UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061817
Receipt number R000070501
Scientific Title Feasibility and Safety of Increased Early Mobilization Frequency During the Vasospasm Period After Aneurysmal Subarachnoid Hemorrhage: A Single-Center Pilot Randomized Controlled Trial
Date of disclosure of the study information 2026/06/06
Last modified on 2026/06/06 14:24:02

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Basic information

Public title

Study on the Feasibility and Safety of Early Mobilization Frequency in Patients With Aneurysmal Subarachnoid Hemorrhage

Acronym

SAFE-EM Study

Scientific Title

Feasibility and Safety of Increased Early Mobilization Frequency During the Vasospasm Period After Aneurysmal Subarachnoid Hemorrhage: A Single-Center Pilot Randomized Controlled Trial

Scientific Title:Acronym

SAFE-EM trial

Region

Japan


Condition

Condition

aneurysmal subarachnoid hemorrhage

Classification by specialty

Neurosurgery Intensive care medicine Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate, in patients after definitive treatment for aneurysmal subarachnoid hemorrhage during the vasospasm period, whether early mobilization twice daily is feasible and does not raise major safety concerns compared with standard early mobilization once daily, using a single-center pilot randomized controlled trial design.

Basic objectives2

Others

Basic objectives -Others

Feasibility

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Achievement rate of twice-daily early mobilization in the intervention group

Key secondary outcomes

Incidence of symptomatic cerebral vasospasm (SCV)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Dose comparison

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

In the control group, early mobilization will be performed once daily according to the standardized early mobilization protocol of our hospital until day 14 after onset or discharge from the SCU, whichever occurs first.

Interventions/Control_2

In the intervention group, early mobilization will be performed twice daily according to the standardized early mobilization protocol of our hospital until day 14 after onset or discharge from the SCU, whichever occurs first. Each session will be separated by at least 3 hours in principle.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients aged 18 years or older
2. Patients diagnosed with aneurysmal subarachnoid hemorrhage (aSAH) who have undergone definitive treatment for a ruptured aneurysm
3. Patients judged by the attending physician to be eligible for early mobilization and who meet the early mobilization initiation criteria of our hospital
4. Patients who provide written informed consent, or whose legally acceptable representative provides written informed consent

Key exclusion criteria

1. Patients with untreated aneurysms, either ruptured or unruptured, for whom the attending physician considers early mobilization to pose safety concerns
2. Patients judged to be unable to undergo early mobilization because of hemodynamic instability or severe respiratory failure
3. Patients judged to be unable to undergo early mobilization because of conditions requiring sedation
4. Patients judged to be unable to undergo early mobilization because of increased intracranial pressure, uncontrolled intracranial bleeding, or severe stenosis or occlusion of the cerebral or cervical arteries
5. Patients or legally acceptable representatives who do not provide informed consent

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Tetsuya
Middle name
Last name Takahashi

Organization

Juntendo University

Division name

Graduate School of Health Sciences

Zip code

113-0033

Address

3-2-12 Hongo, Bunkyo-ku, Tokyo

TEL

03-3813-3111

Email

te-takahashi@juntendo.ac.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Oike

Organization

Tsuchiura Kyodo General Hospital

Division name

Department of Rehabilitation

Zip code

300-0028

Address

4-1-1, Otsuno, Tsuchiura, Ibaraki

TEL

029-830-3711

Homepage URL


Email

ek296988@yahoo.co.jp


Sponsor or person

Institute

Department of Rehabilitation, Tsuchiura Kyodo General Hospital

Institute

Department

Personal name

Kenji Oike


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tsuchiura Kyodo General Hospital

Address

4-1-1, Otsuno, Tsuchiura, Ibaraki

Tel

029-830-3711

Email

rehabilitaion@tkgh.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2026 Year 05 Month 08 Day

Date of IRB

2026 Year 05 Month 12 Day

Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2028 Year 09 Month 01 Day

Date of closure to data entry

2028 Year 09 Month 01 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 06 Month 06 Day

Last modified on

2026 Year 06 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070501