ClinicalTrials.gg
Status unknownNCT05486351KOALA-ISUpdated Aug 3, 2022

Keeping Oral o Parental AnticoaguLation in the Acute Phase of Cardioembolic Ischemic Stroke

An observational study in Cardioembolic Stroke, Anticoagulant Therapy and Stroke Recurrence, sponsored by Instituto de Investigación Hospital Universitario La Paz. Status unknown at 3 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-03.

Sponsored by Instituto de Investigación Hospital Universitario La Paz · Observational

The sponsor has not verified this record recently (last verified Jul 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
318
Ages
18 Years and older
Sex
All
01

Study summary

This is an observational, prospective, multicenter, cohort study in patients with cardioembolic stroke and previous oral or parenteral anticoagulant therapy. Patients in which anticoagulante therapy is mantained will be compared to those in which it is interrupted, in terms of stroke or systemic embolism and haemorrhagic transformation.

Read the detailed description

Observational, prospective, multicenter, cohort study in patients with recent cardioembolic stroke (\<24 hours) and previous oral or parenteral anticoagulant therapy (last dose recieved \<24hours) . Patients in which anticoagulante therapy is mantained will be compared to those in which it is interrupted. The decision to mantain or interrumpt the anticoagulant therapy is made by the treating physician as hospital protocol. Stroke recurrence, haemorrhagic transformation at 90 days are evalauted and also complication during the hospitalization and functional outcome.

02

Conditions studied

  • Cardioembolic Stroke
  • Anticoagulant Therapy
  • Stroke Recurrence
  • Haemorrhagic Transformation Stroke

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03

In context

Embolic Stroke

40 studies on the registry are indexed under Embolic Stroke; 11 are open to participants now.

This study's planned enrollment of 318 is below the median of 364 across 27 observational studies indexed under Embolic Stroke.

Browse Embolic Stroke studies →

Lead sponsor

Instituto de Investigación Hospital Universitario La Paz is the lead sponsor of 104 studies on the registry; 14 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with acute ischemic stroke, with a major cardioembolic source and previosly treated with oral or parental anticoagulants.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ischemic stroke of less than 24 hours since beginning of symptoms or last seen normal
  • Mayor cardioembolic source (atrial fibrilation or flutter, mechanical heart valve prosthesis, recient miocardic infarction, rheumatic mitral valve stenosis, dilated cardiomyopathy, atrial myxoma, left ventricular focal akynesia.
  • Previous treatment with oral anticoagulants (vitamin K antagonists or direct oral anticoagulants), having received the last dose within the previous 24 hours. Treatment with intravenous or subcutaneos heparin is also valid.
  • Age >18 years-old
  • Signed (by patient or representative)

Exclusion criteria

Exclusion Criteria:

  • History of Intracraneal or extracraneal haemorrhage that contraindicates anticoagulant therapy
  • Patients treated with intravenous thrombolysis as a reperfusion therapy
  • Intracraneal haemorrhage on initial CT scan
  • Health status with a short survival prevision
  • Patients in which a neurosurgery intervention could be indicated
  • Child-bearing woman or in breast-feeding period.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
318 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Mantainance of anticoagulation therapy

    Patients with acute ischemic stroke of cardioembolic source and previosly anticoagulated in which anticoagulant therapy is mantained

    Other: Observation

  • Interruption of anticoagulation therapy

    Patients with acute ischemic stroke of cardioembolic source and previosly anticoagulated in which anticoagulant therapy is interrupted.

    Other: Observation

Interventions

  • OtherObservation

    Patients are observed for stroke or systemic embolism and haemorrhagic transformation

06

What researchers measure

Primary outcomes

  1. Ischemic stroke recurrence

    recurrence of ischemic stroke noticied by changes in neurologic status and supported by neuroimaging

    Time frame: 90 days

  2. Symptomatic haemorrhagic transformation

    Symptomatic haemorrhagic transformation defined by the SITS criteria and supported by neuroimaging

    Time frame: 90 days

Secondary outcomes

  1. Early ischemic stroke recurrence

    Recurrence of ischemic stroke at days 1 or day 7

    Time frame: Day 1 or day 7

  2. Early symptomatic haemorrhagic transformation

    Symptomatic transformation ocurring on day 1 or day 7

    Time frame: Day 1 or day 7

  3. Early radiologic haemorrhagic transformation

    Parenchymal haematoma (type PH1 or PH2) on control neuroimaging performed at 24h (if mechanical thromectomy performed) and at day 7

    Time frame: Day 1 or day 7

  4. Systemic embolism

    Clinical, radiologic or analytic findings that suggest an ischemic event (myocardic, renal, splenic, bowl or limb infarctions

    Time frame: Day 1, day 7 or day 90

  5. Major extracraneal haemorrhagic complication

    intraocular, intraspinal, pericardic, intra-articular, intra-muscular with compartimental syndrome, retro-peritoneal bleeding that requires surgery or that causes death. Definition according to ISTH criteria

    Time frame: Day 1, day 7 or day 90

  6. Mortality

    Death

    Time frame: Day 7

  7. Neurologic status

    NIHSS scale

    Time frame: Day 90

  8. Functional status

    modified Rankin scale

    Time frame: Day 90

07

Study locations

2 of 3 sites recruiting
  • Bichat Claude Bernard Hospital
    Paris, 75018, France
    Active, not recruiting
  • Jimenez Diaz Fundation University Hospital
    Madrid, 28040, Spain
    Recruiting
    • Ricardo Rigual Bobillo · Contact
  • La Paz University Hospital
    Madrid, 28046, Spain
    Recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2021 (actual). Primary completion is estimated for Dec 2023, 33 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 2, 2022
First posted
Aug 3, 2022
StartActual
Mar 5, 2021
Primary completionEst.
Dec 31, 2023
CompletionEst.
Dec 31, 2023
Last update
Aug 3, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05486351
Collaborators
Hospital Universitario La Paz, Daiichi Sankyo, Fundación Freno al ICTUS
Responsible party
Sponsor
First posted
Aug 3, 2022
Start date
Mar 5, 2021
Primary completion
Dec 31, 2023 (estimated)
Completion
Dec 31, 2023 (estimated)
Last update
Aug 3, 2022

Study contacts

Ricardo Rigual Bobillo, MD
Contact
ricardojaime.rigual@salud.madrid.org
917277444 ext. +34
Elena de Celis Ruiz, MD
Contact
elena.decelis.ruiz@idipaz.es
917277444 ext. +34
Ricardo Rigual Bobillo, MD
principal investigator · Hospital Universitario La Paz

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 status unknown, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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