BEST-II随机临床试验的设计
Eva A Mistry1, Kimberly Hart2, Taylor Davis3
1Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
内血管中风治疗后血压II (BEST-II) 试验调查了中风治疗后较低的缩血压目标. 结果将指导未来的研究安全和有效的血压管理后内血管治疗.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 临床试验 临床试验
背景情况:
- 观察性研究表明,急性缺血性中风患者的低缩血压 (SBP) 后内血管治疗 (EVT) 与更好的结果相关.
- 然而,针对SBP低于指南推的180mmHg的安全性和有效性仍未得到证实.
研究的目的:
- 为了比较SBP目标较低与较高的安全性,在成功接受EVT的患者中.
- 为设计提供信息,并估计未来第三阶段试验的成功概率.
主要方法:
- BEST-II试验是一项随机的,开放的,二期试验,涉及120名急性缺血性中风患者.
- 成功接受EVT的患者将随机分配到24小时内≤180,<160或<140毫米的SBP目标,用尼卡迪平治疗.
- 主要结局包括最终心脏病发作量和90天后的功用加权修改的兰金度量得分.
主要成果:
- 招生于2020年1月开始,到2021年10月,已有90名患者注册.
- 试验正在提前进行,预计将在2023年1月之前完成.
结论:
- BEST-II试验将提供关键数据,以确定急性缺血性中风后EVT后较低SBP目标的安全性.
- 结果将证明实现这些目标的可行性,并进行进一步的疗效试验,即使是在COVID-19大流行期间.
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