Could a common steroid help brain bleed survivors walk again?
NCT ID NCT06409364
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a steroid pill called fludrocortisone can reduce death and disability in people who have had a brain bleed from a burst aneurysm. The trial will enroll 524 critically ill adults who have had their aneurysm secured. Half will receive the drug, half a placebo, and researchers will measure how independent they are six months later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fludrocortisone (a steroid hormone pill)
- What this could lead to
- If it works, this could offer a simple, cheap treatment to improve recovery and reduce long-term disability after a brain bleed from a burst aneurysm.
- What could go wrong
- This is a mid-stage trial, so results are not guaranteed. The drug may not improve outcomes, and steroids can have side effects like infection or electrolyte imbalance.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 524 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Jul 2030
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 years and older
- 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. Age 18 years or older 2. Diagnosed with subarachnoid haemorrhage from an aneurysm confirmed on computed tomography angiography (CTA) or digital subtraction angiography (DSA) of the intra-cranial arteries 3. Aneurysm has been secured 4. Hospital admission for aSAH within 96 hours 5. Currently being treated in a critical care environment Exclusion Criteria: 1. Unable to receive enteral medications 2. Pre-existing glucocorticoid or mineralocorticoid treatment 3. Previous allergic reaction to fludrocortisone 4. History of cardiac, hepatic, or renal failure 5. Hypernatremia or hyponatremia (Na\>145mmol/L or Na\<125mmol/L) on the most recent blood sample at the time of screening. 6. Death deemed imminent or inevitable 7. Pregnancy (confirmed or suspected) 8. Previous inclusion in the FLASH trial
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
16 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auckland City Hospital
NOT_YET_RECRUITINGAuckland, 1023, New Zealand
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Gold Coast University Hospital
RECRUITINGGold Coast, Queensland, 4215, Australia
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John Hunter Hospital
NOT_YET_RECRUITINGNew Lambton Heights, New South Wales, 2042, Australia
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Monash Medical Centre
NOT_YET_RECRUITINGClayton, Victoria, 3168, Australia
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Nepean Hospital
RECRUITINGPenrith, New South Wales, 2747, Australia
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Prince of Wales Hospital
NOT_YET_RECRUITINGRandwick, New South Wales, 2031, Australia
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Princess Alexandra Hospital
NOT_YET_RECRUITINGWoolloongabba, Queensland, 4102, Australia
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Royal Brisbane Women's Hospital
NOT_YET_RECRUITINGBrisbane, Queensland, 4029, Australia
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Royal Hobart Hospital
NOT_YET_RECRUITINGHobart, Tasmania, 7000, Australia
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Royal North Shore Hospital
NOT_YET_RECRUITINGSt Leonards, New South Wales, 2065, Australia
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St Vincent's Hospital (Melbourne)
NOT_YET_RECRUITINGFitzroy, Victoria, 3065, Australia
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The Alfred Hospital
NOT_YET_RECRUITINGMelbourne, Victoria, 3044, Australia
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Townsville Hospital
NOT_YET_RECRUITINGTownsville, Queensland, 4814, Australia
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Wellington Hospital
NOT_YET_RECRUITINGWellington, 6011, New Zealand
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Westmead Hospital
NOT_YET_RECRUITINGWestmead, New South Wales, 2145, Australia
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Wollongong Hospital
NOT_YET_RECRUITINGWollongong, New South Wales, 2521, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two salts, one goal: which brain swelling treatment works best?
- Can a Nerve-Blocking drug stop the worst headaches after a brain bleed?
- Blood clot markers may forecast stroke outcomes
- Can a Brain-Bleed drug protect memory after surgery?
- Can a blood pressure cuff shield the brain after a severe stroke?
- Can a gentle ear zap calm the Brain's overactive 'Fight or Flight' response?