Table 2

Ongoing clinical trials on medical management of ICH

Trial name/identifierPeriodCentresStudy phaseMechanismInclusionInterventionPrimary outcome
SPOTLIGHT
NCT01359202
2011–201715 centres
Canada
Phase IIHaemostatic therapyN=110
ICH <6 hours onset
Spot-sign+
Single injection of rFVIIa 80 µg/kg or placeboICH expansion at 24 hours
STOP-IT
NCT00810888
2010–201613 centres
2 countries
Phase IIHaemostatic therapyN=184
ICH <5 hours onset
Spot-sign+
Single injection of rFVIIa 80 µg/kg or placeboICH expansion at 24 hours
NCT006996212009–20163 centres
Finland
Phase IIHaemostatic therapyN=100
ICH <6 hours onset
Antiplatelet use
Platelet transfusion or no therapyICH expansion at 24 hours
STOP-AUST
NCT01702636
2012–201711 centres
2 countries
Phase IIHaemostatic therapyN=100
ICH<4.5 hours onset
Spot-sign+
Intravenous tranexamic acid: 1 g loading dose over 10 min, followed by another 1 g over 8 hours or placeboICH expansion at 24 hours
TRAIGE
NCT02625948
2015–201811 centres
China
Phase IIHaemostatic therapyN=240
ICH <6 hours onset
Spot-sign+
intravenous tranexamic acid: 1 g loading dose over 10 min, followed by another 1 g over 8 hours or placeboICH expansion at 24 hours
TICH-DOAC2016–20191 centre
Switzerland
Phase IIHaemostatic therapyN=109
ICH <12 hours onset
DOAC use
intravenous tranexamic acid: 1 g loading dose over 10 min, followed by another 1 g over 8 hours or placeboICH expansion at 24 hours
TICH-2
ISRCTN93732214
2013–201895 centres
7 countries
Phase IIIHaemostatic therapyN=2000
ICH <8 hours onset
intravenous tranexamic acid: 1 g loading dose over 10 min, followed by another 1 g over 8 hours or placeboOrdinal shift on mRS at 90 days
ICH-ADAPT II
NCT02281838
2012–20172 centres
Canada
Phase IIBP controlN=270
ICH <6 hours onset
Aggressive BP therapy (<140 mm Hg) or regular BP therapy (<180 mm Hg)DWI lesions at 48 hours
HI-DEF
NCT01662895
2013–201729 centres
2 countries
Phase IIIron chelationN=324
ICH <24 hours onset
Intravenous deferoxamine 62 mg/kg/day for 5 days or placebomRS at 3 months
iDEF
NCT02175225
2014–201832 centres
2 countries
Phase IIIron chelationN=294
ICH <24 hours onset
Intravenous deferoxamine 32 mg/kg/day for 3 days or placebomRS at 3 months
TTM-ICH
NCT01607151
2013–20161 centre
US
Phase IICytoprotectionN=50
ICH <18 hours onset
Hypothermia (32–34C) for 72 hours or normothermiaSafety at 15 days
MACH
NCT01805895
2013–20171 centre
US
Phase IICytoprotectionN=24
ICH <12 hours onset
Intravenous minocycline 400 mg for 5 days or placebomRS at 3 months
ChiCTR-PRC-110012942012–20161 centre
China
Phase IVManagement of complicationsN=258
ICH <72 hours onset
Valproate prophylaxis (500 mg daily for 7 days) or placeboSeizure occurrence at 3 months
PEACH
NCT02631759
2016–20191 centre
France
Phase IIIManagement of complicationsN=104
ICH <24 hours onset
Levetiracetam prophylaxis (500 mg two times per day for 45 days) or placeboClinical or electrical seizure (48 hours EEG)
APACHE-AF NCT025656932014–201815 centres
Netherlands
Phase IISecondary preventionN=100
ICH 7–90 days
VKA use
Apixaban 5 mg two times per day or antiplatelet therapy or no therapyCombined vascular outcome at 1 year
RESTART ISRCTN719076272013–2018106 centres
UK
Phase IIISecondary preventionN=720
ICH >24 hours onset
Antithrombotic use
Antiplatelet drugs or avoid antiplatelet drugsRecurrent symptomatic ICH at 2 years
TRIDENT
NCT02699645
2016–2022To be determinedPhase IVSecondary preventionN=4200
ICH up to 6 months after onset
Fixed low-dose combination BP lowering pill (20 mg telmisartan, 2.5 mg amlodipine and 1.25 mg indapamide) or placeboRecurrent stroke at 3 years