Identifying biomarkers for early detection of acute stroke
Official title: Translational Immunodiagnostics in Suspected Stroke (TrImS): A Two-centre, Pragmatic, Prospective, Observational Study
Run by The University of Hong Kong · NCT05300997 · Data updated 2026-11-12
This study is trying to find specific markers in blood and saliva that can help doctors quickly and accurately diagnose strokes in adults who come to the emergency room with symptoms.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 650 (estimated) |
| Sponsor | The University of Hong Kong Academic / other |
| Locations | 1 site (Hong Kong) |
| Status | Recruiting |
| Started | May 1, 2022 |
| Main results expected | August 31, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | May 11, 2026 |
| Trial ID | NCT05300997 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 and older who present with suspected acute stroke symptoms within 24 hours of onset.
✕Probably not a fit
Patients who do not exhibit symptoms of acute stroke or are outside the 24-hour window from symptom onset may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study focuses on adult patients presenting to emergency departments with suspected acute stroke within 24 hours of symptom onset. The research aims to identify specific biomarkers in blood and saliva that can aid in the early detection, diagnosis, and prognosis of various types of strokes. By analyzing these biomarkers, the study seeks to develop and validate models that can improve the accuracy and speed of stroke diagnosis. The ultimate goal is to enhance patient outcomes through timely and precise medical intervention.
Why it matters
Potential benefit: If successful, this study could lead to faster and more accurate diagnosis of acute strokes, potentially improving treatment outcomes for patients.
How similar studies have gone: While there have been studies exploring biomarkers in stroke detection, this approach focusing on both blood and saliva biomarkers for early diagnosis is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients eligible for enrolment include: * Adults ≥18 years of age. * Suspected acute stroke. Defined as either FAST-positive, or LAPSS-positive or ROSIER\>0 * Within 24 hours of symptom onset. * Informed consent. * Control subjects will be drawn from two groups: * Non-neurologic patients who are matched with TIA and stroke cases (AIS, HS) for age, race, gender and smoking plus one or more of the following vascular risk factors: diabetes, hypertension, atrial fibrillation, hyperlipidaemia. * Relatives or accompanying friends. * Note that we will include and collect samples from the following cases if they present as suspected stroke and are recruited \<24 hours from symptom onset. * Any central nervous system infection, i.e. meningitis or encephalitis in the past 30 days * Any form of head trauma, stroke or intracranial haemorrhage in the past 30 days * Known primary or metastatic cancer involving the brain * Active cancer is defined as a diagnosis of cancer, within 6 months before enrollment, any treatment for cancer within the previous 6 months, or recurrent or metastatic cancer. * Autoimmune diseases: such as lupus, rheumatoid arthritis, Crohn's disease, ulcerative colitis * Active infectious diseases (e.g. HIV/AIDS, hepatitis C) * Major surgery within three months prior to the index event Exclusion Criteria: * Clear onset of acute symptoms \>24 hours.
Where it's running
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Hong Kong University
Hong Kong, China Recruiting
Study contacts
- Principal investigator: Timothy H Rainer, MD — The University of Hong Kong
- Study coordinator: Timothy H Rainer, MD
- Email: thrainer@hku.hk
- Phone: +852 39176846
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Heart assessment to check repeat-stroke risk in people with atrial fibrillation
This project will test whether detailed heart examinations can find which people with atrial fibrillation who just had an ischemic stroke are at high risk of having another stroke.
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Assessing treatment strategies for stroke patients with atrial fibrillation
This study is testing different treatment options for stroke patients with atrial fibrillation to see which one helps them recover better and prevents future strokes.
-
Early rhythm-control therapy for stroke patients with atrial fibrillation
This trial tests whether starting rhythm-control treatment early after an acute ischemic stroke in people with atrial fibrillation can reduce recurrent strokes and other heart-related problems, compared with usual care.
-
AI-based tools to help diagnose, treat and predict stroke outcomes across multiple hospitals
This study tests AI-powered tools on real-world stroke patients to see if they can improve pre-hospital triage, diagnosis, and outcome prediction while data stay securely within each hospital.
-
Short-Term outside-in nerve stimulation for acute ischemic stroke
This trial tests whether a 5-day external trigeminal nerve stimulation given after stroke can help more patients recover better than a sham treatment.
-
Sevoflurane vs. Propofol for anesthesia in stroke patients undergoing clot-removal
This study tests whether sevoflurane or propofol used for anesthesia during endovascular treatment of an acute ischemic stroke affects the final brain damage and recovery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.