Status:

NOT_YET_RECRUITING

Treatment of Persistent Distal Occlusion After Successful Proximal Recanalization in Thrombectomy

Lead Sponsor:

Centre hospitalier de l'Université de Montréal (CHUM)

Conditions:

Stroke, Acute Thrombotic

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

In stroke patients, mechanical thrombectomy is now the standard of care when the stroke is due to large proximal cerebral vessel occlusion. The purpose of the 2BE3 trial is to test whether adjunct res...

Detailed Description

The purpose of the 2BE3 trial is to provide a clinical trial context for the use of rescue therapy (mechanical or pharmacological therapies) in patients with persistent distal occlusions after treatme...

Eligibility Criteria

Inclusion

  • any patient with a large vessel occlusion in the M1 or M2 segment of the MCA (Middle Cerebral Artery), supraclinoid ICA (Internal Carotid Artery), or basilar artery who is a candidate for thrombectomy
  • with a persistent distal occlusion in M2-M4, A1-A5, P1-P5 after successful recanalization of the proximal clot with mechanical thrombectomy and/or IV thrombolysis

Exclusion

  • poor 3 month prognosis from comorbidities
  • evidence of active bleeding on examination
  • recent surgery with a significant risk of bleeding
  • VKA (Vitamin K Antagonists) oral anticoagulation with INR (International Normalized Ratio) - \> 1.7
  • curative heparin or direct oral anticoagulants in previous 48 hours
  • platelet count \< 100 000/mm3

Key Trial Info

Start Date :

September 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2029

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT06034847

Start Date

September 1 2024

End Date

January 1 2029

Last Update

August 15 2024

Active Locations (1)

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1

CHUM - Centre Hospitalier de l'Université de Montréal

Montreal, Quebec, Canada, H2X 0A9