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Basilar Artery ThrombosisBASICSNCT01717755

Basilar Artery International Cooperation Study

A study testing Intra-arterial treatment in people with Basilar Artery Thrombosis and Basilar Artery Embolism, run by Erik van der Hoeven at 27 sites in 6 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Rationale: Recently our study group reported the results of the Basilar Artery International Cooperation Study (BASICS), a prospective registry of patients with an acute symptomatic basilar artery occlusion (BAO). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Intra-arterial treatment
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
282 participants
Where
27 sitesin 6 countries
Study dates
Oct 2011to Jan 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Symptoms and signs compatible with ischemia in the basilar artery territory.
  • Basilar artery occlusion (BAO) confirmed by CTA or MRA.
  • Age 18 years or older (i.e., candidates must have had their 18th birthday).
  • If IVT is considered as part of best medical management, IVT should be started within 4.5 hours of estimated time of BAO. (Estimated time of BAO is defined as time of onset of acute symptoms leading to clinical diagnosis of BAO or if not known last time patient was seen normal prior to onset of these symptoms).
  • Initiation of IAT should be feasible within 6 hours of estimated time of BAO.

Who cannot join

  • Pre-existing dependency with mRankin ≥3.
  • Females of childbearing potential who are known to be pregnant and/or lactating or who have positive pregnancy tests on admission.
  • Patients who require hemodialysis or peritoneal dialysis.
  • Other serious, advanced, or terminal illness.
  • Any other condition that the investigator feels would pose a significant hazard to the patient if thrombolytic therapy is initiated.
  • Current participation in another research drug treatment protocol (patient cannot start another experimental agent until after 90 days).
Show all 11Show fewer
  • Informed consent is not or cannot be obtained.
  • Imaging exclusion criteria
  • High-density lesion consistent with hemorrhage of any degree.
  • Significant cerebellar mass effect or acute hydrocephalus.
  • Bilateral extended brainstem ischemia.

Trial locations and contacts

27 sites in 6 countries.

27 sites in 6 countries

Netherlands11 sites, 9 recruiting
  • Academic Medical Center

    Amsterdam, North Holland, 1105AZ

    Paul Nederkoorn, MD, PhD

    Recruiting
  • Rijnstate

    Arnhem, Gelderland, 6800 TA

    Suspended
  • University Medical Center Groningen

    Groningen

    Withdrawn
  • Leiden University Hospital

    Leiden

    Marieke Wermer, MD, PhD

    Recruiting
  • Academic Hospital Maastricht

    Maastricht, Limburg, 6229 HX

    Julie Staals, MD, PhD

    Recruiting
  • St. Antonius Hospital

    Nieuwegein, Utrecht, 3430 EM

    Wouter Schonewille, MD, PhD

    Recruiting
  • Erasmus Medical Center

    Rotterdam

    Diederik Dippel

    Recruiting
  • MCH Westeinde

    The Hague, South Holland, 2512 VA

    Jelis Boiten, MD, PhD

    Recruiting
  • Haga Hospital

    The Hague

    Karlijn de Laat, MD, PhD

    Recruiting
  • St. Elisabeth Hospital

    Tilburg, North Brabant, 5022 GC

    Paul de Kort, MD, PhD

    Recruiting
  • Universitary Medical Center Utrecht

    Utrecht, 3584 CX

    Jaap Kappelle, MD, PhD

    Recruiting

Other trials in Netherlands

Italy6 sites, 5 recruiting
  • Bergamo Hospital

    Bergamo

    Bruno Censori, MD, PhD

    Recruiting
  • Genova Hospital

    Genoa

    Laura Malfatto, MD, PhD

    Recruiting
  • University Hospital Modena

    Modena, 41100

    Andrea Zini, MD, PhD

    Recruiting
  • Santa Corona Hospital

    Pietra Ligure

    T. Tassinari

    Recruiting
  • Roma Umberto I

    Rome

    Withdrawn
  • Varese Hospital

    Varese

    M.L. DeLodovici, MD, PhD

    Recruiting

Other trials in Italy

Germany5 sites, 3 recruiting
  • Klinikum Augsburg

    Augsburg

    Hauke Schneider

    Recruiting
  • Berlin Charite Hospital

    Berlin

    Heinrich Audebert, MD, PhD

    Recruiting
  • Dresden University Hospital

    Dresden

    Volker Puetz, MD, PhD

    Recruiting
  • University Medical Center Mannheim

    Mannheim

    Terminated
  • Oberschwabenklinik

    Ravensburg

    Terminated

Other trials in Germany

Brazil2 sites, 2 recruiting
  • Fortaleza General Hospital

    Fortaleza

    F Mont Alverne

    Recruiting
  • Hospital das Clinicas de Ribeirao Preto

    Ribeirão Preto

    O Pontes Neto

    Recruiting

Other trials in Brazil

Norway2 sites, 2 recruiting
  • University Hospital North Norway

    Tromsø

    Stein Harald Johnsen

    Recruiting
  • St. Olavs Hospital Trondheim

    Trondheim

    Gitta Rohweder, MD, PhD

    Recruiting

Other trials in Norway

Switzerland1 site, 1 recruiting
  • University Hospital of Lausanne

    Lausanne, Canton of Vaud, CH-1011

    Patrik Michel, MD, PhD

    Recruiting

Other trials in Switzerland

About this study

Rationale: Recently our study group reported the results of the Basilar Artery International Cooperation Study (BASICS), a prospective registry of patients with an acute symptomatic basilar artery occlusion (BAO). Our observations in the BASICS registry underscore that we continue to lack a proven treatment modality for patients with an acute BAO and that current clinical practice varies widely. Furthermore, the often-held assumption that intra-arterial thrombolysis (IAT) is superior to intravenous thrombolysis (IVT) in patients with an acute symptomatic BAO is challenged by our data. The BASICS registry was observational and has all the limitations of a non-randomised study. Interpretation of results is hampered by the lack of a standard treatment protocol for all patients who entered the study.

Objective: Evaluate the efficacy and safety of IAT in addition to best medical management (BMM) in patients with basilar artery occlusion.

Read more

Study design: Randomised, multi-centre, open label, controlled phase III, treatment trial.

Study population: Patients, aged 18 years and older, with CTA or MRA confirmed basilar occlusion.

Intervention: Patients will be randomised between BMM with additional IAT versus BMM alone. IAT has to be initiated within 6 hours from estimated time of BAO. If treated with as part of BMM, IVT should be started within 4.5 hours of estimated time of BAO.

Main study parameters/endpoints: Favorable outcome at day 90 defined as a modified Rankin Score (mRS - functional scale) of 0-3.

Being tested
Intra-arterial treatment
Keywords
basilar, stroke, mechanical, thrombolysis, intra-arterial, trombectomy
Medical subject headings
Stroke, Cerebrovascular Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intra-arterial treatmentOther

    IA therapy has to be initiated within 6 hours of estimated time of basilar artery occlusion. If an appropriate thrombus or residual stenosis is identified, the choice of IA strategy wil be made by the treating neurointerventionalist. Choice of therapy depends on local approval and experience. If IA thrombolysis is the chosen strategy, a maximum of 22 mg of IA rt-PA or 1.500.000 Units of Urokinase may be given. Stenting is allowed in the presence of a high-grade vertebral artery stenosis or occlusion hampering adequate endovascular access to the basilar artery and in case of a residual high-grade basilar artery stenosis. The use of any other treatment strategy depends on local approval and experience, and is only allowed after prior approval of the steering committee.

Study groups in NCT01717755
Study groupRoleWhat they receive
Best medical management.No interventionBest medical management consists of the standard of care of patients with acute ischemic stroke according to existing local protocols and guidelines, and may include IV thrombolysis. If treated with IVT as part of BMM, IVT should be started within 4.5 hours of estimated time of BAO.
Additional intra-arterial treatment.ExperimentalBest medical management followed by intra-arterial treatment and best medical management
Receives: Other: Intra-arterial treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Favourable outcome

    Favourable outcome at day 90 defined as a modified Rankin Score (mRS - functional scale) of 0-3.

    Measured: day 90

Secondary outcomes (4)
  1. Excellent outcome

    Excellent outcome at day 90 defined as a modified Rankin Score (mRS - functional scale) of 0-2.

    Measured: day 90

  2. Modified Rankin Score

    Modified Rankin Score - not dichotomized.

    Measured: day 90

  3. NIHSS

    National Institutes of Health Stroke Scale (NIHSS - acute assessment scale) at timepoints:

    • directly pre intravenous thrombolysis
    • directly pre randomization (post intravenous thrombolysis)
    • at 24 hours +- 6 hours post treatment.

    Measured: pre IVT, pre randomization, 24h post treatment

  4. EQ-5D

    EQ-5D (quality of life) at day 90 and at 12 months.

    Measured: day 90 and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2012 (estimated)
  2. Study startOct 2011
  3. Primary completionJan 2019 (estimated)
  4. Study completionJan 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
282 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01717755
Sponsor's protocol ID
NL33550.100.10
Other IDs
NHS2010B151, 2010-023507-95
Acronym
BASICS
Status last verified
Jan 2018
First submitted
23 Oct 2012
Last updated
18 Jan 2018
Results posted
No
Data monitoring committee
Yes

Publications

  • Schonewille WJ, Wijman CA, Michel P, Rueckert CM, Weimar C, Mattle HP, Engelter ST, Tanne D, Muir KW, Molina CA, Thijs V, Audebert H, Pfefferkorn T, Szabo K, Lindsberg PJ, de Freitas G, Kappelle LJ, Algra A; BASICS study group. Treatment and outcomes of acute basilar artery occlusion in the Basilar Artery International Cooperation Study (BASICS): a prospective registry study. Lancet Neurol. 2009 Aug;8(8):724-30. doi: 10.1016/S1474-4422(09)70173-5. Epub 2009 Jul 3.

    PubMed 19577962
  • Greving JP, Schonewille WJ, Wijman CA, Michel P, Kappelle LJ, Algra A; BASICS Study Group. Predicting outcome after acute basilar artery occlusion based on admission characteristics. Neurology. 2012 Apr 3;78(14):1058-63. doi: 10.1212/WNL.0b013e31824e8f40. Epub 2012 Mar 21.

    PubMed 22442438
  • Vergouwen MD, Compter A, Tanne D, Engelter ST, Audebert H, Thijs V, de Freitas G, Algra A, Jaap Kappelle L, Schonewille WJ. Outcomes of basilar artery occlusion in patients aged 75 years or older in the Basilar Artery International Cooperation Study. J Neurol. 2012 Nov;259(11):2341-6. doi: 10.1007/s00415-012-6498-2. Epub 2012 Apr 18.

    PubMed 22527236
  • Puetz V, Khomenko A, Hill MD, Dzialowski I, Michel P, Weimar C, Wijman CA, Mattle HP, Engelter ST, Muir KW, Pfefferkorn T, Tanne D, Szabo K, Kappelle LJ, Algra A, von Kummer R, Demchuk AM, Schonewille WJ; Basilar Artery International Cooperation Study (BASICS) Group. Extent of hypoattenuation on CT angiography source images in basilar artery occlusion: prognostic value in the Basilar Artery International Cooperation Study. Stroke. 2011 Dec;42(12):3454-9. doi: 10.1161/STROKEAHA.111.622175. Epub 2011 Sep 29.

    PubMed 21960577
  • Arnold M, Fischer U, Compter A, Gralla J, Findling O, Mattle HP, Kappelle LJ, Tanne D, Algra A, Schonewille WJ; BASICS Study Group. Acute basilar artery occlusion in the Basilar Artery International Cooperation Study: does gender matter? Stroke. 2010 Nov;41(11):2693-6. doi: 10.1161/STROKEAHA.110.594036. Epub 2010 Oct 14.

    PubMed 20947845
  • Schonewille WJ, Wijman CA, Michel P, Algra A, Kappelle LJ; BASICS Study Group. The basilar artery international cooperation study (BASICS). Int J Stroke. 2007 Aug;2(3):220-3. doi: 10.1111/j.1747-4949.2007.00145.x.

    PubMed 18705948
  • Schonewille W, Wijman C, Michel P; BASICS investigators. Treatment and clinical outcome in patients with basilar artery occlusion. Stroke. 2006 Sep;37(9):2206; author reply 2207. doi: 10.1161/01.STR.0000237127.84408.c0. Epub 2006 Aug 10. No abstract available.

    PubMed 16902170
  • Vergouwen MD, Algra A, Pfefferkorn T, Weimar C, Rueckert CM, Thijs V, Kappelle LJ, Schonewille WJ; Basilar Artery International Cooperation Study (BASICS) Study Group. Time is brain(stem) in basilar artery occlusion. Stroke. 2012 Nov;43(11):3003-6. doi: 10.1161/STROKEAHA.112.666867. Epub 2012 Sep 18.

    PubMed 22989501
  • Roaldsen MB, Jusufovic M, Berge E, Lindekleiv H. Endovascular thrombectomy and intra-arterial interventions for acute ischaemic stroke. Cochrane Database Syst Rev. 2021 Jun 14;6(6):CD007574. doi: 10.1002/14651858.CD007574.pub3.

    PubMed 34125952
  • Langezaal LCM, van der Hoeven EJRJ, Mont'Alverne FJA, de Carvalho JJF, Lima FO, Dippel DWJ, van der Lugt A, Lo RTH, Boiten J, Lycklama A Nijeholt GJ, Staals J, van Zwam WH, Nederkoorn PJ, Majoie CBLM, Gerber JC, Mazighi M, Piotin M, Zini A, Vallone S, Hofmeijer J, Martins SO, Nolte CH, Szabo K, Dias FA, Abud DG, Wermer MJH, Remmers MJM, Schneider H, Rueckert CM, de Laat KF, Yoo AJ, van Doormaal PJ, van Es ACGM, Emmer BJ, Michel P, Puetz V, Audebert HJ, Pontes-Neto OM, Vos JA, Kappelle LJ, Algra A, Schonewille WJ; BASICS Study Group. Endovascular Therapy for Stroke Due to Basilar-Artery Occlusion. N Engl J Med. 2021 May 20;384(20):1910-1920. doi: 10.1056/NEJMoa2030297.

    PubMed 34010530
  • van der Hoeven EJ, Schonewille WJ, Vos JA, Algra A, Audebert HJ, Berge E, Ciccone A, Mazighi M, Michel P, Muir KW, Obach V, Puetz V, Wijman CA, Zini A, Kappelle JL; BASICS Study Group. The Basilar Artery International Cooperation Study (BASICS): study protocol for a randomised controlled trial. Trials. 2013 Jul 8;14:200. doi: 10.1186/1745-6215-14-200.

    PubMed 23835026

Questions about this trial

What is this clinical trial studying?

A study testing Intra-arterial treatment in people with Basilar Artery Thrombosis and Basilar Artery Embolism, run by Erik van der Hoeven at 27 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 18 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in Netherlands, Italy, Germany, Brazil, Norway and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Wouter Schonewille, MD (+31 6 41285149, w.schonewille@antoniusziekenhuis.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Favourable outcome (time frame: day 90). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01717755, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2018.

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