UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062388
Receipt number R000071396
Scientific Title Development of a Prognostic Indicator for Stroke Outcomes Using Computed Tomography-Derived Corticospinal Tract Lesion Volume
Date of disclosure of the study information 2026/09/01
Last modified on 2026/07/29 17:00:48

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Development of a CT-Based Prognostic Indicator for Stroke Outcomes

Acronym

CT-Based Stroke Prognosis Study

Scientific Title

Development of a Prognostic Indicator for Stroke Outcomes Using Computed Tomography-Derived Corticospinal Tract Lesion Volume

Scientific Title:Acronym

CT-CST Stroke Prognosis Study

Region

Japan


Condition

Condition

Putaminal or thalamic hemorrhage

Classification by specialty

Neurology Neurosurgery Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate the reliability of CT-derived corticospinal tract lesion volume and to develop an algorithm for predicting motor function outcomes using this measure.

Basic objectives2

Others

Basic objectives -Others

To evaluate the reliability of CT-derived corticospinal tract lesion volume and develop a motor function outcome prediction algorithm using this measure.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Motor function at discharge from the convalescent rehabilitation ward. Motor function will be assessed using the Brunnstrom Recovery Stage for the upper extremity, hand, and lower extremity.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients admitted to and discharged from the convalescent rehabilitation ward of Koshu Rehabilitation Hospital between April 2016 and December 2025
2. Patients diagnosed with putaminal or thalamic hemorrhage
3. Patients with head CT images obtained within 48 hours after stroke onset
4. Patients with available clinical data on motor function and activities of daily living at admission and discharge

Key exclusion criteria

1. Patients with recurrent stroke
2. Patients with a pre-existing neurological disorder
3. Patients with a pre-existing psychiatric disorder
4. Patients who were not independent in activities of daily living before stroke onset
5. Patients without available head CT images obtained during acute hospitalization
6. Patients with missing clinical data required for image analysis or outcome assessment
7. Patients who declined participation in the study

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Yamamoto

Organization

Ibaraki Prefectural University of Health Sciences

Division name

Department of Physical Therapy

Zip code

300-0394

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, JAPAN

TEL

029-888-4000

Email

yamamotos@ipu.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Yamamoto

Organization

Ibaraki Prefectural University of Health Sciences

Division name

Department of Physical Therapy

Zip code

300-0394

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki, JAPAN

TEL

029-888-4000

Homepage URL


Email

44250047@ipu.ac.jp


Sponsor or person

Institute

Ibaraki Prefectural University of Health Sciences

Institute

Department

Personal name



Funding Source

Organization

No

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

no

Address

no

Tel

no

Email

no


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 09 Month 01 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

100

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

No longer recruiting

Date of protocol fixation

2025 Year 12 Month 23 Day

Date of IRB

2026 Year 01 Month 06 Day

Anticipated trial start date

2026 Year 02 Month 01 Day

Last follow-up date

2026 Year 09 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center retrospective observational study using existing clinical data and head CT images of patients with putaminal or thalamic hemorrhage who were admitted to the convalescent rehabilitation ward of Koshu Rehabilitation Hospital.

Consecutive patients admitted to the ward from April 2016 onward and discharged by December 2025 will be screened. Patients who meet the eligibility criteria and do not meet any of the exclusion criteria will be included.

The intra-rater and inter-rater reliability of CT-derived corticospinal tract lesion volume will be evaluated. The associations of corticospinal tract lesion volume and clinical variables, including age, time from stroke onset to admission to the convalescent rehabilitation ward, motor function at admission, and activities of daily living at admission, with motor function at discharge will also be examined. A motor function outcome prediction algorithm will subsequently be developed using decision tree analysis.

No additional examinations, treatments, or other interventions will be performed for the study participants.


Management information

Registered date

2026 Year 07 Month 29 Day

Last modified on

2026 Year 07 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071396