NCT07643493

CleaRRAflow: Isotonic Solution vs. TPA for IVH Clearance

Not Yet Recruiting
PHASE4Ages 18–99InterventionalTreatment
David Dornbos
~80 participants
Updated 2026-07-27 on ClinicalTrials.gov
What's tested:Tissue Plasminogen Activator (tPA)Isotonic solution

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Assess the Impact of Continuous Tissue Plasminogen Activator (TPA) Infusion on the Speed of Intraventricular Hemorrhage (IVH) Clearance
Measured over Enrollment through 90 days
+1 more outcome measured
Tissue Plasminogen Activator
Intraventricular Brain Hemorrhage
1 sites across 1 states
Kentucky1

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Eligibility criteria

Inclusion

Male or female, age 18 years and older
Intraventricular hemorrhage requiring EVD placement for treatment as determined by the cerebrovascular neurosurgical faculty member caring for the patient as per standard of care
Baseline mRS 0 or 1
Consenting requirements met as outlined below

Exclusion

IVH of traumatic origin
Inability to initiate treatment within 24 hours of presentation
Incarcerated individuals, pregnant individuals, or other conditions as deemed by the investigator to potentially confound study data
Presence of evidence of severe brainstem dysfunction on presentation (absence of brain stem reflexes, fixed/dilated pupils)
  • Assess the Impact of Continuous Tissue Plasminogen Activator (TPA) Infusion on the Speed of Intraventricular Hemorrhage (IVH) ClearanceEnrollment through 90 days

    Assess through measurement of blood volume seen on imaging in the form of daily Head CT or Head MRI

  • Assess the Impact of Continuous Tissue Plasminogen Activator (TPA) Infusion on Ventricular Catheter LiberalizationEnrollment through 90 days

    Record duration of time catheter is in place. Timepoints will be recorded from the medical record.