| Unique ID issued by UMIN | UMIN000058537 |
|---|---|
| Receipt number | R000066936 |
| Scientific Title | Randomized Clinical Trial of Endovascular Therapy for Acute Ischemic Stroke with Occlusion of the M2 Segment of Middle Cerebral Artery |
| Date of disclosure of the study information | 2025/10/01 |
| Last modified on | 2025/07/21 21:59:51 |
Randomized Clinical Trial of Endovascular Therapy for Acute Ischemic Stroke with Occlusion of
the M2 Segment of Middle Cerebral Artery
RESCUE-M2O
Randomized Clinical Trial of Endovascular Therapy for Acute Ischemic Stroke with Occlusion of
the M2 Segment of Middle Cerebral Artery
RESCUE-M2O
| Japan | Asia(except Japan) |
Acute Ischemic Stroke with Occlusion of the M2 Segment of Middle Cerebral Artery
| Neurosurgery |
Others
NO
To evaluate the efficacy of endovascular therapy for acute ischemic stroke with occlusion of the M2 segment of the middle cerebral artery.
Safety,Efficacy
Achievement of mRS scores of 0-2 at 90 days after randomization
(1) Achievement of mRS scores of 0-1 at 90 days after randomization
(2) mRS shift analysis at 90 days after randomization
(3) NIHSS improvement of 8 points or more at 48 hours after randomization
(4) QOL (EQ-5D-3L) at 90 days after randomization
(5) Symptomatic intracranial hemorrhage (ICH) within 48 hours after randomization
(6) Any ICH within 48 hours after randomization
(7) All cause death (mRS 6) within 90 days after randomization
(8) Recurrence of cerebral infarction within 90 days after randomization
(9) Decompressive craniectomy within 7 days after randomization
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
2
Treatment
| Maneuver |
Medical therapy+Endovascular therapy
Medical therapy alone
| 18 | years-old | <= |
| 85 | years-old | > |
Male and Female
(1) Acute cerebral infarction
(2) Aged 18-84 years
(3) NIHSS score at admission 8 or more
(4) Prestroke mRS scores of 0-1
(5) Occlusion of the M2 segment of MCA on digital subtraction angiography (DSA)
(6) ASPECTS 8 or more, or DWI-ASPECTS 8 or more
(7) Ineligible or failed IV-tPA (no recanalization within 30 minutes after injection)
(8) Randomization can be completed within 24 hours from the last known well time.
(9) EVT can be initiated within 30 minutes from randomization.
(10) The patient or their legally authorized representative has signed the informed consent form.
(1) Occlusion of the anterior temporal artery, duplicate M1, or accessory M1
(2) Occlusion of multiple major intracranial arteries
(3) Difficulty in endovascular access due to tortuous vascular anatomy
(4) Significant mass effect with midline shift on CT (or MRI)
(5) Known allergy (more severe than skin rash) to contrast agents
(6) Evidence of acute intracranial hemorrhage on CT (or MRI)
(7) Pregnant or potentially pregnant
(8) Clinical evidence of chronic occlusion
(9) High risk of hemorrhage (platelet < 40,000/ul, APTT > 50 second or PT-INR > 3.0)
(10) Participating in any other therapeutic investigational trial
(11) Judgment of the investigator to be non-compliant or uncooperative during the study
200
| 1st name | Shinichi |
| Middle name | |
| Last name | Yoshimura |
Hyogo Medical University
Department of Neurosurgery
663-8501
1-1 Mukogawa, Nishinomiya, Hyogo, Japan
0798-45-6455
fu-sakakibara@hyo-med.ac.jp
| 1st name | Kazutaka |
| Middle name | |
| Last name | Uchida |
Hyogo Medical University
Department of Neurosurgery
663-8501
1-1 Mukogawa, Nishinomiya, Hyogo, Japan
0798-45-6455
fu-sakakibara@hyo-med.ac.jp
Hyogo Medical University
Hyogo Medical University
Self funding
Institutional Review Boards at Hyogo Medical University
1-1 Mukogawa, Nishinomiya, Hyogo
0798-45-6455
rinri@hyo-med.ac.jp
NO
| 2025 | Year | 10 | Month | 01 | Day |
Unpublished
Preinitiation
| 2025 | Year | 07 | Month | 22 | Day |
| 2025 | Year | 10 | Month | 01 | Day |
| 2028 | Year | 01 | Month | 31 | Day |
| 2025 | Year | 07 | Month | 21 | Day |
| 2025 | Year | 07 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066936