Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label clinical trials. Show all posts
Showing posts with label clinical trials. Show all posts

Monday, August 24, 2026

Treatment of Acute Ischemic Stroke (ReMEDy2 Trial)

 FYI. You'll have to contact them to see if they are even measuring 100% recovery.

Here is your business101 requirements. Not measuring 100% recovery is the height of incompetence!

“What's measured, improves.” So said management legend and author Peter F. Drucker !   

Ask your competent? doctor to explain the previous FDA hold on this research and notify you of the results when research is completed. No knowledge of this at all is fucking complete incompetence! I expect my doctors and therapists to be completely up to date on all research in the stroke field. You should be getting this information from your doctor, not me.
  • DM199 (3 posts to August 2022)
  • Treatment of Acute Ischemic Stroke (ReMEDy2 Trial)

    ClinicalTrials.gov IDNCT05065216
    SponsorDiaMedica Therapeutics Inc
    Information Provided byJay Volpi, M.D.
    Study Start (Actual)2021-11-07
    Primary Completion (Estimated) 2026-12
    Study Completion (Estimated)2026-12
    Enrollment (Estimated)728
    Study TypeInterventional
    Last Update Posted2026-08-21

    Study Overview

    Brief Summary

    This is a Phase 2/3 study evaluating the safety and efficacy of DM199 (rinvecalinase alfa) in treating participants with moderate stroke severity, who present within 24 hours of Acute Ischemic Stroke (AIS) onset due to small and medium vessel occlusions. This study focuses on participants with limited treatment options. Participants who have or will receive mechanical thrombectomy (MT) are not eligible for participation. Additionally, participants who have received fibrinolytics are excluded unless they experience a persistent neurological deficit of moderate severity six or more hours after fibrinolytic treatment. Participants considered for this trial should not be denied the use of standard of care (SoC) AIS therapies, such as fibrinolytics or MT, when appropriate. The double-blinded study will be randomized and placebo-controlled at up to approximately 100 sites.

    Monday, January 5, 2026

    Sleep for Stroke Management and Recovery Trial

     

     I have a mild case of sleep apnea (6.5 times an hour), use of a CPAP makes it impossible for me to sleep. My doctor never considered my exhaustion could be sleep apnea rather than the stroke, but then he never knew anything about stroke either. I quit using it so I could actually sleep, no clue if it still exists, no partner to tell me otherwise.

    The latest here:

    Sleep for Stroke Management and Recovery Trial

    ClinicalTrials.gov IDNCT03812653
    SponsorUniversity of Michigan
    Information Provided byDevin Brown, MD, MS
    Study Start (Actual)2019-05-09
    Primary Completion (Estimated) 2026-11
    Study Completion (Estimated)2026-11
    Enrollment (Estimated)3062
    Study TypeInterventional
    Last Update Posted2025-12-19

    Brief Summary

    The purpose of this study is to determine whether treatment of obstructive sleep apnea (OSA) with positive airway pressure starting shortly after acute ischemic stroke (1) reduces recurrent stroke, acute coronary syndrome, and all-cause mortality 6 months after the event, and (2) improves stroke outcomes at 3 months in patients who experienced an ischemic stroke.

    Contact Information

    Study Contact

    NameKayla Novitski, MPH, CCRP

    PhoneNot available

    Study Contact Backup

    NameJoelle Sickler, MSN, CCRC, CCRA

    PhoneNot available


    United States Locations

     

    Alabama

    Birmingham, Alabama, United States 35294 University of Alabama Hospital 

    Arizona

    Chandler, Arizona, United States 85224 Chandler Regional Medical Center

    Phoenix, Arizona, United States 85006

    Banner University Medical Center Phoenix

    Phoenix, Arizona, United States 85013

    Dignity Health - St. Joseph's Hospital and Medical Center

    Tucson, Arizona, United States 85712

    TMC Healthcare

    Tucson, Arizona, United States 85719

    Banner- University Medical Center Tucson

    California

    Carmichael, California, United States 95608

    Mercy San Juan Medical Center

    Downey, California, United States 90242

    Rancho Los Amigos National Rehabilitation Center

    La Jolla, California, United States 92037

    Scripps Memorial

    La Jolla, California, United States 92103

    UCSD Health La Jolla

    Los Angeles, California, United States 90048

    Cedars-Sinai Medical Center

    Los Angeles, California, United States 90095

    Ronald Reagan UCLA Medical Center

    Los Angeles, California, United States 94612

    Kaiser Permanente Los Angeles

    Modesto, California, United States 95355

    Doctors Medical Center of Modesto

    Ontario, California, United States 91761

    UCLA Kaiser Fontana

    Orange, California, United States 92868

    UC Irvine

    Pomona, California, United States 91767

    Casa Colina

    Redwood City, California, United States 94063

    Kaiser Redwood

    Sacramento, California, United States 95817

    UC Davis Medical Center

    San Diego, California, United States 92103

    UCSD Medical Center - Hillcrest Hospital

    San Francisco, California, United States 94143

    UCSF Helen Diller Medical Center at Parnassus Heights

    Santa Ana, California, United States 92705

    Orange County Global Medical Center

    Sylmar, California, United States 91342

    Olive View- UCLA Medical Center

    Walnut Creek, California, United States 94598

    John Muir Medical Center- Walnut Creek Campus

    Colorado

    Grand Junction, Colorado, United States 81501

    St. Mary's Hospital and Medical Center

    Connecticut

    Hartford, Connecticut, United States 06102

    Hartford Hospital

    New Haven, Connecticut, United States 06510

    Yale-New Haven Hospital

    District of Columbia

    Washington D.C., District of Columbia, United States 20037

    George Washington University Hospital

    Florida

    Clearwater, Florida, United States 33756

    Morton Plant Hospital

    Fort Lauderdale, Florida, United States 33305

    Broward Health

    Gainesville, Florida, United States 32611

    UF Health Shands Hospital

    Jacksonville, Florida, United States 32209

    UF Jacksonville

    Jacksonville, Florida, United States 32216

    Brooks Rehabilitation Hospital

    Miami, Florida, United States 33136

    Jackson Memorial Hospital

    Miami, Florida, United States 33176

    Baptist Hospital of Miami

    Sarasota, Florida, United States 34239

    Sarasota Memorial Hospital

    Tampa, Florida, United States 33606

    Tampa General Hospital

    Tampa, Florida, United States 33607

    St. Joseph's Hospital

    Georgia

    Atlanta, Georgia, United States 30303

    Grady Memorial Hospital

    Illinois

    Chicago, Illinois, United States 60612

    Rush University Medical Center

    Chicago, Illinois, United States 60612

    University of Illinois Hospital and Health Sciences System

    Chicago, Illinois, United States 60637

    University of Chicago

    Peoria, Illinois, United States 61603

    OSF Saint Francis Medical Center

    Springfield, Illinois, United States 62702

    Memorial Medical Center

    Iowa

    Des Moines, Iowa, United States 50309

    Iowa Methodist

    Iowa City, Iowa, United States 52242

    University of Iowa Hospitals and Clinics

    Kentucky

    Louisville, Kentucky, United States 40218

    Norton HealthCare

    Louisiana

    New Orleans, Louisiana, United States 70121

    Ochsner Medical Center - Main Campus

    Shreveport, Louisiana, United States 71103

    University Health Shreveport

    Maryland

    Baltimore, Maryland, United States 21201

    University of Maryland

    Massachusetts

    Boston, Massachusetts, United States 02111

    Tufts Medical Center

    Boston, Massachusetts, United States 02114

    Massachusetts General Hospital

    Boston, Massachusetts, United States 02215

    Beth Israel Deaconess Medical Center

    Worcester, Massachusetts, United States 01655

    UMass Memorial Medical Center,

    Michigan

    Detroit, Michigan, United States 48202

    Henry Ford Hospital

    Flint, Michigan, United States 48532

    McLaren Flint

    Grand Rapids, Michigan, United States 49503

    Trinity Health Saint Mary's

    Kalamazoo, Michigan, United States 49008

    Bronson Methodist Hospital

    Minnesota

    Rochester, Minnesota, United States 55905

    Mayo Clinic Saint Marys Campus

    Saint Cloud, Minnesota, United States 56303

    Saint Cloud/Centracare Health

    Mississippi

    Jackson, Mississippi, United States 39216

    University of Mississippi Medical Center

    Missouri

    Kansas City, Missouri, United States 64111

    Saint Luke's Hospital of Kansas City

    Springfield, Missouri, United States 65807

    Cox Medical Center

    St Louis, Missouri, United States 63110

    Barnes-Jewish Hospital

    Nebraska

    Omaha, Nebraska, United States 68198

    University of Nebraska Medical Center

    New Jersey

    Edison, New Jersey, United States 08820

    JFK Neuroscience Institute

    Livingston, New Jersey, United States 07039

    Cooperman Barnabas Medical Center

    Neptune City, New Jersey, United States 07753

    Hackensack Meridian Jersey Shore University Medical Center

    New Mexico

    Albuquerque, New Mexico, United States 87106

    University of New Mexico Hospital

    New York

    Brooklyn, New York, United States 11219

    Maimonides Medical Center

    Brooklyn, New York, United States 11220

    NYU Langone Brooklyn

    Buffalo, New York, United States 14203

    Buffalo General Medical Center

    Manhasset, New York, United States 11030

    North Shore University Hospital

    New York, New York, United States 10016

    Bellevue Hospital

    New York, New York, United States 10016

    NYU Langone -Tish Hospital Medical Center

    New York, New York, United States 10032

    NYP Columbia University Medical Center

    Rochester, New York, United States 14642

    Strong Memorial Hospital

    Staten Island, New York, United States 10305

    Staten Island University Hospital

    Syracuse, New York, United States 13210

    Suny Upstate Medical University

    The Bronx, New York, United States 10467

    Montefiore Medical Center

    North Carolina

    Charlotte, North Carolina, United States 28203

    Carolinas Medical Center Atrium Health

    Concord, North Carolina, United States 28025

    Carolinas Rehab Northeast

    Greensboro, North Carolina, United States 27401

    Guilford Neurologic Associates, Inc

    Winston-Salem, North Carolina, United States 27157

    Wake Forest University Baptist Medical Center

    Ohio

    Cincinnati, Ohio, United States 45219

    Christ Hospital

    Cincinnati, Ohio, United States 45219

    University of Cincinnati Medical Center

    Cleveland, Ohio, United States 11100

    UH Cleveland Medical Center

    Cleveland, Ohio, United States 44195

    Cleveland Clinic

    Columbus, Ohio, United States 43210

    OSU Wexner Medical Center

    West Chester, Ohio, United States 45069

    West Chester Hospital

    Oklahoma

    Tulsa, Oklahoma, United States 74104

    St. John Health System

    Oregon

    Portland, Oregon, United States 97225

    Providence St. Vincent Medical Center

    Pennsylvania

    Bethlehem, Pennsylvania, United States 18015

    St. Luke's University Hospital Bethlehem Campus

    Danville, Pennsylvania, United States 17822

    Geisinger Clinic

    Hershey, Pennsylvania, United States 17033

    Penn State Milton S. Hershey Center

    Philadelphia, Pennsylvania, United States 19104

    Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, United States 19122

    Temple University Hospital

    Pittsburgh, Pennsylvania, United States 15213

    UPMC Presbyterian Hospital

    South Carolina

    Columbia, South Carolina, United States 29203

    Palmetto Health Richland

    Greenville, South Carolina, United States 29605

    Greenville Memorial Hospital

    South Dakota

    Sioux Falls, South Dakota, United States 57108

    Avera Research Institute

    Tennessee

    Knoxville, Tennessee, United States 37916

    Fort Sanders Regional Medical Center

    Memphis, Tennessee, United States 38105

    Methodist University

    Texas

    Dallas, Texas, United States 75246

    Baylor Scott & White Institute of Rehabilitation

    Houston, Texas, United States 77030

    Memorial Hermann Texas Medical Center

    Utah

    Murray, Utah, United States 84107

    Intermountain Medical Center

    Salt Lake City, Utah, United States 84132

    University of Utah Healthcare

    Vermont

    Burlington, Vermont, United States 05401

    The University of Vermont Medical Center Main Campus

    Virginia

    Charlottesville, Virginia, United States 22908

    UVA Medical Center

    Falls Church, Virginia, United States 22042

    Inova Fairfax

    Richmond, Virginia, United States 23219

    Virginia Commonwealth University

    Washington

    Seattle, Washington, United States 98101

    Virginia Mason Medical Center

    Seattle, Washington, United States 98195

    Harborview Medical Center

    West Virginia

    Morgantown, West Virginia, United States 26506

    Ruby Memorial Hospital

    Wisconsin

    La Crosse, Wisconsin, United States 54601

    Gundersen Lutheran Medical Foundation

    Madison, Wisconsin, United States 53715

    University of Wisconsin University Hospital

    Participation CriteriaEligibility CriteriaCurrent Inclusion Criteria, as of 6/28/2024:
      Ischemic stroke within the prior 7 days.
  • NIH Stroke Scale Score ≥1 at the time of enrollment
  • Previous Inclusion Criteria, prior to 6/28/2024:

     

    1. Ischemic stroke or TIA with ABCD ≥4, within prior 14 days.

     

    Exclusion Criteria (for entire time period):

    1. pre-event inability to perform all of own basic ADLs
    2. unable to obtain informed consent from subject or legally authorized representative
    3. incarcerated
    4. known pregnancy
    5. current mechanical ventilation (can enroll later if this resolves) or tracheostomy
    6. current use of positive airway pressure, or use within one month prior to stroke
    7. anatomical or dermatologic anomaly that makes use of CPAP interface unfeasible
    8. severe bullous lung disease
    9. history of prior spontaneous pneumothorax or current pneumothorax
    10. hypotension requiring current treatment with pressors (can enroll later if this resolves)
    11. other specific medical circumstances that conceivably, in the opinion of the site PI, could render the patient at risk of harm from use of CPAP
    12. massive epistaxis or previous history of massive epistaxis
    13. cranial surgery or head trauma within the past 6 months, with known or possible CSF leak or pneumocephalus
    14. recent hemicraniectomy or suboccipital craniectomy (i.e. those whose bone has not yet been replaced), or any other recent bone removal procedure for relief of intracranial pressure
    15. current receipt of oxygen supplementation >4 liters per minute
    16. current contact, droplet, respiratory/airborne precautions

    Ages Eligible for Study

    Minimum Eligible Age Not available

    Maximum Eligible Age Elderly

    Age Groups adult, older_adult

    Eligible Sexes all

    Accepts Healthy VolunteersNo

    Sampling Method Non-Probability Sample