ClinicalTrials.gg
RecruitingNCT07611136ZMA_BIOUpdated May 28, 2026

Cerebral Small Vessel Disease Progression Dependent on Stroke Type

An observational study in Cerebral Small Vessel Disease, Stroke and Stroke Recurrence, sponsored by Johannes Dorst. Recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-28.

Sponsored by Johannes Dorst · Observational

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
180
Ages
18 Years and older
Sex
All
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Study summary

The goal of this prospective, observational study is to understand if cerebral small vessel disease (CSVD) has different velocities and patterns of temporal development, dependent on a concurrent ischemic stroke. It focusses on adult patients with known or newly diagnosed CSVD on magnetic resonance imaging. The study will evaluate if blood based, in parts central nervous system specific protein markers, so called biomarkers, have an additional value reflecting the course of CSVD as defined per MRI assessments. Further patient-relevant endpoints include neuropsychological abilities, neurological functional outcomes, quality of life assessments, stroke recurrence risk.

02

Conditions studied

  • Cerebral Small Vessel Disease
  • Stroke
  • Stroke Recurrence
  • Biomarkers

Keywords

  • cerebral small vessel disease
  • biomarkers
  • magnetic resonance imaging
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In context

Cerebral Small Vessel Diseases

128 studies on the registry are indexed under Cerebral Small Vessel Diseases; 71 are open to participants now.

This study's planned enrollment of 180 is below the median of 260 across 56 observational studies indexed under Cerebral Small Vessel Diseases.

Browse Cerebral Small Vessel Diseases studies →

Lead sponsor

This is the only study on the registry with Johannes Dorst as lead sponsor.

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
Sampling method
Non-probability sample

Study population

Adult patients with sporadic, non-genetic cerebral small vessel disease

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

  • Age ≥ 18 years
  • Evidence of cerebral small vessel disease on brain MRI, defined as white matter hyperintensities (Fazekas grade 1-3)
  • Assignment to one of the following study groups based on MRI findings:
  • cerebral small vessel disease without evidence of an acute ischemic stroke
  • cerebral small vessel disease with acute lacunar ischemic stroke
  • cerebral small vessel disease with acute territorial ischemic stroke
  • Ability to provide written
  • Sufficient German language skills to understand study procedures and assessments

Exclusion criteria

Exclusion Criteria:

  • Alternative plausible causes of white matter hyperintensities other than cerebral small vessel disease (e.g. inflammatory central nervous system disorders, leukodystrophies, brain tumors)
  • Known neurodegenerative diseases (e.g. Parkinson's disease, Alzheimer's disease, other dementias)
  • Acute or recent traumatic brain injury
  • to magnetic resonance imaging
  • Pregnancy or breastfeeding
  • of less than one year
  • Inability to comply with study procedures or follow-up visits
Terms in these criteria, in plain language(3)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
180 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Group 1

    cerebral small vessel disease without current stroke

  • Group 2

    cerebral small vessel disease with acute lacunar stroke

  • Group 3

    cerebral small vessel disease with acute territorial stroke

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What researchers measure

Primary outcomes

  1. Change in White Matter Lesion Volume based on MRI measurements

    MRI: White Matter Lesion volume will be measured and compared over the study trajectory (baseline upon study termination) in mm3

    Time frame: 1 year

Secondary outcomes

  1. Changes of Blood Biomarkers

    Changes in blood biomarkers (e.g. NfL, GFAP, pTau in pg/ml)

    Time frame: 1 year

  2. Occurrence of Cerebrovascular Events

    Cerebrovascular events during the follow-up period and their association with biomarker levels and MRI-based disease progression, defined as a binary outcome variable (e.g. for ischemic stroke, myocardial infarction, peripheral artery occlusion).

    Time frame: 1 year

  3. Changes in Neuropsychological Tests

    Neuropsychological assessment focussing on attention, executive function, visual and verbal primary and working memory, as well as visuospatial function. For interpretation of results, z-scores will be applicable, as they are normalized according to age. A z-score of 0 equals the mean result of the normative population. A positive value indicates the data point is above the mean (a better performance than the mean results of the normatove population), while a negative value is below the mean. A score of -1.5 means the patient is 1.5 standard deviations below the mean, while a +1.0 is one SD above.

    Time frame: 1 year

  4. Neurological Functional Abilities

    Using the modified Rankin Score (0-6, a higher score indicates a worse functional ability and an mRS of 6 indicates death)

    Time frame: 1 year

  5. Changes in Neurovascular Duplex/Dopplerultrasound

    Neurovascular Duplex/Dopplerultrasound of extra-/intracranial brain-supplying arteries: changes in Plaque diameters (mm), Intima-Media-Thickness (IMT in mm, a higher IMT is associated with a more severe disease stage)

    Time frame: 1 year

  6. Stroke Severity

    National Institutes of Stroke Health Scale (NIHSS, 0-42 points, a higher stroke indicates a more severe stroke)

    Time frame: 1 year

  7. Acitivies of Daily Living

    ADL Score according to Katz (0-6)

    Time frame: 1 year

  8. EQ5D-5L

    The EQ5D-5L ranges from a maximum of 1 (full health) to a minimum of roughly -0.661

    Time frame: 1 year

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Study locations

1 of 1 sites 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 2026 (actual). Primary completion is estimated for Apr 2028, 24 months after the start.

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

Registered
Apr 13, 2026
First posted
May 28, 2026
StartActual
Mar 26, 2026
Primary completionEst.
Apr 1, 2028
CompletionEst.
Apr 1, 2028
Last update
May 28, 2026
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 May 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07611136
Lead sponsor
Johannes Dorst
Responsible party
Johannes Dorst (Prof. Dr. Johannes Dorst, University Hospital Ulm) — Sponsor-investigator
First posted
May 28, 2026
Start date
Mar 26, 2026
Primary completion
Apr 1, 2028 (estimated)
Completion
Apr 1, 2028 (estimated)
Last update
May 28, 2026

Study contacts

Mona E Laible, MD
Contact
mona.laible@uniklinik-ulm.de
+49(0)7311770
Mona E Laible, MD
study chair · University Hospital Ulm, Germany

Oversight

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

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