- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06061185
Multi-center Study of Multimodal Computed Tomography in Patients With Acute Hemorrhagic Stroke (MMCTAHS)
Multi-center Study of Multimodal Computed Tomography in Patients With Acute Hemorrhagic Stroke (MMCTAHS)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study overview: The data of the population in the MACTAHS study will be prospectively collected. The CT strategies for acute hemorrhagic stroke are mainly three categories: non-contrast computed tomography, computed tomography angiography and computed tomography perfusion. Each participants will be followed at least until 1 year after discharge. Finally, investigators will clarify the prognostic value of multimodal CT for patients with acute hemorrhagic stroke.
Sample size: About 10000 patients will be enrolled in this study. All the population will be expected to undergo non-contrast computed tomography, computed tomography angiography and computed tomography perfusion.
Study endpoints: Neurological functional outcomes, delayed ischemia and infarction, recurrent bleeding, cognition and emotional dysfunction, systemic in-hospital systemic complications, rehabilitation and recovery status will be evaluated and follow-up would be completed.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Xiaolin Chen, M.D.
- Phone Number: 13810624845
- Email: chenxiaolin@bjtth.org
Study Locations
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Beijing
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Beijing, Beijing, China, 100070
- Recruiting
- Beijing Tiantan Hospital
-
Contact:
- Xiaolin Chen, M.D.
- Phone Number: 13810624845
- Email: chenxiaolin@bjtth.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- age ≥ 18, ≤ 85 years;
- presence with hemorrhagic stroke
Exclusion Criteria:
- with a history of previous history of ischemic/hemorrhagic stroke;
- admission to the emergency department more than a week after symptom onset;
- serious medical history or existing comorbidities;
- physical disability due to previous diseases;
- prior treatment such as external ventricular drainage, digital subtraction angiography and lumbar puncture in other institution;
- poor original image quality;
- incomplete follow-up.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Testing populations
All patients with the possibility of acute hemorrhagic stroke and suitable for multimodal CT examination
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Non-contrast computed tomography, computed tomography angiography and computed tomography perfusion
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
modified Rankin Scale (mRS)
Time Frame: At 3/6/12 months after onset
|
The scale runs from 0-6, running from perfect health without symptoms to death. 0 - No symptoms. No significant disability. Able to carry out all usual activities, despite some symptoms. Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. Moderate disability. Requires some help, but able to walk unassisted. Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. Severe disability. Requires constant nursing care and attention, bedridden, incontinent. Dead |
At 3/6/12 months after onset
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mortality rate
Time Frame: At 12 months after onset
|
Mortality rate as measured by death of a participant (binary outcome (yes/no)
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At 12 months after onset
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Total time spent on the intensive care unit (ICU)/stroke unit
Time Frame: After treatment (max 60 days)
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The total time spent on the intensive care unit (ICU)/stroke unit as a continuous variable from the first admission to the ICU/stroke unit to discharge from ICU/stroke unit
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After treatment (max 60 days)
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Non-neurological systemic complications
Time Frame: After onset (max 60 days)
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This category of diseases mainly refers to a series of non-neurological systemic complication such as electrolyte alterations, cardiovascular complications, pneumonia, gastrointestinal alterations, coagulation disorders and so on
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After onset (max 60 days)
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Delayed infarction
Time Frame: After onset (max 30 days)
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Delayed onset of any type of infarction detected by NCCT/MRI/CTP after surgical treatment or during conservative treatment
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After onset (max 30 days)
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Delayed ischemia
Time Frame: After onset (max 30 days)
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Delayed onset of various types of ischemia detected by PWI/CTP after surgical treatment or during conservative treatment, as well as a short period decline of cognitive and neurological status
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After onset (max 30 days)
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Hematoma expansion in intracerebral hemorrhage
Time Frame: 24-48 hours from symptom onset
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non-contrast CT scan: the enlargement of hematoma ≥ 6ml
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24-48 hours from symptom onset
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Recurrence of intracerebral hemorrhage
Time Frame: 90 days from symptom onset
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non-contrast CT scan: non-traumatic intracerebral hemorrhage other than the primary bleeding
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90 days from symptom onset
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Rebleeding of subarachnoid hemorrhage
Time Frame: After onset (max 7 days)
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Rebleeding Hemorrhage in subarachnoid space proven on CT/MR scan
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After onset (max 7 days)
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Montreal Cognitive Assessment Scale (MoCA)
Time Frame: At 3/6/12 months after onset
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It included 11 tests in eight cognitive areas: attention and concentration, executive function, memory, language, visual structure skills, abstract thinking, computation, and orientation.
Total score 30, ≥26 normal
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At 3/6/12 months after onset
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Mini-mental State Examination (MMSE)
Time Frame: At 3/6/12 months after onset
|
The scale includes the following seven aspects: time orientation, place orientation, immediate memory, attention and computation, delayed memory, language, visual space.
A total of 30 questions, each correct answer is 1 point, the answer is wrong or do not know 0 points, the scale total range of 0-30 points.
Test scores are closely related to literacy level, and the normal cut-off values are: illiterate >17 points, primary >20 points, junior high school and above >24 points.
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At 3/6/12 months after onset
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Self-Rating Anxiety Scale (SAS)
Time Frame: At 3/6/12 months after onset
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The scale consists of 20 items with 4 marks for each item.
The scores of each of the 20 items are added together, and then multiplied by 1.25 to get the integer part.
The total score of anxiety less than 50 points is normal; 50-60 is mild, 61-70 is moderate, and over 70 is severe anxiety.
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At 3/6/12 months after onset
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Self-Rating Depression Scale (SDS)
Time Frame: At 3/6/12 months after onset
|
The scale consists of 20 items with 4 marks for each item.
The scores of each of the 20 items are added together, and then multiplied by 1.25 to get the integer part.
The cut-off value of the SDS standard score is 53 points, of which 53-62 is classified as mild depression, 63-72 is classified as moderate depression, and 73 or more is severe depression.
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At 3/6/12 months after onset
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Hamilton Rating Scale for Anxiety
Time Frame: At 3/6/12 months after onset
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Anxiety will be assessed using the Hamilton Rating Scale for Anxiety.
The Hamilton Anxiety Rating Scale measures the severity of anxiety through looking at both psychic and somatic anxiety.
Each item is scored on a scale of 0 to 4, with a total range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe.
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At 3/6/12 months after onset
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Hamilton Rating Scale for Depression
Time Frame: At 3/6/12 months after onset
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Depression will be assessed using the Hamilton Rating Scale for Depression (HAM-D).
The HAM-D is a 21 item questionnaire to treat and diagnosis severe depression.
Examining a different symptom or aspect of depression such as mood, guilty feelings, suicidal ideation, etc..
The first 17 questions are used for scoring.
A total score is tallied from 1-17 and if the score totals: 0-7 normal, 8-13 mild depression, 14-18 moderate depression, 19-22 severe depression, >23 very severe depression.
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At 3/6/12 months after onset
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Fatigue
Time Frame: At 12 months after onset
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Fatigue will be assessed using the Fatigue Severity Scale.
The Fatigue Severity Scale measures the severity of fatigue and its effect on a person's activities and lifestyle in patients exhibiting depression.
The scale is designed to differentiate fatigue from clinical depression since they share similar symptoms.
Scoring is done by calculating the average response to the question and people with depression typically score about 4.5 whereas those with fatigue average about 6.5.
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At 12 months after onset
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Tu Li, M.D., Beijing Tiantan Hospital
- Study Chair: Zhenshan Song, M.D., Beijing Tiantan Hospital
- Study Chair: Runting Li, M.D., Beijing Tiantan Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KY 2021-008-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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