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Markers of Recovery in StrokE Study (MORSE)

S

Spectrum Health Hospitals

Status

Completed

Conditions

Stroke

Treatments

Other: DTI Images and Plasma Biomarkers

Study type

Interventional

Funder types

Other

Identifiers

NCT03666897
2018-016

Details and patient eligibility

About

Our current biological understanding of stroke recovery in humans is extremely limited and this lack of knowledge is a major challenge in reducing stroke disabilities and deficits. Evidence of neural repair in humans can be gleaned indirectly through functional outcome measures, but we propose that metabolomics may also provide a minimally invasive window into human brain repair. This study will integrate clinical imaging and molecular biomarkers as a diagnostic tool in further understanding stroke recovery mechanisms.

Full description

Our long-term goal is to improve and hasten recovery following a stroke with translational research, which would combine the use of neuroimaging and identify neural repair metabolites. The objective and sequential step in fulfilling our long-term goal, is to identify differential expression of select stroke plasma biomarkers of neural repair, and image CST integrity in patients with good and poor recovery following an ischemic stroke. Diffusion tension imaging (DTI), will be used to image the neural repair as it occurs, further enhancing our understanding of stroke recovery. There are currently no known plasma biomarkers of neural repair. Identification of such biomarkers would be extremely valuable for designing stroke recovery drugs and timing rehabilitation therapies.

Enrollment

21 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Imaging confirmed ischemic stroke within 7 days of stroke onset
  • Age > 18 years
  • NIHSS ≥ 1 on arm item OR NIHSS = 0 on arm item but < 3/5 strength on MRC scale in distal joint (flex/ext elbow or grip/ext hand)
  • Pre-stroke modified Rankin Scale (mRS) < 3

Exclusion criteria

  • Active malignancy (not thought to be cured or in remission)
  • Anemia (HCT < 25)
  • Sepsis
  • Suspected bacterial endocarditis

Trial design

Primary purpose

Other

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

21 participants in 1 patient group

DTI Outcomes and Biomarkers
Other group
Description:
Imaging and Lab Collection
Treatment:
Other: DTI Images and Plasma Biomarkers

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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