Trial Outcomes & Findings for Hypothermia in Acute Stroke With Thrombolysis Imaging Evaluation of Revascularization (NCT NCT01778855)

NCT ID: NCT01778855

Last Updated: 2017-04-13

Results Overview

To determine whether hypothermia alters recanalization with standard thrombolytic treatment with intravenous (IV) tissue plasminogen activator (tPA) for acute ischemic stroke in humans. The hypothesis is that hypothermia does not impair recanalization (opening of the artery). Recanalization will be measured with Thrombolysis in Myocardial Infarction (TIMI) score change from baseline angiography to 36 hour angiography. TIMI is cored per published definition. Additional data for secondary analyses were not acquired to permit analyses.

Recruitment status

TERMINATED

Study phase

PHASE2/PHASE3

Target enrollment

6 participants

Primary outcome timeframe

36 hours

Results posted on

2017-04-13

Participant Flow

Participant milestones

Participant milestones
Measure
Normothermia
IV t-PA and normothermia
Hypothermia
IV t-PA and hypothermia
Overall Study
STARTED
2
4
Overall Study
COMPLETED
2
3
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Normothermia
IV t-PA and normothermia
Hypothermia
IV t-PA and hypothermia
Overall Study
Death
0
1

Baseline Characteristics

Hypothermia in Acute Stroke With Thrombolysis Imaging Evaluation of Revascularization

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normothermia
n=2 Participants
IV t-PA and normothermia
Hypothermia
n=4 Participants
IV t-PA and hypothermia
Total
n=6 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: 36 hours

Population: Recanalization at 36 hours

To determine whether hypothermia alters recanalization with standard thrombolytic treatment with intravenous (IV) tissue plasminogen activator (tPA) for acute ischemic stroke in humans. The hypothesis is that hypothermia does not impair recanalization (opening of the artery). Recanalization will be measured with Thrombolysis in Myocardial Infarction (TIMI) score change from baseline angiography to 36 hour angiography. TIMI is cored per published definition. Additional data for secondary analyses were not acquired to permit analyses.

Outcome measures

Outcome measures
Measure
Normothermia
n=2 Participants
IV t-PA and normothermia
Hypothermia
n=4 Participants
IV t-PA and hypothermia
Number of Participants With Recanalization
2 Participants
3 Participants

Adverse Events

Normothermia

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Hypothermia

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Normothermia
n=2 participants at risk
IV t-PA and normothermia
Hypothermia
n=4 participants at risk
IV t-PA and hypothermia
Cardiac disorders
Congestive Heart Failure
50.0%
1/2 • Number of events 1
0.00%
0/4
Nervous system disorders
Death
0.00%
0/2
25.0%
1/4 • Number of events 1

Other adverse events

Other adverse events
Measure
Normothermia
n=2 participants at risk
IV t-PA and normothermia
Hypothermia
n=4 participants at risk
IV t-PA and hypothermia
Blood and lymphatic system disorders
Abnormal coagulation profile
0.00%
0/2
25.0%
1/4 • Number of events 1
Psychiatric disorders
Agitation
0.00%
0/2
25.0%
1/4 • Number of events 1
Blood and lymphatic system disorders
Anemia
50.0%
1/2 • Number of events 1
0.00%
0/4
Respiratory, thoracic and mediastinal disorders
Aspiration pneumonitis
0.00%
0/2
25.0%
1/4 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.00%
0/2
25.0%
1/4 • Number of events 1
Nervous system disorders
Cerebral edema
0.00%
0/2
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Constipation
50.0%
1/2 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
Dysphagia
0.00%
0/2
25.0%
1/4 • Number of events 1
Cardiac disorders
Elevated troponin
0.00%
0/2
25.0%
1/4 • Number of events 1
Infections and infestations
Fever
0.00%
0/2
25.0%
1/4 • Number of events 1
Vascular disorders
Fluid overload
0.00%
0/2
25.0%
1/4 • Number of events 1
Nervous system disorders
Headache
0.00%
0/2
25.0%
1/4 • Number of events 1
Endocrine disorders
Hyperglycemia
50.0%
1/2 • Number of events 1
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Hyperkalemia
0.00%
0/2
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Hyperlipidemia
0.00%
0/2
25.0%
1/4 • Number of events 1
Vascular disorders
Hypertension
50.0%
1/2 • Number of events 2
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Hypocalcemia
50.0%
1/2 • Number of events 1
50.0%
2/4 • Number of events 2
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/2
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/2
25.0%
1/4 • Number of events 1
Vascular disorders
Hypotension
50.0%
1/2 • Number of events 1
0.00%
0/4
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/2
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/2
50.0%
2/4 • Number of events 2
Nervous system disorders
Pain
0.00%
0/2
25.0%
1/4 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumonia
50.0%
1/2 • Number of events 1
0.00%
0/4
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.00%
0/2
25.0%
1/4 • Number of events 1
Infections and infestations
Topical fungal infection
50.0%
1/2 • Number of events 1
0.00%
0/4
Hepatobiliary disorders
Transaminitis
0.00%
0/2
25.0%
1/4 • Number of events 1
Infections and infestations
Urinary tract infection
50.0%
1/2 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
Vomiting
0.00%
0/2
25.0%
1/4 • Number of events 1

Additional Information

David S Liebeskind, MD

UCLA

Phone: 310-794-6379

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place