Blood Pressure Control in Acute Ischemic Stroke
NCT03443596 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 54
Last updated 2019-04-16
Summary
Management of acutely elevated blood pressure during the early phase of ischemic stroke remains controversial. In patients treated with IV-tPA, the risk of ICH is closely related to the BP levels. However, intensive reduction of BP carries a theoretical risk of clinical deterioration by inducing cerebral hypoperfusion. Assessment of cerebral perfusion before and after BP reduction is one of the most scientific method to evaluate the safety (and potential benefits) of BP management in the acute phase of stroke. This project will impact practices and delivery of BP management during the acute phase of ischemic stroke. The findings would aid in designing phase 3 clinical trials will track clinical indicators, including the impact on functional outcomes as well as quality-of-life and cost-effectiveness.
Conditions
- Blood Pressure
- Acute Stroke
Interventions
- BIOLOGICAL
-
Early intensive BP control
Participants in the early intensive BP control arm are treated with BP lowering medications, with an aim to bring the systolic BP to 140-160mmHg and maintain this level for 72 hours post-ictus
Sponsors & Collaborators
-
National University of Singapore
lead OTHER
Principal Investigators
-
Vijay K Sharma, MD · National University Health System, Singapore
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-12-01
- Primary Completion
- 2019-03-13
- Completion
- 2019-03-13
Countries
- Singapore
Study Locations
More Related Trials
-
Predictive Factors of Outcome of Mechanical Thrombectomy After Acute Ischemic Stroke
NCT03608644 ·Status: UNKNOWN
-
External Counterpulsation Therapy for Severe Steno-occlusive Intracranial Stenosis
NCT03921827 ·Status: COMPLETED ·Phase: NA
-
Blood Pressure Variability and Ischemic Stroke Outcome
NCT05756257 ·Status: RECRUITING
-
Certainty Of Stroke Symptom Onset Study
NCT01928641 ·Status: WITHDRAWN
-
Intensive Blood Pressure Control in Ischaemic Stroke Patients With Severe Cerebral Small Vessel Disease
NCT05690997 ·Status: UNKNOWN ·Phase: NA
-
Direct Intra-arterial Thrombectomy in Order to Revascularize AIS Patients With Large Vessel Occlusion Efficiently in Chinese Tertiary Hospitals
NCT03469206 ·Status: COMPLETED ·Phase: NA
-
IDEAL Blood Pressure Management During Endovascular Therapy for Acute Ischemic Stroke
NCT04749251 ·Status: COMPLETED ·Phase: NA
-
Individualized Blood Pressure Management During Endovascular Stroke Treatment
NCT04578288 ·Status: COMPLETED ·Phase: NA
-
Blood Pressure Level and Prognosis in Acute Stroke
NCT01195350 ·Status: UNKNOWN
-
Hemodynamic in Postreperfusion Period and Functional Recovery in Acute Ischemic Stroke Patients
NCT05517109 ·Status: COMPLETED ·Phase: NA
-
Strategy for Adequate Blood Pressure Lowering in the Patients With Intracranial Atherosclerosis
NCT01104311 ·Status: TERMINATED ·Phase: PHASE4
-
Which Parameters of Short-term Blood Pressure Variability Best Predict Early Outcomes in Acute Ischemic Stroke
NCT02675972 ·Status: COMPLETED
-
Cerebral Autoregulation Guiding Blood Pressure Management After Revascularization
NCT05670028 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Outcome in Patients Treated with Intraarterial Thrombectomy - OptiMAL Blood Pressure Control (OPTIMAL-BP)
NCT04205305 ·Status: COMPLETED ·Phase: PHASE4
-
Blood Pressure Management in Stroke Following Endovascular Treatment
NCT04484350 ·Status: COMPLETED ·Phase: PHASE2
-
Mechanical Thrombectomy Of Acute Occlusion In Ischemic Stroke
NCT03144960 ·Status: UNKNOWN ·Phase: NA
-
Intensive Treatment of Blood Pressure in Acute Ischemic Stroke. Study TICA 2
NCT03491449 ·Status: UNKNOWN ·Phase: NA
-
Early Prophylactic Decompressive Hemicraniectomy Following Endovascular Therapy in Large Hemispheric Infarct Trial
NCT07118345 ·Status: RECRUITING ·Phase: NA
-
A Study of Plasmatic Concentrations of Endothelin-1 (ET1), Atrial Natriuretic Peptide (ANP) and Brain Natriuretic Peptide (BNP) in Acute Ischemic Stroke.
NCT00213785 ·Status: COMPLETED
-
Efficacy and Safety of Intravenous Thrombolysis in Branch Atheromatous Disease
NCT07299994 ·Status: NOT_YET_RECRUITING
-
Short-duration Selective Brain Cooling for Patients Undergoing Mechanical Thrombectomy
NCT03163459 ·Status: SUSPENDED ·Phase: PHASE2/PHASE3
-
Hemodynamic Optimization of Cerebral Perfusion After Endovascular Therapy in Patients With Acute Ischemic Stroke
NCT04892511 ·Status: UNKNOWN ·Phase: PHASE4
-
The Neuroprotective Effect of Remote Ischemic Preconditioning on Ischemic Cerebral Vascular Disease
NCT01321749 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
The Prediction of Hemorrhage Transformation by Cerebral Autoregulation in AIS Patient After Endovascular Thrombectomy
NCT06361017 ·Status: ENROLLING_BY_INVITATION
-
Blood Pressure Variability in Acute Ischemic Stroke
NCT01915862 ·Status: COMPLETED