The Virtual International Stroke Trials Archive

Myzoon Ali
Philip M.W. Bath
John Curram
Stephen M. Davis
Hans-Christoph Diener
Geoffrey A. Donnan
Marc Fisher, University of Massachusetts Medical School
Barbara A. Gregson
James Grotta
Werner Hacke
Michael G. Hennerici
Marc Hommel
Markku Kaste
John R. Marler
Ralph L. Sacco
Philip Teal
Nils-Gunnar Wahlgren
Steven Warach
Christopher J. Weir
Kennedy R. Lees

Abstract

BACKGROUND AND PURPOSE: Stroke has global importance and it causes an increasing amount of human suffering and economic burden, but its management is far from optimal. The unsuccessful outcome of several research programs highlights the need for reliable data on which to plan future clinical trials. The Virtual International Stroke Trials Archive aims to aid the planning of clinical trials by collating and providing access to a rich resource of patient data to perform exploratory analyses.

METHODS: Data were contributed by the principal investigators of numerous trials from the past 16 years. These data have been centrally collated and are available for anonymized analysis and hypothesis testing.

RESULTS: Currently, the Virtual International Stroke Trials Archive contains 21 trials. There are data on >15,000 patients with both ischemic and hemorrhagic stroke. Ages range between 18 and 103 years, with a mean age of 69+/-12 years. Outcome measures include the Barthel Index, Scandinavian Stroke Scale, National Institutes of Health Stroke Scale, Orgogozo Scale, and modified Rankin Scale. Medical history and onset-to-treatment time are readily available, and computed tomography lesion data are available for selected trials.

CONCLUSIONS: This resource has the potential to influence clinical trial design and implementation through data analyses that inform planning.