Status:

COMPLETED

PROMISE (Somatosensory Evoked POtEntials MonItoring During Acute Ischemic StrokE) Study

Lead Sponsor:

Fundació Institut Germans Trias i Pujol

Collaborating Sponsors:

Fundació La Marató de TV3

Conditions:

Acute Cerebrovascular Accident

Endovascular Procedures

Eligibility:

All Genders

18+ years

Brief Summary

Endovascular treatment in patients with acute ischemic stroke due to large vessel occlusion does not always lead to good clinical and functional outcome, despite achieving complete arterial recanaliza...

Detailed Description

PROMISE (somatosensory evoked PotEntials MonItoring during the acute ischemic StrokE) is a prospective, observational, single center study of somatosensory evoked potentials (SEPs) monitoring with bli...

Eligibility Criteria

Inclusion

  • Acute stroke with a demonstrated occlusion in the anterior circulation (M1 or M2 segment of middle cerebral artery with or without ipsilateral internal carotid artery (ICA)significant stenosis or occlusion diagnosed by CT angiography (CTA) or angio-MRI) undergoing urgent thrombectomy procedure.
  • Prestroke functional independence of 2 or less on the modified Rankin scale (ranging from 0 \[no symptoms\] to 6 \[death\]),
  • Baseline score of at least 6 points on the National Institutes of Health Stroke Scale (NIHSS), which ranges from 0 to 42, with higher values indicating more severe deficit.

Exclusion

  • Evidence by imaging of a large ischemic core, as indicated by an Alberta Stroke Program Early Computed Tomography Score (ASPECTS) of less than 5 on computed tomography (CT) without the use of contrast material or a score of less than 4 on diffusion-weighted magnetic resonance imaging (MRI) (ASPECTS values range from 0 to 10, with higher values indicating less infarct burden). These cutoff values of the ischemic core have been selected in agreement with the treatment effect showed in the HERMES trial meta-analysis collaboration (Presented at the International Stroke Conference, Houston, 2017).
  • Well-documented history of neuromuscular disorders, stroke or central nervous system tumors that could interfere in the SEPs assessment.

Key Trial Info

Start Date :

January 1 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 30 2020

Estimated Enrollment :

228 Patients enrolled

Trial Details

Trial ID

NCT04099615

Start Date

January 1 2018

End Date

April 30 2020

Last Update

November 8 2023

Active Locations (1)

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1

Hospital Universitari Germans Trias i Pujol

Badalona, Catalonia, Spain, 08916