Bleeding stroke drug shows promise in Fast-Action trial
NCT ID NCT03496883
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether a drug called recombinant factor VIIa (rFVIIa), given within 2 hours of a bleeding stroke, can limit brain damage and improve recovery. About 860 adults aged 18–80 with spontaneous intracerebral hemorrhage are enrolled. The study compares rFVIIa to standard care, measuring disability and quality of life at 180 days.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 860 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2021
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients aged 18-80 years, inclusive 2. Patients with spontaneous ICH 3. Able to treat with study medication (rFVIIa/placebo) within 120 minutes of stroke onset or last known well 4. Efforts to obtain informed consent per EFIC guidelines (U.S.) or adherence to country-specific emergency research informed consent regulations (Canada, Germany, Spain, U.K., Japan) Exclusion Criteria: 1. Score of 3 to 7 on the Glasgow Coma Scale 2. Secondary ICH related to known causes (e.g., trauma, aneurysm, arteriovenous malformation (AVM), oral anticoagulant use (vitamin K antagonists or novel oral anticoagulants) within the past 7 days, coagulopathy, etc.) 3. ICH volume \< 2 cc or ≥ 60 cc 4. Blood filling 2/3 or more of one lateral ventricle of the brain, OR, blood filling at least 1/3 of both lateral ventricles. 5. Pre-existing disability (mRS \> 2) 6. Symptomatic thrombotic or vaso-occlusive disease in past 90 days (e.g., cerebral infarction, myocardial infarction, pulmonary embolus, deep vein thrombosis, or unstable angina) 7. Clinical or EKG evidence of ST elevation consistent with acute myocardial ischemia 8. Brainstem location of hemorrhage (patients with cerebellar hemorrhage may be enrolled) 9. Refusal to participate in study by patient, legal representative, or family member 10. Known or suspected thrombocytopenia (unless current platelet count documented above 50,000/μL) 11. Unfractionated heparin use with abnormal PTT 12. Pro-coagulant drugs within 24 hours prior to patient enrollment into the FASTEST trial (example, tranexamic acid or aminocaproic acid) 13. Low-molecular weight heparin use within the previous 24 hours 14. Recent (within 90 days) carotid endarterectomy or coronary or cerebrovascular angioplasty or stenting 15. Advanced or terminal illness or any other condition the investigator feels would pose a significant hazard to the patient if rFVIIa were administered 16. Recent (within 30 days) participation in any investigational drug or device trial or earlier participation in any investigational drug or device trial for which the duration of effect is expected to persist until to the time of FASTEST enrollment 17. Planned withdrawal of care or comfort care measures 18. Patient known or suspected of not being able to comply with trial protocol (e.g., due to alcoholism, drug dependency, or psychological disorder) 19. Known or suspected allergy to trial medication(s), excipients, or related products 20. Contraindications to study medication 21. Previous participation in this trial (previously randomized) 22. Females of childbearing potential who are known to be pregnant or within 12 weeks post-partum and/or lactating at time of enrollment
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Arnau de Vilanova University Hospital
Lleida, Catalonia, 25198, Spain
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Barnes Jewish Hospital
St Louis, Missouri, 63110, United States
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Bellvitge University Hospital,
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
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Central DuPage Hospital
Winfield, Illinois, 60190, United States
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Charite University Medicine Berlin
Berlin, Germany
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Clinic Frankfurt Hoechst
Frankfurt am Main, Hesse, Germany
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Gifu University Hospital
Gifu, Japan
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Girona University Hospital
Girona, Catalonia, 17007, Spain
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Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
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Hamilton General Hospital
Hamilton, Ontario, L8L 2X2, Canada
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Henry Ford Hospital
Detroit, Michigan, 48208, United States
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Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 21A 08916, Spain
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Iwate Prefectural Central Hospital
Morioka, Japan
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Japanese Red Cross Kyoto Daini Hospital
Kyoto, Japan
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Jichi Medical University Hospital
Shimotsuke, Japan
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John Radcliffe Hospital
Oxford, Oxfordshire, OX3 9DU, United Kingdom
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KMU University Hospital
Osaka, Japan
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Kagoshima City Hospital
Kagoshima, Japan
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Kaiser Permanente Baldwin Park Medical Center
Baldwin Park, California, 91706, United States
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Kaiser Permanente Downey Medical Center
Downey, California, 90242, United States
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Kaiser Permanente Fontana Medical Center
Fontana, California, 92335, United States
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Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027, United States
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Kaiser Permanente Riverside Medical Center
Riverside, California, 92505, United States
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Kaiser Permanente South Bay Medical Center
Harbor City, California, 90710, United States
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Kaiser Permanente West Los Angeles Medical Center
Los Angeles, California, 90034, United States
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Kobe City Medical Center General Hospital
Kobe, Japan
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Kyorin University Hospital
Tokyo, Japan
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Kyushu Medical Center
Fukuoka, Japan
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M Health Fairview Ridges Hospital,
Burnsville, Minnesota, 55337, United States
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M Health Fairview Southdale Hospital
Edina, Minnesota, 55435, United States
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M Health Fairview St. John's Hospital
Maplewood, Minnesota, 55109, United States
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M Health Fairview University of Minnesota Medical Center Hospital,
Minneapolis, Minnesota, 55455, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic
Jacksonville, Florida, 32224, United States
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Mayo Clinic Saint Marys Campus
Rochester, Minnesota, 55902, United States
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Medical University of South Carolina University Hospital
Charleston, South Carolina, 29425, United States
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Memorial Hermann Memorial City Medical Center
Houston, Texas, 77024, United States
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Memorial Hermann-Texas Medical Center
Houston, Texas, 77030, United States
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Mills Peninsula Medical Center
Burlingame, California, 94010, United States
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Mount Sinai West
New York, New York, 10019, United States
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NHO Osaka National Hospital
Osaka, Japan
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Nakamura Memorial Hospital
Sapporo, Japan
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National Cerebral and Cardiovascular Center
Suita, Osaka, 564-8565, Japan
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Niigata City General Hospital
Niigata, Japan
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North Shore University Hospital
Manhasset, New York, 11030, United States
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Northwestern Memorial Hospital
Chicago, Illinois, 60611, United States
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OSU Wexner Medical Center
Columbus, Ohio, 43210, United States
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Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6, Canada
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Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, 29605, United States
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Providence St. Vincent Medical Center
Portland, Oregon, 97225, United States
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Queens Medical Centre
Nottingham, United Kingdom
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Riverside Methodist Hospital
Columbus, Ohio, 43214, United States
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Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095, United States
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Royal Stoke University Hospital
Stoke-on-Trent, Staffordshire, ST4 6QG, United Kingdom
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Royal Victoria Infirmary
Newcastle upon Tyne, United Kingdom
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San Francisco General Hospital
San Francisco, California, 94110, United States
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Santa Creu and Sant Pau Hospital
Barcelona, Catalonia, 08025, Spain
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St. John Medical Center
Tulsa, Oklahoma, 74104, United States
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St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013, United States
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St. Michaels Hospital
Toronto, Ontario, M5B 1W8, Canada
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Stony Brook University Hospital
Stony Brook, New York, 11794, United States
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Sunnybrook Health Sciences Center
Toronto, Ontario, M4N 3M5, Canada
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Temple University Hospital
Philadelphia, Pennsylvania, 19140, United States
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The Mount Sinai Hospital
New York, New York, 10029, United States
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The Queen's Medical Center
Honolulu, Hawaii, 96813, United States
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Toledo Hospital
Toledo, Ohio, 43606, United States
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Toranomon Hospital
Tokyo, Japan
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UC Davis Medical Center
Sacramento, California, 95817, United States
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UC Irvine Medical Center,
Orange, California, 92868, United States
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UCSD Health La Jolla
La Jolla, California, 92037, United States
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UCSD Medical Center - Hillcrest Hospital
San Diego, California, 92103, United States
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UF Health Shands Hospital
Gainesville, Florida, 32608, United States
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UMass Memorial Medical Center
Worcester, Massachusetts, 01605, United States
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University Hospital Augsburg
Augsburg, 86156, Germany
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University Hospital Heidelberg
Heidelberg, Baden-Wurttemberg, 69120, Germany
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University Hospital Tuebingen
Tübingen, 72076, Germany
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University of Alabama Hospital
Birmingham, Alabama, 35233, United States
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University of Alberta Hospital
Edmonton, Alberta, AB T6G 2B7, Canada
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University of Calgary - Foothills Medical Centre
Calgary, Alberta, Canada
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University of Chicago Medical Center
Chicago, Illinois, 60637, United States
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University of Cincinnati Medical Center
Cincinnati, Ohio, 45229, United States
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University of Montreal Hospital
Montreal, Quebec, H2X 3E4, Canada
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University of Utah Healthcare
Salt Lake City, Utah, 84132, United States
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VCU Medical Center
Richmond, Virginia, 23219, United States
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Vall d'Hebron University Hospital (VHUH)
Horta, Barcelona, Spain
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Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9, Canada
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Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27157, United States
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WellStar Kennestone Hospital
Marietta, Georgia, 30060, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a web program rebuild memory after brain injury?
- Portable MRI could speed up stroke treatment
- Can a herbal formula match traditional medicine for brain bleeds?
- Can a blood marker tell fever from infection in stroke?
- Can blood markers predict brain injury outcomes?
- Can an ancient herbal pill improve outcomes after a bleeding stroke?