Education and Training

Efficacy and Safety Study of Desmoteplase to Treat Acute Ischemic Stroke (DIAS-4)

The purpose of the study is to determine whether desmoteplase is effective and safe in the treatment of patients with acute ischaemic stroke when given within 3 to 9 hours from onset of stroke symptoms.

Stanford is currently not accepting patients for this trial.

Intervention(s):

  • drug: Placebo
  • drug: Desmoteplase

Eligibility


Inclusion Criteria:

   - Diagnosis of acute ischemic stroke

   - Informed consent

   - Age between 18 and 85 years

   - Treatment can be initiated within 3 to 9 hours after the onset of stroke symptoms

   - NIHSS Score of 4 to 24

   - Vessel occlusion or high-grade stenosis on MRI or CTA in proximal cerebral arteries

Exclusion Criteria:

   - Pre-stroke mRS >1

   - Previous exposure to desmoteplase

   - Extensive early infarction on MRI or CT in any affected area

   - Imaging evidence of ICH or SAH; AV malformation; cerebral aneurysm; or cerebral
   neoplasm

   - Internal carotid artery occlusion on the side of the stroke lesion

   - Treatment with heparin in the past 48 hours and a prolonged partial thromboplastin
   time

   - Treatment with oral anticoagulants and a prolonged prothrombin time

   - Treatment with glycoprotein IIb - IIIa inhibitors within the past 72 hours. Use of
   single agent oral platelet inhibitors is permitted

   - Treatment with a thrombolytic agent within the past 72 hours

Ages Eligible for Study

18 Years - 85 Years

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Maarten Lansberg
6507234448
Not Recruiting