CClinicalTrials.gg
CompletedNCT00961532IMPACTUpdated Aug 28, 2014Results posted

Improving Platelet Activity for Cerebral Hemorrhage Treatment - DDAVP Proof of Concept

A Phase 2 interventional study of DDAVP injection (desmopressin acetate) in Intracerebral Hemorrhage, sponsored by Northwestern University. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2014-08-28.

Sponsored by Northwestern University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The investigators intend to show that DDAVP improves platelet activity from baseline to 60 minutes after treatment start.

02

Conditions studied

  • Intracerebral Hemorrhage

Keywords

  • intracerebral hemorrhage
  • platelets
03

In context

Cerebral Hemorrhage

476 studies on the registry are indexed under Cerebral Hemorrhage; 181 are open to participants now.

This study's enrollment of 14 is below the median of 100 across 287 interventional studies indexed under Cerebral Hemorrhage.

Browse Cerebral Hemorrhage studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Spontaneous intracerebral hemorrhage as documented by head CT scan
  • Documented regular aspirin use or VerifyNow-ASA result of ≤ 550 aspirin reaction units (ARU), indicating anti-platelet medication

Exclusion criteria

Exclusion Criteria:

  • International normalized ratio (INR) of ≥ 1.7 from coagulopathy or warfarin use
  • History of von Willebrand disease
  • Pregnancy
  • Known hypersensitivity to DDAVP or desmopressin
  • Active cardiovascular disease or unstable angina
  • Hyponatremia or history of hyponatremia
  • Current or historical deep venous thrombosis or pulmonary embolism
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    DDAVP

    DDAVP 0.4 mcg/kg intravenously in 250 mL NS over 30 minutes

    Drug: DDAVP injection (desmopressin acetate)

Interventions

  • DrugDDAVP injection (desmopressin acetate)

    0.4 mcg/kg in 250 mL NS intravenously once over 30 minutes

06

What researchers measure

Primary outcomes

  1. Change in Platelet Activity, Measured in Seconds on PFA-EPI Assay, From Pre to Post-treatment

    The Platelet Function Analyzer (PFA) is a commercially available point-of-care assay that measures the time to closure of an aperature. Longer time to closure indicates less platelet activity. EPI denotes epinephrine (as opposed to adenosine diphosphate) as the stimulant to platelet aggregation. In our laboratory, a time to closure of at least 172 seconds in consistent with an aspirin effect.

    Time frame: 60 minutes after treatment start

Secondary outcomes

  1. Adverse Events : New Fever >=100.4F, Respiratory Distress or Pulmonary Edema on Chest Radiography, Rash, Hypotension (Systolic BP < 100 mm Hg or New Vasopressor Use or Increase in Vasopressor Dose by >25%)

    We prospectively defined acute adverse events as: new fever \>=100.4F, respiratory distress or pulmonary edema on chest radiography, rash, hypotension (systolic BP \< 100 mm Hg or new vasopressor use or increase in vasopressor dose by \>25%). The two patients reported were the only two that sustained any of the prospectively defined adverse events.

    Time frame: within 6 hours of study treatment

07

Results

Posted Aug 28, 2014

Participant flow

Participant flow — Overall Study
MilestoneDDAVP
Started14
Completed14
Not completed0

Outcome measures

PrimaryChange in Platelet Activity, Measured in Seconds on PFA-EPI Assay, From Pre to Post-treatment

The Platelet Function Analyzer (PFA) is a commercially available point-of-care assay that measures the time to closure of an aperature. Longer time to closure indicates less platelet activity. EPI denotes epinephrine (as opposed to adenosine diphosphate) as the stimulant to platelet aggregation. In our laboratory, a time to closure of at least 172 seconds in consistent with an aspirin effect.

Time frame:
60 minutes after treatment start
Reported as:
Mean · seconds
Change in Platelet Activity, Measured in Seconds on PFA-EPI Assay, From Pre to Post-treatment
secondsDDAVP
Change in Platelet Activity, Measured in Seconds on PFA-EPI Assay, From Pre to Post-treatment68 ± 24.1
Statistical analysis
  • DDAVP · t-test, 2 sided · p = 0.014
SecondaryAdverse Events : New Fever >=100.4F, Respiratory Distress or Pulmonary Edema on Chest Radiography, Rash, Hypotension (Systolic BP < 100 mm Hg or New Vasopressor Use or Increase in Vasopressor Dose by >25%)

We prospectively defined acute adverse events as: new fever \>=100.4F, respiratory distress or pulmonary edema on chest radiography, rash, hypotension (systolic BP \< 100 mm Hg or new vasopressor use or increase in vasopressor dose by \>25%). The two patients reported were the only two that sustained any of the prospectively defined adverse events.

Time frame:
within 6 hours of study treatment
Reported as:
Number · participants
Adverse Events : New Fever >=100.4F, Respiratory Distress or Pulmonary Edema on Chest Radiography, Rash, Hypotension (Systolic BP < 100 mm Hg or New Vasopressor Use or Increase in Vasopressor Dose by >25%)
participantsDDAVP
Adverse Events : New Fever >=100.4F, Respiratory Distress or Pulmonary Edema on Chest Radiography, Rash, Hypotension (Systolic BP < 100 mm Hg or New Vasopressor Use or Increase in Vasopressor Dose by >25%)2

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DDAVP—2/14 (14.3%)0/14 (0%)
Most frequent serious events
Most frequent serious events
EventDDAVP
HypotensionCardiac disorders1/14
FeverInfections and infestations1/14

Baseline characteristics

Age, Continuous
Age, Continuous(years)DDAVP
Mean66.8 ± 14.6
Sex: Female, Male
Sex: Female, Male(Participants)DDAVP
Female6
Male8
08

Study locations

1 site
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
09

References and documents

Publications

  • Naidech AM, Maas MB, Levasseur-Franklin KE, Liotta EM, Guth JC, Berman M, Rosenow JM, Lindholm PF, Bendok BR, Prabhakaran S, Bernstein RA, Kwaan HC. Desmopressin improves platelet activity in acute intracerebral hemorrhage. Stroke. 2014 Aug;45(8):2451-3. doi: 10.1161/STROKEAHA.114.006061. Epub 2014 Jul 8. PubMed 25005444 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00961532
Lead sponsor
Northwestern University
Collaborators
Northwestern Memorial Hospital
Responsible party
Andrew Naidech (Associate Professor, Northwestern University) — Principal investigator
First posted
Aug 19, 2009
Start date
Dec 2010
Primary completion
Dec 2013
Completion
Dec 2013
Results posted
Aug 28, 2014
Last update
Aug 28, 2014

Study contacts

Andrew M Naidech, MD MSPH
principal investigator · Northwestern University
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion