Status:

NOT_YET_RECRUITING

Early Aggressive Strategy for Treatment of Lipid-Lowering in Acute Ischemic Stroke Delivered With Endovascular Therapy for Large Artery Occlusion

Lead Sponsor:

Shanghai East Hospital

Conditions:

Stroke

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A prospective, multicenter, open-label, randomized controlled study to assess the effects of early intensive lipid-lowering initiated before endovascular treatment setting on (i) functional outcome in...

Detailed Description

As a prospective, multicenter, open-label, randomized controlled clinical study, EAST-LDL will enroll 652 patients with acute ischemic stroke with anterior circulation large vessel occlusion undergoin...

Eligibility Criteria

Inclusion

  • Adults (age 18 years and older);
  • Imaging diagnosis of acute ischemic stroke with anterior circulation large vessel occlusion (including: internal carotid artery, middle cerebral artery M1 and M2, anterior cerebral artery A1 and A2);
  • Planned to undergo endovascular intervention within 24 hours of symptom onset (or last known well time) according to local guidelines;
  • Provision of informed consent by the patient or his/her legally authorized representative (or by an appropriate agent according to local requirements).

Exclusion

  • ASPECTS score ≤5 on cranial CT imaging;
  • Pre-existing functional impairment, with mRS score \>2;
  • Patients who are allergic to PCSK9 inhibitors;
  • Patients who have received PCSK9 monoclonal antibody within 1 month prior to enrollment or PCSK9 siRNA therapy within 6 months prior to enrollment;
  • Severe renal insufficiency, defined as estimated glomerular filtration rate (eGFR) \< 15 mL/min/1.73m2 at final screening;
  • Active liver disease or hepatic dysfunction, defined as aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 3 times the upper limit of normal;
  • Severe, concomitant non-cardiovascular disease expected to reduce life expectancy to less than 3 months;
  • Pregnant or lactating women;
  • Patients who are participating in other clinical trials;
  • Other conditions deemed unsuitable for inclusion in the clinical study by the investigator.

Key Trial Info

Start Date :

June 30 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2029

Estimated Enrollment :

652 Patients enrolled

Trial Details

Trial ID

NCT07002476

Start Date

June 30 2025

End Date

January 1 2029

Last Update

June 3 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Shanghai East Hospital, Tongji University

Shanghai, China, 200127

Early Aggressive Strategy for Treatment of Lipid-Lowering in Acute Ischemic Stroke Delivered With Endovascular Therapy for Large Artery Occlusion | DecenTrialz