Stroke Clinical Trial
Official title:
An International Randomised Controlled Trial to Establish the Effects of Early Intensive Blood Pressure Lowering in Patients With Intracerebral Haemorrhage.
The purpose of this academic lead study is to determine if a treatment strategy of early intensive blood pressure (BP) lowering compared to conservative BP lowering policy in patients with elevated blood pressure within 6 hours of acute intracerebral haemorrhage (ICH) improves the outcome of death and disability at 3 months after onset.
Intracerebral haemorrhage (ICH) is one of the most serious subtypes of stroke, affecting
over a million people worldwide each year, most of whom live in Asia. About one third of
people with ICH die early after onset and the majority of survivors are left with major
long-term disability. Despite the magnitude of the disease burden and cost on healthcare
resources, there remains uncertainty about the role of surgery for ICH and no acute medical
therapies have been shown to definitely alter outcome in ICH.
The INTERACT2 study follows the recently completed initial pilot study vanguard phase) which
established the feasibility of the protocol, safety of early intensive BP lowering, and
effects on haematoma expansion within 6 hours of onset of ICH. Having established
'proof-of-concept' that BP lowering may improve outcome by reducing haematoma expansion,
INTERACT2 aims to establish the effects of the treatment on major clinical endpoints in
patients with ICH recruited from an expanding clinical network around the world.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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