Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Nicardipine for rapid systolic BP control in intracerebral hemorrhage

Official title: NICardipine for Fast Achievement of Systolic BP Targets in ICH - a Quasi-randomized, Implementation Trial With Stepwise Rollout of Nicardipin Based Treatment of Hypertension.

Run by Aarhus University Hospital · NCT07044232 · Data updated 2026-11-12

This trial tests whether using intravenous nicardipine to quickly lower systolic blood pressure to under 140 mmHg within 1 hour helps adults with intracerebral hemorrhage.

More Intracerebral Haemorrhage trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment88 (estimated)
SponsorAarhus University Hospital
Academic / other
Locations1 site (Aarhus)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedSeptember 30, 2026
Study endsSeptember 30, 2027
Registry record updatedJune 24, 2026
Trial IDNCT07044232 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years or older with acute spontaneous intracerebral hemorrhage confirmed by imaging and SBP >140 mmHg on admission.

Probably not a fit

Patients whose blood pressure naturally falls quickly or who do not respond to intravenous antihypertensives may see no additional benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This quality improvement study uses a quasi-randomized design to implement a treatment algorithm that prioritizes intravenous antihypertensives like nicardipine over transdermal nitrate patches. The goal is to increase the proportion of patients reaching a systolic BP target of less than 140 mmHg within 1 hour of hospital admission while monitoring safety, clinical outcomes, and resource use. The approach reflects existing guideline emphasis on rapid BP control in acute ICH and builds on prior signals about potential harms from early nitrate patches. The study is conducted at Aarhus University Hospital with lead sponsorship from the same institution.

Why it matters

Potential benefit: If successful, patients with intracerebral hemorrhage could experience faster and safer blood pressure control, potentially reducing hematoma growth and improving outcomes.

How similar studies have gone: Previous randomized trials have supported rapid systolic BP reduction with intravenous agents, though safety signals have limited use of certain patches in the hyperacute phase.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years
* Acute spontaneous Intracerberal Hemorrhage confirmed by imaging
* Symptom onset to stroke center admission \<6 hours
* Elevated systolic blood pressure (\>140 mmHg) at admission

Exclusion Criteria:

* Secondary causes of ICH (e.g., trauma, vascular malformation)
* Presumed fatal bleeding at admission
* Short remaining life expectancy (\<12 month)

Where it's running

  • Aarhus University Hospital
    Aarhus, Denmark
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.