Brain scans and stimulation may predict stroke recovery
NCT ID NCT05338697
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This study aims to see if brain scans and a technique called transcranial magnetic stimulation (TMS) can predict how well someone will recover arm movement after a stroke. Researchers will collect data from 657 adults who recently had a stroke and have arm weakness. The goal is to create a large dataset to help design better future stroke recovery trials.
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.
- Participants
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About 657 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- 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.
Who is studied
Patients with ischemic stroke consented within 24-96 hours of stroke onset in the acute hospitalization setting
- 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. Unilateral symptomatic stroke due to ischemia. (Note: Bilateral acute stroke is permitted if the stroke that is contralateral to the index stroke is asymptomatic). 3. Motor deficits in the acutely affected UE, defined as a Shoulder Abduction and Finger Extension (SAFE) score ≤ 8 out of 10 points20,61 (i.e., excluding full or nearly full motor strength in both shoulder abduction and finger extension) within 48 to 96 hours of stroke onset (or time last known well). a. Please note that, if significant imbalance is observed in SAFE score or MEP+ rates, the enrollment threshold for SAFE score may be updated with a formal study memo. 4. Provision of signed and dated informed consent form within 24 to 96 hours of stroke onset, (or time last known well). Note: Participant is considered "enrolled" upon starting TMS (at least one stimulation is delivered) or starting study-specific MRI pulse sequence (at least one MRI beep occurs) 5. Stated willingness to comply with all study procedures and availability for the duration of the study, including Day 90 visit which must occur in-person. 6. Fluent in study approved languages (i.e., English or Spanish) Exclusion Criteria: 1. UE injury or conditions on paretic side that limited use prior to the stroke 2. Legally blind 3. Dense sensory loss on paretic side indicated by a score of 2 on NIHSS sensory item 4. Unable to abduct the shoulder or extend the fingers of the non-paretic UE on verbal command 5. Isolated cerebellar stroke 6. Symptomatic stroke in any location within 30 days prior to index stroke. 7. Co-enrollment in a trial of an intervention targeting the incident stroke (acute treatment or rehabilitation/recovery intervention) after baseline assessments for VERIFY are initiated 8. Known or expected inability to maintain follow-up with study procedures through 90 days 9. Cognitive or communication impairment precluding informed consent by the participant. 10. Major medical, neurological, or psychiatric condition that would substantially affect functional status 11. Non-cerebrovascular diagnosis associated with unlikely survival at 90 days 12. Pregnancy 13. Contraindication to noncontrast MRI (certain metallic implants, metallic foreign bodies or severe claustrophobia) 14. Contraindication to TMS 1. Implanted electronic cardiac devices (e.g., Automatic Implantable Cardioverter-Defibrillator \[AICD\] or pacemaker) 2. Any electronic devices in the body at or above the level of the seventh cervical vertebra (such as cochlear implant, cortical stimulator, deep brain stimulator, vagus nerve stimulator, cervical spine epidural stimulator, or ventriculoperitoneal shunt) 3. Ferromagnetic intracranial metallic implant 4. Skull defect related to current stroke 5. Seizure after onset of current stroke 6. Seizure within the last 12 months while taking anti-epileptic medications 7. Previous serious adverse reaction to TMS 15. Anticipated inability to perform study procedures within 168 hours of symptom onset 1. Unable to perform behavioral assessments within 48-120 hours of symptom onset (or time last known well). 2. Unable to receive TMS within 72-168 hours or get MRI within 48-168 hours of symptom onset (or time last known well).
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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
41 sites. 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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Advocate Lutheran General Hospital
RECRUITINGPark Ridge, Illinois, 60068, United States
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Aurora St. Luke's Medical Center
RECRUITINGMilwaukee, Wisconsin, 53215, United States
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Banner University Medical Center
RECRUITINGTucson, Arizona, 85719, United States
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Baystate Medical Center
RECRUITINGSpringfield, Massachusetts, 01199, United States
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Birmingham VA Medical Center
RECRUITINGBirmingham, Alabama, 35233, United States
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Corewell Heath Butterworth Hospital
RECRUITINGGrand Rapids, Michigan, 49503, United States
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Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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Emory University Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
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Froedtert & Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Harborview Medical Center
RECRUITINGSeattle, Washington, 98104, United States
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Houston Methodist Hospital
WITHDRAWNHouston, Texas, 77030, United States
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IU Health Methodist Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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Kaiser Permanente Redwood City Medical Center
RECRUITINGRedwood City, California, 94063, United States
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Keck Medical Center of USC
RECRUITINGLos Angeles, California, 90033, United States
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Lahey Hospital & Medical Center
RECRUITINGBurlington, Massachusetts, 01805, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic Saint Marys Campus
RECRUITINGRochester, Minnesota, 55902, United States
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MedStar Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Medical University of South Carolina (MUSC)
RECRUITINGCharleston, South Carolina, 29425, United States
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Memorial Hermann Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Memorial Hospital of Carbondale
RECRUITINGCarbondale, Illinois, 62901, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467-0121, United States
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NYU Langone Hospital - Brooklyn
SUSPENDEDBrooklyn, New York, 11220, United States
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OSU Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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Penn State Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Pennsylvania Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Prisma Health Richland Hospital
RECRUITINGColumbia, South Carolina, 29203, United States
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Richmond VA Medical Center
WITHDRAWNRichmond, Virginia, 23249, United States
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Ronald Reagan UCLA Medical Center
WITHDRAWNLos Angeles, California, 90095, United States
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San Francisco General Hospital
RECRUITINGSan Francisco, California, 94110, United States
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Strong Memorial Hospital
RECRUITINGRochester, New York, 14642, United States
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The Mount Sinai Hospital
RECRUITINGNew York, New York, 10029, United States
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UCSF Medical Center
RECRUITINGSan Francisco, California, 94143, United States
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UPMC Presbyterian Hospital
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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UVA Medical Center
RECRUITINGCharlottesville, Virginia, 22903, United States
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University of Alabama
RECRUITINGBirmingham, Alabama, 35233, United States
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University of Cincinnati Medical Center
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Iowa Hospitals & Clinics
RECRUITINGIowa City, Iowa, 52242, United States
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University of Maryland Medical Center
ACTIVE_NOT_RECRUITINGBaltimore, Maryland, 21201, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48108, United States
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University of Utah Healthcare
RECRUITINGSalt Lake City, Utah, 84132, United States
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University of Wisconsin University Hospital
RECRUITINGMadison, Wisconsin, 53792, United States
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Westchester Medical Center
RECRUITINGValhalla, New York, 10595, United States
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Yale New Haven Hospital
RECRUITINGNew Haven, Connecticut, 06511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Stroke's hidden heart rhythm clue under investigation
- Zapping the spine while wearing a robotic ankle: a new way to help kids walk?
- Can a nurse and a neighbor help tame chronic disease?
- Can PET scans reveal hidden heart inflammation after a stroke?