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NCT05766865

Effect and Safety of Surgical Intervention for Severe Spontaneous Intracerebral Hemorrhage Patients on Long-term Oral Antiplatelet Treatment

Completed Last updated 13 March 2023
What this trial tests

trial testing Emergency neurosurgery in Severe Spontaneous Intracranial Hemorrhage in 450 participants. Completed in 30 November 2022.

Timeline
10 July 2019
Primary endpoint
31 May 2022
30 November 2022

Quick facts

Lead sponsorBeijing Tiantan Hospital
StatusCompleted
Study typeOBSERVATIONAL
Enrollment450
Start date10 July 2019
Primary completion31 May 2022
Estimated completion30 November 2022
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Beijing Tiantan Hospital

Who can join

Adults 18 to 75, any sex, with Severe Spontaneous Intracranial Hemorrhage or Long-term Antiplatelet Treatment. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Despite the capability of emergency surgery to reduce the mortality of severe spontaneous intracranial hemorrhage (SSICH) patients, the effect and safety of surgical treatment for severe spontaneous intracranial hemorrhage (SSICH) patients receiving long-term oral antiplatelet treatment (LOAPT) remains unclear. In consideration of this, the cohort study is aimed at figuring out the effect and safety of emergency surgery for SSICH patients on LOAPT. Methods: As a multicenter and prospective cohort study, it will be conducted across 7 representative clinical centers. Starting in September 2019, the observation is scheduled to be completed by December 2022, with a total of 450 SSIC H patients recruited. The information on clinical, radiological, and laboratory practices will be recorded objectively. All of the patients will be monitored until death or 6 months after the occurrence of primary hemorrhage. Results: In this study, two comparative cohorts and an observational cohort will be set up. The primary outcome is the effect of emergency surgery, which is subject to assessment using the total mortality and comparison in the survival rate of SSICH patients on LOAPT between surgical treatment and conservative treatment. The second outcome is the safety of surgery, with the postoperative hemorrhagic complication which is compared between the operated SSICH patients on and not on LOAPT. Based on the observation of the characteristics and outcome of SSICH patients on LOAPT, the ischemic events after discontinuing LOAPT will be further addressed, and the coagulation function assessment system for operated SSICH patients on LOAPT will be established. Conclusions: In this study, we will investigate the effect and safety of emergency surgery for SSICH patients on LOAPT, which will provide an evidence for management in the future.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Surgery for intracerebral hemorrhage: new evidence and changing perspectives.
    de Oliveira Manoel AL, Msheik A, Schuind S, Al Rumaihi GIK, et al · · 2025 · PMID 41327234 · DOI 10.1186/s13054-025-05763-3

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