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Recruiting NCT03347786

Verapamil for Neuroprotection in Stroke

Phase I / Phase II Interventional Ischemic Stroke

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: 10 mg Intra-arterial Verapamil, 20 mg Intra-arterial Verapamil.
Who it may be relevant to
Registry conditions: Ischemic Stroke. Basic parameters: 18 years — 80 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Intraarterial Verapamil for Neuroprotection in Ischemic Stroke

Overview

The purpose of this research study is to test an experimental procedure called intra-arterial delivery of verapamil in patients diagnosed with acute ischemic stroke. This study investigates the safety of intra-arterial delivery of verapamil, a drug used to treat vasospasm (spasm of a blood vessel), and how it affects recovery from stroke. Recruitment is limited to patients that have received mechanical thrombectomy as standard of care.

Interventions

  • Drug 10 mg Intra-arterial Verapamil
    Intra-arterial delivery of verapamil following mechanical thrombectomy procedure will be administered at a randomized dose of 10 mg or 20 mg to consenting patients.
  • Drug 20 mg Intra-arterial Verapamil
    Intra-arterial delivery of verapamil following mechanical thrombectomy procedure will be administered at a randomized dose of 10 mg or 20 mg to consenting patients.

Primary outcome measures

  • Number of Participants with Bleeding Complications [Time frame: 3 months]
  • Number of Participants with a Serious Adverse Event of Death [Time frame: 3 months]
Secondary outcome measures (3)
  • Functional Outcomes [Time frame: 30-days and 90-days]
  • Functional Outcomes [Time frame: 30-days and 90-days]
  • Neuroimaging [Time frame: 180 Days, 365 Days]

Eligibility criteria

Inclusion criteria

  • Written informed consent
  • 18 years of age and over
  • Acute onset focal neurologic deficit consistent with acute ischemic stroke, or computed tomographic scan consistent with acute cerebral ischemia
  • Candidate for mechanical thrombectomy procedure
  • Onset of symptoms less than 8 hours
  • Measurable neurologic deficit (NIHSS ≥4)
  • Willingness to follow up with rehabilitation therapy
  • Anticipated life expectancy of at least 3 months

Exclusion criteria

  • Pregnancy or suspected pregnancy (pregnancy test will be done on women of child-bearing potential)
  • Hepatic and/or renal insufficiency (LFT's>3× upper limit of normal; CrCl < 30ml/min)
  • Thrombocytopenia (platelet count <75,000/mm3)
  • History of intolerance to verapamil
  • Previous functional disability (modified Rankin > 1)
  • Severe stroke (NIHSS>22)
  • Stuporous or comatose
  • Unlikely to be available for 90 day follow-up

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

United States · 3 centers
  • AtlantiCare Regional Medical Center — Atlantic City
  • St Mary Medical Center — Langhorne
  • Crozer Chester Medical Center — Upland

Identifiers

NCT: NCT03347786 · GNI_verapamil

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗