Status:

TERMINATED

Exploring the Effect of Lactate Administration After Ischemic Stroke on Brain Metabolism

Lead Sponsor:

Centre Hospitalier Universitaire Vaudois

Conditions:

Stroke, Acute

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

In this exploratory randomized double blind placebo controled trial, lactate solution or placebo will be administered to acute ischemic stroke patients selected for endovascular treatment (EVT) withou...

Detailed Description

This is an exploratory randomized double blind placebo controled trial on acute ischemic stroke patients. Lactate solution or placebo will be administered to acute ischemic stroke patients selected fo...

Eligibility Criteria

Inclusion

  • Acute ischemic stroke with arterial occlusion affecting middle cerebral artery (segment M1or segment 2) or internal carotid artery (T-type or L-type occlusion) selected for EVT
  • not eligible for intravenous thrombolysis (IVT)
  • Moderate to severe stroke (NIHSS \> or = 4), and preadmission mRS \> or = 3)
  • Perfusion - diffusion mismatch
  • Obtain consent from independent Doctor Randomisation criteria
  • If possible oral consent from patient or relatives
  • Treatment administration possible within 1h from EVT

Exclusion

  • Rapid neurological recovery
  • Clinically unstable patient
  • Contraindications to MRI
  • Blood Na+ \> 155 mmol/l or plasma osmolality \> 320 mosmol/l
  • Medical history of traumatic brain injury (TBI), neurodegenerative disease, intracranial hemorrhage, cerebral aneurysm, brain tumour
  • Medical history of psychiatric disorders
  • Liver insufficiency
  • Heart failure
  • Pregnancy (pregnancy test required in women aged under 50 unless patient or relatives indicate that the patient is not pregnant)
  • Participation in another clinical trial in the last 30 days
  • Lack of consent of an independent Doctor

Key Trial Info

Start Date :

August 5 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 27 2025

Estimated Enrollment :

28 Patients enrolled

Trial Details

Trial ID

NCT04858139

Start Date

August 5 2021

End Date

March 27 2025

Last Update

April 17 2025

Active Locations (1)

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CHUVaudois

Lausanne, Canton of Vaud, Switzerland, 1011