Actively Recruiting

Age: 18Years - 50Years
All Genders
ID05853796

Observational Dutch Young Symptomatic StrokE studY - Extended

Led by Radboud University Medical Center · Updated on 2023-05-11

280

Participants Needed

6

Research Sites

521 weeks

Total Duration

On this page

Sponsors

R

Radboud University Medical Center

Lead Sponsor

S

Synapse bv

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the causes and outcomes of ischemic stroke or transient ischemic attack (TIA) in young adults aged 18 to 50 years. This observational study aims to understand how blood clotting, inflammation, and damage to blood vessel linings contribute to stroke in this age group. The study also explores how these factors affect the risk of stroke recurrence and bleeding complications over time. The study includes two groups: patients aged 18 to 50 who have had a first-ever ischemic stroke or TIA, and healthy controls of the same age range without cardiovascular disease. Researchers will collect blood samples at the start and after three months to analyze clotting and inflammation markers. Participants will also undergo 3 Tesla MRI scans to assess blood vessel walls and complete questionnaires about possible stroke triggers. Participants will be involved in evaluations at baseline and three months, including blood tests for coagulation and inflammation, MRI scans, and questionnaires. Researchers will track participants for up to 10 years to monitor recurrent cardiovascular events, venous thrombosis, malignancy, bleeding complications, and overall survival. The study will compare findings between stroke patients and healthy controls to better understand stroke mechanisms in young adults.

CONDITIONS

Brief Title

Observational Dutch Young Symptomatic StrokE studY - nEXT

Who Can Participate

Age: 18Years - 50Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with a first-ever transient ischemic attack (TIA) or acute ischemic stroke aged between 18 and 50 years old
  • Acute stroke defined as neurological deficit lasting more than 24 hours with imaging confirmation
  • TIA defined as neurological deficit lasting less than 24 hours with MRI confirmation of ischemia
  • Kidney function estimated glomerular filtration rate (eGFR) greater than 30 ml/min
Not Eligible

You will not qualify if you...

  • History of clinical TIA, ischemic stroke or intracerebral hemorrhage
  • Intracerebral hemorrhage caused by trauma, known aneurysm or intracerebral malignancy
  • Venous infarction, retinal infarction or amourosis fugax
  • Inadequate Dutch language skills to provide informed consent and participate in follow-up
  • Contraindication for 3 Tesla MRI

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 visit (in-person)

Diagnostic Evaluation

Duration - Baseline visit

Participants undergo baseline assessments including blood biomarker measurements and vessel wall imaging with 3T MRI.

1 visit (in-person)

Surveillance

Duration - Up to 10 years

Participants are observed for recurrent cardiovascular events, venous thrombotic events, malignancy, bleeding complications, and death over time.

1 visit at 3 months and periodic follow-up visits during 10 years

Trial Site Locations

Total: 6 locations

1

Radboudumc

Nijmegen, Gelderland, Netherlands, 6525 GA

Actively Recruiting

2

Catharina Ziekenhuis

Eindhoven, North Brabant, Netherlands, 5623 EJ

Not Yet Recruiting

3

Medisch Spectrum Twente

Enschede, Overijssel, Netherlands, 7512 KZ

Not Yet Recruiting

4

Isala

Zwolle, Overijssel, Netherlands, 8025 AB

Not Yet Recruiting

5

HagaZiekenhuis

The Hague, South Holland, Netherlands, 2545 AA

Not Yet Recruiting

6

Medisch Centrum Leeuwarden

Leeuwarden, Netherlands, 8934 AD

Not Yet Recruiting

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Research Team

F

Frank-Erik De Leeuw, Prof.

J

Janneke Spiegelenberg, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Role of inflammation and haemostasis on aetiology and prognosis in young patients with ischaemic stroke: study protocol of the Observational Dutch Young Symptomatic StrokE study-EXTended (ODYSSEY-nEXT) - a multicentre prospective cohort study.

Janneke P Spiegelenberg, Esmée Verburgt, Heleen den Hertog...

https://pubmed.ncbi.nlm.nih.gov/40118475