BIAS: Beta Blockers In Acute Ischemic Stroke
Study Details
Study Description
Brief Summary
The objective of this trial is to assess the safety and efficacy of neuro- and cardioprotective effects of propranolol in acute ischemic stroke. Furthermore, exploratory analyses of cardiologic-electrophysiologic and immunologic parameters will be performed.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2/Phase 3 |
Detailed Description
The main objective of this trial is to assess the efficacy and safety of propranolol in middle cerebral artery stroke patients. The primary hypothesis is as follows: Early administration of propranolol reduces the frequency of cardiovascular and/or neurological complications including vascular death in the first 30 days after acute ischemic stroke. Secondary hypotheses are as follows: Early administration of propranolol improves neurological and functional outcome of patients with acute ischemic stroke. Early administration of propranolol reduces post-stroke immunodepression and therefore lowers the rate of pneumonia after acute ischemic stroke, without increasing the frequency of auto-aggressive, CNS antigen-specific T cells. Early administration of propranolol influences alterations in cardiologic, electrophysiologic phenomenons as a reaction to autonomic dysregulation after acute ischemic stroke. Early administration of Propranolol reduces growth of infarct as determined by MRI examinations in the first 6 days.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Propranolol
|
Drug: Propranolol
oral application of 160 mg Propranolol for 30 days
|
Placebo Comparator: Placebo
|
Drug: Propranolol
oral application of 160 mg Propranolol for 30 days
|
Outcome Measures
Primary Outcome Measures
- composite incidence of cardiovascular and/or neurological complications including vascular death [90 days]
Secondary Outcome Measures
- mRS and lethality [90 days]
- number of SAEs and treatment withdrawals [90 days]
- immunological & cardiological parameters [90 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Symptom onset within 18 hours
-
Acute ischemic MCA-territory stroke
-
Patients with suspected stroke in MCA-territory and a) NIHSS > 3 or b) imaging evidence of MCA-infarction
Exclusion Criteria:
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Patients already receiving beta-blockers
-
Anti-arrhythmic, antiinfectious, antiinflammatory or immunosuppressive therapy
-
Patients with a major heart disease, hypotension, bradycardia or any contraindication to the use of Propranolol
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Charité, University Berlin, Center for Stroke Research Berlin | Berlin | Germany | 10117 |
Sponsors and Collaborators
- Wilhelm Haverkamp
- German Federal Ministry of Education and Research
Investigators
- Principal Investigator: Wilhelm Haverkamp, Prof. Dr. med., Charité, University Berlin, Center for Stroke Research Berlin
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BIAS1.0
- ZS EK 11 165/09
- 2008-007031-41