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NCT04686877: STAPLE-dICH

Safety and Efficacy of Stereotactic Aspiration Plus Urokinase in Deep Intracerebral Hemorrhage Evacuation

Recruiting now NA Last updated 12 February 2025
What this trial tests

NA trial testing STAPLE in Treatment of Spontaneous Intracerebral Hemorrhage in 400 participants. Currently enrolling.

Timeline
31 January 2021
Primary endpoint
31 August 2025
30 September 2025

Quick facts

Lead sponsorFirst Affiliated Hospital of Fujian Medical University
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment400
Start date31 January 2021
Primary completion31 August 2025
Estimated completion30 September 2025
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

First Affiliated Hospital of Fujian Medical University

Who can join

40 and older, any sex, with Treatment of Spontaneous Intracerebral Hemorrhage. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This is a nationwide, multicenter, open-label, randomized controlled trial of early minimally invasive treatment for deep-seated spontaneous cerebral hemorrhage (dICH). The study consists of 2 steps: the first step is to conduct a dose climbing test to determine the safety and optimal dose of urokinase intra-hematoma irrigation after stereotactic aspiration; the second step is to validate whether stereotactic aspiration plus urokinase irrigation (the optimal dose determined in step one) is superior to conservative treatment in improving long-term outcomes (1 year) in early (within 24h) dICH patients.

Publications & conference data

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

  1. Surgery for spontaneous supratentorial intracerebral haemorrhage.
    Wilting FN, Sondag L, Schreuder FH, Dammers R, et al · · 2025 · cited 5× · PMID 40673401 · DOI 10.1002/14651858.cd015387.pub2
  2. DPA714 PET Imaging Shows That Inflammation of the Choroid Plexus Is Active in Chronic-Phase Intracerebral Hemorrhage.
    Yao S, Gao Z, Fang W, Fu Y, et al · · 2024 · cited 4× · PMID 38054504 · DOI 10.1097/rlu.0000000000004948
  3. Efficacy study of neuronavigation-assisted stereotactic drilling of urokinase drainage versus craniotomy in the treatment of massive intracerebral haemorrhage in elderly patientsa.
    Yan Z, Jiang L, Li G, Xia K, et al · · 2024 · cited 2× · PMID 39227662 · DOI 10.1038/s41598-024-71130-x
  4. The Effect of Tranexamic Acid on Neurosurgical Intervention in Spontaneous Intracerebral Hematoma: Data From 121 Surgically Treated Participants From the Tranexamic Acid in IntraCerebral Hemorrhage-2 Randomized Controlled Trial.
    Hollingworth M, Woodhouse LJ, Law ZK, Ali A, et al · · 2024 · cited 2× · PMID 38785451 · DOI 10.1227/neu.0000000000002961
  5. Safety and efficacy of urokinase irrigation in deep intracerebral hemorrhage evacuation: a multicenter, open-label, dose-escalation trial
    Lin F, He Q, Chen Z, Luo X, et al · · 2026 · DOI 10.21203/rs.3.rs-9094666/v1

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