Trial Outcomes & Findings for Investigation of Clot in Ischemic Stroke and Hematoma Evacuation (NCT NCT04693767)

NCT ID: NCT04693767

Last Updated: 2024-10-23

Results Overview

Numbers of clot specimen for histology analysis

Recruitment status

COMPLETED

Target enrollment

400 participants

Primary outcome timeframe

Clot specimen obtained during procedure

Results posted on

2024-10-23

Participant Flow

Participant milestones

Participant milestones
Measure
Patients With Ischemic Stroke
Mechanical thrombectomy
Patients With Intracranial Hematoma
Minimally invasive surgery
Overall Study
STARTED
388
12
Overall Study
COMPLETED
388
12
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Investigation of Clot in Ischemic Stroke and Hematoma Evacuation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients With Ischemic Stroke
n=388 Participants
Mechanical thrombectomy: 1) Clot specimen collection 2) Extracranial blood collection
Patients With Intracranial Hematoma
n=12 Participants
Minimally invasive surgery: 1) Clot specimen collection 2) Arterial blood collection
Total
n=400 Participants
Total of all reporting groups
Age, Continuous
69.1 years
STANDARD_DEVIATION 14.85 • n=5 Participants
61.9 years
STANDARD_DEVIATION 11.65 • n=7 Participants
68.9 years
STANDARD_DEVIATION 14.80 • n=5 Participants
Sex: Female, Male
Female
203 Participants
n=5 Participants
3 Participants
n=7 Participants
206 Participants
n=5 Participants
Sex: Female, Male
Male
185 Participants
n=5 Participants
9 Participants
n=7 Participants
194 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
360 Participants
n=5 Participants
7 Participants
n=7 Participants
367 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
19 Participants
n=5 Participants
1 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
73 Participants
n=5 Participants
2 Participants
n=7 Participants
75 Participants
n=5 Participants
Race (NIH/OMB)
White
276 Participants
n=5 Participants
3 Participants
n=7 Participants
279 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
31 Participants
n=5 Participants
5 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Clot specimen obtained during procedure

Population: Total of 388 participants in Ischemic Stroke Cohort and 12 participants in Intracranial Hematoma Cohort.

Numbers of clot specimen for histology analysis

Outcome measures

Outcome measures
Measure
Patients With Ischemic Stroke
n=388 Participants
Clot Histology
Patients With Intracranial Hematoma
n=12 Participants
Clot Histology
Clot Specimen Histology
373 Count of specimen
12 Count of specimen

PRIMARY outcome

Timeframe: Blood and clot specimen obtained during procedure

Population: Total of 388 participants in Ischemic Stroke Cohort and 12 participants in Intracranial Hematoma Cohort.

Numbers of blood and clot for RNA sequency. Only includes successful sample number that was processed.

Outcome measures

Outcome measures
Measure
Patients With Ischemic Stroke
n=388 Participants
Clot Histology
Patients With Intracranial Hematoma
n=12 Participants
Clot Histology
Blood and Clot Specimen Transcriptomics
Clot RNA Analyzed
341 Count of specimen
9 Count of specimen
Blood and Clot Specimen Transcriptomics
Blood RNA Analyzed
365 Count of specimen
12 Count of specimen

PRIMARY outcome

Timeframe: Blood and clot specimen obtained during procedure

Population: Total of 388 participants in Ischemic Stroke Cohort and 12 participants in Intracranial Hematoma Cohort.

Numbers of blood and clot specimen for proteomic analysis

Outcome measures

Outcome measures
Measure
Patients With Ischemic Stroke
n=388 Participants
Clot Histology
Patients With Intracranial Hematoma
n=12 Participants
Clot Histology
Blood and Clot Specimen Proteomics
Clot Protein Analysis
351 Count of specimen
12 Count of specimen
Blood and Clot Specimen Proteomics
Blood Protein Analysis
366 Count of specimen
12 Count of specimen

PRIMARY outcome

Timeframe: Blood and clot specimen obtained during procedure

Population: Total of 388 participants in Ischemic Stroke Cohort and 12 participants in Intracranial Hematoma Cohort.

Numbers of blood and clot specimen for single nucleotide polymorphisms (SNPs). Only includes successful sample number that was processed.

Outcome measures

Outcome measures
Measure
Patients With Ischemic Stroke
n=388 Participants
Clot Histology
Patients With Intracranial Hematoma
n=12 Participants
Clot Histology
Blood and Clot Specimen Genomics
387 Count of specimen
12 Count of specimen

Adverse Events

Patients With Ischemic Stroke

Serious events: 38 serious events
Other events: 11 other events
Deaths: 86 deaths

Patients With Intracranial Hematoma

Serious events: 0 serious events
Other events: 0 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Patients With Ischemic Stroke
n=165 participants at risk
Mechanical thrombectomy: 1) Clot specimen collection 2) Extracranial blood collection
Patients With Intracranial Hematoma
Minimally invasive surgery: 1) Clot specimen collection 2) Arterial blood collection
Nervous system disorders
Symptomatic ICH
2.4%
4/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Acute Ischemic Stroke
3.0%
5/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Hemorrhagic Stroke
0.61%
1/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Progression of Index Stroke
7.9%
13/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
New or Worsening Neurological Deficit
1.8%
3/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Infections and infestations
Pneumonia
3.0%
5/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Investigations
Other
4.2%
7/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.

Other adverse events

Other adverse events
Measure
Patients With Ischemic Stroke
n=165 participants at risk
Mechanical thrombectomy: 1) Clot specimen collection 2) Extracranial blood collection
Patients With Intracranial Hematoma
Minimally invasive surgery: 1) Clot specimen collection 2) Arterial blood collection
Blood and lymphatic system disorders
Anemia
0.61%
1/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Progression of Index Stroke
1.8%
3/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Asymptomatic ICH
3.0%
5/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
Nervous system disorders
Asymptomatic Petechial Hemorrhage
1.2%
2/165 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.
0/0 • Adverse events were collected through 7 days post-procedure.
Adverse Event (AE): any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in participants, whether anticipated or unanticipated. As was pre-specified in the study protocol, only participants with Ischemic Stroke, who were treated with a RED Reperfusion Catheter (N=165), were assessed for serious and other adverse events. The RED Reperfusion Catheter was not a treatment option for participants with Intracranial Hematoma.

Additional Information

Brooke Lawson

Penumbra Inc.

Phone: +15109952183

Results disclosure agreements

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