About this trial
As an investigator-initiated and conducted, multi-centre, open-label, single-arm prospective observational trial, INTERACT4 Expansion aims to evaluate the diagnostic accuracy of GFAP measured using a point-of-care device, for identifying ICH in participants presenting with acute stroke-like symptoms in the pre-hospital setting compared with imaging-confirmed ICH.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (age ≥18 years);
Acute syndrome that is due to presumed acute stroke, defined as FAST (Face, Arm, Speech, Time) scores of ≥2 with an arm motor deficit;
Time ≤3 hours from last seen well;
Systolic BP (SBP) ≥150mmHg.
Disqualifiers
Participants in coma (no response to tactile/verbal stimulation); or/and do not respond to "P" or "U" on the alert/verbal/painful/unresponsive (APVU) responsiveness scale;
Severe known co-morbid disease (e.g. cancer, chronic airflow disease, severe dementia, severe heart failure, pre-existing disability [needing help]);
Known history of epilepsy or seizure at onset;
Recent head injury (where there is potential for another type of intracranial haemorrhage or head trauma);
Trial population
Patients with suspected acute stroke presenting to ambulance services
Trial design
Other
Prospective
Treatments tested in this trial
LVOne
Diagnostic testLVOne is an in vitro diagnostic rapid lateral flow chromatographic immunoassay kit
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants without ICH on hospital-based brain CT who are correctly identified as negative based on GFAP point-of-care measurement. (Specificity)
Secondary outcomes
Proportion of participants with ICH on hospital-based brain CT who are correctly identified as positive based on GFAP point-of-care measurement.
Proportion of participants with a positive GFAP point-of-care measurement who are confirmed to have ICH on hospital-based brain CT.
Proportion of participants with a negative GFAP point-of-care measurement who are confirmed to not have an ICH on hospital-based brain CT.
Feasibility of recruitment, assessed by the proportion of enrolled participants over the number of stroke calls in the participating networks during the study period.
Other outcomes
Sensitivity, specificity, positive predictive value, and negative predictive value for identifying ICH using a (+) GFAP combined with a (-) D-dimer result on the point-of-care device, compared with hospital-based brain CT.
Exploratory outcome
Sponsors and contacts
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