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ENCHANTED: A Trial to assess the effects of low- vs standard-dose clot-busting and intensive vs standard blood pressure-lowering treatments on outcome after acute ischaemic stroke

Phase 1
Conditions
Acute Ischaemic Stroke
MedDRA version: 18.0 Level: PT Classification code 10061256 Term: Ischaemic stroke System Organ Class: 10029205 - Nervous system disorders
Therapeutic area: Diseases [C] - Nervous System Diseases [C10]
Registration Number
EUCTR2011-005545-12-GB
Lead Sponsor
niversity of Leicester
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
5000
Inclusion Criteria

The overall inclusion criteria for thrombolysis are: aged >18 years, clinical AIS diagnosis confirmed by brain imaging, able to receive treatment within 3 hours after definite onset time (though this time window may change with the forthcoming NICE Single Technology Appraisal review and further trial publications), SBP <185mmHg (patients with higher SBP levels can be treated provided the SBP level is reduced prior to commencement of treatment), and informed patient consent (or relative assent). In addition, specific criteria for the two arms include: [A] no definite indication or contraindication for either low- or standard-dose rtPA; and [B] sustained elevated SBP level (defined as 2 readings >150 and <185mmHg), and no definite indication or contraindication to either immediate ‘intensive’- or guideline-based BP control.
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 0
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

Patients will be excluded if they are unlikely to benefit from therapy (e.g. advanced dementia, known severe pre-stroke disability (Modified Rankin score, mRS >3), or high likelihood of death within 24 hours), or other medical co-morbidities that interfere with outcome assessments or follow-up.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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