Understanding and treating neurological deficits after brain hemorrhage.
Official title: Late Neurological Ischemic Deficit in Patients Suffering From Subarachnoid Hemorrhage: Diagnosis and Treatment
Run by Fondazione IRCCS San Gerardo dei Tintori · NCT06804421 · Data updated 2026-11-12
This study looks at how often people with brain bleeding from an aneurysm experience delayed neurological problems and aims to find better ways to treat them.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1400 (estimated) |
| Sponsor | Fondazione IRCCS San Gerardo dei Tintori Academic / other |
| Locations | 33 sites (Bergamo, BG and 32 other locations) |
| Status | Recruiting |
| Started | September 28, 2024 |
| Main results expected | October 2025 |
| Study ends | October 2026 |
| Registry record updated | February 3, 2025 |
| Trial ID | NCT06804421 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 diagnosed with subarachnoid hemorrhage due to a ruptured cerebral artery aneurysm.
✕Probably not a fit
Patients under 18 years old or those with subarachnoid hemorrhage from non-aneurysmal causes will 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 aims to investigate the incidence of delayed ischemic neurological deficits (DIND) in patients who have suffered from aneurysmal subarachnoid hemorrhage (aSAH). It will collect data on diagnostic imaging and clinical symptoms to better understand the occurrence and treatment of DIND, which is a significant cause of long-term disability in these patients. The study will involve patients aged 18 and older who have been diagnosed with aSAH and require intensive care. By identifying the incidence and characteristics of DIND, the study seeks to improve patient outcomes and treatment protocols.
Why it matters
Potential benefit: If successful, this study could lead to improved diagnosis and treatment strategies for patients suffering from neurological deficits after aSAH.
How similar studies have gone: While the study addresses a significant gap in understanding DIND, similar studies have not yet established a gold standard for diagnosis or treatment, making this approach novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Primary diagnosis of subarachnoid hemorrhage due to rupture of a cerebral artery aneurysm confirmed by cerebral angiotomography or angiography of the intracranial vessels, with the need for admission to the Intensive Care Unit * Signing the Informed Consent form to participate in the study according to current local regulations. Exclusion Criteria: * Age \< 18 years * Primary diagnosis of subarachnoid hemorrhage sine materia, i.e. post-traumatic or caused by arteriovenous malformation or bleeding from a brain tumor.
Where it's running
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Fondazione IRCCS San Gerardo dei Tintori
Monza, Mb, Italy Recruiting -
ASST Papa Giovanni XXIII
Bergamo, Bg, Italy Not yet recruiting -
IRCCS Istituto delle Scienze Neurologiche
Bologna, Bo, Italy Not yet recruiting -
ASST Spedali Civili
Brescia, Bs, Italy Not yet recruiting -
Fondazione Poliambulanza
Brescia, Bs, Italy Not yet recruiting -
ASST Lariana Ospedale Sant'Anna
San Fermo della Battaglia, Co, Italy Not yet recruiting
Show 27 more locations
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ASST Cremona
Cremona, Cr, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria Careggi
Florence, Fi, Italy Not yet recruiting -
IRCCS Ospedale Policlinico San Martino
Genova, Ge, Italy Not yet recruiting -
ASST Lecco - Ospedale A. Manzoni
Lecco, Lc, Italy Not yet recruiting -
ASST Ovest Milanese - Ospedale di Legnano
Legnano, Mi, Italy Not yet recruiting -
ASST Fatebenefratelli Sacco
Milan, Mi, Italy Not yet recruiting -
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Mi, Italy Not yet recruiting -
ASST Grande Ospedale Metropolitano Niguarda
Milan, Mi, Italy Not yet recruiting -
ASST Santi Paolo e Carlo - Ospedale San Carlo Borromeo
Milan, Mi, Italy Not yet recruiting -
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Mi, Italy Not yet recruiting -
Human Research Hospital
Rozzano, Mi, Italy Not yet recruiting -
IRCCS San Raffaele
Segrate, Mi, Italy Not yet recruiting -
ASST Mantova
Mantua, Mn, Italy Not yet recruiting -
Azienda Ospedale-Università di Padova
Padova, Pd, Italy Not yet recruiting -
Azienda Ospedaliera di Perugia
Perugia, Pg, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria di Parma
Parma, Pr, Italy Not yet recruiting -
Fondazione IRCCS Policlinico San Matteo
Pavia, Pv, Italy Not yet recruiting -
Azienda Ospedaliera San Camillo Forlanini
Roma, Rm, Italy Not yet recruiting -
Fondazione Policlinico Universitario A. Gemelli
Roma, Rm, Italy Not yet recruiting -
ASST Valtellina e Alto Lario
Sondrio, So, Italy Not yet recruiting -
ASL Città di Torino - Ospedale San Giovanni Bosco
Torino, To, Italy Not yet recruiting -
Azienda Sanitaria Universitaria Giuliano Isontina
Trieste, Ts, Italy Not yet recruiting -
Azienda Sanitaria Universitaria Friuli Centrale
Udine, Ud, Italy Not yet recruiting -
ASST Sette Laghi - Ospedale di Circolo e Fondazione Macchi
Varese, VA, Italy Not yet recruiting -
Ospedale San Bortolo
Vicenza, Vi, Italy Not yet recruiting -
Azienda Ospedaliero Universitaria Integrata
Verona, Vr, Italy Not yet recruiting -
AOU Maggiore della Carità
Novara, Italy Not yet recruiting
Study contacts
- Principal investigator: Giuseppe Citerio, Professor, Head od Department — Fondazione IRCCS San Gerardo dei Tintori - Monza, Italy
- Study coordinator: Giuseppe Citerio, Professor, Head of Department
- Email: giuseppe.citerio@unimib.it
- Phone: +390392334316
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Nitric Oxide Use to Predict Vasospasm in Aneurysmal Subarachnoid Hemorrhage
This study tests whether nitric oxide consumption in CSF can predict cerebral vasospasm in patients with aneurysmal SAH.
-
Multi-omics program to understand complications and outcomes after aneurysmal subarachnoid hemorrhage
This project will test if combining blood, cerebrospinal fluid, urine, imaging, and multi-omics data can find biomarkers that predict complications and outcomes in adults with aneurysmal subarachnoid hemorrhage.
-
Dome-only coiling for severe aneurysmal subarachnoid hemorrhage
This will test a minimally invasive dome-protection coiling procedure to prevent re-bleeding in adults who have had a severe aneurysmal subarachnoid hemorrhage.
-
Cilostazol to help prevent delayed brain ischemia after aneurysm bleed
This study tests whether cilostazol can reduce delayed brain ischemia and improve outcomes after aneurysmal subarachnoid hemorrhage in adults who had recent aneurysm treatment.
-
Transcutaneous Vagal Nerve Stimulation to help with brain vessel narrowing after aneurysm rupture
This trial tests whether using a noninvasive nerve stimulation device can reduce cerebral vasospasm after an aneurysmal brain bleed in adults 18–65 who are undergoing standard treatment.
-
Tocilizumab-aazg to reduce stroke risk after a ruptured brain aneurysm
This trial will try to see if a single IV dose of tocilizumab-aazg is safe and can help prevent delayed strokes in adults who have had a ruptured brain aneurysm (aneurysmal subarachnoid hemorrhage).
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.