DIRECT-SAFE: A Randomized Controlled Trial of DIRECT Endovascular Clot Retrieval Versus Standard Bridging Thrombolysis With Endovascular Clot Retrieval
NCT03494920 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 295
Last updated 2022-06-16
Summary
The study will be a multicentre, prospective, randomized, open label, blinded endpoint (PROBE) phase 3 trial (2 arm with 1:1 randomization) in ischemic stroke patients within 4.5 hours of stroke onset. Randomised patients will be stratified for site of baseline arterial occlusion into one of three groups: 1. internal carotid artery (ICA) 2. middle cerebral artery (MCA) 3. basilar artery (BA). Patients will be randomised to either bridging intravenous thrombolysis with endovascular clot retrieval (ECR), or direct endovascular clot retrieval.
Conditions
Interventions
- OTHER
-
Direct endovascular clot retrieval
Direct endovascular clot retrieval within 4.5 hours of stroke onset
- OTHER
-
Bridging thrombolysis followed by ECR
Bridging thrombolysis followed by ECR within 4.5 hours of stroke onset
Sponsors & Collaborators
-
The Florey Institute of Neuroscience and Mental Health
collaborator OTHER -
Neuroscience Trials Australia
lead OTHER
Principal Investigators
-
Peter Mitchell, MD · Melbourne Health
-
Bernard Yan, MD · Melbourne Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-04-27
- Primary Completion
- 2021-09-08
- Completion
- 2021-09-08
Countries
- Australia
- China
- Singapore
- Vietnam
Study Locations
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