Stroke Clinical Trial
Official title:
Efficacy and Safety of MRI-based Thrombolysis in Wake-up Stroke: a Randomised, Double-blind, Placebo-controlled Trial
WAKE-UP is an investigator initiated European multicenter randomized controlled clinical trial of MRI based thrombolysis in acute stroke patients with unknown time of symptom onset, e.g. due to recognition of stroke symptoms on awakening. Objective of WAKE-UP is to prove efficacy and safety of MRI-based intravenous thrombolysis with Alteplase in patients waking up with stroke symptoms or patients with otherwise unknown symptom onset.
WAKE-UP is a clinical trial of MRI based thrombolysis in acute stroke patients with unknown
time of symptom onset, e.g. due to recognition of stroke symptoms on awakening. Intravenous
thrombolysis with Alteplase is available as effective and safe treatment of acute stroke
within 4.5 hours of symptom onset. However, in about 20% of acute stroke patients time of
symptom onset is unknown. This large group of patients is currently excluded from treatment
with Alteplase. The objective of the research proposed in the WAKE-UP project is to provide
effective treatment options for this large group of acute stroke patients.
WAKE-UP is designed to prove efficacy and safety of MRI-based intravenous thrombolysis with
Alteplase in patients waking up with stroke symptoms or patients with otherwise unknown
symptom onset. Patients will be enrolled based on MRI findings indicative of acute ischemic
stroke less than 4.5 hours of age.
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