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International Surgical Trial in Intracerebral Haemorrhage
ISRCTN ISRCTN19976990
DOI 10.1186/ISRCTN19976990
ClinicalTrials.gov identifier
EudraCT number
Public title International Surgical Trial in Intracerebral Haemorrhage
Scientific title
Acronym STICH
Serial number at source G9702441
Study hypothesis To determine whether a policy of early surgical evacuation of a spontaneous supratentorial intracerebral haemorrhage will improve outcome compared to a policy of initial conservative treatment. Predefined subgroup analysis will be used to better define indications for early surgery
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment International
Disease/condition/study domain Neuroscience, psychiatry
Participants - inclusion criteria 1. Spontaneous, supratentorial intracerebral haemorrhage within 72 h and uncertainty about surgery
2. Minimum clot diameter of 2 cm on initial Computed Tomography (CT)
3. Glasgow Coma Score of 5 or above
Participants - exclusion criteria 1. Haemorrhage due to aneurysm or arteriovenous malformation
2. Cerebellar or brainstem haemorrhages or brainstem extensions of a supratentorial haemorrhage
3. ICH secondary to a tumour or trauma
4. Where surgery cannot be performed within 24 h of randomisation
5. Evidence of severe pre-existing physical or mental disability or of severe co-morbidity which might interfere with the assessment of outcome
Anticipated start date 28/02/1998
Anticipated end date 28/02/2004
Status of trial Completed
Patient information material
Target number of participants 1000
Interventions Early surgical evacuation/initial conservative treatment
Primary outcome measure(s) Glasgow Outcome Scale (favourable = GR/MD: unfavourable = SD/V/D)/ Rankin & Barthel Scale/Mortality
Secondary outcome measure(s) Not provided at time of registration.
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 1. 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/15680453
1. 2006 results on http://www.ncbi.nlm.nih.gov/pubmed/16671426
2. 2006 results on http://www.ncbi.nlm.nih.gov/pubmed/16671427
Contact name Dr  AD  Mendelow
  Address Professor & Head of Department of Neurosurgery
Neurosurgical Trials Unit
Newcastle University
3-4 Claremont Terrace

  City/town Newcastle upon Tyne
  Zip/Postcode NE2 4AE
  Country United Kingdom
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 23/10/2000
Last edited 13/01/2011
Date ISRCTN assigned 23/10/2000
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