Risk of Recurrent CeAD After Pregnancy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorUniversity Hospital, Basel, Switzerland

About this trial

Primary objective: To determine whether pregnancy increases the risk of recurrent CeAD and delayed stroke in women with prior CeAD based on long-term data.

Methods: Multicentric, observational case-control study based on pooled individual patient data from several stroke centers.

Primary endpoint: Primary composite outcome measure includes the following outcomes: (i) occurrence of recurrent CeAD, (ii) occurrence of ischemic or hemorrhagic stroke, (iii) death.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

female

prior symptomatic cervical artery dissection (= index CeAD)

at least one long-term follow-up visit (at least 6 months after the initial event)

recurrent dissection

Disqualifiers

Male patients

Age <18 years

No long-term follow-up available or long-term follow-up < 6 months after initial event

No data on pregnancy after initial event available

Trial population

Female patients aged ≥18 years with prior CeAD.

Trial design

Design model

Case-control

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

1,000 Participants
are grouped into 2 trial groups
Group A: Women with pregnancy after index CeAD
Group B: Women without pregnancy after index CeAD

Trial outcomes

Primary outcomes

1

Number of participants with composite outcome measure - recurrent CeAD, ischemic stroke, hemorrhagic stroke and/or death

The composite outcome measure includes the following outcome measures during the follow-up: (i) occurence of recurrent cervical artery dissection (CeAD), (ii) occurrence of any ischemic stroke, (iii) occurrence of any hemorrhagic stroke, (iv) death.

Time frame
From date of first CeAD until date of latest follow-up assessed up to 35 years

Secondary outcomes

1

Number of participants with recurrent cervical artery dissection

assessed by medical history or clinical suspicion with confirmation by cerebrovascular imaging (MRI, MRI angiography, CT, CT angiography, digital subtraction angiography and/or ultrasound)

Time frame
From date of first CeAD until date of latest follow-up assessed up to 35 years
2

Number of participants with new ischemic stroke

assessed by medical history or clinical suspicion with confirmation by cerebrovascular imaging (MRI and/or CT)

Time frame
From date of first CeAD until date of latest follow-up assessed up to 35 years
3

Number of participants with new hemorrhagic stroke

Intracerebral hemorrhage or subarachnoid hemorrhage assessed by medical history or clinical suspicion with confirmation by cerebrovascular imaging (MRI and/or CT)

Time frame
From date of first CeAD until date of latest follow-up assessed up to 35 years
4

Number of participants with death

Time frame
From date of first CeAD until date of latest follow-up assessed up to 35 years

Other outcomes

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