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

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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:
Stephanie Thomas: 513-315-4001 (lead coordinator)
Kyle Walsh: 989-996-0417 (site PI)
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)
SISTER

Novel lytic for patients not elgible for acute treatment

SISTER — (Stite PI: Aziz)
LVO Required
  1. LVO not required
  2. 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)
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)
STEP Hotline: