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Intracerebral HemorrhagePhase 3SATURNNCT03936361

Statins In Intracerbral Hemorrhage

A Phase 3 study testing Statins in people with Intracerebral Hemorrhage, run by Beth Israel Deaconess Medical Center at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Intracerebral Hemorrhage
What is being tested?
Statins
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,456 participants
Where
1 siteUnited States
Study dates
10 Jun 2020to Dec 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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
  • Patient or legally authorized representative, after consultation with the statin prescriber, agrees to be randomized to statin continuation (restart) vs. discontinuation

Who cannot join

  • 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
  • Patients receiving proprotein convertase subtilisin kexin 9 (PCSK9) inhibitors
  • Known diagnosis of severe dementia
Show all 15Show fewer
  • Inability to obtain informed consent
  • Patients known or suspected of not being able to comply with the study protocol due to alcoholism, drug dependency, or other obvious reasons for noncompliance, such as unable to adhere to the protocol specified visits/assessments.
  • Life expectancy of less than 24 months due to co-morbid terminal conditions.
  • Pre-morbid mRS >3
  • ICH score >3 upon presentation.
  • Contraindications to continuation/resumption of statin therapy, such as significant elevations of serum creatinine kinase and/or liver transaminases, and rhabdomyolysis
  • Woman of childbearing potential
  • Concurrent participation in another research protocol for investigation of experimental therapy.
  • Indication that withdrawal of care will be implemented for the qualifying ICH.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Magdy Selim, MD, PhD contact

617-632-8917

mselim@bidmc.harvard.edu

United States1 site, 1 recruiting
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

    Magdy Selim, MD, PhD

    Recruiting

Other trials in United States

About this study

Official title: STATINS USE IN INTRACEREBRAL HEMORRHAGE PATIENTS

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.

Read the detailed description

SATURN is a multi-center, pragmatic, prospective, randomized, open-label, and blinded end-point assessment (PROBE) clinical trial. A total of 1,456 patients presenting within 7 days of a spontaneous lobar ICH while taking statins will be randomized to one of two treatment strategies: discontinuation vs. continuation of statin therapy (using the same agent and dose that they were using at ICH onset). Participating subjects will undergo baseline testing for APOE genotype and will be followed for 24 months to assess for the occurrence of recurrent symptomatic ICH or major adverse cerebro-/cardio-vascular events (MACCE) during the follow-up period. A subset of SATURN participants will participate in the optional MRI study, where they will undergo a baseline MRI within 7 days of randomization into SATURN and a repeat MRI at the end of the follow-up period.

Recruitment will take place at ~ 140 sites coordinated through the NIH/NINDS StrokeNet and the Canadian Stroke Consortium.

Being tested
Statins
Medical subject headings
Cerebral Hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • StatinsDrug

    Also called HMG CoA

    Statin drugs (already prescribed) at ICH onset will be either continued or discontinued by the participants following qualifying ICH

Study groups in NCT03936361
Study groupRoleWhat they receive
StatinActive comparatorThe same statin agent and dose that subjects were using at the time of ICH onset.
Receives: Drug: Statins
No-statinNo interventionSubjects will discontinue the statin agent that they were taking at the time of ICH onset. No placebo will be prescribed for these subjects.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Recurrent symptomatic ICH

    Measured: within 24 months

Secondary outcomes (1)
  1. Major Adverse Cerebro- and Cardio-Vascular Events

    Measured: Within 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2019
  2. Study start10 Jun 2020
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completionDec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized at 1:1 ratio to either continue the same statin drug and dosage that they are taking at the time of ICH onset or to discontinue it for up to 24 months after ICH. No placebo will be prescribed for those randomized to discontinue statins.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,456 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03936361
Sponsor's protocol ID
2018C000515
Acronym
SATURN
Status last verified
Apr 2026
First submitted
1 May 2019
Last updated
21 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Marchina S, Yeatts SD, Foster LD, Janis S, Shoamanesh A, Khatri P, Bernstein K, Perlmutter A, Stever C, Heistand EC, Broderick JP, Greenberg SM, Leira EC, Rosand J, Lioutas VA, Salman RAS, Tirschwell D, Marti-Fabregas J, Selim M. Rationale and Design of the Statin Use in Intracerebral Hemorrhage Patients (SATURN) Trial. Cerebrovasc Dis. 2025;54(2):270-277. doi: 10.1159/000538195. Epub 2024 Mar 16.

    PubMed 38493765
  • Marchina S, Foster LD, Yeatts SD, Khatri P, Bernstein K, Perlmutter A, Heistand EC, Smith EE, Sharma M, Broderick JP, Lioutas VA, Marti-Fabregas J, Selim M, Shoamanesh A. SATURN MRI: study protocol for the statin use in intracerebral hemorrhage patients MRI ancillary study. Trials. 2025 Aug 30;26(1):323. doi: 10.1186/s13063-025-09024-0.

    PubMed 40886018
  • Zhao W, Yeatts SD, Broderick JP, Selim MH, Adeoye OM, Durkalski-Mauldin VL, Meinzer CN, Martin RH, Dillon CR, Cassarly CN, Pauls KH, Elm JJ. Optimal Randomization Designs for Large Multicenter Clinical Trials: From the National Institutes of Health Stroke Trials Network Funded by National Institutes of Health/National Institute of Neurological Disorders and Stroke Experience. Stroke. 2023 Jul;54(7):1909-1919. doi: 10.1161/STROKEAHA.122.040743. Epub 2023 Apr 20.

    PubMed 37078281
  • Lee TC, Leung WC, Ho C, Chiu MW, Leung IY, Wong YK, Roxanna LK, Sum CH, Lui DT, Cheung RT, Leung GK, Chan KH, Teo KC, Lau KK. Association of LDL-cholesterol <1.8 mmol/L and statin use with the recurrence of intracerebral hemorrhage. Int J Stroke. 2024 Jul;19(6):695-704. doi: 10.1177/17474930241239523. Epub 2024 Mar 23.

    PubMed 38429252
  • Szejko N, Kirsch E, Falcone GJ. Genetic determinants of LDL cholesterol and risk of intracerebral haemorrhage. Curr Opin Lipidol. 2021 Aug 1;32(4):244-248. doi: 10.1097/MOL.0000000000000761.

    PubMed 34010223

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Statins in people with Intracerebral Hemorrhage, run by Beth Israel Deaconess Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Magdy Selim, MD, PhD (617-632-8917, mselim@bidmc.harvard.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recurrent symptomatic ICH (time frame: within 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03936361, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Apr 2026.

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