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Trial record 2 of 33 for:    ALIAS

Albumin in Acute Ischemic Stroke Trial (ALIAS)

This study has been terminated.
(Recruitment halted by DSMB following interim analysis.)
National Institute of Neurological Disorders and Stroke (NINDS)
University of Calgary
Medical University of South Carolina
Neurological Emergencies Treatment Trials Network (NETT)
Information provided by (Responsible Party):
Myron Ginsberg, University of Miami Identifier:
First received: September 14, 2005
Last updated: November 14, 2012
Last verified: November 2012
The goal of the trial is to determine whether human albumin, administered within 5 hours of symptom onset, improves the 3-month outcome of subjects with acute ischemic stroke.

Condition Intervention Phase
Acute Ischemic Stroke
Biological: human serum albumin infusion
Drug: placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase III Randomized Multicenter Clinical Trial Of High-Dose Human Albumin Therapy For Neuroprotection In Acute Ischemic Stroke

Resource links provided by NLM:

Further study details as provided by Myron Ginsberg, University of Miami:

Primary Outcome Measures:
  • NIHSS and mRS -- favorable outcome defined as either NIHSS 0-1 or mRS 0-1, or both [ Time Frame: at 3 months ]

Secondary Outcome Measures:
  • Overall clinical outcome (as assessed by global statistical test of NIHSS, mRS, and BI scores) [ Time Frame: at 3 months ]
  • mRS (dichotomized and full-scale) [ Time Frame: at 1, 3, 6, 9, and 12 months ]
  • Symptomatic ICH [ Time Frame: within 24 hours ]
  • Congestive heart failure [ Time Frame: within 48 hours ]
  • Pulmonary edema [ Time Frame: within 48 hours ]
  • Barthel Index [ Time Frame: at 3 and 12 months ]
  • Quality-of-life measures: EuroQol at 3 and 12 months, and SSQO at 3 months [ Time Frame: at 3 and 12 months ]
  • Recurrent ischemic stroke [ Time Frame: at 3, 6, 9, and 12 months ]
  • Death within 3 months and at 12 months after randomization [ Time Frame: within 3 months and at 12 months ]
  • Cognition (Trailmaking A and B) [ Time Frame: at 3 months ]

Enrollment: 843
Study Start Date: June 2006
Estimated Study Completion Date: June 2014
Estimated Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Treatment with 25% Albumin, 2.0 g/kg
Biological: human serum albumin infusion
human albumin, 25%, 2.0g/kg intravenously (or equivalent volume of saline control), infused over 2 h, commencing within 5 hours of stroke onset
Placebo Comparator: 2
Treatment with same volume of normal saline
Biological: human serum albumin infusion
human albumin, 25%, 2.0g/kg intravenously (or equivalent volume of saline control), infused over 2 h, commencing within 5 hours of stroke onset
Drug: placebo
equivalent volume of saline control

Detailed Description:
Human serum albumin, at 2 g/kg, administered over 2 hours by intravenous infusion, will be compared to placebo (isovolumic normal saline) among patients with acute ischemic stroke. All patients will have a baseline stroke severity measured as NIH Stroke scale score > 5. Patients will treated according to the best standard of care including concurrent treatment with intravenous or intra-arterial thrombolysis where appropriate. The primary outcome will be determined at 3 months. The primary hypothesis is that, using the composite outcome of a modified Rankin score 0-1 or NIH stroke scale score 0-1 at 3 months (or both), the proportion of patients with improved outcomes will be greater by 10% or more in the active treatment group. [The current trial is termed "Part 2" and incorporates revisions to the initial protocol that were instituted after the DSMB suspended subject recruitment because of a safety concern after 434 subjects had been enrolled. The protocol revisions of Part 2 resulted from the study team's thorough review of the Part-1 safety data and were designed to optimize safety going forward.]

Ages Eligible for Study:   18 Years to 83 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Acute ischemic stroke
  • NIH stroke scale score > 5
  • Age >= 18 and <= 83
  • ALB or placebo can be administered within 5 hours of symptom onset
  • ALB or placebo can be administered within 60 minutes of tPA administration in the thrombolysis group
  • Signed informed consent

Exclusion Criteria:

  • Episode/exacerbation of congestive heart failure (CHF) from any cause in the last 6 months. An episode of congestive heart failure is any heart failure that required a change in medication, diet or hospitalization.
  • Known valvular heart disease with CHF in the last 6 months.
  • Severe aortic stenosis or mitral stenosis.
  • Cardiac surgery involving thoracotomy (e.g., coronary artery bypass graft (CABG), valve replacement surgery) in the last 6 months.
  • Acute myocardial infarction in the last 6 months.
  • Signs or symptoms of acute myocardial infarction, including ECG findings, on admission.
  • Baseline elevated serum troponin level on admission (>0.1 mcg/L)
  • Suspicion of aortic dissection on admission.
  • Acute arrhythmia (including any tachycardia - or bradycardia) with hemodynamic instability.
  • Findings on physical examination of any of the following: (1) jugular venous distention (JVP > 4 cm above the sternal angle); (2) 3rd heart sound; (3) resting tachycardia (heart rate > 100/min) attributable to congestive heart failure; (4) abnormal hepatojugular reflux; (5) lower extremity pitting edema attributable to congestive heart failure; and/or (6) definite chest x-ray evidence of pulmonary edema.
  • Current acute or chronic lung disease requiring supplemental chronic or intermittent oxygen therapy.
  • Historical mRS ≥2. Patients who live in a nursing home or who are not fully independent for activities of daily living immediately prior to the stroke are not eligible for the trial.
  • In-patient stroke. I.e., patients with a stroke occurring as a complication of hospitalization for another condition, or as a complication of a procedure.
  • Planned acute use of intra-arterial (IA) tPA or acute endovascular intervention (e.g., stenting, angioplasty, thrombus retrieval device use) must conform to the following criteria: (1) begin within 5 hours of symptom onset, and (2) finish within 7 hours of symptom-onset.
  • Fever, defined as core body temperature > 37.5oC (99.5oF).
  • Serum creatinine > 2.0 mg/dL or 180 µmol/L.
  • Profound dehydration.
  • Evidence of intracranial hemorrhage (intracerebral hematoma (ICH), subarachnoid hemorrhage (SAH), epidural hemorrhage, acute or chronic subdural hematoma (SDH)) on the baseline CT or MRI scan.
  • History of allergy to albumin.
  • History of latex rubber allergy.
  • Severe chronic anemia with Hgb < 7.5 g/dL
  • Pregnancy, breastfeeding or positive pregnancy test. (Women of childbearing age must have a negative pregnancy test prior to ALB administration.)
  • Concurrent participation in any other therapeutic clinical trial.
  • Evidence of any other major life-threatening or serious medical condition that would prevent completion of 3-month follow-up, impair the assessment of outcome, or in which ALB therapy would be contraindicated or might cause harm to the subject.
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Please refer to this study by its identifier: NCT00235495

  Hide Study Locations
United States, Arizona
Mayo Clinic Hospital
Phoenix, Arizona, United States
University of Arizona
Tucson, Arizona, United States
United States, California
University of California San Francisco and affiliated hospitals
San Francisco, California, United States
Stanford Medical Center
Stanford, California, United States
John Muir Medical Centers
Walnut Creek and Concord, California, United States
United States, Florida
University of Miami
Miami, Florida, United States, 33101-6960
The Villages Research Group
Ocala, Florida, United States
United States, Georgia
Emory University and Grady Memorial Hospital
Atlanta, Georgia, United States
United States, Kentucky
University of Kentucky
Lexington, Kentucky, United States
United States, Michigan
Henry Ford Hospital and affiliated hospitals
Detroit, Michigan, United States
Wayne State and affiliated hospitals
Detroit, Michigan, United States
United States, Minnesota
University of Minnesota and affiliated hospitals
Minneapolis, Minnesota, United States
United States, New York
Millard Fillmore Gates Hospital
Buffalo, New York, United States
New York Presbyterian and affiliated hospitals
New York City, New York, United States
United States, Ohio
University Hospital and affiliated hospitals
Cincinnati, Ohio, United States
United States, Oregon
Oregon Health Science University and affiliated sites
Portland, Oregon, United States
United States, Pennsylvania
University of Pennsylvania - Abington Hospital
Abington, Pennsylvania, United States
United States, Texas
University of Texas - Memorial Hermann
Houston, Texas, United States
United States, Wisconsin
Froedtert Memorial Hospital
Milwaukee, Wisconsin, United States
Canada, Alberta
University of Calgary
Calgary, Alberta, Canada, T2N 2T9
University of Alberta
Edmonton, Alberta, Canada
Canada, British Columbia
Royal Island Hospital
Kamloops, British Columbia, Canada
Vancouver General Hospital
Vancouver, British Columbia, Canada
Canada, Nova Scotia
Dalhousie/Capital University
Halifax, Nova Scotia, Canada
Canada, Quebec
Hopital Charles LeMoyne, Centre de Recherche
Greenfield Park, Quebec, Canada
Sponsors and Collaborators
University of Miami
National Institute of Neurological Disorders and Stroke (NINDS)
University of Calgary
Medical University of South Carolina
Neurological Emergencies Treatment Trials Network (NETT)
Study Chair: Myron D. Ginsberg, MD University of Miami
Principal Investigator: Michael D. Hill, MD MSc University of Calgary
Principal Investigator: Yuko Y Palesch, PhD Medical University of South Carolina
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Myron Ginsberg, Principal Investigator; Peritz Scheinberg Professor of Neurology, University of Miami Identifier: NCT00235495     History of Changes
Other Study ID Numbers: NIH NINDS 5U01 NS040406-08
NIH NINDS 1U01 NS054630
Study First Received: September 14, 2005
Last Updated: November 14, 2012

Keywords provided by Myron Ginsberg, University of Miami:

Additional relevant MeSH terms:
Cerebral Infarction
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Pathologic Processes
Brain Infarction
Brain Ischemia processed this record on May 25, 2017