Prognostic Value of Cardiac and Renal Markers in Ischemic Stroke and Transient Ischemic Attack (ABC-AVC)
Recruitment status was Recruiting
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Purpose
Patients with stroke or transient ischemic attack (TIA) are at high risk of poor outcome, recurrence of cardiovascular events or vascular death.Until now, no reliable predictive biological marker could be identified in the acute phase of stroke.We hypothese that, in the acute phase of ischemic stroke or TIA, the increase of cardiac ( brain natriuretic peptide, BNP) or renal markers (albuminuria, cystatin C)might predict recurrence of cardiovascular events or vascular death. We want to assess which one of these markers has the best prognosis value , in a prospective study of 300 stroke patients followed during 3 years.
| Condition |
|---|
|
Ischemic Stroke Transient Ischemic Attack |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Prognostic Value of Cardiac and Renal Markers in the Acute Phase of Ischemic Stroke or Transient Ischemic Attack :Albuminuria-Brain Natriuretic Peptide-Cystatine C in Stroke |
Blood Urine
| Estimated Enrollment: | 300 |
| Study Start Date: | March 2007 |
| Estimated Study Completion Date: | March 2012 |
Patients with ischemic stroke or TIA will be included in the 48 hours following the onset of symptoms, in 3 university hospitals.For each patient will be collected
- 1 blood sample for the BNP measure in pg/ml
- 1 blood sample for the Cystatin C measure in mg/l
- 2 urinary samples to measure the albumine/creatinine ratio, at inclusion and 5 days after the inclusion, and to study the variation of albuminuria in micrograms/min.
The clinical follow-up will be organized during 3 years. The following events will be notified: poor outcome (defined with the Barthel and Rankin scores), recurrence of cardiovascular or cerebrovascular events, vascular death.
After adjustment on the main clinical prognosis factors, we want to determine wich one of these markers has the best prognosis significance and allows to identify in the acute phase the "high-risk" patients, in order to intensify individual treatment and secondary prevention.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patient with Ischemic stroke or TIA
Inclusion Criteria:
- Ischemic stroke or TIA in the first 48 hours following the onset of symptoms
Exclusion Criteria:
- Patient unable to give an informed consent
- Urinary sample impossible to collect
Contacts and Locations| Contact: BONNAUD Isabelle, MD | (33) 2 47 47 16 07 | i.bonnaud@chu-tours.fr |
| Contact: RAMEAU Pascaline, CRA | (33) 2 47 36 62 49 | rameau@med.univ-tours.fr |
| France | |
| Service de Neurologie / Hopital LAENNEC | Recruiting |
| Nantes, France, 44093 | |
| Contact: GUILLON Benoît, MD | |
| Sub-Investigator: MAGNE Christine, MD | |
| Sub-Investigator: GUILLON Benoît, MD | |
| Sub-Investigator: LAPLAUD David, MD | |
| Sub-Investigator: WIERTLEWSKI Sandrine, MD | |
| Service de neurologie / CHU Pontchaillou | Not yet recruiting |
| Rennes, France, 35033 | |
| Contact: RONZIERE Thomas, MD | |
| Sub-Investigator: RONZIERE Thomas, MD | |
| Sub-Investigator: PINEL Jean-François, MD | |
| Sub-Investigator: CAHAGNE Vincent, MD | |
| Service de Neurologie / CHRU de Tours | Recruiting |
| Tours, France, 37044 | |
| Contact: BONNAUD Isabelle, MD (33) 2 47 47 16 07 i.bonnaud@chu-tours.fr | |
| Contact: RAMEAU Pascaline, CRA (33) 2 47 36 62 49 rameau@med.univ-tours.fr | |
| Sub-Investigator: AUTRET Alain, PHD | |
| Sub-Investigator: DEBIAIS Séverine, MD | |
| Sub-Investigator: SAUDEAU Denis, MD | |
| Sub-Investigator: HALIMI Jean-Michel, PHD | |
| Principal Investigator: | BONNAUD Isabelle, MD | Service de Neurologie / CHRU de Tours |
More Information
No publications provided
| Responsible Party: | University Hospital Tours / Jocelyne Marlière, University Hospital Tours |
| ClinicalTrials.gov Identifier: | NCT00479518 History of Changes |
| Other Study ID Numbers: | PHRI06-IB Cohorte ABC-AVC |
| Study First Received: | May 25, 2007 |
| Last Updated: | April 9, 2009 |
| Health Authority: | France: Ministry of Health |
Keywords provided by University Hospital, Tours:
|
stroke transient ischemic attack albuminuria BNP Cystatin C |
Additional relevant MeSH terms:
|
Ischemic Attack, Transient Ischemia Stroke Cerebral Infarction Brain Ischemia Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Vascular Diseases |
Cardiovascular Diseases Pathologic Processes Brain Infarction Natriuretic Peptide, Brain Natriuretic Agents Physiological Effects of Drugs Pharmacologic Actions Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013