The Recurrence Study
NCT03244215 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2017-08-09
Summary
The primarily goal of the research is to better understand progression of disease in patients who present with an acute stroke to the Hamad General Hospital (HGH) stroke and Transient Ischemic Attack (TIA) clinic. The investigators are specifically interested in patients who have diabetes and have a stroke.
The patients enrolled into the research will have detailed clinical evaluation and their imaging studies (MRI and Doppler) will be reviewed. After informed consent, subjects will be examined in the stroke Ward /TIA clinic upon recruitment, and later at less than 48 hours of recruitment (blood extraction and urine samples) and for follow up visits at 1 month+/-7 days (clinical evaluation and to extract blood and urine samples), at 3 months (telephonic conversation only) and at 1 year (clinical and repeat MRI brain).
During the initial visit at the ward the investigators will collect serum and plasma for proteomic and metabolomic studies. These will be repeated at less than 48 hours and at 1 month+/-7 days. Investigators will test the effects of risk factors such as diabetes/stroke on the endothelial procoagulant and inflammatory state at onset and evaluate if best medical control leads to improvement in such markers.The repeated studies will determine if better management and presence of certain blood biomarkers can predict or translate to slower progression of disease and correlate it with clinical status.
Conditions
- Acute Stroke
- Transient Ischemic Attack
Interventions
- DIAGNOSTIC_TEST
-
Corneal Confocal Imaging
Retinal imaging will be ordered for all subjects in the study group. Corneal
- DIAGNOSTIC_TEST
-
Magnetic resonance Imaging
MRI will be ordered for all study subjects at the completion of their participation at year 1. The MRI will assess the the progression or regression of the cerebrovascular health of the study subjects.
- OTHER
-
Blood sample
Blood samples will be obtained to evaluate the levels of blood inflammatory biomarkers in both the subjects and control group.
Sponsors & Collaborators
-
Hamad Medical Corporation
lead INDUSTRY
Principal Investigators
-
Naveed Akhtar, MD · Hamad Medical Corporation
-
Ashfaq Shuaib, FRCPC · University of Alberta
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-02-17
- Primary Completion
- 2018-02-17
- Completion
- 2018-05-17
Countries
- Qatar
Study Locations
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