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Intraventricular HemorrhageLD-IVHNCT07625449

Early Lumbar Drainage for Intraventricular Hemorrhage

A study of Intraventricular Hemorrhage and Cerebral Hemorrhage, run by Second Affiliated Hospital of Nanchang University at 31 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, prospective, randomized, open-label, blinded-endpoint (PROBE) trial in Chinese patients with intraventricular hemorrhage (IVH), comparing early lumbar drainage added to standard care with standard care alone. Read more about this study

Who is it for?
Ages 18 to 85 years
Could I receive a placebo?
No, everyone receives an active treatment
How many people
392 participants
Where
31 sitesChina
Study dates
Oct 2026to Oct 2029
Phase
Interventional
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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged 18-85 years, of either sex.
  • First-ever intracerebral hemorrhage (ICH) with CT-confirmed hemorrhage involving the third and/or fourth ventricle, and scheduled to undergo or already having undergone burr-hole ventricular drainage.
  • Intraparenchymal hemorrhage volume <30 mL on admission CT, with stable neurological status and no progressive deterioration before randomization.
  • Randomization completed within 72 hours of symptom onset.
  • Pre-onset modified Rankin Scale (mRS) score of 0 (no symptoms) or 1 (minor symptoms not interfering with daily activities).
  • Written informed consent obtained from the participant or a legal guardian.

Who cannot join

  • Secondary intracerebral hemorrhage, including imaging-confirmed untreated intracranial arteriovenous malformation (AVM), ruptured intracranial aneurysm, moyamoya disease, or intracranial tumor.
  • Long-term use of anticoagulant medication, persistent coagulopathy, or known allergy to urokinase.
  • Prothrombin time (PT) or activated partial thromboplastin time (APTT) prolonged to more than twice the upper limit of normal.
  • Absolute contraindications to lumbar or external ventricular drainage (e.g., cerebral herniation, infection at the puncture site).
  • Infratentorial hemorrhage with a volume ≥10 mL.
  • Thalamic hemorrhage with a volume ≥10 mL, or accompanied by obvious extension into the midbrain, oculomotor nerve palsy, or fixed and dilated non-reactive pupils.
Show all 14Show fewer
  • Unilateral limb paralysis (muscle strength grade 0 or 1) before randomization.
  • Active bleeding from other sites, including the gastrointestinal, genitourinary, or respiratory tracts.
  • Multiple superficial ecchymoses, purpura, or other signs suggesting bleeding or a bleeding tendency.
  • Expected survival of less than 6 months due to other causes.
  • Other coexisting severe diseases that are difficult to treat.
  • Pregnancy.
  • Participation in another interventional clinical trial within 30 days before randomization.
  • Any other condition that, in the investigator's judgment, makes the participant unsuitable for the study.

Trial locations and contacts

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

31 sites in 1 country

China31 sites
  • Changde First People's Hospital

    Changde

    Changde First People's Hospital, 936483206@qq.com

  • Lingcheng District People's Hospital

    Dezhou

    weifawei35888999@163.com

  • Qilu Hospital of Shandong University Dezhou Hospital

    Dezhou

    xushugang82@163.com

  • Fuzhou First People's Hospital

    Fuzhou, Jiangxi

    Fuzhou First People's Hospital, yaoguojun1981@163.com

  • Ganzhou People's Hospital

    Ganzhou

    Ganzhou People's Hospital, yexinyun1270@163.com

  • Ruijin People's Hospital

    Ganzhou

    Manchang Liu, +8615970036188, 61730146@qq.com

  • The First Affiliated Hospital of Gannan Medical University

    Ganzhou

    The First Affiliated Hospital of Gannan Medical University, zzbbchina@126.com

  • The Affiliated Hospital of Guizhou Medical University

    Guiyang

    The Affiliated Hospital of Guizhou Medical University, yhmed@163.com

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou

    The First Affiliated Hospital of Zhejiang University School of, gujun66@163.com

  • The First Affiliated Hospital of Anhui Medical University

    Hefei

    The First Affiliated Hospital of Anhui Medical University, chenjunhui101@163.com

  • Ji'an Central People's Hospital

    Ji’an

    Ji'an Central People's Hospital, Yjp8259309@163.com

  • Jinan Central Hospital

    Jinan, Shandong

    Song Li, +8618761196261, doctorlisong@126.com

  • Jingdezhen Second People's Hospital

    Jingdezhen

    Jingdezhen Second People's Hospital, 280960834@qq.com

  • Jiujiang First People's Hospital

    Jiujiang

    Jiujiang First People's Hospital, 40616665@qq.com

  • The First People's Hospital of Xiushui County

    Jiujiang

    The First People's Hospital of Xiushui County, lhb1062@163.com

  • The Second Hospital of Lanzhou University

    Lanzhou

    The Second Hospital of Lanzhou University, stone19871128@163.com

  • Linyi People's Hospital

    Linyi

    Linyi People's Hospital, drguofeng@163.com

  • The Affiliated Hospital of Southwest Medical University

    Luzhou

    The Affiliated Hospital of Southwest Medical University, yhmed@163.com

  • Nanchang Central Hospital

    Nanchang

    Nanchang Central Hospital, 1641853901@qq.com

  • Second Affiliated Hospital of Nanchang University

    Nanchang

    Ping Hu, +8613097286794, hp666edu@163.com

  • Panzhihua Central Hospital

    Panzhihua

    32406201@qq.com

  • Taihe Hospital

    Shiyan

    Taihe Hospital, 68108261@qq.com

  • The 904th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army

    Suzhou

    The 904th Hospital of the Joint Logistics Support Force of the, chenjunhui1019@163.com

  • Taizhou Hospital of Zhejiang Province

    Taizhou, Zhejiang

    Zhixin Zhao, +8617280677109, caiyj10982@enzemed.com

  • The Second Affiliated Hospital of Wenzhou Medical University

    Wenzhou

    Hansong Sheng, +8613587782218, shs951052@163.com

  • Yichang Central People's Hospital

    Yichang

    Yichang Central People's Hospital, onedy@sina.com

  • Zhangshu People's Hospital

    Yichun

    Zhangshu People's Hospital, 33309779@qq.com

  • Yingtan People's Hospital

    Yingtan

    Yingtan People's Hospital, 20030182@163.com

  • Zhangjiagang First People's Hospital

    Zhangjiagang

    Zhangjiagang First People's Hospital, zhangli_syy@163.com

  • Zhoukou Central Hospital

    Zhoukou

    Zhoukou Central Hospital, 96978849@qq.com

  • Zunyi First People's Hospital

    Zunyi

    Zunyi First People's Hospital, 136166618@qq.com

Other trials in China

About this study

Official title: Effectiveness and Safety of Early Lumbar Drainage in the Treatment of Ventricular Hemorrhage: the LD-IVH Randomized Controlled Trial

This is a multicenter, prospective, randomized, open-label, blinded-endpoint (PROBE) trial in Chinese patients with intraventricular hemorrhage (IVH), comparing early lumbar drainage added to standard care with standard care alone. The primary objective is to evaluate whether, in patients treated with external ventricular drainage (EVD) and intrathecal urokinase, the addition of early lumbar drainage improves functional outcomes at 180 days, as measured by the modified Rankin Scale (mRS), and reduces complications.

Read the detailed description

Intraventricular hemorrhage (IVH) is a life-threatening complication of acute stroke, associated with high rates of mortality and severe disability, fewer than 20% of survivors achieve favorable functional outcomes. Despite the widespread use of external ventricular drainage (EVD) and intraventricular thrombolysis, the role of early lumbar drainage in improving outcomes remains controversial, with limited high-level evidence from randomized controlled trials.

The LD-IVH study will use a 1:1 stratified block randomization design, with stratification by intraparenchymal hematoma and hospital. Eligible patients will be randomized to receive either (1) control group treatment: standard EVD plus daily intrathecal urokinase (30,000 IU) for 3 consecutive days, with a maximum treatment duration of 5 days; or (2) intervention group treatment: the same EVD and intrathecal urokinase regimen as the control group, with early lumbar drainage additionally initiated within 72 hours of onset. CSF was drained at a rate of ≤8 mL/h, with a daily maximum volume of 200 mL, to keep intracranial pressure stable.

The primary endpoint will be the proportion of patients with a favorable functional outcome (modified Rankin Scale [mRS] score 0-3) at 180 days. A total of 392 patients will be enrolled, and an interim efficacy analysis is planned after 50% of participants complete the 180-day follow-up.

Being tested
Control treatment plus lumbar drainage, Control treatment schedule
Keywords
Intraventricular Hemorrhage, Lumbar Drainage, External Ventricular Drainage, Urokinase, PROBE design, Randomized Controlled Trial
Medical subject headings
Cerebral Hemorrhage

What participants receive

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

  • Control treatment plus lumbar drainageProcedure or surgery

    Early lumbar cistern drainage was initiated within 72 hours of onset. The CSF drainage rate was maintained below 8 mL/h, and the daily total drainage volume did not exceed 200 mL to maintain stable intracranial pressure.

  • Control treatment scheduleProcedure or surgery

    Patients receive external ventricular drainage (EVD) combined with intrathecal urokinase injection. Urokinase is administered as a single daily dose of 30,000 IU for 3 consecutive days, and the maximum duration of urokinase treatment does not exceed 5 days. Thrombolysis is discontinued when cranial CT demonstrates clearance of the third/fourth ventricular cast, relief of mass effect, or a hematoma clearance rate of ≥80%.

Study groups in NCT07625449
Study groupRoleWhat they receive
Control Group (EVD + Intrathecal Urokinase)Active comparatorPatients received external ventricular drainage (EVD) combined with intrathecal urokinase injection. Urokinase was administered as a single daily dose of 30,000 IU for 3 consecutive days. A follow-up cranial CT was then performed to assess ventricular obstruction and hematoma clearance, which guided the decision on whether to continue thrombolysis. The maximum total duration of urokinase treatment did not exceed 5 days. Thrombolysis was discontinued when CT demonstrated clearance of the third/fourth ventricular cast, relief of mass effect, or a hematoma clearance rate of ≥80%.
Receives: Procedure: Control treatment schedule
Intervention Group (Control Treatment + Lumbar Drainage)ExperimentalIn addition to the same EVD and intrathecal urokinase regimen as the control group, early lumbar drainage was initiated within 72 hours of onset. The CSF drainage rate was maintained below 8 mL/h, and the daily total drainage volume did not exceed 200 mL to maintain stable intracranial pressure.
Receives: Procedure: Control treatment plus lumbar drainage

What is being measured

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

  1. Proportion of participants with mRS score 0-3 at 180 days after onset

    Percentage of patients with modified Rankin Scale score 0 to 3 at 180-day follow-up.

    Measured: 180 days after disease onset

Secondary outcomes (13)
  1. Proportion of participants with mRS 0-3 at 90 days after onset

    Percentage of patients with a modified Rankin Scale score of 0 to 3 at the 90-day follow-up.

    Measured: 90 days after onset

  2. Proportion of participants with GOS score 4-5 at 180 days after onset

    Percentage of patients with a Glasgow Outcome Scale (GOS) score of 4 or 5 at the 180-day follow-up.

    Measured: 180 days after onset

  3. Proportion of participants with mRS 0-2 at 90 days and 180 days

    Percentage of patients with a modified Rankin Scale score of 0 to 2 at the 90- and 180-day follow-up.

    Measured: 90 and 180 days after disease onset

  4. Change in ordinal mRS score from baseline to 180 days after onset

    Change in the ordinal modified Rankin Scale score between baseline and the 180-day follow-up.

    Measured: Baseline to 180 days after disease onset

  5. EQ-5D score at 180 days after onset

    Health-related quality of life measured by the EuroQol-5D (EQ-5D) questionnaire at the 180-day follow-up.

    Measured: 180 days after disease onset

  6. Proportion of participants with Barthel Index score 75-100 at 180 days after onset

    Percentage of patients with a Barthel Index score of 75 to 100 at the 180-day follow-up.

    Measured: 180 days after disease onset

  7. Proportion of participants with shunt-dependent hydrocephalus before discharge and at 180 days after onset

    Percentage of patients requiring permanent cerebrospinal fluid shunting for hydrocephalus before hospital discharge and at the 180-day follow-up.

    Measured: Before hospital discharge and 180 days after disease onset

  8. Daily CSF drainage volume before catheter removal

    Daily volume of cerebrospinal fluid drained (mL/day) from the external ventricular drain and lumbar drain before removal of the drainage catheters.

    Measured: During the drainage period before catheter removal

  9. Proportion of participants with resolution of third and/or fourth ventricular obstruction

    Percentage of patients with resolution of third and/or fourth ventricular obstruction on cranial CT within 14 days after enrollment or before hospital discharge.

    Measured: Within 14 days after enrollment or before hospital discharge

  10. Dynamic intracranial hemorrhage clearance rate before catheter removal

    Serial (dynamic) rate of intracranial hemorrhage clearance on cranial CT before removal of the external ventricular and lumbar drainage catheters.

    Measured: Before removal of the external ventricular and lumbar drainage catheters

  11. Length of hospital stay

    Total duration of hospitalization (days).

    Measured: From admission to hospital discharge

  12. Length of NICU stay

    Total duration of stay in the intensive care unit (days).

    Measured: From NICU admission to NICU discharge

  13. Total hospitalization costs

    Total medical costs incurred during hospitalization, in RMB.

    Measured: From admission to hospital discharge

Timeline

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

  1. First posted4 Jun 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionOct 2029 (estimated)
  4. Study completionOct 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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
392 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07625449
Sponsor's protocol ID
LD-IVH-2026-001
Other IDs
ChiCTR2600123877
Acronym
LD-IVH
Status last verified
Mar 2026
First submitted
16 May 2026
Last updated
4 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study of Intraventricular Hemorrhage and Cerebral Hemorrhage, run by Second Affiliated Hospital of Nanchang University at 31 sites in China.

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 6 inclusion and 14 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: opening soon, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in China. 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.

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 Ping Hu, MD (+86 13097286794, hp666edu@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants with mRS score 0-3 at 180 days after onset (time frame: 180 days after disease onset). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Sep 2026.

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