TIA Clinical Trial
Official title:
Spectrometry for TIA Rapid Assessment (SpecTRA) Project: Study 1 Cohort 1A and 1B—Verification of Protein Biomarkers
A multi-protein test using mass spectrometry (MS) for multiplexed protein quantitation is being developed. This test and the accompanying decision-aid software will provide Transient Ischemic Attack (TIA) results rapidly for a fraction of the price of neuroimaging. With guidance provided by this test, Emergency Department (ED) physicians can manage medical imaging questions such as the use of Computed Tomography Angiography (CTA) prior to ED discharge and appropriate (timely) referral to stroke clinics for consultation and follow-up care. The right patients will receive the right treatment, reduce unwarranted imaging risks and costs, and reduce the burden of stroke.
This study represents an initial Verification study, in which Mass Spectrometry will be used
to quantify a large number of blood proteins previously implicated in ACVS and mimic
conditions in patients who are consented and enrolled in the Emergency Department within 24
hrs of symptom onset. 560 patients will be enrolled, and grouped into two cohorts (Cohort
1A: 220; and Cohort 1B: 350).
In Cohort 1A, each consented participant provides three blood samples: on arrival, 4-6 hours
later, then ~24 hours after that, but no later than 32 hours from symptom onset. In cohort
1b, each patient provides only a single blood sample up to 24 hours from symptom onset.
A positive diffusion-weighted imaging (DWI) signal on Magnetic Resonance Imaging (MRI) or
definite ischemia on Computed tomography (CT) or vascular occlusion on CTA will be used as
proof of ischemia to classify the clinical phenotype into three groups (see below). A
neurologist will adjudicate all cases according to a study defined adjudication protocol.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05518305 -
Platelet Expression of FcγRIIa and Arterial Hemodynamics to Predict Recurrent Stroke in Intracranial Atherosclerosis
|
||
Active, not recruiting |
NCT04011514 -
Querying Stroke Unit Nursing Interventions in the Emergency Department
|
||
Not yet recruiting |
NCT01923818 -
Treatment of Rivaroxaban Versus Aspirin for Non-disabling Cerebrovascular Events
|
Phase 2/Phase 3 | |
Recruiting |
NCT03568890 -
Short-Term Anticoagulation Versus Antiplatelet Therapy for Preventing Device Thrombosis Following Left Atrial Appendage Closure
|
Phase 4 | |
Recruiting |
NCT05529901 -
Japan Post Marketing Surveillance of the GORE® CARDIOFORM Septal Occluder
|
||
Completed |
NCT01942031 -
Improved Prevention of Stroke in Primary Care in Stockholm, Sweden (Förbättrad Prevention av Stroke)
|
N/A | |
Terminated |
NCT01018355 -
The Effect of Device Closure of Patent Foramen Ovale in Elderly Patients With Crytogenic Stoke/TCI
|
N/A | |
Terminated |
NCT01236508 -
Relation of Carotid Artery Plaque Inflammation, Covert Stroke and White Matter Disease
|
Phase 4 | |
Recruiting |
NCT03749057 -
Early Rivaroxaban for Acute Ischemic Stroke or TIA Patients With Atrial Fibrillation
|
Phase 4 | |
Completed |
NCT03555643 -
Evaluation of the HARM for the Detection of a Cerebral Ischemia in TIA/TNA Patients
|
||
Recruiting |
NCT03812653 -
Sleep for Stroke Management and Recovery Trial
|
N/A | |
Terminated |
NCT03660618 -
LSFG-SKIN, Laser Speckle Flowgraphy
|
N/A | |
Completed |
NCT01648985 -
Diabetes in Minor Stroke/TIA, Glucose Tolerance and Haemostasis, a Long-term-follow-up Study and Intervention With Yoga
|
||
Completed |
NCT03937934 -
Study Title: Food Rx
|
N/A | |
Recruiting |
NCT05476991 -
Evaluation of Low Dose Colchicine and Ticagrelor in Prevention of Ischemic Stroke in Patients With Stroke Due to Atherosclerosis
|
Phase 3 | |
Not yet recruiting |
NCT06315192 -
Stroke Alarm Efficacy Trial
|
N/A | |
Recruiting |
NCT05730465 -
Improving Blood Pressure Control in Stroke Patients by Increasing Access to a Home Blood Pressure Monitor
|
N/A | |
Active, not recruiting |
NCT05822791 -
Differences in ECG- vs. proLonged cardIac MonItor-DeTected Atrial Fibrillation in STROKE Patients (DELIMIT AF-STROKE)
|
||
Completed |
NCT01645306 -
Revacept in Symptomatic Carotid Stenosis
|
Phase 2 | |
Not yet recruiting |
NCT06319846 -
Tirofiban for Patients With intraCranial Artery Stenosis and High-risk Acute Non-disabling Cerebrovascular Events(CHANCE-4)
|
Phase 3 |