Thrombo-inflammation Biomarkers Trial in Acute Cerebral Hypoxia (RADICAL)
Thrombo-inflammation Biomarkers Trial in Acute Cerebral Hypoxia. A Case-control Trial Nested in a Cohort
The goal of this trial is to study, in three well-defined clinical situations responsible for cerebral hypoxia, the concentrations of biomarkers of thrombo-inflammation compared to a population of patients without cerebral hypoxia, and to study in patients with cerebral hypoxia the association between these concentrations and the clinical evolution.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: François DELVOYE
- Phone Number: 0148036556
- Email: fdelvoye@for.paris
Study Contact Backup
- Name: Amélie Yavchitz
- Phone Number: 0148036556
- Email: fyavchitz@for.paris
Study Locations
-
-
Île-de-France Region
-
Paris, Île-de-France Region, France, 75010
- Recruiting
- Hôpital Fondation Adolphe de Rothschild
-
Contact:
- Amélie Yavchitz, MD
- Phone Number: 01 48 03 64 54
- Email: ayavchitz@for.paris
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Patients treated at the Rothschild Foundation Hospital within the first 24 hours of an acute neurological symptomatology
Description
Inclusion Criteria:
- For cases, admitted within the first 36 hours of an acute neurological symptom related to :
- An ischaemic cerebrovascular accident (iCVA) eligible for a mechanical thrombectomy procedure,
- A subarachnoid haemorrhage (SAH, all aetiologies) : patient presenting with at least a modified Fisher scale 3 or 4,
- An intra-parenchymal haematoma (IPH) with greatest axis ≥ 20mm or with NIHSS on admission >4.
OR
- For control patients, admitted within 7 days of the onset of acute neurological symptomatology related to a clinical diagnosis of transient ischaemic attack (TIA) - based on thorough questioning of the patient on admission - and prior to imaging, with an ABCD2≥ 2 score.
- Express consent to participate in the study.
- Member or beneficiary of a social security.
Exclusion Criteria:
- Pre-existing functional and/or cognitive disability
- Patient under legal protection.
- Pregnant or breastfeeding woman.
- Patient with secondary haemorrhagic transformation.
Secondary exclusion criteria :
- Patients with an ischaemic lesion visible on imaging, unrelated to large vessel occlusion and therefore ineligible for mechanical thrombectomy.
- Patients diagnosed with an acute non-vascular neurological pathology (migraine, epilepsy, etc.).
- TIA patients presenting an abnormality on follow-up imaging 24-48 hours after the initial imaging.
Excluded patients will be replaced.
Study Plan
How is the study designed?
Design Details
- Observational Models: CASE_CONTROL
- Time Perspectives: PROSPECTIVE
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Case
Patients with cerebral hypoxia victims of ischaemic stroke, acute parenchymal haemorrhage or subarachnoid haemorrhage |
Blood sampling will be made to Day 0, Day 3 and to 3 month after inclusion |
|
Control
Patients without cerebral hypoxia |
Blood sampling will be made to Day 0, Day 3 and to 3 month after inclusion |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Biomarker rates at day 0
Time Frame: 24 hours
|
Biomarker: Neutro-Plaket aggregates, extra-cellular DNA networks, von Willebrand Factor |
24 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Signs and Symptoms, Respiratory
- Stroke
- Hypoxia
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Ischemic Stroke
- Hypoxia, Brain
- Investigative Techniques
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Punctures
- Surgical Procedures, Operative
- Blood Specimen Collection
Other Study ID Numbers
Other Study ID Numbers
- FDE_2021_19
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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