Verapamil for Neuroprotection in Stroke

NCT ID: NCT03347786

Last Updated: 2025-01-17

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-20

Study Completion Date

2026-12-31

Brief Summary

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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.

Detailed Description

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Conditions

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Ischemic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Each trial participant is randomly assigned to one of two total intervention groups. The first intervention group will receive a dose of 10mg Verapamil, while the second intervention group will receive a dose of 20mg Verapamil. Both treatment groups will have Verapamil administered intra-arterially following mechanical thrombectomy.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Verapamil 10 mg Treatment Group

Ischemic stroke patients with large penumbra are offered Verapamil treatment following mechanical thrombectomy. The patient will be randomly assigned an intervention group with the specified dose (10 mg) Verapamil.

Group Type EXPERIMENTAL

10 mg Intra-arterial Verapamil

Intervention Type DRUG

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.

Verapamil 20 mg Treatment Group

Ischemic stroke patients with large penumbra are offered Verapamil treatment following mechanical thrombectomy. The patient will be randomly assigned an intervention group with the specified dose (20 mg) Verapamil.

Group Type EXPERIMENTAL

20 mg Intra-arterial Verapamil

Intervention Type DRUG

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.

Interventions

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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.

Intervention Type 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.

Intervention Type DRUG

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Global Neurosciences Institute

OTHER

Sponsor Role lead

Responsible Party

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Mandy Binning

Director, Global Neurosciences Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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AtlantiCare Regional Medical Center

Atlantic City, New Jersey, United States

Site Status RECRUITING

St Mary Medical Center

Langhorne, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

Crozer Chester Medical Center

Upland, Pennsylvania, United States

Site Status COMPLETED

Countries

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United States

Facility Contacts

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Rob Szapor, MBA, BSN, RN

Role: primary

609-345-4000

Mary Dawson, Research Manager

Role: primary

215-710-2000

Other Identifiers

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GNI_verapamil

Identifier Type: -

Identifier Source: org_study_id

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