At a glance
ClinicalIndex Comparison Record- ✓Age 18–80 years
- ✓GCS <14 or NIHSS ≥6
- ✓Spontaneous supratentorial intracerebral hemorrhage ≥20 cc
- ✓Symptom onset <12 hours prior to diagnostic CT scan
- ✕Infratentorial hemorrhage or midbrain/brainstem involvement
- ✕Severe coagulopathy: platelet count <100,000, INR >1.4, or elevated PT/APTT
- ✕Irreversible coagulopathy from medical condition or prior to randomization
- ✕Clotting disorders
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Minimally Invasive Surgery and rtPA for Intracerebral Hemorrhage Evacuation
In Brief
A Phase 2 clinical trial evaluating MIS+Cathflo Activase (drug) and Intraoperative stereotactic CT-Guided Endoscopic Surgery for Intracerebral Hemorrhage. Completed, enrolled 141 participants across 29 sites in 4 countries.
Detailed Summary
The purpose of this trial is to determine the safety of using a combination of minimally invasive surgery and clot lysis with rt-PA to remove intracerebral hemorrhage (ICH). The ICES arm of the trial will determine the safety of endoscopic surgery to remove ICH. All MISTIE intention to treat subjects represent the hypothesized test group. The ICES cohort is to be analyzed separately.
Study Details
Timeline
Interventions
MIS+Cathflo Activase (drug): The intervention is a comparison of the safety and preliminary effectiveness of investigational minimally invasive surgery to place a catheter into an intracerebral hemorrhage blood clot and subsequent administration in sequential tiers of 0.3 or 1.0mg of rt-PA, CathFlo® through the catheter once every eight hours for up to 72 hours, in addition to best medical care.
Mechanical intracerebral hemorrhage removal via an endoscope utilizing the same operative targeting arm as MISTIE arm. No rt-PA administered, and in addition to best medical care.