ClinicalTrials.gg
RecruitingNCT07902791SAVEUpdated Oct 29, 2026

Sevoflurane vs. Propofol for General Anesthesia in Patients With Acute Ischemic Stroke Treated With Endovascular Therapy

A Phase 3 interventional study of Sevoflurane and propofol (drug) in Acute Ischemic Stroke and Large Vessel Occlusion, sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2026, registered Oct 2026).
  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 29, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
314
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Acute ischemic stroke occurs when a blood clot blocks blood flow to part of the brain. Patients with this condition may require endovascular therapy, a procedure used to remove the clot and restore blood flow. General anesthesia is sometimes needed during this procedure.

The SAVE trial compares two medicines used for general anesthesia in patients with acute ischemic stroke undergoing endovascular therapy: sevoflurane and propofol. The aim of the study is to determine whether the choice of anesthetic medicine affects the final volume of brain tissue damaged by the stroke.

Participants will be randomly assigned to receive either sevoflurane or propofol during general anesthesia. The final volume of the brain infarction will be assessed using magnetic resonance imaging (MRI) approximately 72 hours after treatment. Participants will also be followed for up to 90 days to assess their clinical outcomes.

The study plans to include 314 participants across seven hospitals in Spain. The results may help improve understanding of how the choice of anesthetic medicine affects outcomes in patients with acute ischemic stroke treated with endovascular therapy.

02

Conditions studied

  • Acute Ischemic Stroke
  • Large Vessel Occlusion

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03

In context

Ischemic Stroke

2,612 studies on the registry are indexed under Ischemic Stroke; 971 are open to participants now.

This study's planned enrollment of 314 is above the median of 120 across 1,776 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau is the lead sponsor of 343 studies on the registry; 65 are open to participants now.

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

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 over 18 years.
  • Acute ischemic stroke within 24 hours from last time seen well, requiring emergency endovascular treatment, with or without prior thrombolysis.
  • Intracranial anterior circulation occlusion, including occlusions of the M1 or M2 segments of the middle cerebral artery and/or the terminal internal carotid artery (TICA). Tandem lesions involving extracranial segments of the internal carotid artery are also eligible.
  • Alberta Stroke Program Early CT Score (ASPECTS) ≥6 on baseline computed tomography (CT).
  • Pre-stroke modified Rankin Scale (mRS) score of 0-3.
  • Indication for general anesthesia at the start of the procedure (within 30 minutes from femoral puncture) due to patient confusion or lack of cooperation, technical difficulties, or the treating team's preference.
  • Ability to provide by the patient or by a family member/legal representative.

Exclusion criteria

Exclusion Criteria:

  • Hemorrhagic lesions on baseline CT.
  • Anterior cerebral artery (ACA) occlusion.
  • Posterior circulation occlusion, including vertebral, basilar, or posterior cerebral arteries (PCA).
  • Hemodynamic instability.
  • Acute respiratory failure requiring orotracheal intubation.
  • General anesthesia required because of complications during endovascular treatment.
  • Known to propofol, sevoflurane, or any of their .
  • Personal or family history of malignant hyperthermia, or suspected susceptibility to malignant hyperthermia.
  • History of a previous serious adverse reaction to halogenated anesthetics, including hepatotoxicity associated with their use.
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.

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Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
314 participants (estimated)

Study arms

  • Experimental
    Sevoflurane

    Drug: Sevoflurane

  • Active comparator
    Propofol

    Drug: propofol (drug)

Interventions

  • Sevoflurane administered for general anesthesia in patients with acute ischemic stroke undergoing endovascular therapy, according to the study protocol.

  • Propofol administered for general anesthesia in patients with acute ischemic stroke undergoing endovascular therapy, according to the study protocol.

06

What researchers measure

Primary outcomes

  1. Final infarct volume on follow-up brain MRI

    Final infarct volume (FIV) will be assessed using the Fluid-Attenuated Inversion Recovery (FLAIR) sequence on follow-up brain magnetic resonance imaging (MRI). Infarcted tissue will be identified and segmented, and the total infarct volume will be quantified in milliliters (mL). Images will be analyzed centrally by trained evaluators blinded to clinical outcomes.

    Time frame: 72 hours (±24 hours) after endovascular treatment

07

Study locations

1 of 1 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07902791
Responsible party
Sponsor
First posted
Oct 29, 2026
Start date
Jun 22, 2026
Primary completion
Mar 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Oct 29, 2026

Study contacts

Pol Camps-Renom
Contact
pcamps@santpau.cat
+34935537143

Oversight

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

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Studies of the drug tested here: Sevoflurane

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