Trials

Published in The Lancet
Intracerebral HemorrhageHemostasis Tranexamic Acid Anti-fibrinolytic Therapy

In adult patients with acute spontaneous intracerebral hemorrhage treated within 8 hours of onset, does tranexamic acid, compared with placebo, improve functional outcome (mRS score) at 90 days?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation Minimally Invasive Surgery Craniotomy

In adult patients (≥18 years) with spontaneous supratentorial intracerebral hemorrhage (volume 10-60 mL, GCS 5-12, pre-ICH mRS 0-1), does early surgical hematoma evacuation (within 24 hours) plus medical care, compared with initial conservative medical care alone, improve functional outcome (mRS score) at 180 days?

Published in The Lancet Neurology
Intracerebral HemorrhageHemostasis Tranexamic Acid Anti-fibrinolytic Therapy Hematoma Expansion Imaging Biomarkers

In adult patients with acute spontaneous intracerebral hemorrhage and a CT angiography spot sign, treated within 4.5 hours of onset, does tranexamic acid, compared with placebo, reduce hematoma expansion at 24 hours?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation

In adult patients with spontaneous superficial lobar intracerebral hemorrhage (10-100 mL, GCS ≥6T/7), does a policy of early surgical hematoma evacuation by craniotomy plus best medical treatment, compared with best medical treatment alone (with delayed surgery if needed), improve outcome at 6 months?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation

In adult patients with spontaneous supratentorial intracerebral hemorrhage, does a policy of early surgical hematoma evacuation plus best medical treatment, compared with best medical treatment alone (with delayed surgery if needed), improve outcome at 6 months?

Published in JAMA (Journal of the American Medical Association)
Acute Ischemic StrokeGlucose Control Insulin Therapy Supportive Care Ischemic Stroke Management

In adult patients with acute ischemic stroke and hyperglycemia, does intensive glucose control (target 80-130 mg/dL with IV insulin) compared with standard glucose control (target 80-179 mg/dL with subcutaneous insulin) improve functional outcome at 90 days?

Published in The Lancet
Intracerebral HemorrhageHemostasis Reversal Agents Antiplatelet Therapy Complications

In adult patients (GCS ≥8) with spontaneous supratentorial intracerebral hemorrhage who were on antiplatelet therapy and presented within 6 hours, does platelet transfusion plus standard care, compared with standard care alone, reduce death or dependence at 3 months?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation Minimally Invasive Surgery Thrombolysis (Alteplase)

In adult patients (18-80 years) with spontaneous supratentorial intracerebral hemorrhage (volume ≥30 mL, GCS 4-14), does minimally invasive catheter evacuation followed by alteplase instillation, compared with standard medical care alone, improve functional outcome (mRS 0-3) at 365 days?