Angioplasty with Stent in Symptomatic Intracranial Stenosis Trial-II

ISRCTN ISRCTN34513421
DOI https://doi.org/10.1186/ISRCTN34513421
Secondary identifying numbers 2004BA714B-7
Submission date
16/08/2005
Registration date
04/10/2005
Last edited
01/10/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Wei-Jian Jiang
Scientific

No. 6 Tiantan Xili
Beijing
100050
China

Phone +86 1067050137
Email cjr.jiangweijian@vip.163.com

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymASSIST–II
Study objectivesH0: Adjunctive stenting to optimal medical therapy is not superior to optimal medical therapy alone in reducing ipsilateral stroke risk in patients with symptomatic intracranial atherosclerotic stenoses.
H1: Adjunctive stenting to optimal medical therapy is superior to optimal medical therapy alone in reducing ipsilateral stroke risk in patients with symptomatic intracranial atherosclerotic stenoses.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedIschemic stroke
InterventionStent-assisted angioplasty of the offending intracranial stenosis plus optimal medical therapy versus optimal medical therapy alone
Intervention typeOther
Primary outcome measure1. Ipsilateral stroke, fatal or non-fatal, within 12 months
2. Events of clinically-driven emergency revascularization related to the treated stenosis
3. Modified Rankin score in 12 months
Secondary outcome measures1. Stroke and death unrelated to the target stenosis
2. Acute myocardial infarction in 12 months
3. Follow up cerebral angiography or magnetic resonance (MR) angiography, CT and CT-perfusion in 6 months
4. NIHSS in 12 months
Overall study start date01/09/2005
Completion date30/09/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit75 Years
SexBoth
Target number of participants399
Key inclusion criteria1. 18-75 years of age
2. ≥1 major atherosclerotic risk factors (arterial hypertension, hyperlipidemia, diabetes mellitus, hyperhomocystinemia and smoking)
3. Recurrent ischemic events (transient ischemic attack [TIA] and/or stroke) attributed to an intracranial stenosis ≥50% at digital subtraction angiography (DSA)
4. Evidence of perfusion deficit at the territory referable to the target stenosis in computed tomography (CT)-perfusion
5. The diameters of the parent arteries were between 2.0 to 4.0 mm, and length of stenoses <12 mm
6. Modified Rankin score ≤2 prior to last ischemic event
Key exclusion criteria1. Stenosis of non-atherosclerotic origin (for example, vasculitis, Moya Moya disease and fibromuscular dysplasia)
2. Intracranial hemorrhage and major ischemic stroke (National Institutes of Health-Stroke-Scale [NIHSS] ≥8) in the same hemisphere as the target lesion within 6 weeks
3. A potential source of cardiac embolism
4. Concurrent intracranial tumors, cerebral arteriovenous malformation (AVM) and aneurysms
5. Presence of a neurological illness that can confound the diagnosis of TIA or stroke
6. Known contraindication to aspirin, clopidogrel, probucol, heparin, stainless steel, anesthesia, or X-ray contrast
7. Uncorrectable bleeding diathesis; previous stenting of the target artery
8. A positive pregnancy test
9. Life expectancy <1 year because of other medical conditions
10. Patients were not eligible if they could not cooperate with the study procedures or provide informed consent
Date of first enrolment01/09/2005
Date of final enrolment30/09/2009

Locations

Countries of recruitment

  • China

Study participating centre

No. 6 Tiantan Xili
Beijing
100050
China

Sponsor information

The Ministry of Health of the People's Republic of China
Government

No.1 The South Road Of Xizhimenwai
Beijing
100044
China

Email manluzhu@yahoo.com.cn
ROR logo "ROR" https://ror.org/01mv9t934

Funders

Funder type

Government

The Ministry of Health of The People's Republic of China

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan