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RECRUITING
NCT05230914
NA

A Randomized Trial of Imaging Selection Modalities for Stroke Thrombectomy (NO-SELECT)

Sponsor: Xinqiao Hospital of Chongqing

View on ClinicalTrials.gov

Summary

Several studies suggest that advanced multi-modal imaging with CTP should be used to screen late time window stroke patients for thrombectomy. However, NCCT is more accessible when comparing with CTP. It is unclear whether the NCCT-based ASPECTS can be used as an imaging criterion to screen patients for thrombectomy. The newly published MR CLEAN-LATE and TENSION trials used NCCT or CTA, but still relied on ASPECTS scores to evaluate and select patients for endovascular therapy. However, different trials have different time windows. The aim of this trial was to assess the clinical outcomes of stroke patients with anterior large vessel occlusion who selected by simple imaging (NCCT) comparing via standard imaging screening strategy (CTP/MRI). The hypothesis is that simple imaging is non-inferior to standard imaging selection strategy in terms of achieving favorable outcomes.

Official title: Simple Imaging Versus Standard Imaging Selection in Stroke Patients for Endovascular Treatment: the NO-SELECT Randomized Trial

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1846

Start Date

2024-12-12

Completion Date

2027-10-31

Last Updated

2025-12-26

Healthy Volunteers

No

Interventions

OTHER

Simplified imaging strategy

NCCT and CTA will be used to screen patients for endovascular treatment

OTHER

Standard imaging strategy

NCCT-ASPECTS (pc-ASPECTS), CTA, and CTP will be used to screen patients for endovascular treatment

Locations (8)

Yijishan Hospital of Wannan Medical College

Wuhu, Anhui, China

Xinqiao Hospital of Army Medical University

Chongqing, Chongqing Municipality, China

Wuyi Traditional Chinese Medicine Hospital

Jiangmen, Guangdong, China

The First Affiliated Hospital of Hainan Medical University

Haikou, Hainan, China

Huai'an First People's Hospital

Huai'an, Jiangsu, China

The 904th Hospital of CPLA

Wuxi, Jiangsu, China

Jingdezhen First People's Hospital

Jingdezhen, Jiangxi, China

Dalian Central Hospital

Dalian, Liaoning, China