Early Initiated Ambulance-delivered Levetiracetam and Headposition in Hyper-acute Stroke Trial

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai East Hospital

About this trial

This is an investigator initiated and conducted, multicentre, ambulance-delivered, prospective, randomised, open-label, blinded outcome (PROBE) study. EAST aims to evaluate the effects of pre-hospital levetiracetam and different head positions initiated in ambulance settings on the functional outcome of participants assessed at 90 days.

Eligibility criteria

Qualifiers

Adults (age ≥18 years);

Acute condition that is presumed due to acute stroke, defined on the FAST (Face, Arm, Speech, Time) screen (score ≥2 with an arm deficit);

Time ≤2 hours from last seen well;

Able to provide brief consent (if a waver of consent not approved by ethics committee).

Disqualifiers

coma (no response to painful stimulation);

severe co-morbid disease (e.g. cancer, chronic airflow disease, severe dementia, severe heart failure, pre-existing disability [needing help with everyday activities]);

history of epilepsy or seizure at onset;

recent head injury;

Trial design

Treatments tested in this trial

  • Levetiracetam
  • Guide-recommended management
  • The lying flat (0°) head position
  • The sitting-up (≥30°) head position

Treatment groups

2,423 Participants
are divided into 4 treatment groups

Sponsors and collaborators