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Angioplasty
Angioplasty for Stroke Risk Reduction
N/A
Waitlist Available
Led By Sepideh Amin-Hanjani, MD
Research Sponsored by University of Illinois at Chicago
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Non-severe recent stroke (within 30 days) attributed to 70-99% stenosis of intracranial artery (internal carotid, middle cerebral, vertebral, basilar); must be confirmed by CTA (or DSA if already available) for enrollment into the trial
Hemodynamic compromise based on borderzone infarct pattern* for the anterior circulation (internal carotid and middle cerebral artery stenosis) and by low flow state on QMRA** for the posterior circulation (vertebral and basilar artery stenosis)
Must not have
Indication for warfarin or NOAC beyond enrollment (e.g. venous thrombo-embolism, atrial fibrillation)
Any neurological disease which would confound follow-up assessment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights
No Placebo-Only Group
Summary
This trial will study whether a minimally-invasive endovascular intervention can be performed safely in patients with a high risk of stroke due to atherosclerosis, as well as its effect on stroke risk.
Who is the study for?
This trial is for people aged 30-90 with a recent, non-severe stroke due to 70-99% blockage in certain brain arteries. They must have specific risk factors or diseases in other blood vessels if they're under 50. Exclusions include major strokes, conditions that could affect the study's results, very short life expectancy, certain heart and blood disorders, and previous treatments on the target area.
What is being tested?
The trial tests submaximal balloon angioplasty's safety and effectiveness for treating intracranial atherosclerotic stenosis (ICAS), which can lead to strokes. It aims to support future larger trials by providing initial data on this technique as an alternative when medical therapy isn't enough.
What are the potential side effects?
While not explicitly listed here, potential side effects may include risks associated with angioplasty such as bleeding at the catheter insertion site, damage to blood vessels from the balloon or catheter, infection risk from invasive procedures and possible allergic reactions to materials used.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I had a mild stroke within the last month due to a narrowed brain artery.
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I have poor blood flow in my brain due to narrowed arteries.
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I am between 30 and 90 years old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I need blood thinners for a clot or irregular heartbeat beyond joining the study.
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I do not have any brain or nerve conditions that could affect my study results.
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I am allergic to or cannot take aspirin or Plavix.
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I have a heart condition that increases my risk of blood clots.
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I have a blood disorder such as polycythemia vera, essential thrombocytosis, or sickle cell disease.
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I do not have a health condition that limits my life expectancy to less than 12 months.
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I have had a severe stroke that significantly affects my daily activities.
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I don't have active bleeding, recent major bleeding, severe stomach ulcers, very low platelets, or severe liver problems.
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My blood vessel narrowing is complex and previously treated with a device.
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I had a large stroke that could lead to bleeding in the brain.
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I cannot or do not want to have an MRI scan.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Procedural Safety
Secondary study objectives
Clinical Efficacy
Hemodynamic Durability
Hemodynamic Success
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Submaximal balloon angioplasty plus intensive medical therapyExperimental Treatment1 Intervention
Endovascular intervention with submaximal balloon angioplasty
Find a Location
Who is running the clinical trial?
University of Illinois at ChicagoLead Sponsor
639 Previous Clinical Trials
1,568,977 Total Patients Enrolled
Case Western Reserve UniversityLead Sponsor
308 Previous Clinical Trials
250,554 Total Patients Enrolled
National Institute of Neurological Disorders and Stroke (NINDS)NIH
1,377 Previous Clinical Trials
651,678 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I need blood thinners for a clot or irregular heartbeat beyond joining the study.I do not have any brain or nerve conditions that could affect my study results.I am allergic to or cannot take aspirin or Plavix.I have a heart condition that increases my risk of blood clots.I have experienced symptoms within the last 30 days.I have a blood disorder such as polycythemia vera, essential thrombocytosis, or sickle cell disease.You cannot have a test called cerebral angiography.My arteries are not too twisted or blocked to reach the target area for treatment.I had a mild stroke within the last month due to a narrowed brain artery.You have low blood flow, as determined by a specific test used in the VERiTAS Study.The narrow section in the blood vessel is less than 18mm long.I do not have a health condition that limits my life expectancy to less than 12 months.I am 30-49 years old with atherosclerosis or have 2+ risk factors like high blood pressure, diabetes, high cholesterol, or recent tobacco use.I have had a severe stroke that significantly affects my daily activities.I have poor blood flow in my brain due to narrowed arteries.I have not had clot-dissolving therapy in the last 24 hours.My blood vessel narrowing is not due to hardening of the arteries.I don't have active bleeding, recent major bleeding, severe stomach ulcers, very low platelets, or severe liver problems.The blood vessel being treated needs to be at least 2mm wide.I am between 30 and 90 years old.My blood vessel narrowing is complex and previously treated with a device.I had a bleeding stroke confirmed by CT scan within the last 14 days.I had a large stroke that could lead to bleeding in the brain.I cannot or do not want to have an MRI scan.You had a specific type of stroke called a borderzone infarct as defined by SAMMPRIS cohort analysis.
Research Study Groups:
This trial has the following groups:- Group 1: Submaximal balloon angioplasty plus intensive medical therapy
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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