Could lying Head-Down help stroke patients? new trial aims to find out
NCT ID NCT06010641
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether lying in a slight head-down position (20 degrees) can help people recover from a moderate stroke caused by narrowed arteries. Researchers will compare this position plus standard care to standard care alone in 600 participants. The goal is to see if more people achieve a good functional outcome (able to live independently) after 3 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- head-down body position (Trendelenburg)
- What this could lead to
- If it works, this simple head-down position could become a standard, low-cost way to improve recovery after a moderate stroke.
- What could go wrong
- This is an early-stage trial (Phase not specified) and previous studies have been inconclusive. The position may not help, or could cause discomfort or other issues.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Oct 2027
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: * Age ≥ 18 years old * Acute ischemic stroke confirmed by NCCT or MRI; * Moderate neurologic deficit (6≤ NIHSS ≤ 16) within 24 hours of onset, or progressing from mild (NIHSS ≤ 5) to moderate neurologic deficit (6≤ NIHSS ≤ 16) within 24 hours, requiring ≥ 4 point increase in NIHSS score although the onset time is beyond 24 hours; * Probable large artery atherosclerosis etiology based on the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria (responsible artery stenosis ≥ 50% or occlusion); * Anterior circulation stroke (internal carotid artery, M1 or M2 of middle cerebral artery); * First stroke onset or past stroke without obvious neurological deficit (mRS≤2); * Signed informed consent. Exclusion Criteria: * Pre-stroke disability (mRS≥3); * Patients with disturbance of consciousness; * Patients who plan to undergo or have completed thrombolysis or mechanical thrombectomy; * Hemorrhagic stroke or combined ischemic and hemorrhagic stroke; * Serious comorbidity, such as liver or kidney insufficiency, malignant tumor, etc; * Other stroke etiologies, such as cardiogenic embolism, arteritis, arterial dissection, moyamoya disease, etc; * Previous history of intracerebral hemorrhage within 1 year; * Any contraindication to head-down position (e.g. active vomiting, pneumonia, uncontrolled heart failure); * Planned carotid or intracranial revascularization within 3 months; * Severe uncontrolled hypertension (systolic blood pressure over 180mmHg or diastolic blood pressure over 100 mmHg); * Cardiac insufficiency (NYHA Class ≥II); * Pregnant or lactating women; * Comorbidity with other serious diseases; * Participating in other clinical trials within 3 months; * Patients not suitable for the study considered by researcher.
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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.
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
1 site. 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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Department of Neurology, General Hospital of Northern Theater Command
RECRUITINGShenyang, 110016, China
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