment of Neurosurgery, UK Chandler Hospital

Lexington, Kentucky, United States, 40536