Paramedics in Toronto, Vancouver, Richmond and the Region of Peel in suburban Toronto will soon administer a stroke drug, called NA-1, to eligible stroke victims as part of a new 558-patient randomized control trial.
The trial will begin in Toronto on March 16 and expand to the other cities thereafter.
NA-1 has already been shown to reduce damage caused by stroke and to improve brain function for patients undergoing brain surgery. The study, known as FRONTIER, will compare outcomes when paramedics give either NA-1 or placebo to patients while transporting patients to the closest stroke centre. Once in hospital, patients will receive standard care for strokes.
Canadians who suffer a stroke and receive emergency services support from Peel Regional Paramedic Services, BC Emergency Health Services or Toronto Paramedic Services will be enrolled in the trial, if they meet eligibility criteria. The Toronto, Vancouver and Region of Peel stroke centres participating in FRONTIER are:
- St. Michael’s Hospital
- Sunnybrook Health Sciences Centre
- Toronto Western Hospital
- Trillium Health Partners
- Vancouver General Hospital
Participant’s consent is required before a product is delivered in most clinical trials. However, given the immediate nature of emergency stroke care, the consent process has been deferred by Health Canada and the Research Ethics Boards at the centres participating in this trial. Participants and families will be informed and asked for consent to continue in the study once the medical emergency has stabilized.
Stroke is the most significant cause of neurological disability and death worldwide. It affects 62,000 Canadians and kills more than 11,000 annually.
The FRONTIER trial is supported by a Multi-Investigator Research Initiative grant from the Brain Canada Foundation and sponsored by NoNO Inc.