Statins In Intracerbral Hemorrhage

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age50+
SponsorBeth Israel Deaconess Medical Center

About this trial

The SATURN trial aims to determine whether continuation vs. discontinuation of statin drugs after spontaneous lobar intracerebral hemorrhage (ICH) is the best strategy; and whether the decision to continue/discontinue statins should be influenced by an individual's Apolipoprotein-E (APOE) genotype.

An MRI ancillary study (SATURN MRI), in a subset of SATURN participants , will evaluate the effects of continuation vs. discontinuation of statin drugs on hemorrhagic and ischemic MRI markers of cerebral small vessel disease, and whether the presence/burden of hemorrhagic markers (i.e. cerebral microbleeds and/or cortical superficial siderosis) on baseline MRI influences the risk of ICH recurrence on/off statin therapy.

Eligibility criteria

Qualifiers

Age ≥ 50 years.

Spontaneous lobar ICH confirmed by CT or MRI scan

Patient was taking a statin drug at the onset of the qualifying/index ICH

Randomization can be carried out within 7 days of the onset of the qualifying ICH

Disqualifiers

Suspected secondary cause for the qualifying ICH, such as an underlying vascular abnormality or tumor, trauma, venous infarction, or hemorrhagic transformation of an ischemic infarct.

History of recent myocardial infarction (attributed to coronary artery disease) or unstable angina within the previous 3 months

Diabetic patients with history of myocardial infarction or coronary revascularization

History of familial hypercholesterolemia

Trial design

Treatments tested in this trial

  • Statins

Treatment groups

1,456 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Beth Israel Deaconess Medical Center

Lead sponsor

NINDS Stroke Trials Network (StrokeNet)

Collaborator

Canadian Stroke Consortium (CSC)

Collaborator

University of Cincinnati

Collaborator

Medical University of South Carolina

Collaborator

Yale University

Collaborator

MetroHealth Medical Center

Collaborator

UH, Cleveland Medical Center

Collaborator

Corewell Health West

Collaborator

West Virginia University

Collaborator

Columbia University

Collaborator

Weill Medical College of Cornell University

Collaborator

New York Presbyterian Brooklyn Methodist Hospital

Collaborator

Buffalo General Medical Center

Collaborator

State University of New York - Upstate Medical University

Collaborator

St. Joseph's Regional Medical Center, New Jersey

Collaborator

Tufts Medical Center

Collaborator

Massachusetts General Hospital

Collaborator

UMass Memorial Health

Collaborator

Brigham and Women's Hospital

Collaborator

Baystate Medical Center

Collaborator

University of Vermont Medical Center

Collaborator

Lahey Hospital & Medical Center

Collaborator

Augusta University Medical Center

Collaborator

Prisma Health-Upstate

Collaborator

The Moses H. Cone Memorial Hospital

Collaborator

University of Virginia

Collaborator

George Washington University

Collaborator

University of Maryland, Baltimore

Collaborator

Mount Sinai Hospital, New York

Collaborator

NYU Langone Medical Center - Tisch Hospital

Collaborator

Montefiore Medical Center

Collaborator

NYU Langone Hospital - Brooklyn

Collaborator

Froedtert Hospital

Collaborator

Central DuPage Hospital

Collaborator

Rush University Medical Center

Collaborator

Loyola University

Collaborator

Stanford University

Collaborator

Mercy San Juan Medical Center

Collaborator

Oregon Health and Science University

Collaborator

Kaiser Permanente

Collaborator

University of Southern California

Collaborator

Cedars-Sinai Medical Center

Collaborator

University of New Mexico

Collaborator

Long Beach Memorial Medical Center

Collaborator

University of California, Irvine

Collaborator

Arrowhead Regional Medical Center

Collaborator

Huntington Memorial Hospital

Collaborator

Scripps Health

Collaborator

University of California, San Diego

Collaborator

Ochsner Health System

Collaborator

St. Joseph's Hospital and Medical Center, Phoenix

Collaborator

Desert Care Network

Collaborator

Eden Medical Center

Collaborator

San Francisco General Hospital

Collaborator

University of California, San Francisco

Collaborator

University of Louisville

Collaborator

Ohio State University

Collaborator

University of Iowa

Collaborator

Sanford Medical Center Fargo

Collaborator

University of Nebraska

Collaborator

Tampa General Hospital

Collaborator

University of Florida

Collaborator

Jackson Health System

Collaborator

Mayo Clinic

Collaborator

Baptist Medical Center Jacksonville

Collaborator

Wayne State University

Collaborator

University of Michigan

Collaborator

Mercy Health Saint Mary Grand Rapids

Collaborator

Metro Health, Michigan

Collaborator

University of Kentucky

Collaborator

McLaren Health Care

Collaborator

Regions Hospital

Collaborator

Allina Health System

Collaborator

University of Kansas

Collaborator

University of Minnesota

Collaborator

St. Cloud Hospital

Collaborator

Milton S. Hershey Medical Center

Collaborator

Abington Memorial Hospital

Collaborator

Temple University

Collaborator

University of Pennsylvania

Collaborator

Lehigh Valley Hospital

Collaborator

York Hospital, York, PA

Collaborator

Thomas Jefferson University

Collaborator

University of Pittsburgh

Collaborator

St. David's HealthCare

Collaborator

Baylor College of Medicine

Collaborator

Tulane Medical Center

Collaborator

The University of Texas Health Science Center at San Antonio

Collaborator

OU Medical Center

Collaborator

University of Utah

Collaborator

Swedish Medical Center

Collaborator

St. Mary's Medical Center

Collaborator

Banner University Medical Center

Collaborator

Intermountain Medical Center

Collaborator

Legacy Emanuel Medical Center

Collaborator

Sacred Heart Medical Center Springfield

Collaborator

Harborview Injury Prevention and Research Center

Collaborator

University of Wisconsin, Madison

Collaborator

Aurora BayCare Medical Center

Collaborator

Wake Forest University Health Sciences

Collaborator

University of Alabama at Birmingham

Collaborator

University of South Alabama

Collaborator

Carolinas Medical Center

Collaborator

Barnes-Jewish Hospital

Collaborator

St. Luke's Hospital, Kansas City, Missouri

Collaborator

University of Arkansas

Collaborator

OSF Healthcare System

Collaborator

Cox Medical Center South

Collaborator

North Shore University Hospital

Collaborator

Rhode Island Hospital

Collaborator

Hartford Hospital

Collaborator

Staten Island University Hospital

Collaborator

Johns Hopkins University

Collaborator

University of North Carolina, Chapel Hill

Collaborator

University of Alberta

Collaborator

The Ottawa Hospital

Collaborator

London Health Sciences Centre

Collaborator

Hamilton General Hospital

Collaborator

Hopital de l'Enfant-Jesus

Collaborator

Montreal Neurological Institute and Hospital

Collaborator

Foothills Medical Centre

Collaborator

University Health Network, Toronto

Collaborator

Health Sciences Centre, Winnipeg, Manitoba

Collaborator

Thunder Bay Regional Health Sciences Centre

Collaborator

Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre

Collaborator

Fraser Health

Collaborator

Hopital de Chicoutimi

Collaborator

Université de Sherbrooke

Collaborator