- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02437409
Acute Recanalization of Thrombo-Embolic Ischemic Stroke With pREset (ARTESp) (ARTESp)
ARTESp is a prospective multicenter study in which the pREset thrombectomy system (phenox GmbH* Germany) will be examined. The effectiveness, safety and the long-term success when using the pREset to treat acute occlusions of cerebral vessels will be analyzed.
*German: "Gesellschaft mit beschränkter Haftung", limited liability company
Study Overview
Detailed Description
ARTESp is a prospective multicenter study in which the pREset thrombectomy system (phenox GmbH Germany) will be examined. The effectiveness, safety and the long-term success when using the pREset to treat acute occlusions of cerebral vessels will be analyzed.
In this study the market-approved, self-expandable stent retriever (pREset, phenox GmbH, Germany) will be used to achieve a direct flow recovery.
The thrombectomy system will be unfolded directly in the vessel occlusion. In a second step, the system and the thrombus will be pulled back into the guide catheter.
It is planned to enroll 100 patients at the age of 18 until 85 years, with a NIHSS (National Institutes of Health Stroke Scale) ≥ 8 and ≤ 30. The preconditions for study enrollment are the written consent of the patient or of the legal representative and the fulfillment of all mentioned inclusion and exclusion criteria. Pregnant women are excluded from study participation.The clinical interventions are in accordance with the clinical standard of care for the treatment of this patient population.
The mRS (Modified Rankin Scale) on day 30, the NIHSS on day 90 and an imaging procedure on day 90 may be performed by the study site provided that it corresponds to the clinical standards of the study site.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Baden-Württemberg
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Stuttgart, Baden-Württemberg, Germany, 70174
- Katharinenhospital
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Bayern
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München, Bayern, Germany, 81675
- Klinikum rechts der Isar
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Nordrhein-Westfalen
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Münster, Nordrhein-Westfalen, Germany, 48149
- Universitatsklinikum Münster
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Saarland
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Homburg, Saarland, Germany, 66424
- Universitätsklinikum des Saarlandes
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient age ≥ 18 and ≤ 85 years.
- Patients with acute-onset stroke in the 0-6 hour time window for cerebral onset of symptoms and in angiography with a TICI reperfusion (Thrombolysis in Cerebral Infarction) value of 0 or 1 of at least one major cerebral artery (carotid artery, A. media , anterior cerebral artery, basilar artery, vertebral artery, posterior cerebral artery).
- NIHSS (National Institutes of Health Stroke Scale) ≥ 8
- Signed Informed Consent by patient / legal representative to participate in the study.
Exclusion Criteria:
- Pregnancy
- Demarcated infarcted area in the initial Cranial CT or intracranial haemorrhage,
- Rapid improvement of neurological symptoms
- NIHSS > 30
- Anticoagulation with warfarin with INR (international normalized ratio) > 3.0,
- Platelets <30,000,
- Glucose <50mg/dl,
- Life expectancy <90 days
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neurological Condition of the Patient
Time Frame: 90 days after treatment
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modified Rankin Scale (mRS) Neurological Condition is measured by the "Modified Rankin Scale (mRS)". This scale ranges from 0 - 6: 0 = No symptoms at all;
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90 days after treatment
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neurological Condition of the Patient
Time Frame: 24 to 72 hr after treatment
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The National Institutes of Health Stroke Scale (NIHSS) is a commonly used measure to assess the severity of a stroke. All items are rated and scores are added at the end. A higher score corresponds to a more severe stroke. Assessed are:
CLASSIFICATION: 0 No stroke symptoms 1-4 Minor stroke 5-15 Moderate stroke 16-20 Moderate to severe stroke 21-42 Severe stroke As published by ninds.nih.gov: http://www.ninds.nih.gov/doctors/NIH_Stroke_Scale.pdf |
24 to 72 hr after treatment
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Intracranial Hemorrhage (ICH)
Time Frame: 24 hr after treatment
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Intracranial hemorrhage was assessed via imaging material (e.g.
Digital Subtraction Angiography - DSA or CT) as forwarded by the clinical sites.
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24 hr after treatment
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Time From Groin Puncture to Recanalization
Time Frame: during intervention, up to 3 hr
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during intervention, up to 3 hr
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Recanalization of the Target Vessel
Time Frame: at the end of intervention, up to 3 hr
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original Thrombolysis in Cerebral Infarction score (o-TICI) The TICI scale indicates perfusion of an occluded blood vessel, it is used in angiographic imaging. Grade 0 = no perfusion Grade 1 = Penetration with minimal perfusion. The contrast material passes beyond the area of obstruction but fails to opacify the entire cerebral bed distal to the obstruction for the duration of the angiographic run, Grade 2a = Only partial filling (<2/3) of the entire vascular territory is visualized, Grade 2b = Complete filling of all of the expected vascular territory is visualized, but the filling is slower than normal, Grade 3 = complete perfusion. |
at the end of intervention, up to 3 hr
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No. of Passages Needed to Reach the Final TICI Score With pREset
Time Frame: during intervention, up to 3 hr
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during intervention, up to 3 hr
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Wolfgang Reith, Prof., Universitätsklinikum des Saarlands
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- T01-072012
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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