| ACUTE Trial Summaries | |
| FASTEST | rFVIIa for acute hemorrhagic stroke | ID-IMR | Observational imaging study, CTP post EVT with TICI 2c/3 |
| SISTER | Novel lytic for patients not elgible for acute treatment |
| STEP DOMAIN A (Low NIHSS) | EVT expansion for LVO patients with low stroke scale |
| STEP DOMAIN A (MVO/DMVO) | EVT expansion for MeVO patients |
FASTEST
rFVIIa for acute hemorrhagic stroke
[ ABC/2 ICH Volume Calculator ]
FASTEST— (PI: Walsh)
LKW
2 hrs
Pre-stroke mRS
N/A (18-80)
Other:
Positive spot sign on CTA, EFIC initial consenting allowed
Sites:
UCMC
ORDERS:
N/A - kit in SRU Omnicell
Clinical Trials ID:
Contact:
Randomization Hotline:
ID-IMR
Observational imaging study, CTP post EVT with TICI 2c/3
ID-IMR— (PI: Aziz)
LVO Required
ICA/M1/M2 (any)
LKW
24 hrs
Pre-stroke mRS
—
NIHSS
—
ASPECTS
—
MRI Capability
Must be able to undergo MRI
EVT/Anticogulation
—
Thrombectomy Required
Yes
Thrombectomy Device
—
Final mTICI
2c-3
Sites:
UCMC, WCH and Jewish
ORDERS:
In Comments area of stat CTP order, please write: "RESEARCH, NO READ, Aziz-2024-0526-ID IMR, perform imaging according to clinical standard for patient's disease, perform by 90 minutes of qualifying reperfusion score. Technologist, please pend read to Karen Putnick"
Clinical Trials ID:
Contact:
Christina Mihova: 817-807-2390 (Cell/preferred) (lead coordinator)
Yasmin Aziz: 412-913-8424 (site PI)
Yasmin Aziz: 412-913-8424 (site PI)
SISTER
Novel lytic for patients not elgible for acute treatment
SISTER — (Stite PI: Aziz)
LVO Required
- LVO not required
- Anterior circ perfusion mismatch
LKW
4.5 – 24 hrs
Pre-stroke mRS
0 - 2
NIHSS
≥4
ASPECTS
≥6 (≥7 if MRI)
MRI Capability
—
EVT/Anticogulation
No Thrombolytics (IV/IA)
Thrombectomy Required
No
Thrombectomy Device
—
Final mTICI
—
Sites:
UCMC
ORDERS:
—
Clinical Trials ID:
Contact:
Emma King (513-805-2295)
SISTER Hotline:
STEP DOMAIN A (Low NIHSS)
EVT expansion for LVO patients with low stroke scale
STEP-Domain A (Low NIHSS) — (Site PIs: Shirani and Demel)
LVO Required
ICA or M1 MCA
LKW
24 hrs
Pre-stroke mRS
0-2
NIHSS
0-5
ASPECTS
≥6 (≥7 if MRI)
MRI Capability
—
EVT/Anticogulation
—
Thrombectomy Required
—
Thrombectomy Device
—
Final mTICI
—
Sites:
UCMC
ORDERS:
—
Clinical Trials ID:
Contacts:
Emma King - Lead coordinator: (513-805-2295)
Stacie Demel - Site PI: (570-220-5528)
Peyman Shirani - Site PI: (832-525-1427)
Stacie Demel - Site PI: (570-220-5528)
Peyman Shirani - Site PI: (832-525-1427)
STEP Hotline:
STEP DOMAIN A (MVO/DMVO)
EVT expansion for MeVO/DMVO patients
STEP-Domain A (Low NIHSS) — (Site PIs: Shirani and Demel)
LVO Required
Non-dom/Co-dom M2 or M3
LKW
24 hrs
Pre-stroke mRS
0-2
NIHSS
≥8
ASPECTS
≥6 (≥7 if MRI)
MRI Capability
—
EVT/Anticogulation
—
Thrombectomy Required
—
Thrombectomy Device
—
Final mTICI
—
Sites:
UCMC
ORDERS:
—
Clinical Trials ID:
Contacts:
Emma King - Lead coordinator: (513-805-2295)
Stacie Demel - Site PI: (570-220-5528)
Peyman Shirani - Site PI: (832-525-1427)
Stacie Demel - Site PI: (570-220-5528)
Peyman Shirani - Site PI: (832-525-1427)
STEP Hotline: