Platelet Activation in Delayed Cerebral Ischemia Secondary to Aneurysmal Subarachnoid Hemorrhage

NCT ID: NCT06375889

Last Updated: 2026-01-27

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

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-06-14

Study Completion Date

2026-01-24

Brief Summary

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Aneurysmal subarachnoid haemorrhage is a complex pathology, the pathophysiology of which is still imperfectly understood. Its morbidity and mortality remain significant. In addition to the damage sustained by the brain in the immediate aftermath of aneurysmal rupture, which is inaccessible to life-saving treatment, a significant proportion of lesions occur at a distance from the initial event. Delayed cerebral ischaemia is one of the most morbid complications. It combines an inflammatory pattern with vascular dysfunction and neuronal excitotoxicity, leading to avoidable secondary neuronal loss.

Vascular dysfunction is mediated by a loss of homeostasis between endothelial cells and figurative blood cells, including platelets. However, the interrelationship between these elements and the precise chronology of the dysfunction remain imperfectly described to date.

It therefore seems appropriate to propose temporal monitoring of platelet activation kinetics over time, combined with concomitant collection of markers of endothelial damage, in order to clarify the vascular chronobiology of this pathology.

Detailed Description

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Conditions

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Aneuvrysmal Subarachnoid Hemorrhage Delayed Cerebral Ischemia Endotheliopathy Platelets Kinetic

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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aSAH group

Patient hospitalised following the occurrence of an aneurysmal subarachnoid haemorrhage of any grade of severity.

blood test

Intervention Type OTHER

During the routine blood test of the patient, 5 more tubes of 2.7 milliliters (mL) will be collected to make Platelet Activation Analysis

IPH group

Patient hospitalised following the occurrence of a non-traumatic intra-parenchymal haematoma.

blood test

Intervention Type OTHER

During the routine blood test of the patient, 5 more tubes of 2.7 milliliters (mL) will be collected to make Platelet Activation Analysis

Interventions

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blood test

During the routine blood test of the patient, 5 more tubes of 2.7 milliliters (mL) will be collected to make Platelet Activation Analysis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male and Female Adults ≤18 years of age.
* Hospitalised in the neurological intensive care unit of the Pierre Wertheimer Hospital of the Hospices Civils de Lyon following an aneurysmal meningeal haemorrhage of any modified Fischer score, previously diagnosed by cerebral CT scan.
* Patients admitted to the neurological intensive care unit or the NICU of the Pierre Wertheimer Hospital of the Hospices Civils de Lyon for an intra-parenchymal haematoma.
* Patient who has been informed and has formulated his/her non-opposition, or close relative of the patient who has been informed and has formulated his/her non-opposition.
* Affiliated to a social security scheme.

Exclusion Criteria

* Non-aneurysmal SAH
* Ischaemic stroke
* Patients with previously known platelet function disorders
* Pregnant or breast-feeding women
* Patients under legal protection (guardianship, curatorship, safeguard of justice)
* Patients under compulsory psychiatric care
* Patients taking part in a study which may interfere with the present study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicolas Chardon, MD;Msc

Role: PRINCIPAL_INVESTIGATOR

Intensive care department; Pierre Wertheimer Hospital

Locations

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Anaesthesiology and Intensive Care medicine department, Pierre Wertheimer hospital

Bron, Auvergne-Rhône-Alpes, France

Site Status

Neurovascular intensive care unit department, Pierre Wertheimer hospital

Bron, Auvergnes-Rhones-Alpes, France

Site Status

Countries

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France

Other Identifiers

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69HCL24_0250

Identifier Type: -

Identifier Source: org_study_id

2024-A00796-41

Identifier Type: OTHER

Identifier Source: secondary_id

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