Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06484374

A Multicenter, RAndomlzed, coNtrolled, umBrella Trial fOr Minimally Invasive Neurosurgery With Al-assisted Robotic guidanCe for Hemorrhagic Stroke: Large Basal Ganglia Hemorrhage

Led by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · Updated on 2026-02-17

198

Participants Needed

1

Research Sites

105 weeks

Total Duration

On this page

Sponsors

T

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

Lead Sponsor

S

Second Affiliated Hospital, School of Medicine, Zhejiang University

Collaborating Sponsor

AI-Summary

What this Trial Is About

This substudy is a prospective, multicenter, parallel-controlled, randomized controlled trial designed to evaluate whether robot-assisted endoscopic evacuation of large basal ganglia hematomas can improve patient outcomes compared with traditional surgical approaches such as small craniotomy or large-bone-flap intracranial hematoma evacuation.

CONDITIONS

Official Title

A Multicenter, RAndomlzed, coNtrolled, umBrella Trial fOr Minimally Invasive Neurosurgery With Al-assisted Robotic guidanCe for Hemorrhagic Stroke: Large Basal Ganglia Hemorrhage

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older at randomization
  • Diagnosed with hypertensive basal ganglia hemorrhage by imaging (CT, CTA, etc.)
  • Hematoma volume 30 mL or more prior to randomization
  • Glasgow Coma Scale score 5 or higher
  • Surgery available within 72 hours after hemorrhage onset
  • Modified Rankin Scale score 1 or less before this hemorrhage
  • Informed consent obtained according to laws and ethics requirements
Not Eligible

You will not qualify if you...

  • Hematoma involving thalamus (volume over 5 mL or diameter over 2 cm), midbrain, or ventricles (Graeb score 3 or higher), or other locations
  • Cerebral vascular abnormalities such as ruptured aneurysms, arteriovenous malformations, or Moyamoya disease
  • Hemorrhagic transformation of ischemic infarcts or recent (within 1 year) recurrence of intracerebral hemorrhage
  • Signs of impending brain herniation like midline shift over 1 cm or changes in pupil size on the same side
  • Irreversible coagulation disorders, platelet count below 100,000, INR over 1.4, or anticoagulant medication use within 7 days before hemorrhage
  • Current or probable pregnancy
  • Severe illness likely to affect outcome assessment
  • Difficulty in follow-up or poor compliance for any reason

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

The Affiliated Drum Tower Hospital of Nanjing University Medical School

Nanjing, China

Actively Recruiting

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Research Team

C

Chun-Hua Hang, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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A Multicenter, RAndomlzed, coNtrolled, umBrella Trial fOr Minimally Invasive Neurosurgery With Al-assisted Robotic guidanCe for Hemorrhagic Stroke: Large Basal Ganglia Hemorrhage | DecenTrialz