Rapid Evacuation and Access of Cerebral Hemorrhage Registry

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorEmory University

About this trial

The goal of this observational study is to quantify the real-world effect of minimally invasive surgery (MIS) in patients with acute spontaneous supratentorial intracerebral hemorrhage.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Head CT demonstrating an acute, spontaneous, intracerebral hemorrhage

Hemorrhage volume ≥ 20 mLs

Minimally invasive surgical intervention performed within 7 days of hemorrhage

Disqualifiers

Ruptured aneurysm, arteriovenous malformation (AVM), vascular anomaly, moyamoya disease, venous sinus thrombosis, mass or tumor, hemorrhagic conversion of an ischemic infarct, recurrence of a recent ICH (<1 year), as diagnosed with radiographic imaging

Infratentorial intraparenchymal hemorrhage, including midbrain, pontine, or cerebellum

Initial hospital arrival ≥ 24 hours after the onset of stroke symptoms

Last known normal is unknown

Trial population

Subjects with acute, spontaneous supratentorial intracerebral hemorrhage.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

2,500 Participants
are grouped into 2 trial groups
Group A: Minimally Invasive Surgical Groups
Group B: Control Group

Trial outcomes

Primary outcomes

1

Modified Rankin Scale (mRS) at 180 Days

Functional outcome will be assessed using the modified Rankin Scale (mRS), a 7-level ordinal scale ranging from 0 (no symptoms) to 6 (death). The primary endpoint evaluates real-world functional recovery following minimally invasive surgery (MIS) for acute supratentorial ICH. Structured interview performed in person or via telephone by trained study personnel; audio-recorded and centrally adjudicated.

Time frame
Day 180 from baseline (±14 days)
2

30-Day Mortality

All-cause mortality within 30 days of the initial hemorrhage.

Time frame
Day 30 (±7 days)

Secondary outcomes

Other outcomes

1

modified Rankin Scale (mRS) at Additional Time Points

The endpoint evaluates real-world functional recovery following minimally invasive surgery (MIS) for acute supratentorial ICH. Collected over phone or in-person via structured interview.

Time frame
Day 7, 30, 90, 180, 365
2

Post-Operative Infection or CSF Leak

Incidence of surgical site infection or cerebrospinal fluid leak.

Time frame
Baseline through Day 365
3

Quality of Life (EQ-5D-5L)

The EQ-5D-5L assesses health status across five dimensions: * Mobility * Self-care * Usual activities * Pain/discomfort * Anxiety/depression Each dimension has five levels (no problems, slight problems, moderate problems, severe problems, extreme problems), allowing patients to describe their health using a five-digit health state (e.g., 11223). Patients also complete a Visual Analogue Scale (VAS) rating their overall health from 0 (worst imaginable) to 100 (best imaginable)

Time frame
Day 7, 30, 90, 180, 365
4

Follow-Up Neuroimaging (24-Hour)

Assessment of hematoma evacuation effectiveness and residual volume.

Time frame
Within 24 hours post-procedure

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Emory University

Lead sponsor

The Marcus Foundation

Collaborator