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To monitor the effect of the ERIC® device in combination with SOFIA™ Distal Access Catheter on artery recanalization and on clinical outcomes in stroke patients using data from clinical routine application (ERASER).
To additionally evaluate the effect of the ERIC® device in combination with SOFIA™ Distal Access Catheter on the final infarct volume as determined by advanced image postprocessing methods in the subgroup of patients with acute middle cerebral artery stroke (ERASER+).
This is a prospective, international, single-arm, controlled, open label post-market, multicenter study to compare the safety and effectiveness of ERIC® device in combination with SOFIA™ Distal Access Catheter in acute ischemic stroke patients using clinical routine data.
Patients who meet the imaging inclusion criteria for ERASER will be included in the cohort where collected and additionally analyzed data will be compared to a historical patient cohort (referred to as ERASER imaging =ERASER+). All other patients will be included in a registry (referred to as ERASER), where clinical information will be collected. The overall study duration is expected to be 18 Months. The expected duration of each subject's enrolment is approximately 90 days. Subjects will be followed with assessments at 90 days post stroke.
The basic concept of ERASER+ is the use an infarct prediction algorithm that has been trained on a large dataset of historical imaging data of patients treated with IV tPA, apply it to the pre-treatment imaging and compare its predictions with the actual outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERIC® and SOFIA™ | ERIC® device in combination with SOFIA™ Distal Access Catheter |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERIC® and SOFIA™ | Device | a self-expanding clot retrieval system |
|
| Measure | Description | Time Frame |
|---|---|---|
| VOST (volume of saved tissue) = VPIv- VMT | volume of saved tissue (VOST) as difference of the brain volume with an infarct risk of >50%, based on a prediction- algorithm trained in a historical cohort treated with IV tPA (VPIv) and the actual infarct volume | 30 h |
| Measure | Description | Time Frame |
|---|---|---|
| mRS≤2 | neurological outcomes (mRS≤2) | 90 days |
| NIHSS score improvement ≥10 from baseline | neurological outcomes (NIHSS score improvement ≥10 from baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients over 18 year with acute ischemic stroke
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| Name | Affiliation | Role |
|---|---|---|
| Jens Fiehler, MD,PhD | Universitätsklinikum Hamburg-Eppendorf | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätsklinikum Augsburg | Augsburg | Germany | ||||
| Klinikum Dortmund |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31009356 | Derived | Fiehler J, Thomalla G, Bernhardt M, Kniep H, Berlis A, Dorn F, Eckert B, Kemmling A, Langner S, Remonda L, Reith W, Rohde S, Mohlenbruch M, Bendszus M, Forkert ND, Gellissen S. ERASER. Stroke. 2019 May;50(5):1275-1278. doi: 10.1161/STROKEAHA.119.024858. |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| 90 days |
| Dortmund |
| Germany |
| Universität Greifswald | Greifswald | Germany |
| Asklepios Klinik Altona | Hamburg | Germany |
| University Medical Center Hamburg-Eppendorf | Hamburg | Germany |
| Universitätsklinikum Heidelberg | Heidelberg | Germany |
| Universitätsklinikum Schleswig-Holstein | Lübeck | Germany |
| Klinikum der Universität München | München | Germany |
| Kantonspital Aarau | Aarau | Switzerland |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |