New care bundle aims to save lives after brain hemorrhage
NCT ID NCT06429332
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a structured care bundle—including rapid blood pressure control, reversal of blood thinners, and management of fever and blood sugar—can improve outcomes for people with a brain bleed. About 3500 adults in Sweden and Australia will receive either the care bundle or standard care. The goal is to see if this approach reduces disability and improves quality of life at 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
- care bundle (blood pressure lowering, anticoagulation reversal, fever and glucose management)
- What this could lead to
- If successful, this care bundle could become a standard treatment to improve recovery and reduce disability after a brain bleed.
- What could go wrong
- This is a large trial, but the care bundle involves multiple steps, so it may be hard to implement consistently. Results may not apply to all settings.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 3,500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Jul 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: * Adults (age ≥18 years) * Non-contrast computerized tomography (NCCT) imaging-verified diagnosis of spontaneous intracerebral haemorrhage * ≤24 hours from symptom onset or presumed symptom onset (last seen well) Exclusion Criteria: * Previous care limitation * End-stage comorbidity with short life-expectancy (\<6 m; e.g. terminal cancer) * ICH caused by brain tumor or cerebral venous thrombosis * Clinical signs of brain herniation at first presentation (unresponsive patient with bilaterally fixed, maximally dilated pupils) * Pregnant women beyond 22 weeks gestation may only be included after thorough discussion with an obstetrician to determine risks vs benefit.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Cerebrovascular disease are added.
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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
54 sites in 8 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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Akademiska Sjukhuset Uppsal
RECRUITINGUppsala, 75185, Sweden
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Avezzano Ospedale SS. Filippo e Nicola
RECRUITINGAvezzano, 67051, Italy
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Azienda Ospedaliera Santa Maria della Misericordia Perugia
RECRUITINGPerugia, 06129, Italy
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Blekingesjukhuset
RECRUITINGKarlskrona, Sweden
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Blekingesjukhuset Karlskrona
RECRUITINGKarlskrona, 371 41, Sweden
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Capio St Görans Sjukhus
RECRUITINGStockholm, 112 81, Sweden
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Centrallasarettet Växjö
RECRUITINGVaxjo, Sweden
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Centralsjukhuset Karlstad
RECRUITINGKarlstad, 651 85, Sweden
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Centralsjukhuset Kristianstad
RECRUITINGKristianstad, Sweden
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Citta di Castello Ospedale Città di Castello
RECRUITINGCittà di Castello, 06012, Italy
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Danderyds sjukhus
RECRUITINGStockholm, 182 88, Sweden
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Gubbio Ospedale di Gubbio e Gualdo Tadino
RECRUITINGGubbio, Italy, Italy
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Hallands sjukhus Varberg
RECRUITINGVarberg, 43237, Sweden
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Hamilton General Hospital
RECRUITINGHamilton, Ontario, L8L 2X2, Canada
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Health Sciences North/Health Sciences North Research Institute
RECRUITINGGreater Sudbury, Ontario, P3E 5J1, Canada
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Helsingborgs Lasarett
RECRUITINGHelsingborg, Sweden
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Hong Kong University Hospital
RECRUITINGHong Kong, Hong Kong
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Hässleholms Sjukhus
RECRUITINGHässleholm, Sweden
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Höglandssjukhuset i Eksjö
RECRUITINGEksjö, 575 81, Sweden
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Karolinska Universitetssjukhuset Huddinge
RECRUITINGHuddinge, Sweden
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Karolinska Universitetssjukhuset Solna
RECRUITINGStockholm, 171 76, Sweden
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Kungälvs sjukhus
RECRUITINGKungälv, 442 83, Sweden
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Landspitali University Hospital
RECRUITINGReykjavik, 105, Iceland
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Lasarettet i Enköping
RECRUITINGUppsala, 751 85, Sweden
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Ljungby Lasarett
RECRUITINGLjungby, 341 35, Sweden
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Länssjukhuset Kalmar
RECRUITINGKalmar, 391 85, Sweden
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Länssjukhuset Ryhov
RECRUITINGJönköping, 551 85, Sweden
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Länssjukhuset Sundsvall
RECRUITINGSundsvall, Sweden
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Monash Medical Centre
RECRUITINGClayton, 3168, Australia
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Mölndals Sjukhus
RECRUITINGMölndal, 431 80, Sweden
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National University of Malaysia Hospital
RECRUITINGKuala Lumpur, 56000, Malaysia
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Norra Älvsborgs Länssjukhus
RECRUITINGTrollhättan, 461 85, Sweden
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Norrlands Universitetssjukhus
RECRUITINGUmeå, Sweden
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Oskarshamn Sjukhus
RECRUITINGOskarshamn, 572 28, Sweden
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Ottawa Hospital Research Institute
RECRUITINGOttawa, Ontario, K1Y 4E9, Canada
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Region Skåne, Skåne University Hospital in Malmö, Department of Neurology
RECRUITINGMalmö, 20502, Sweden
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Roma Policlinico Gemelli
RECRUITINGRoma, 00136, Italy
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Royal Adelaide Hospital
RECRUITINGAdelaide, 5000, Australia
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Sahlgrenska Universitetssjukhuset
RECRUITINGGothenburg, 413 45, Sweden
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Skaraborgs Sjukhus Skövde
RECRUITINGSkövde, 541 85, Sweden
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Skåne University Hospital Lund
RECRUITINGLund, Sweden
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Skåne University Hospital Lund Neurosurgery dept
RECRUITINGLund, Sweden
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Södersjukhuset
RECRUITINGStockholm, 118 83, Sweden
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The George Institute for Global Health
NOT_YET_RECRUITINGSydney, NSW 2000, Australia
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The University of Oklahoma Health
RECRUITINGOklahoma City, Oklahoma, 73126-0901, United States
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Univeristetssjukhuset Linköping
RECRUITINGLinköping, 581 85, Sweden
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Universitetssjukhuset Örebro
RECRUITINGÖrebro, 701 85, Sweden
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Universiti Putra Malaysia Hospital
RECRUITINGSerdang, 43400, Malaysia
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Värnamo sjukhus
RECRUITINGVärnamo, 331 85, Sweden
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Västerås
RECRUITINGVästerås, 721 89, Sweden
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Västmanlands sjukhus Köping
RECRUITINGKöping, 731 81, Sweden
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Ystads lasarett
RECRUITINGYstad, Sweden
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Östersunds Lasarett
RECRUITINGÖstersund, Sweden
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Östra Sjukhuset
RECRUITINGGothenburg, 41685, Sweden
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