Intraventricular infusion of rt-PA in severe intraventricular haemorrhage after aneurysmal subarachnoid haemorrhage. A randomised clinical trial.

ISRCTN ISRCTN36786212
DOI https://doi.org/10.1186/ISRCTN36786212
Secondary identifying numbers NTR455
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
14/08/2009
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

Contact information

Dr D. Nieuwkamp
Scientific

University Medical Center Utrecht
Department of Neurology
Heidelberglaan 100
Utrecht
3584 CX
Netherlands

Email d.nieuwkamp@neuro.azu.nl

Study information

Study designSingle centre prospective randomised double blind placebo controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title(Added 14/08/09) Recombinant tissue plasminogen activator (rt-PA) and external ventricular drain (EVD) in subarachnoid haemorrhage (SAH) with obstructive hydrocephalus for lysis of ventricular blood. A randomised clinical trial.
Study acronymRESOLVE
Study objectivesIntraventricular infusion of rt-PA reduces the frequency of poor outcome (death or dependency) in patients with a severe intraventricular haemorrhage after aneurysmal subarachnoid hemorrhage.
Ethics approval(s)Received from local medical ethics committee
Health condition(s) or problem(s) studiedAneurysmal subarachnoid haemorrhage, Hydrocephalus, Intraventricular haemorrhage
Intervention1. Placement of external ventricular drain (standard procedure)
2. Clipping/Coiling of ruptured aneurysm (standard procedure)
3. Infusion of rt-PA or placebo through external ventricular drain
Intervention typeOther
Primary outcome measureDeath or dependency 6 months after subarachnoid haemorrhage
Secondary outcome measures1. Recurrent haemorrhage
2. Secondary ischaemia
3. Hydrocephalus
4. Bleeding complications from fibrinolysis
5. Death within 6 months
6. Rankin 0 versus Rankin 1-5 and death
Overall study start date01/09/2005
Completion date01/09/2009

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants16
Key inclusion criteria1. First or recurrent aneurysmal subarachnoid haemorrhage with intraventricular extension of the haemorrhage
2. The ventricles must be enlarged and the intraventricular haemorrhage must be severe (Graeb-score more than 6)
3. Patients must be in a poor neurological condition, WFNS <7 or WFNS <6 in intubated patients
Key exclusion criteria1. Other cause for intraventricular haemorrhage than a subarachnoid haemorrhage from a ruptured intracranial aneurysm
2. Absence of both pupillary light reflexes
3. Use of oral anticoagulants
4. Treating physicians propose a palliative instead of curative treatment strategy
5. Absence of informed consent
Date of first enrolment01/09/2005
Date of final enrolment01/09/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Medical Center Utrecht
Utrecht
3584 CX
Netherlands

Sponsor information

University Medical Center Utrecht, Department of Neurology (The Netherlands)
Not defined

Heidelberglaan 100
Utrecht
3584 CX
Netherlands

ROR logo "ROR" https://ror.org/0575yy874

Funders

Funder type

Hospital/treatment centre

University Medical Centre Utrecht (UMCU) (Netherlands)

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