Combination of Hypothermia and Thrombectomy in Acute Stroke
NCT06301412 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 400
Last updated 2025-01-06
Summary
The goal of this clinical trial is to test the combination of hypothermia and endovascular treatment in acute stroke patients with large vessel occlusion.
The main question it aims to answer is: does an additional cooling to 35°C result in a benefit on clinical outcome ? Participants receive immediate cooling using a noninvasive transnasal cooling technique (RhonoChill) and are maintained at 35°C for 6 hours after reopening of the vessel using surface cooling, and then slowly rewarmed.
Researchers will compare the intervention group (hypothermia and endovascular treatment and best medical treatment including iv thrombolysis) and control group (only endovascular treatment and best medical treatment including iv thrombolysis) to see if additional hypothermia leads to a better outcome after 3 months without relevant complications.
Conditions
- Ischemic Stroke
- Large Vessel Occlusion
- Endovascular Treatment
Interventions
- DEVICE
-
hypothermia
hypothermia is started after intubation for endovascular treatment and induced by transnasal cooling (RhinoChill) to a target temperature of 35°C and hypothermia is then maintained at 35°C for 6 hours after recanalisation by surface cooling followed by slow rewarming by 0.2°C per hour to 36.5°C
Sponsors & Collaborators
- collaborator OTHER
-
E+E CRO consulting, Vienna, Austria
collaborator UNKNOWN -
Center for Medical data science, University of Vienna, Austria
collaborator UNKNOWN -
University of Freiburg
lead OTHER
Principal Investigators
-
Juergen Bardutzky, Prof. · University of Freiburg, Department of Neurology, Germany
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-07
- Primary Completion
- 2026-03-18
- Completion
- 2026-06-18
Countries
- Germany
Study Locations
More Related Trials
-
Finding the Optimal Cooling tempeRature After Out-of-HoSpiTal Cardiac Arrest
NCT02035839 ·Status: COMPLETED ·Phase: NA
-
Reperfusion With Cooling in Cerebral Acute Ischemia II
NCT01728649 ·Status: WITHDRAWN ·Phase: NA
-
Safty and Feasibility Study of Therapeutic Cooling in Acute Ischemic Stroke (COOLAID Øresund)
NCT01500421 ·Status: COMPLETED ·Phase: PHASE2
-
Forced Air Versus Endovascular Warming in Polytrauma Patients
NCT00555126 ·Status: SUSPENDED ·Phase: PHASE4
-
Targeted Temperature Management at 33°C Versus Controlled Normothermia for In-hospital Cardiac Arrest
NCT07086703 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Hypothermia in Acute Ischemic Stroke - Surface Versus Endovascular Cooling (HAIS-SE)
NCT01665885 ·Status: UNKNOWN ·Phase: PHASE2
-
Hypothermia and Circulatory Arrest During Surgery on the Ascending Aorta: A Comparison Between Two Cooling Methods
NCT01306734 ·Status: UNKNOWN
-
Influence of Cooling Duration on Efficacy in Cardiac Arrest Patients
NCT04217551 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effects of Induced Moderate HYPOthermia on Mortality in Cardiogenic Shock Patients Rescued by Veno-arterial ExtraCorporeal Membrane Oxygenation (ECMO)
NCT02754193 ·Status: COMPLETED ·Phase: NA
-
Hypothermia After Cardiac Arrest - Effects on Myocardial Function and Inflammatory Response.
NCT03743584 ·Status: COMPLETED ·Phase: NA
-
Microcirculatory Perfusion in Patients With Coma After Out-of-hospital Cardiac Arrest
NCT01850485 ·Status: COMPLETED
-
Perioperative Management of Temperature in Children and Influence of Hypothermia on Blood Clotting in Children.
NCT03273894 ·Status: COMPLETED
-
Early Targeted Brain Cooling in the Cath Lab Following Cardiac Arrest
NCT02071797 ·Status: COMPLETED ·Phase: NA
-
Prevention of HYPOthermia in TRAUMa Patients
NCT02575989 ·Status: COMPLETED ·Phase: NA
-
Comparing Hypothermic Temperatures During Hemiarch Surgery
NCT02860364 ·Status: RECRUITING ·Phase: NA
-
Cerebral Oxymetry and Neurological Outcome in Therapeutic Hypothermia
NCT03024021 ·Status: COMPLETED
-
Therapeutic Hypothermia With IntraVascular Temperature Management (IVTM) in Post-Cardiogenic Cardiac Arrest and Post-Return of Spontaneous Circulation Patients in Japan
NCT01847482 ·Status: COMPLETED ·Phase: NA
-
To Study the Effect of Early Cooling in Acute Subdural Hematoma Patients
NCT02064959 ·Status: TERMINATED ·Phase: NA
-
Targeted Hypothermia Versus Targeted Normothermia After Out-of-hospital Cardiac Arrest
NCT02908308 ·Status: COMPLETED ·Phase: NA
-
Body Cooling During Carotid Endarterectomy: No-profit, Open, Mono-centric, Feasibility Study
NCT02629653 ·Status: COMPLETED ·Phase: NA
-
Hypothermia as an Adjunctive Therapy to Percutaneous Intervention in Patients With Acute Myocardial Infarction
NCT02664194 ·Status: UNKNOWN ·Phase: NA
-
Prehospital Resuscitation Intranasal Cooling Effectiveness Survival Study 2
NCT06025123 ·Status: RECRUITING ·Phase: NA
-
Celsius TCS Hyperthermia System PMCF Trial
NCT02896049 ·Status: WITHDRAWN
-
Target Temperature Management In Myocardial Infarction - A Pilot Study
NCT01864343 ·Status: COMPLETED ·Phase: NA
-
Therapeutic Hypothermia and eArly Waking
NCT03065946 ·Status: COMPLETED