Early Initiated Ambulance-delivered Levetiracetam and Headposition in Hyper-acute Stroke Trial
NCT06773364 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 2423
Last updated 2025-05-22
Summary
This is an investigator initiated and conducted, multicentre, ambulance-delivered, prospective, randomised, open-label, blinded outcome (PROBE) study. EAST aims to evaluate the effects of pre-hospital levetiracetam and different head positions initiated in ambulance settings on the functional outcome of participants assessed at 90 days.
Conditions
- Suspected Stroke
Interventions
- DRUG
-
Intervention group - to commence IV levetiracetam 500mg as a single bolus in the ambulance, and then to continue as levetiracetam 500mg bid orally after admission to hospital in those with confirmed acute stroke for the next 14 days (at least 7 days if either dead or discharged from hospital if earlier). They will also receive standard management of acute stroke, whether the final diagnosis is ischaemic or ICH
- OTHER
-
Guide-recommended management
To receive stroke management according to standard local guidelines, but to avoid prophylactic use of an anti-seizure drug.
- OTHER
-
The lying flat (0°) head position
Lie flat (0°) - in the ambulance as soon as possible until arrival at hospital.
- OTHER
-
The sitting-up (≥30°) head position
Sit up(30-60°) - in the ambulance as soon as possible until arrival at hospital.
Sponsors & Collaborators
-
Shanghai East Hospital
lead OTHER
Principal Investigators
-
Gang Li, PhD, MD · Tongji University, School of Medicine, Shanghai East Hospital
-
Craig Anderson, MD, PhD · Fudan University
-
Lili Song, PhD · Fudan University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-30
- Primary Completion
- 2028-12-31
- Completion
- 2029-12-31
Countries
- China
Study Locations
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