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Clinical Trials/ISRCTN67038373
ISRCTN67038373
Completed
Phase 2

Desmopressin for reversal of Antiplatelet drugs in Stroke due to Haemorrhage (DASH)

niversity of Nottingham0 sites54 target enrollmentStarted: October 22, 2018Last updated:

Overview

Phase
Phase 2
Status
Completed
Sponsor
niversity of Nottingham
Enrollment
54

Overview

Brief Summary

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33172941/ Peer reviewed protocol article (added 11/08/2022) 2023 Results article in https://doi.org/10.1016/S1474-4422(23)00157-6 (added 22/06/2023)

Study Design

Study Type
Interventional

Eligibility Criteria

Sex
All

Inclusion Criteria

  • Current participant inclusion criteria as of 12/02/2020:
  • 1\. Aged \>18 years
  • 2\. Confirmed intracerebral hemorrhage on imaging
  • 3\. Less than 24 hours from onset of symptoms (or from when last seen healthy)
  • 4\. Prescribed and thought to be taking a daily oral antiplatelet drug in the preceding seven days (cyclooxygenase inhibitors, phosphodiesterase inhibitors or P2Y12 inhibitors)
  • 5\. Signed consent (patient/personal/professional representative)
  • Previous participant inclusion criteria:
  • 1\. Adults (\>17 years)
  • 2\. Confirmed intracerebral haemorrhage on imaging
  • 3\. Less than 12 hours from onset of symptoms \[or from when last seen healthy]

Exclusion Criteria

  • 1\. Aneurysmal subarachnoid haemorrhage known at time of enrolment
  • 2\. Haemorrhage known to be due to transformation of infarction
  • 3\. Haemorrhage known to be due to thrombolytic drug
  • 4\. Haemorrhage known to be due to venous thrombosis
  • 5\. Risk/s of fluid retention associated with desmopressin judged clinically significant by the attending physician (for example patients with pulmonary oedema and/or cardiac failure)
  • 6\. Significant hypotension (systolic blood pressure \< 90mmHg)
  • 7\. Known drug\-eluting coronary artery stent in previous three months
  • 8\. Allergy to desmopressin
  • 9\. Pregnant or breastfeeding
  • 10\. Life expectancy less than four hours, or planned for palliative care only

Investigators

Sponsor
niversity of Nottingham

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