Trials

Published in JAMA (Journal of the American Medical Association)
Acute Ischemic Stroke Intracerebral Hemorrhage Subarachnoid HemorrhageTemperature Management Fever Prevention Neurocritical Care Supportive Care

In critically ill adult patients with acute vascular brain injury (ischemic stroke, ICH, or SAH), does active fever prevention targeting 37.0°C using an automated surface device, compared with standard reactive fever treatment, improve functional outcome at 3 months?

Published in New England Journal of Medicine
Intracerebral HemorrhageAcute Blood Pressure Control

In patients with acute intracerebral hemorrhage does intensive blood pressure control (target systolic BP <140 mmHg) improving functional outcome at 90 days as compared with standard care (target systolic BP <180 mmHg)?

Published in The Lancet Neurology
Intracerebral HemorrhageHemostasis Reversal Agents Anticoagulant Reversal Prothrombin Complex Concentrate (PCC) Fresh Frozen Plasma (FFP) Warfarin Reversal

In adult patients with VKA-associated intracerebral hemorrhage (INR ≥2.0, symptoms <12h), does prothrombin complex concentrate (PCC) compared with fresh frozen plasma (FFP), both with vitamin K, lead to more rapid and effective INR normalization and affect hematoma expansion and clinical outcomes?

Published in The Lancet Neurology
Intracerebral HemorrhageNeuroprotection Iron Chelation Deferoxamine Secondary Brain Injury

In adult patients (18-80 years) with primary spontaneous supratentorial intracerebral hemorrhage, does deferoxamine mesylate (32 mg/kg/day for 3 days) initiated within 24 hours, compared with placebo, show sufficient promise of improving functional outcome (mRS 0-2) at 90 days to warrant a phase 3 trial (i.e., not futile)?

Published in New England Journal of Medicine
Intracerebral HemorrhageHemostasis Reversal Agents Factor VIIa

In adult patients with acute intracerebral hemorrhage treated within 4 hours of onset, does recombinant activated factor VII (rFVIIa) at doses of 20 μg/kg or 80 μg/kg, compared with placebo, reduce death or severe disability at 90 days?

Published in New England Journal of Medicine
Intracerebral HemorrhageNeurosurgical Intervention Hematoma Evacuation Minimally Invasive Surgery

In adult patients (18-80 years) with spontaneous supratentorial intracerebral hemorrhage (lobar or basal ganglia, volume 30-80 mL, GCS 5-14), does early minimally invasive parafascicular surgery (MIPS) plus medical management, compared with medical management alone, improve functional outcome (utility-weighted mRS) at 180 days?

Published in The Lancet
Intracerebral HemorrhageNeurosurgical Intervention Intraventricular Hemorrhage Thrombolysis (Alteplase) External Ventricular Drain (EVD)

In adult patients (18-75 years) with spontaneous supratentorial ICH (<30 mL) and obstructive IVH requiring an EVD, does intraventricular administration of alteplase via the EVD, compared with EVD management with or without saline irrigation, improve functional outcome at 180 days?

Published in New England Journal of Medicine
Intracerebral HemorrhageAcute Blood Pressure Control

In patients with acute intracerebral hemorrhage and SBP ≥180 mmHg, does intensive blood pressure control (target SBP 110-139 mmHg) reduce death or disability at 3 months compared with standard care (target SBP 140-179 mmHg)?