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NCT03481777: RESIST

Remote Ischemic Conditioning in Patients With Acute Stroke (RESIST)

Completed NA Results posted Last updated 27 January 2025
What this trial tests

NA trial testing Remote Ischemic Conditioning in Stroke, Acute in 1,500 participants. Completed in 3 February 2023.

Timeline
15 March 2018
Primary endpoint
3 February 2023
3 February 2023

Quick facts

Lead sponsorGrethe Andersen
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment1,500
Start date15 March 2018
Primary completion3 February 2023
Estimated completion3 February 2023
Sites4 locations across Denmark

Drugs / interventions tested

Conditions studied

Sponsor

Grethe Andersen

Who can join

18 and older, any sex, with Stroke, Acute or Ischemic Stroke. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Modified Rankin Scale at 3 Months in Acute Stroke (AIS and ICH) Primary · 3 months

Clinical outcome (modified Rankin Scale) at 3 months in acute stroke patients (target diagnosis) (generalized ordinal logistic regression). The assessment will performed by two independent telephone or face-to-face assessors. the mRS range from 0 to 6, with higher scores representing worse outcome (mRS 0, no symptoms; mRS 6, death) If disagreement occurs the patient will be contacted by a third assessor (face-to-face or telephone) who is blinded to the intervention who will assess the level of dependency. * If disagreement occurs between two telephone assessments - a third, and final, telep

GroupValue95% CI
Remote Ischemic Conditioning (RIC)21 – 3
Sham11 – 3
Difference Neurological Impairment During the First 24 Hours Secondary · 24 hours

Neurological deficits are documented using Prehospital Stroke Score (PreSS). Prehospital Stroke Score is assessed in the the ambulance and at 24-hour or at discharge (if discharge occurs before 24 hours). The PreSS score consists of the Cincinnati Prehospital Stroke Scale (CPSS) with an additional opportunity to report other neurological symptoms (e.g. ataxia, sensory disturbances and visual field loss), and PASS (Prehospital Acute Stroke Severity Scale). The PreSS score range from 0-6, with 6 representing the most severe neurological deficits.

GroupValue95% CI
Remote Ischemic Conditioning-1-2 – 0
Sham - Remote Ischemic Conditioning-2-2 – 0
Clinical Outcome (Modified Rankin Scale (mRS) at 3 Months in Acute Ischemic Stroke Secondary · 3 months

Clinical outcome (modified Rankin Scale) at 3 months in acute stroke patients (target diagnosis) (generalized ordinal logistic regression). TThe assessment will performed by two independent telephone or face-to-face assessors. the mRS range from 0 to 6, with higher scores representing worse outcome (mRS 0, no symptoms; mRS 6, death) If disagreement occurs the patient will be contacted by a third assessor (face-to-face or telephone) who is blinded to the intervention who will assess the level of dependency. If disagreement occurs between two telephone assessments - a third, and final, telepho

GroupValue95% CI
Remote Ischemic Conditioning (RIC)11 – 2
Sham10 – 3
Clinical Outcome (Modified Rankin Scale (mRS) at 3 Months in Acute Ischemic Stroke Receiving Reperfusion Therapy Secondary · 3 months

Clinical outcome (modified Rankin Scale) at 3 months inacute ischemic stroke receiving reperfusion therapy (generalized ordinal logistic regression). The assessment will performed by two independent telephone or face-to-face assessors. the mRS range from 0 to 6, with higher scores representing worse outcome (mRS 0, no symptoms; mRS 6, death) If disagreement occurs the patient will be contacted by a third assessor (face-to-face or telephone) who is blinded to the intervention who will assess the level of dependency. If disagreement occurs between two telephone assessments - a third, and final

GroupValue95% CI
Remote Ischemic Conditioning (RIC)11 – 3
Sham11 – 3
Clinical Outcome (Modified Rankin Scale (mRS) at 3 Months in Patients With Intracerebral Hemorrhage (ICH) Secondary · 3 months

Clinical outcome (modified Rankin Scale) at 3 months in patients with intracerebral hemorrhage (ICH) (generalized ordinal logistic regression). The assessment will performed by two independent telephone or face-to-face assessors. the mRS range from 0 to 6, with higher scores representing worse outcome (mRS 0, no symptoms; mRS 6, death) If disagreement occurs the patient will be contacted by a third assessor (face-to-face or telephone) who is blinded to the intervention who will assess the level of dependency. If disagreement occurs between two telephone assessments - a third, and final, tel

GroupValue95% CI
Remote Ischemic Conditioning (RIC)32 – 5
Sham32 – 5
Difference in Proportion of Patients With Complete Remission of Symptoms Within 24 Hours (TIA; Both With and Without DWI) Secondary · 3 months

Difference in proportion of patients with complete remission of symptoms within 24 hours (TIA; both with and without DWI) Diagnosis of TIA is documented in the electronic case report form

GroupValue95% CI
Remote Ischemic Conditioning (RIC)96
Sham90
Major Adverse Cardiac and Cerebral Events (MACCE) Secondary · 3 months

MACCE is defined as: Cardiovascular events (cardiovascular death, myocardial infarction, acute ischemic or hemorrhagic stroke) Cardiovascular death: Death from known cardiovascular cause or sudden death from unknown cause (no identified cause of death in medical history and/or autopsy) Acute myocardial infarction: Admission with a discharge diagnosis of ST-elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI) and unstable angina pectoris (UAP) Stroke: Admission with a discharge diagnosis of acute ischemic or hemorrhagic stroke. Evaluation is performed u

GroupValue95% CI
Remote Ischemic Conditioning (RIC)57
Sham62
Early Neurological Improvement in Acute Ischemic Stroke Patients (AIS) Secondary · 24 hours

Reduction in National Institute of Health Stroke Scale (NIHSS) ≥ 4 (baseline versus 24-Hour NIHSS). NIHSS range from 0 to 42, with higher scores representing worse neurological function.

GroupValue95% CI
Remote Ischemic Conditioning (RIC)108
Sham131

Adverse events — posted to ClinicalTrials.gov

Time frame: 90 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Remote Ischemic Conditioning (RIC)
Serious: 335/713 (47%)
Deaths: 41/713
Sham
Serious: 325/720 (45%)
Deaths: 47/720

Serious adverse events (1 terms)

ReactionSystemRemote Ischemic Conditioni…Sham
SAECardiac disorders
Other adverse events (1 terms — click to expand)

ReactionSystemRemote Ischemic Conditioni…Sham
Upper extremity pain during treatment and/or skin petechiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: SAE.

Data from ClinicalTrials.gov NCT03481777 adverse events section.

Sponsor's own description

Our primary aim is to investigate whether remote ischemic conditioning (RIC) as an adjunctive treatment can improve long-term recovery in acute stroke patients as an adjunct to standard treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Emerging neuroprotective strategies for the treatment of ischemic stroke: An overview of clinical and preclinical studies.
    Paul S, Candelario-Jalil E. · · 2021 · cited 531× · PMID 33144066 · DOI 10.1016/j.expneurol.2020.113518
  2. Effect of In-Hospital Remote Ischemic Perconditioning on Brain Infarction Growth and Clinical Outcomes in Patients With Acute Ischemic Stroke: The RESCUE BRAIN Randomized Clinical Trial.
    Pico F, Lapergue B, Ferrigno M, Rosso C, et al · · 2020 · cited 75× · PMID 32227157 · DOI 10.1001/jamaneurol.2020.0326
  3. Remote Ischemic Conditioning for Acute Stroke: The RESIST Randomized Clinical Trial.
    Blauenfeldt RA, Hjort N, Valentin JB, Homburg AM, et al · · 2023 · cited 63× · PMID 37787796 · DOI 10.1001/jama.2023.16893
  4. Neuroprotection in Acute Ischemic Stroke: A Battle Against the Biology of Nature.
    Ghozy S, Reda A, Varney J, Elhawary AS, et al · · 2022 · cited 51× · PMID 35711268 · DOI 10.3389/fneur.2022.870141
  5. Remote ischemic conditioning for stroke: clinical data, challenges, and future directions.
    Zhao W, Li S, Ren C, Meng R, et al · · 2019 · cited 45× · PMID 30656197 · DOI 10.1002/acn3.691
  6. Remote ischaemic conditioning: defining critical criteria for success-report from the 11th Hatter Cardiovascular Workshop.
    Bell RM, Basalay M, Bøtker HE, Beikoghli Kalkhoran S, et al · · 2022 · cited 40× · PMID 35970954 · DOI 10.1007/s00395-022-00947-2
  7. A multicentre, randomised, sham-controlled trial on REmote iSchemic conditioning In patients with acute STroke (RESIST) - Rationale and study design.
    Blauenfeldt RA, Hjort N, Gude MF, Behrndtz AB, et al · · 2020 · cited 29× · PMID 32232175 · DOI 10.1177/2396987319884408
  8. Remote Ischemic Conditioning May Improve Disability and Cognition After Acute Ischemic Stroke: A Pilot Randomized Clinical Trial.
    Poalelungi A, Tulbă D, Turiac E, Stoian D, et al · · 2021 · cited 21× · PMID 34526950 · DOI 10.3389/fneur.2021.663400

Verify or expand the search:

Other trials of Remote Ischemic Conditioning

Trials testing the same drug.

Other recruiting trials for Stroke, Acute

Currently open trials in the same condition.

Other Grethe Andersen trials

Trials by the same sponsor.

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