Status:

NOT_YET_RECRUITING

Direct-to-angio Approach From loCal hOspitals Based on a PoInt-of-care bLOod Test for LVO

Lead Sponsor:

Juan Vicenty

Collaborating Sponsors:

University of Puerto Rico

Mennonite Health System

Conditions:

Acute Stroke

Eligibility:

All Genders

21-85 years

Phase:

NA

Brief Summary

Direct-to-angio approach from loCal hOspitals based on a PoInt-of-care bLOod Test for LVO (COPILOT) is a multi-center, prospective, cluster-randomized crossover trial that will evaluate if the triage ...

Detailed Description

The COPILOT trial utilizes a cluster randomized crossover design within the Sistema de Salud Menonita (SSM) hospital network to evaluate if early detection of large vessel occlusion (LVO) stroke with ...

Eligibility Criteria

Inclusion

  • Age: 21 to 85 years old
  • Language: Speak and understand Spanish or English
  • Residence: Resident of Puerto Rico
  • Clinical presentation: Suspected acute stroke
  • Time of presentation: Monday to Friday, between 8:00 a.m. and 4:00 p.m.
  • Time of symptom onset: symptoms are known to have begun within the last 6 hours, OR last known to be well between 6 and 18 hours ago, confirmed by a reliable witness or healthcare professional

Exclusion

  • Previous healthcare encounter:
  • Already assessed at another hospital, and ambulance admission is a transfer for continuing care OR
  • Received thrombolysis therapy before consent (e.g., tPA, alteplase)
  • Medical History: diagnosed with any of the following in the past 4 weeks: deep vein thrombosis (DVT), pulmonary embolism (PE), arterial embolism, stroke, transient ischemic attack (TIA), long bone fracture, major trauma, surgery under general anesthesia, or head injury requiring hospital admission within the last 4 weeks.
  • Modified Rankin Scale: Pre-stroke mRS ≥ 3
  • The patient is a pregnant woman
  • The patient is under legal custody or deprived of liberty in penitentiary institutions
  • The patient is unable to provide informed consent on their own and whose authorized legal representatives are unavailable in person or by telephone during recruitment

Key Trial Info

Start Date :

May 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2028

Estimated Enrollment :

520 Patients enrolled

Trial Details

Trial ID

NCT06910163

Start Date

May 1 2025

End Date

August 1 2028

Last Update

April 4 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Hospital Menonita Caguas

Caguas, PR, Puerto Rico, 00725