Ignite Creation Date:
2025-12-25 @ 12:18 AM
Ignite Modification Date:
2025-12-25 @ 10:21 PM
Study NCT ID:
NCT06360458
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2025-12-03
First Post:
2024-04-07
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Methylprednisolone Adjunctive to Endovascular Thrombectomy for Stroke
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D000083242', 'term': 'Ischemic Stroke'}], 'ancestors': [{'id': 'D020521', 'term': 'Stroke'}, {'id': 'D002561', 'term': 'Cerebrovascular Disorders'}, {'id': 'D001927', 'term': 'Brain Diseases'}, {'id': 'D002493', 'term': 'Central Nervous System Diseases'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D014652', 'term': 'Vascular Diseases'}, {'id': 'D002318', 'term': 'Cardiovascular Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D008776', 'term': 'Methylprednisolone Hemisuccinate'}], 'ancestors': [{'id': 'D008775', 'term': 'Methylprednisolone'}, {'id': 'D011239', 'term': 'Prednisolone'}, {'id': 'D011246', 'term': 'Pregnadienetriols'}, {'id': 'D011245', 'term': 'Pregnadienes'}, {'id': 'D011278', 'term': 'Pregnanes'}, {'id': 'D013256', 'term': 'Steroids'}, {'id': 'D000072473', 'term': 'Fused-Ring Compounds'}, {'id': 'D011083', 'term': 'Polycyclic Compounds'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 928}}, 'statusModule': {'overallStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2024-08-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-11', 'completionDateStruct': {'date': '2030-06-30', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-11-25', 'studyFirstSubmitDate': '2024-04-07', 'studyFirstSubmitQcDate': '2024-04-07', 'lastUpdatePostDateStruct': {'date': '2025-12-03', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2024-04-11', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-09-30', 'type': 'ACTUAL'}}, 'outcomesModule': {'otherOutcomes': [{'measure': 'mRS ordinal shift at 1 year (scores 5 and 6 are merged)', 'timeFrame': 'From randomization to 1 year', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 2 at 1 year', 'timeFrame': 'From randomization to 1 year', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 1 at 1 year or return to pre-stroke mRS score (for patients with pre-stroke mRS > 1)', 'timeFrame': 'From randomization to 1 year', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'mRS ordinal shift at 5 years (scores 5 and 6 are merged)', 'timeFrame': 'From randomization to 5 years', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 2 at 5 years', 'timeFrame': 'From randomization to 5 years', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 1 at 5 years or return to pre-stroke mRS score (for patients with pre-stroke mRS > 1)', 'timeFrame': 'From randomization to 5 years', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'EQ-5D-5L VAS at 1 year', 'timeFrame': 'From randomization to 1 year', 'description': 'Tertiary Efficacy Outcome'}, {'measure': 'EQ-5D-5L VAS at 5 years', 'timeFrame': 'From randomization to 5 years', 'description': 'Tertiary Efficacy Outcome'}], 'primaryOutcomes': [{'measure': 'All-cause mortality at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Primary Efficacy Outcome. Defined as the number of any cause deaths observed divided by the number of subjects observed over the 90-day study period.'}], 'secondaryOutcomes': [{'measure': 'Time from randomization to the occurrence of death from any cause at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome; To evaluate death rate of the two treatment groups'}, {'measure': 'mRS ordinal shift at 90 (±14) days (scores 5 and 6 are merged)', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 4 at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 3 at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 2 at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with mRS score 0 to 1 at 90 (±14) days or return to pre-stroke mRS score (for patients with pre-stroke mRS > 1)', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Midline shift at 48 hours', 'timeFrame': 'From randomization to 48 hours', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with midline shift >5 mm within 48 hours after EVT', 'timeFrame': 'From randomization to 48 hours', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Relative hemispheric volume at 48 hours', 'timeFrame': 'From randomization to 48 hours', 'description': 'Secondary Efficacy Outcome.'}, {'measure': 'Net water uptake at 48 hours', 'timeFrame': 'From randomization to 48 hours', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with decompressive craniectomy after EVT', 'timeFrame': 'From randomization until the date of discharge, an average of 1 week', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'NIHSS score at 5-7 days or at early discharge', 'timeFrame': 'From randomization to 5-7 days ( or at early discharge)', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'EQ-5D-5L VAS at 90 (±14) days', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Efficacy Outcome'}, {'measure': 'Proportion of patients with symptomatic intracranial haemorrhage (SICH) within 48 hours after EVT', 'timeFrame': 'From randomization to 48 hours', 'description': 'Primary Safety Outcome. Based on the modified Heidelberg Bleeding Classification.'}, {'measure': 'Proportion of patients with any intracranial haemorrhage (ICH) within 48 hours after EVT', 'timeFrame': 'From randomization to 48 hours', 'description': 'Secondary Safety Outcome. Based on the modified Heidelberg Bleeding Classification.'}, {'measure': 'Proportion of patients with pneumonia', 'timeFrame': 'From randomization until the date of discharge, an average of 1 week', 'description': 'Secondary Safety Outcome'}, {'measure': 'Proportion of patients with gastrointestinal haemorrhage within 7 days after EVT', 'timeFrame': 'From randomization to 7 days', 'description': 'Secondary Safety Outcome'}, {'measure': 'Incidence of any complications', 'timeFrame': 'From date of randomization until the date of discharge, an average of 1 week', 'description': 'Secondary Safety Outcome'}, {'measure': 'Incidence of any (serious) adverse events', 'timeFrame': 'From randomization to 90 (±14) days', 'description': 'Secondary Safety Outcome'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Acute Ischemic Stroke', 'Large Infarct Core']}, 'descriptionModule': {'briefSummary': 'The efficacy and safety of methylprednisolone in acute ischemic stroke patients with large infarct cores (ASPECTS score \\< 6 or infarct volume ≥50 mL) due to anterior circulation large vessel occlusion have not been clearly established. This is a multi-center, randomized, double-blind, placebo-controlled trial to investigate early combination therapy with methylprednisolone for reperfusion in acute large core infarction.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Age ≥ 18 years.\n* The time from onset to randomization was within 12 hours.\n* Anterior circulation ischemic stroke was preliminarily determined according to clinical symptoms or imaging examination.\n* Occlusion of the intracranial internal carotid artery, the M1- or M2-segment of the middle cerebral artery by confirmed by CT angiography (CTA), MR angiography (MRA), or digital subtraction angiography (DSA).\n* Baseline National Institutes of Health Stroke Scale (NIHSS) ≥ 6.\n* Baseline Alberta Stroke Program Early CT Score (ASPECTS) \\< 6 (based on non-contrast CT or MRI) and/or core infarct volume ≥ 50 ml (based on CTP with rCBF \\< 30%).\n* Planned treatment with endovascular thrombectomy (EVT).\n* Informed consent obtained from patients or their legal representatives.\n\nExclusion Criteria:\n\n* Intracranial hemorrhage confirmed by cranial CT or MRI.\n* mRS score \\> 2 before onset.\n* Pregnant or lactating women.\n* Allergic to contrast agents or glucocorticoids.\n* Participating in other clinical trials.\n* The artery is tortuous so that the thrombectomy device cannot reach the target vessel.\n* Bleeding history (gastrointestinal and urinary tract bleeding) in recent 1 month.\n* Chronic hemodialysis and severe renal insufficiency (glomerular filtration rate \\< 30 ml/min or serum creatinine \\> 220 umol/L \\[2.5 mg/ dL\\]).\n* Life expectancy due to any advanced disease \\< 6 months.\n* Follow-up is not expected to be completed.\n* Intracranial aneurysm and arteriovenous malformation.\n* Brain tumors with imaging mass effect.\n* Systemic infectious disease.'}, 'identificationModule': {'nctId': 'NCT06360458', 'acronym': 'MIRACLE', 'briefTitle': 'Methylprednisolone Adjunctive to Endovascular Thrombectomy for Stroke', 'organization': {'class': 'OTHER', 'fullName': 'First Affiliated Hospital of Fujian Medical University'}, 'officialTitle': 'Methylprednisolone as Adjunct to Endovascular Thrombectomy for Patients With Acute Ischemic Strokes With Large Infarct: a Multicenter, Randomized, Double-blind, Placebo-controlled Trial (MIRACLE)', 'orgStudyIdInfo': {'id': 'MRCTA,ECFAH of FMU[2024]368-1'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Methylprednisolone sodium succinate group'}, {'type': 'PLACEBO_COMPARATOR', 'label': 'Placebo group', 'description': 'Methylprednisolone sodium succinate simulant', 'interventionNames': ['Drug: Placebo']}], 'interventions': [{'name': 'Methylprednisolone sodium succinate', 'type': 'DRUG', 'description': 'Intravenous injection of methylprednisolone sodium succinate (Chongqing Lummy Pharmaceutical Co., Ltd., 40mg/bottle) with a dose of 2mg/kg (maximum dose of 160mg), once daily, for three consecutive days. The initial study drug will be administered as soon as possible after randomization. It is recommended that the initial study drug administrated before arterial access closure, but it should not be delayed more than 2 hours after arterial access closure.'}, {'name': 'Placebo', 'type': 'DRUG', 'description': 'Intravenous injection of placebo (Chongqing Lummy Pharmaceutical Co., Ltd., 40mg/bottle) with a dose of 2mg/kg (maximum dose of 160mg), once daily, for three consecutive days. The initial study drug will be administered as soon as possible after randomization. It is recommended that the initial study drug administrated before arterial access closure, but it should not be delayed more than 2 hours after arterial access closure.', 'armGroupLabels': ['Placebo group']}]}, 'contactsLocationsModule': {'locations': [{'zip': '230001', 'city': 'Hefei', 'state': 'Anhui', 'country': 'China', 'facility': 'The First Affiliated Hospital of USTC', 'geoPoint': {'lat': 31.86389, 'lon': 117.28083}}, {'zip': '230061', 'city': 'Hefei', 'state': 'Anhui', 'country': 'China', 'facility': "Hefei First People's Hospital", 'geoPoint': {'lat': 31.86389, 'lon': 117.28083}}, {'zip': '236600', 'city': 'Taihe Chengguanzhen', 'state': 'Anhui', 'country': 'China', 'facility': "Taihe County People's Hospital", 'geoPoint': {'lat': 33.16552, 'lon': 115.64886}}, {'zip': '241001', 'city': 'Wuhu', 'state': 'Anhui', 'country': 'China', 'facility': 'Yijishan Hospital of Wannan Medical College', 'geoPoint': {'lat': 31.35259, 'lon': 118.42947}}, {'zip': '362400', 'city': 'Anxi', 'state': 'Fujian', 'country': 'China', 'facility': 'Anxi County Hospital', 'geoPoint': {'lat': 25.05706, 'lon': 118.18203}}, {'zip': '362400', 'city': 'Anxi', 'state': 'Fujian', 'country': 'China', 'facility': 'Anxi Hospital of Traditional Chinese Medicine', 'geoPoint': {'lat': 25.05706, 'lon': 118.18203}}, {'zip': '350300', 'city': 'Fuqing', 'state': 'Fujian', 'country': 'China', 'facility': 'Fuqing City Hospital of Fujian', 'geoPoint': {'lat': 25.7294, 'lon': 119.37469}}, {'zip': '350001', 'city': 'Fuzhou', 'state': 'Fujian', 'country': 'China', 'facility': 'Fuzhou University Affiliated Provincial Hospital', 'geoPoint': {'lat': 26.06139, 'lon': 119.30611}}, {'zip': '350001', 'city': 'Fuzhou', 'state': 'Fujian', 'country': 'China', 'facility': 'Union Hospital Affiliated to Fujian Medical University', 'geoPoint': {'lat': 26.06139, 'lon': 119.30611}}, {'zip': '350003', 'city': 'Fuzhou', 'state': 'Fujian', 'country': 'China', 'facility': 'The Second Affiliated Hospital of Fujian 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