RCVS: The Rational Approach to Diagnosis and Treatment
NCT03150524 · Status: WITHDRAWN · Phase: PHASE4 · Type: INTERVENTIONAL
Last updated 2019-09-18
Summary
This is a randomized clinical trial of short-acting nimodipine versus twice daily extended release verapamil to treat patients presenting with Reversible Cerebral Vasoconstriction Syndrome (RCVS).
Conditions
- Reversible Cerebral Vasoconstriction Syndrome
Interventions
- DIAGNOSTIC_TEST
-
TCD- cerebral blood flow velocities
Participants will undergo daily TCD for monitoring of cerebral blood flow.
- BEHAVIORAL
-
Headache pain score
Participants will be evaluated by nurses for headache frequency and severity every shift.
- OTHER
-
Neurological examination
Patients will be examined routinely for evidence of neurological improvement/decline and/or evidence of a complication such as stroke or hemorrhage.
- DIAGNOSTIC_TEST
-
Repeat Neuroimaging
All patients will also be seen at 90 days (+/- 30 days) and administered a headache diary, repeat neuroimaging, and neurological examination.
- DRUG
-
Nimodipine
Participants will be administered nimodipine every 4 hours.
- DRUG
-
Verapamil ER
Participants will be administered long acting verapamil every 12 hours.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Elisabeth B Marsh, MD · Johns Hopkins University
-
Rafael H Llinas, MD · Johns Hopkins University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-07-01
- Primary Completion
- 2019-05-31
- Completion
- 2019-05-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Nebivolol Versus Carvedilol in Patients With Heart Failure
NCT00511888 ·Status: TERMINATED
-
A Study of the Safety and Efficacy of Nebivolol in Hypertensive Patients
NCT00200473 ·Status: COMPLETED ·Phase: PHASE3
-
Comparative Effects of Nebivolol and Carvedilol on Diastolic Function in the Elderly Heart Failure Patients
NCT02619526 ·Status: UNKNOWN ·Phase: NA
-
A Study of the Efficacy and Safety of Nebivolol Added to Existing Antihypertensive Treatment in Patients With Hypertension
NCT00200434 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of the Beta-blocker Nebivolol (Bystolic) on Subjects With High Normal Blood Pressure and/or a Family History of Hypertension
NCT01202175 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Nebivolol in Hypertensive Patients With Coronary Artery Disease
NCT00673075 ·Status: COMPLETED ·Phase: PHASE4
-
Comparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator
NCT06964464 ·Status: RECRUITING ·Phase: PHASE4
-
Mechanisms of Refractory Hypertension (Reserpine)
NCT03223272 ·Status: COMPLETED ·Phase: PHASE2
-
A Study Examining the Effects of Nebivolol Compared to Atenolol on Endothelial Function
NCT01522950 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of The Effects of Nebivolol in Comparison to Atenolol on Wall Shear Stress and Rupture Prone Coronary Plaques
NCT01230892 ·Status: COMPLETED ·Phase: PHASE4
-
Nebivolol and Endothelial Regulation of Fibrinolysis (NERF)
NCT01595516 ·Status: COMPLETED ·Phase: PHASE4
-
Nebivolol for the Prevention of Left Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy
NCT01648634 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of Nebivolol Versus Metoprolol in Hypertensive Subject Taking Amlodipine
NCT03635125 ·Status: COMPLETED ·Phase: PHASE4
-
Nitric Oxide Control of Migrating Motor Complex: L-NMMA Effects in Relation to Receptor Blockades
NCT02245165 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Nebivolol and Metoprolol With Exercise and Angiotensin II in Hypertensive Patients
NCT01502787 ·Status: COMPLETED ·Phase: PHASE4
-
A Study Evaluating the Effects of Nebivolol on Blood Pressure in Hypertensive Patients
NCT00200460 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy of Nebivolol in the Treatment of Hypertension in African Americans
NCT00145210 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Intensive Long-Term Vasodilation in Hypertensive Patients With Microvascular Angina Pectoris
NCT00424801 ·Status: TERMINATED ·Phase: NA
-
Chemical Block and Electrical Stimulation of the Carotid Body to Treat Refractory Hypertension
NCT02519868 ·Status: WITHDRAWN ·Phase: NA
-
Treatment Strategy of Vasovagal Syncope
NCT05803148 ·Status: RECRUITING ·Phase: NA
-
Bromocriptine-QR Therapy on Sympathetic Tone and Vascular Biology in Type 2 Diabetes Subjects
NCT02682901 ·Status: COMPLETED ·Phase: PHASE4
-
Phase II Study of Midodrine for Neurogenic Orthostatic Hypotension
NCT00004268 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of 2 Beta Blocker Drugs on Peripheral Arterial Disease in Patients With High Blood Pressure
NCT01499134 ·Status: COMPLETED ·Phase: PHASE3
-
Use of Beta-blockers and Risk of New Onset Diabetes
NCT01587638 ·Status: COMPLETED
-
Reduction in Splanchnic Capacitance Contributes to Sympathetically Dependent Hypertension in Autonomic
NCT02726711 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1