Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06714097

Application of Digital Twins' Technology in Patients With Stroke, Moyamoya Disease, and Cerebral Amyloid Angiopathy During Secondary Prevention: A Proof of Concept Randomized Controlled Trial

Led by Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta · Updated on 2026-03-30

20

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to gather initial feedback on the use of the STRATIF-AI platform and digital twin technology during the secondary prevention phase for adults with stroke, Moyamoya disease, and Cerebral Amyloid Angiopathy. It compares the experiences of patients using the STRATIF-AI app alongside standard care versus those receiving standard care alone. The goal is to understand how patients interact with the app and how usable they find it. Participants are randomly assigned to one of two groups. Arm 1 patients will use the STRATIF-AI app daily to help manage their health and understand their medical situation, in addition to following standard secondary prevention treatments. They may also choose to connect wearable devices to the app. Arm 2 patients will receive only the standard secondary prevention treatments and monitoring usual for these conditions. Both groups will complete cognitive and psychological assessments at the start and after six months. During the study, participants will undergo various assessments including cognitive tests like the Montreal Cognitive Assessment, health and disability surveys, and psychological evaluations. Clinical data and demographic information will also be collected. For Arm 1, interviews at six months will gather qualitative feedback on the app experience. The primary measurement focuses on user feedback after 12 months. The study is expected to end in April 2027 and is sponsored by Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta.

CONDITIONS

Brief Title

Application of Digital Twins' Technology in Patients Who Had a Stroke, With Moyamoya Disease and With Cerebral Amyloid Angiopathy (CAA) During the Secondary Prevention Phase: A Proof of Concept Using a Randomized Control Trial (Clinical Study 6, STRATIF-AI Project)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • People aged 60; 18
  • Clinical and neuroradiological diagnosis of stroke (TAC or MR), diagnosis of CAA based on Boston 2.0 criteria, or diagnosis of Moyamoya disease based on 2021 criteria
  • Montreal Cognitive Assessment (MOCA) total score 60; 23
  • Modified Rankin Scale (mRS) score 60; 2
  • First-time patients at the Besta Institute
  • Ability to sign informed consent
  • Ability to undergo a brain MRI
Not Eligible

You will not qualify if you...

  • Transient neurological deficits that resolve within an hour with normal brain imaging
  • Legal protection or deprivation of liberty by judicial or administrative decision
  • Impossibility of follow-up
  • Contraindication to magnetic resonance imaging or digital subtraction angiography (DSA)
  • Pregnancy
  • Known or suspected drug or alcohol abuse

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person)

Implementation

Duration - 6 months

Participants receive standard secondary prevention. Those in the intervention group will also use the STRATIF-AI app to assist in self-care and understand their medical situation during the secondary prevention phase.

1 baseline visit and 1 follow-up visit at 6 months

Follow-up

Duration - Up to 12 months

Participants provide feedback on their experience using the digital twin technology and standard secondary prevention care.

Feedback collected at 12 months

Trial Site Locations

Total: 1 location

1

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, Michigan, Italy, 20133

Actively Recruiting

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Research Team

M

Matilde Leonardi, MD

B

Barbara Maistrello

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

Hybrid modelling for stroke care: Review and suggestions of new approaches for risk assessment and simulation of scenarios.

Tilda Herrgårdh, Vince I Madai, John D Kelleher...

https://pubmed.ncbi.nlm.nih.gov/34000646

Using experience-based co-design to develop mobile/tablet applications to support a person-centred and empowering stroke rehabilitation.

Mille Nabsen Marwaa, Susanne Guidetti, Charlotte Ytterberg...

https://pubmed.ncbi.nlm.nih.gov/37620982