Patent Foramen Ovale in Cryptogenic Stroke Study

NCT ID: NCT00697151

Last Updated: 2011-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

630 participants

Study Classification

INTERVENTIONAL

Study Start Date

1993-06-30

Study Completion Date

2000-06-30

Brief Summary

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The study sought to assess the rate of recurrent stroke and death in stroke patients with a patent foramen ovale randomized to treatment with warfarin or aspirin. This was a multicenter study conducted at 48 U.S. Institutions.

Detailed Description

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Conditions

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Ischemic Stroke Patent Foramen Ovale

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Warfarin

Warfarin (target International Normalized Ratio: 1.4 to 2.8) plus placebo aspirin

Group Type ACTIVE_COMPARATOR

Warfarin

Intervention Type DRUG

Warfarin once a day, titrated to obtain an INR of 1.4 to 2.8; placebo aspirin once a day

Aspirin

Aspirin 325 mg plus placebo warfarin

Group Type ACTIVE_COMPARATOR

Aspirin

Intervention Type DRUG

Aspirin 325 mg once a day; placebo warfarin once a day

Interventions

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Warfarin

Warfarin once a day, titrated to obtain an INR of 1.4 to 2.8; placebo aspirin once a day

Intervention Type DRUG

Aspirin

Aspirin 325 mg once a day; placebo warfarin once a day

Intervention Type DRUG

Other Intervention Names

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Coumadin

Eligibility Criteria

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Inclusion Criteria

* Age 30-85
* Ischemic stroke within 30 days
* Glasgow outcome scale ≥ 3
* No contraindications to warfarin/aspirin

Exclusion Criteria

* Basal INR \> 1.4
* Post-procedural stroke
* Severe carotid atherosclerosis
* Cardioembolic stroke
* Contraindications to transesophageal echocardiography
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role lead

Responsible Party

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Columbia University

Principal Investigators

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Shunichi Homma, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Columbia College of Physicians and Surgeons

New York, New York, United States

Site Status

Countries

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United States

References

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Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP; PFO in Cryptogenic Stroke Study (PICSS) Investigators. Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study. Circulation. 2002 Jun 4;105(22):2625-31. doi: 10.1161/01.cir.0000017498.88393.44.

Reference Type RESULT
PMID: 12045168 (View on PubMed)

Homma S, DiTullio MR, Sacco RL, Sciacca RR, Mohr JP; PICSS Investigators. Age as a determinant of adverse events in medically treated cryptogenic stroke patients with patent foramen ovale. Stroke. 2004 Sep;35(9):2145-9. doi: 10.1161/01.STR.0000135773.24116.18. Epub 2004 Jul 1.

Reference Type RESULT
PMID: 15232117 (View on PubMed)

Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP. Atrial anatomy in non-cardioembolic stroke patients: effect of medical therapy. J Am Coll Cardiol. 2003 Sep 17;42(6):1066-72. doi: 10.1016/s0735-1097(03)00907-0.

Reference Type RESULT
PMID: 13678932 (View on PubMed)

Di Tullio MR, Russo C, Jin Z, Sacco RL, Mohr JP, Homma S; Patent Foramen Ovale in Cryptogenic Stroke Study Investigators. Aortic arch plaques and risk of recurrent stroke and death. Circulation. 2009 May 5;119(17):2376-82. doi: 10.1161/CIRCULATIONAHA.108.811935. Epub 2009 Apr 20.

Reference Type DERIVED
PMID: 19380621 (View on PubMed)

Other Identifiers

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R01NS032525

Identifier Type: NIH

Identifier Source: secondary_id

View Link

6372

Identifier Type: -

Identifier Source: org_study_id

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