Status:

NOT_YET_RECRUITING

Cilostazol With Nimodipine to Improve Outcome After Aneurysmal Subarachnoid Hemorrhage

Lead Sponsor:

Centre Hospitalier St Anne

Conditions:

Aneurysmal Subarachnoid Hemorrhage

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The CASH study is a randomized, double-blind, placebo-controlled trial evaluating whether adding cilostazol to standard nimodipine therapy improves neurological outcomes in patients with aneurysmal su...

Detailed Description

The CASH trial (Cilostazol in Aneurysmal Subarachnoid Hemorrhage) is a multicenter, randomized, double-blind, placebo-controlled Phase III clinical trial investigating whether the addition of cilostaz...

Eligibility Criteria

Inclusion

  • Adult patients admitted to an ICU with SAH related to a ruptured cerebral aneurysm occurring within the last 96 hours.
  • Aneurysm successfully secured by surgical clipping or endovascular coiling
  • Consent of the patient or, if not possible, from a proxy (emergency clause).
  • Registration in a national health care system

Exclusion

  • \- Precritical modified Rankin Scale (mRS) \> 2
  • Nonaneurysmal SAH
  • Delayed \>96h admission after first symptoms of SAH
  • Coma defined by GCS of 3-5 with untreatable aneurysm will be excluded"
  • Known allergy to cilostazol
  • Pregnancy
  • Pre-existing major hepatic, renal, pulmonary or cardiac disease
  • Concomitant use of one other anti-platelet and/or anticoagulant agent
  • SAH diagnosed on Lumbar puncture with no evidence of blood on CT.
  • Tutelage or guardianship

Key Trial Info

Start Date :

December 15 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 14 2029

Estimated Enrollment :

630 Patients enrolled

Trial Details

Trial ID

NCT07144956

Start Date

December 15 2025

End Date

December 14 2029

Last Update

September 10 2025

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