Could a blood pressure boost save brain cells during a stroke?
NCT ID NCT04218773
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This pilot study tests whether temporarily raising blood pressure with drugs like phenylephrine or norepinephrine can reduce brain damage in people having a major stroke. About 40 adults with large-vessel blockage strokes will receive the blood pressure boost during standard clot-removal procedures. The main goals are to see if the approach is feasible and safe, not yet to prove it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Phenylephrine or Norepinephrine (blood pressure-raising drugs)
- What this could lead to
- If it works, this could point toward a simple way to reduce brain damage during stroke treatment by temporarily boosting blood pressure.
- What could go wrong
- This is a very early, small pilot study (40 people) that is currently suspended. Raising blood pressure in stroke patients carries risks like bleeding or heart problems, and the approach may not prove safe or effective.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2020
- Expected to finish
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Aug 2026
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 is ≥18 years 2. Patients presenting with anterior circulation acute ischemic stroke 3. Enrollment within 24 hours of stroke onset 4. Treatment with endovascular thrombectomy 5. Arterial occlusion on CTA or MRA of the ICA, M1 or M2 6. Mismatch - Using CT or MRI with a Tmax \>6 second delay perfusion volume and either CT-rCBF or DWI infarct core volume. 1. Mismatch ratio of greater than 1.8, and 2. Absolute mismatch volume of greater than 15 ml, and 3. Infarct core lesion volume of less than 70 mL Exclusion Criteria: 1. Baseline SBP\>200 mm Hg 2. Intracranial hemorrhage (ICH) identified by CT or MRI 3. Inability to access the cerebral vasculature in the opinion of the neurointerventional team 4. Contraindication to imaging with MR 5. A history of a left ventricular heart failure (NYHA Class ≥ III, or EF \< 50%) or angina (either unstable or CCS Grade II) involving symptoms at rest or with ordinary physical activity 6. Acute myocardial infarction in the past 6 months 7. Signs or symptoms of acute myocardial infarction, including electrocardiogram find-ings, on admission 8. Elevated serum troponin concentration on admission (\>0.1 μg/L) 9. Suspicion of aortic dissection on admission 10. Participation in any investigational study in the previous 30 days 11. Treatment with Monoamine oxidase inhibitors (MAO-I) within last 7 days
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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
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Yale-New Haven Hospital
New Haven, Connecticut, 06510, United States
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