Validation of Early Prognostic Data for Recovery Outcome After Stroke for Future, Higher Yield Trials

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

About this trial

VERIFY will validate biomarkers of upper extremity (UE) motor outcome in the acute ischemic stroke window for immediate use in clinical trials, and explore these biomarkers in acute intracerebral hemorrhage. VERIFY will create the first multicenter, large-scale, prospective dataset of clinical, transmagnetic stimulation (TMS), and MRI measures in the acute stroke time window.

Eligibility criteria

Qualifiers

Age 18 years or older

Unilateral symptomatic stroke due to ischemia. (Note: Bilateral acute stroke is permitted if the stroke that is contralateral to the index stroke is asymptomatic).

Motor deficits in the acutely affected UE, defined as a Shoulder Abduction and Finger Extension (SAFE) score ≤ 8 out of 10 points20,61 (i.e., excluding full or nearly full motor strength in both shoulder abduction and finger extension) within 48 to 96 hours of stroke onset (or time last known well).

Provision of signed and dated informed consent form within 24 to 96 hours of stroke onset, (or time last known well). Note: Participant is considered "enrolled" upon starting TMS (at least one stimulation is delivered) or starting study-specific MRI pulse sequence (at least one MRI beep occurs)

Disqualifiers

UE injury or conditions on paretic side that limited use prior to the stroke

Legally blind

Dense sensory loss on paretic side indicated by a score of 2 on NIHSS sensory item

Unable to abduct the shoulder or extend the fingers of the non-paretic UE on verbal command

Trial design

Treatments tested in this trial

  • Transcranial Magnetic Stimulation (TMS)

Treatment groups

657 Participants
are divided into 1 treatment group

Sponsors and collaborators

Yale University

Lead sponsor

University of California, Los Angeles

Collaborator

University of Auckland, New Zealand

Collaborator

Medical University of South Carolina

Collaborator

University of Cincinnati

Collaborator

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator