Status:

COMPLETED

Echoplanar Imaging Thrombolysis Evaluation Trial (EPITHET)

Lead Sponsor:

Melbourne Health

Collaborating Sponsors:

Boehringer Ingelheim

Conditions:

Stroke

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To determine whether the extent of the ischemic penumbra apparent on perfusion-diffusion MRI can be used to identify patients who would respond positively and safely to tissue plasminogen activator (t...

Eligibility Criteria

Inclusion

  • Patients who present:
  • with acute hemispheric stroke within 3-6 hours of onset,
  • have at least moderate limb weakness,
  • a National Institute of Health Stroke Scale (NIHSS) score \> 4,
  • had a pre-stroke modified Rankin Scale (MRS) score of 0 - 2
  • and who are able to undergo CT and MRI, are eligible for this study.

Exclusion

  • Females who are pregnant or breast-feeding,
  • persons who have CT-verified hemorrhagic stroke, major ischemia ( \> 33% of the middle cerebral artery (MCA) territory infarcted), subarachnoid hemorrhage, arteriovenous malformation, aneurysm, intracranial neoplasm that is terminal or poses a risk of hemorrhage ,
  • are comatose or severely obtunded with fixed eye deviation and complete hemiplegia,
  • have had another stroke within the past 6 weeks,
  • have had a seizure prior to the administration of the study drug,
  • have active peptic ulceration, bleeding diatheses, previous intracerebral hemorrhage,
  • blood pressure \> 185/110,
  • major surgery or trauma within the past 30 days, or any other contraindications to tPA
  • have a presumed septic embolus or a myocardial infarction within the past 30 days
  • blood glucose values are \< 2.8 or \> 22.0 mmol/L,
  • pacemakers, aneurysm clips, implanted devices, claustrophobia, or any other contraindications to MRI,
  • decreased consciousness,
  • rapid clinical improvement,
  • confounding neurological condition (e.g. dementia),
  • any other life-threatening illness, or who are participating in another clinical trial, will be excluded from this study.

Key Trial Info

Start Date :

August 1 2001

Trial Type :

INTERVENTIONAL

End Date :

April 1 2007

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT00238537

Start Date

August 1 2001

End Date

April 1 2007

Last Update

May 30 2013

Active Locations (14)

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Page 1 of 4 (14 locations)

1

Hunter New England Area Health Service

Newcastle, New South Wales, Australia, 2310

2

Royal Brisbane Hospital

Brisbane, Queensland, Australia, 4072

3

Royal Adelaide Hospital

Adelaide, South Australia, Australia, 5000

4

Flinders Medical Center

Adelaide, South Australia, Australia, 5042