Recruiting

Workflow OptimizationWE-TRUST (Workflow Optimization to Reduce Time to Endovascular Reperfusion for Ultra-fast Stroke Treatment)

Sponsor:

Philips Clinical & Medical Affairs Global

Code:

NCT04701684

Conditions

Stroke, Acute

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Direct to Angio Suite (DTAS) Philips' CBCT triage

Conventional CT/MR triage

Study Details

Brief summary:

The WE-TRUST study is a multi-center randomized clinical trial to assess the impact of a Direct to Angio Suite (DTAS) workflow on stroke patient outcomes.

Conditions

Stroke, Acute

Study ID

NCT04701684

Start date

Jun 23, 2021

Status verified date

Sep, 2026

Completion date

Apr 1, 2027

Anticipated

Primary completion date

Apr 1, 2027

Anticipated

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

Subject is 18 years of age or older, or of legal age to give informed consent per state or national law.
Baseline NIHSS score obtained prior to randomization must be equal or higher than 10 points.
Subjects with no significant pre-stroke functional disability (modified Rankin scale 0 - 2).
Subjects suspected of acute ischemic stroke with an estimated arrival time at a stroke center (clinical investigational site participating in this study) < 6 hours from symptom onset OR wake-up stroke with time last known well of < 12 hours and symptoms discovered within 6 hours from arrival time at a stroke center. Symptom onset is defined as point in time the patient was last known well (at baseline).
Informed consent obtained from patient or his or her legally designated representative (if locally required).
Angiography suite immediately available.
Endovascular treatment team immediately available (Neurologist, Neurointerventionalist, Anesthesiologist, Nursing, Technicians as per local standard practice)

Exclusion Criteria:

Clinical exclusion criteria:

Known hemorrhagic diathesis, coagulation factor deficiency, or oral anticoagulant therapy with INR > 3.0
Known baseline platelet count < 30.000/μL
Baseline blood glucose of < 50mg/dL (< 2.78mmol/l)
For patients receiving thrombolysis: severe, sustained hypertension (SBP > 185 mm Hg or DBP > 110 mm Hg). Note: If the blood pressure can be successfully reduced and maintained at the acceptable level using AHA/ASA guidelines recommended medication (including IV antihypertensive drips), the patient can be enrolled.
Patients from a transfer center (Primary Stroke Center) with a CT/MR that is not required to be redone in the Comprehensive Stroke Center as per discretion of the physician or per local standards (e.g. CT/MR less than 90 minutes old).
Patients in coma (NIHSS item of consciousness >1) defined as totally unresponsive; responding only with reflexes or being areflexic (Intubated patients for transfer could be randomized only in case an NIHSS is obtained by a neurologist prior transportation).
Patients with extreme vomiting
Patients that are extremely agitated
Seizures at stroke onset which would preclude obtaining a baseline NIHSS
Serious, advanced, or terminal illness with anticipated life expectancy of less than one year.
Patients acquired stroke while in-hospital
History of life-threatening allergy (more than rash) to contrast medium
Cerebral vasculitis
Patients with a pre-existing neurological or psychiatric disease that would confound the neurological or functional evaluations, mRS score at baseline must be ≤2. This excludes patients who are severely demented, require constant assistance in a nursing home type setting or who live at home but are not fully independent in activities of daily living (toileting, dressing, eating, cooking and preparing meals, etc.)
Unlikely to be available for 90-day follow-up (e.g. no fixed home address, visitor from overseas).
Patients with unstable clinical status who require emergent life support care
Any condition that, in the judgment of the investigator could impose hazards to the patient if study therapy is initiated or affect the participation of the patient in the study.
Subject participates in a potentially confounding drug or device trial during the course of the study.
Woman of childbearing potential who is known to be pregnant on admission.
Subject meets an exclusion criteria according to national law (e.g. age, pregnant woman, breast feeding woman)
Subject is Philips employee or their family members residing with this Philips employee.

Study Design

Enrollment

594 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Diagnostic

Interventions and Outcome Measures

Arms

experimental: Direct tot Angiography Suite (DTAS) triage workflow

active comparator: Conventional CT/MR triage workflow

Interventions

Direct to Angio Suite (DTAS) Philips' CBCT triage

Stroke patients are diagnosed and treated (mechanical thrombectomy) in the same angio suite

Conventional CT/MR triage

First a CT or MRI exam is acquired for triage. In case of an ischemic stroke the patient is then treated in an interventional suite.

Primary outcome measure

Distribution of ordinal modified Rankin Scale (mRS) scores at 90 ± 14 days follow-up [ Time Frame: 90 ± 14 days follow-up ]

Central Contacts and Locations

Central contacts

Gerrits

+31 6 55 48 29 31 carin.gerrits@philips.com

Eshuis

+31 6 28 73 92 80 peter.g.eshuis@philips.com

Locations

Baptist Medical Center

Recruiting

Jacksonville, Florida, United States, 32207

Montefiore Medical Center

Recruiting

The Bronx, New York, United States, 10467

More Information

Sponsor

Philips Clinical & Medical Affairs Global

Last update posted

Sep 4, 2026

Last verified

Sep, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Philips Clinical & Medical Affairs Global on 2026-09-04.