Actively Recruiting

Age: 18Years +
All Genders
NCT06100718

Discovery of New Cancer in the 1-year Follow-up After Ischemic Stroke in Patients at Risk: The INVISIBLE-1 Study

Led by Insel Gruppe AG, University Hospital Bern · Updated on 2024-12-13

370

Participants Needed

3

Research Sites

208 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

INVISIBLE-1 aims to prospectively follow patients up to one year after ischemic stroke to: 1. Determine the cumulative incidence of occult cancer in patients with embolic stroke of undetermined source (ESUS) and elevated D-dimer 2. Describe occult cancer characteristics and spontaneous course of occult cancer Methodology The investigators will include 370 stroke patients with elevated D-dimer (≥ 820 μg/L) at the time of stroke, suspicion of ESUS after initial workup and without known cancer. The investigators will perform a follow-up telephone interview at one year to assess the occurrence of a new cancer and characterize the course of the disease. Significance Determining the real incidence of occult cancer in high-risk patients will help support the implementation of screening trials in the future. Faster detection and treatment of occult cancers would significantly impact patient' outcomes by offering faster cancer treatment and optimal secondary stroke prevention.

CONDITIONS

Official Title

Discovery of New Cancer in the 1-year Follow-up After Ischemic Stroke in Patients at Risk: The INVISIBLE-1 Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent by patient or next of kin
  • Age 18 years or older
  • Acute ischemic stroke with symptom onset within 48 hours before admission
  • Stroke with persistent symptoms lasting 24 hours or more, or acute brain infarction confirmed by CT or MRI
  • D-dimer level 820 cg/L or higher measured after symptoms start and within 24 hours of admission
  • Embolic stroke of unknown source (ESUS) after initial work-up including imaging and cardiac tests
Not Eligible

You will not qualify if you...

  • Known active cancer at time of index stroke
  • Intravenous thrombolysis given before D-dimer measurement (unless external lab value available)
  • New diagnosis of central nervous system cancer
  • Patient or next of kin unlikely to comply or be available for follow-up interview

AI-Screening

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Trial Site Locations

Total: 3 locations

1

Dept. of Neurology, Centre Hospital Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland, 1011

Actively Recruiting

2

Dept. of Neurology, Universitätsspital Basel

Basel, Switzerland, 4031

Actively Recruiting

3

Dept, of Neurology, Inselspital, University of Bern

Bern, Switzerland, 3010

Actively Recruiting

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Research Team

S

Simon Jung, MD

CONTACT

M

Morin Beyeler, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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