Stroke Clinical Trial
Official title:
SPOTRIAS: Neuroprotection With Statin Therapy for Acute Recovery Trial
The purpose of this dose escalation study is to evaluate the use of lovastatin for the treatment of acute ischemic stroke.
The Neuroprotection with Statin Therapy for Acute Recovery Trial (Neu-START) is part of the
Specialized Program on Translational Research in Acute Stroke (SPOTRIAS). The overall goals
of SPOTRIAS are to enhance delivery of acute stroke patient care with a focus on high-risk,
disadvantaged populations, train acute stroke translational researchers, and conduct 3
innovative acute stroke projects.
Neu-START will enroll 33 patients with acute ischemic stroke presenting within 24 hours of
onset. In the trial, investigators will treat the patients within 24 hours of symptom onset
with short term high-dose lovastatin at escalating dosage. The escalating dosage levels will
be 1, 3, 6, 8, and 10 mg/kg per day for 3 days. Lovastatin is in a class of drugs called
statins, used for lowering cholesterol and preventing cardiovascular disease. Patients will
be followed for 30 days for clinical and laboratory outcome events.
The goals of this trial are to determine if lovastatin in increasing doses from 1 mg/kg to
10 mg/kg daily for 3 days beginning 24 hours after acute ischemic stroke can be administered
safely, and to assess the pharmacokinetics of lovastatin administered at high doses.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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