Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07187687

TrIal of Early Minimally Invasive Catheter Evacuation With Thrombolysis in IntraCerebral Hemorrhage

Led by Xuanwu Hospital, Beijing · Updated on 2026-03-09

750

Participants Needed

50

Research Sites

122 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

TIME-ICH (TrIal of early Minimally Invasive catheter Evacuation with thrombolysis in IntraCerebral Hemorrhage) is a multicenter, randomized, adaptive clinical trial comparing best medical management to early minimally invasive surgery with thrombolysis (eMIST) in the treatment of acute spontaneous supratentorial intracerebral hemorrhage.

CONDITIONS

Official Title

TrIal of Early Minimally Invasive Catheter Evacuation With Thrombolysis in IntraCerebral Hemorrhage

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Acute, spontaneous, primary intracerebral hemorrhage confirmed by pre-randomization head CT
  • Intracerebral hemorrhage volume 20 mL or more as measured by the ABC/2 method
  • Randomization completed within 8 hours of stroke symptom onset or last known well time
  • Study intervention can start within 4 hours after randomization
  • Modified Rankin Score of 0 or 1 before stroke
  • Informed consent obtained from patient or legal representative
Not Eligible

You will not qualify if you...

  • Infratentorial hemorrhage including midbrain, pontine, or cerebellar areas
  • Ruptured aneurysm, arteriovenous malformation, vascular anomaly, Moyamoya disease, venous sinus thrombosis, mass or tumor, hemorrhagic conversion of ischemic infarct, tumor stroke, or recent intracerebral hemorrhage recurrence within 1 year
  • Presence of spot sign on CT angiography
  • Uncontrolled high blood pressure with systolic pressure over 220 mmHg before randomization
  • Irreversible impaired brain stem function (bilateral fixed dilated pupils and extensor motor posturing), Glasgow Coma Scale 4 or less
  • Hemorrhage extending to midbrain with third nerve palsy or non-reactive dilated pupils
  • Intraventricular hemorrhage extending over 50% of either lateral ventricle
  • Irreversible coagulopathy or known bleeding disorder
  • Platelet count below 750,000 or INR over 1.4 after correction
  • Need for long-term anticoagulation starting less than 30 days from current hemorrhage
  • Use of two or more antithrombotic drugs before symptom onset
  • Presence of mechanical heart valve
  • Positive pregnancy test in females without surgical sterilization or menopause
  • Allergy to urokinase
  • Serious concurrent illness affecting outcome assessments including liver, kidney, digestive, lung, heart, endocrine, immune, or blood diseases
  • Unable or unwilling to provide informed consent
  • Life expectancy less than 6 months
  • Participation in another interventional medical trial

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 50 locations

1

Guangdong Provincial People's Hospital

Guangdong, Yuexiu, China

Not Yet Recruiting

2

Guangde People's Hospital

Anhui, China

Not Yet Recruiting

3

Beijing Chao-Yang Hospital, Capital Medical University

Beijing, China

Not Yet Recruiting

4

Beijing Daxing District People's Hospital

Beijing, China

Actively Recruiting

5

Beijing Fengtai You'anmen Hospital

Beijing, China

Actively Recruiting

6

Beijing Friendship Hospital, Capital Medical University

Beijing, China

Actively Recruiting

7

Peking University Aerospace Central Hospital

Beijing, China

Not Yet Recruiting

8

Shunyi District Hospital in Beijing

Beijing, China

Not Yet Recruiting

9

Xuanwu Hospital, Capital Medical University

Beijing, China

Actively Recruiting

10

Bozhou city people's hospital

Bozhou, China

Not Yet Recruiting

11

Changsha Central Hospital

Changsha, China

Actively Recruiting

12

Changzhi Medical College Affiliated Heji Hospital

Changzhi, China

Actively Recruiting

13

Chifeng Municipal Hospital

Chifeng, China

Actively Recruiting

14

Chongqing Emergency Medical Service

Chongqing, China

Actively Recruiting

15

First Affiliated Hospital of Dalian Medical University

Dalian, China

Not Yet Recruiting

16

Fuxin Second People\'s Hospital

Fuxin, China

Not Yet Recruiting

17

First Affiliated Hospital of Gannan Medical University

Gannan, China

Not Yet Recruiting

18

The Seventh Affiliated Hospital of Southern Medical University

Guangdong, China

Not Yet Recruiting

19

The First Hospital of Harbin Medical University

Harbin, China

Not Yet Recruiting

20

Affiliated Hospital of Hebei University of Engineering

Hebei, China

Not Yet Recruiting

21

The First Affiliated Hospital of Anhui Medical University

Hefei, China

Actively Recruiting

22

Affiliated Hospital of Inner Mongolia Medical University

Hohhot, China

Not Yet Recruiting

23

Jinan City People's Hospital

Jinan, China

Actively Recruiting

24

Jinan Hospital of Xuanwu Hospital, Capital Medical University

Jinan, China

Not Yet Recruiting

25

The First People Hospital of Yunnan Province

Kunming, China

Actively Recruiting

26

Tibet People's Hospital

Lhasa, China

Not Yet Recruiting

27

Liaocheng Brain Hospital

Liaocheng, China

Not Yet Recruiting

28

The First Affiliated Hospital of Nanchang University

Nanchang, China

Actively Recruiting

29

Affiliated Hospital of Nantong University

Nantong, China

Not Yet Recruiting

30

Center Hospital of Nanyang

Nanyang, China

Not Yet Recruiting

31

Third People's Hospital of Hainan Province

Sanya, China

Actively Recruiting

32

Shanghai Fourth People's Hospital Affiliated to Tongji University

Shanghai, China

Actively Recruiting

33

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

Shanghai, China

Not Yet Recruiting

34

Shanghai Tenth People's Hospital

Shanghai, China

Actively Recruiting

35

The First Affiliated Hospital of China Medical University

Shenyang, China

Not Yet Recruiting

36

The First Hospital of Hebei Medical University

Shijiazhuang, China

Actively Recruiting

37

Suining Central Hospital

Sichuan, China

Not Yet Recruiting

38

Central People's Hospital of Siping City

Siping, China

Actively Recruiting

39

The Second Affiliated Hospital of Shandong First Medical University

Tai’an, China

Actively Recruiting

40

Tianjin Huanhu Hospital

Tianjin, China

Actively Recruiting

41

First Affiliated Hospital of Xinjiang Medical University

Ürümqi, China

Actively Recruiting

42

Weifang People's Hospital

Weifang, China

Actively Recruiting

43

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, China

Actively Recruiting

44

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, China

Not Yet Recruiting

45

The First Affiliated Hospital of Xiamen University

Xiamen, China

Not Yet Recruiting

46

Xiangyang Central Hospital

Xiangyang, China

Not Yet Recruiting

47

Yanan Medical College of Yanan University

Yan’an, China

Actively Recruiting

48

Henan Provincial People's Hospital

Zhengzhou, China

Actively Recruiting

49

The Second Affiliated Hospital of Zhengzhou University

Zhengzhou, China

Actively Recruiting

50

The Fourth People's Hospital of Zigong City

Zigong, China

Actively Recruiting

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Research Team

T

Tao Hong, MD, PhD

CONTACT

S

Shaohua Mo, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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