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CompletedNCT02411266PreLIMBSUpdated Sep 13, 2021

Preconditioning With Limb Ischemia for Subarachnoid Hemorrhage

An interventional study of ischemic conditioning group in Ischemic Preconditioning, sponsored by University of Miami. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-13.

Sponsored by University of Miami · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 6 years 8 months after the study started (first participant enrolled Jul 2008, registered Mar 2015).
Phase
Not applicable
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to learn about protecting the brain from dangerous low blood flow.

02

Conditions studied

  • Ischemic Preconditioning
03

In context

Subarachnoid Hemorrhage

509 studies on the registry are indexed under Subarachnoid Hemorrhage; 124 are open to participants now.

This study's enrollment of 57 is close to the median of 52 across 263 interventional studies indexed under Subarachnoid Hemorrhage.

Browse Subarachnoid Hemorrhage studies →

Lead sponsor

University of Miami is the lead sponsor of 820 studies on the registry; 161 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with aneurysmal subarachnoid hemorrhage whose initial angiogram show an aneurysm and patients with clipped aneurysm will be eligible for enrollment.
  • Patients will be enrolled within 96 hours of bleeding onset, if informed consent is obtained from the participant or health care proxy, as appropriate.

Exclusion criteria

Exclusion Criteria:

  • Hunt Hess Scale > 4
  • Inability to undergo limb preconditioning due to local wound or tissue breakdown, history of peripheral extremity vascular disease or patient discomfort.
  • Inability to obtain informed consent from the patient or a health care proxy.
  • Ankle-brachial index \< 0.7
  • Inability to start limb preconditioning within 4 days of bleeding.
  • Inability to precondition a leg that is not-plegic (that is preserved anti- gravity strength) and has not been accessed for catheter angiography
  • Age\<18 years
  • Pregnant women
  • Prisoners
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
57 participants (actual)

Study arms

  • Placebo comparator
    control

    Subjects in this group will undergo sham preconditioning. A blood pressure cuff will be placed around the leg and inflated just lightly to a pressure of 30mmHg, not enough to affect arterial circulation. This will be maintained for 10min followed by 5min of deflation. This will constitute one conditioning cycle. There will be 3 sham conditioning cycles per treatment session.

    Other: ischemic conditioning group

  • Active comparator
    treatment group

    Study personnel will place a blood pressure cuff around the subject's leg and use it to interrupt the circulation to the leg for 10 minutes followed by release of the blood pressure for 5 minutes. This will be repeated for a total of 3 times every 24 to 48 hours up to 14 days. The cuff will be inflated for 10 minutes and then deflated for 5 minutes. There will be 3 cycles of this. The cuff will be inflated to 200mmHg to induce ischemia, confirmed by palpation of pedal pulses.

    Other: ischemic conditioning group

Interventions

  • Otherischemic conditioning group

    application of a blood pressure cuff around a leg and inflating the cuff to 200mmHg to induce limb ischemia for 10min followed by 5min reperfusion. this will be done for 3 cycles every 24-48hours during the first 14 days after subarachnoid hemorrhage

    Also known as: limb preconditioning

06

What researchers measure

Primary outcomes

  1. Safety Outcomes 1 - number of patients who develop deep vein thrombosis and thromboembolism

    The number of patients who develop deep vein thrombosis and thromboembolism in the treatment and control group.

    Time frame: 90 days

  2. Safety Outcome 2 - number of patients who develop neurovascular injury

    The number of patients who develop neurovascular injury in the treatment and control group.

    Time frame: 90 days

  3. Safety Outcome 3 - number of patients who cannot tolerate the intervention due to discomfort

    The number of patients who cannot tolerate the intervention due to discomfort.

    Time frame: 90 days

  4. Safety Outcome 4 - number of patients with cardiovascular events

    The number of patients with cardiovascular events \[defined as hypotension, myocardial ischemia\]

    Time frame: 90 days

Other outcomes

  1. Clinical Outcome - number of patients with a good modified Rankin Scale, defined as less than 2

    The number of patients with a good modified Rankin Scale, defined as less than 2, in the control and intervention group.

    Time frame: 90 days

07

Study locations

1 site
  • University of Miami
    Miami, Florida 33136, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02411266
Lead sponsor
University of Miami
Responsible party
Sebastian Koch (Associate Professor of Clinical Neurology, University of Miami) — Principal investigator
First posted
Apr 8, 2015
Start date
Jul 30, 2008
Primary completion
Dec 8, 2020
Completion
Dec 8, 2020
Last update
Sep 13, 2021

Study contacts

Sebastian Koch, MD
principal investigator · University of Miami

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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