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Aneurysmal Subarachnoid Hemorrhage

Part of Intracranial Hemorrhage

10 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Aneurysmal Subarachnoid Hemorrhage

7 trials tracked for Aneurysmal Subarachnoid Hemorrhage: 3 in phase 3 or 4 and 2 with published results. The most-cited published study has 43 citations.

7Trials tracked
3Phase 3 & 4
0Recruiting
2With published results
Phase distribution
Phase 4 2 Phase 3 1 Phase 2 3 Other / NA 1
  1. Phase 3 Clinical Research Study With Clazosentan to Evaluate Its Effects on Preventing Complications Due to the Narrowing of the Blood Vessels (Vasospasm) in the Brain, Caused by Bleeding Onto the Surface of the Brain Completed · 43 cited
  2. Phase 4 Gabapentin for Headache in Aneurysmal Subarachnoid Hemorrhage Completed · 20 cited
  3. Phase 4 Acetazolamide Challenge With Perfusion in the Prediction of Cerebral Vasospasm Completed
  4. Phase 2 Subarachnoid Hemorrhage and Soluble Epoxide Hydrolase Inhibition Trial Completed
  5. Phase 2 The Effects of Tiopronin on 3-Aminopropanal Level & Neurologic Outcome After Aneurysmal Subarachnoid Hemorrhage Completed
  6. Phase 2 Induced Suppression of Platelets Activity in Aneurysmal SAH Management (iSPASM) Completed
Show 1 more trials
  1. N/A Safety and Efficacy of Non-invasive Vagus Nerve Stimulation in the Treatment of Headache in Subarachnoid Hemorrhage Completed

Showing the 7 most-cited and recently-updated of 7 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Aneurysmal Subarachnoid Hemorrhage: what the trials found

Clinical trials have evaluated several pharmacological interventions for aneurysmal subarachnoid hemorrhage (aSAH). Clazosentan was assessed regarding its impact on clinical deterioration due to delayed cerebral ischemia (DCI) and clinically relevant cerebral infarction; results showed no statistically significant difference between groups in either outcome (p=0.7338 and p=0.177, respectively) 3. Furthermore, the modified Rankin Scale (mRS) at week 12 did not show a statistically significant difference between treatment arms (p=0.1983) 3.

Acetazolamide was evaluated for its effects on cerebral hemodynamics, resulting in a 20.722% relative percent change in cerebral blood flow and increases in brain imaging maps for both the left hemisphere (19.785%) and right hemisphere (21.659%) 2.

Gabapentin was investigated for pain management; however, no statistically significant differences were found between groups regarding average numeric pain scores (p=0.7), average narcotic consumption (p=0.79), or pain control satisfaction (p=0.66) 1.

Recent results — preliminary, needs further review

  • Tiopronin was evaluated in a phase 2 trial where mRS scores at discharge, 3 months, and 12 months were recorded (N=60) 4.

For the clinician treating this condition

  • Clazosentan did not demonstrate significant differences in DCI-related deterioration or cerebral infarction rates compared to control groups 3.
  • Acetazolamide is associated with measurable increases in cerebral blood flow and changes in bilateral hemisphere brain imaging maps 2.
  • Gabapentin showed no statistically significant impact on pain scores, narcotic requirements, or patient satisfaction in the studied cohort 1.

AI synthesis of 4 cited trials, updated Jun 29, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Intracranial Hemorrhage

Related studies from across the Intracranial Hemorrhage family.

Impact of Very Early Exercise Rehabilitation on Functional Outcomes in Intracerebral Hemorrhage
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Impact of Very Early Exercise Rehabilitation on Functional Outcomes in Intracerebral Hemorrhage Very early exercise improves recovery for brain bleed patients
Meta-analysis suggests very early exercise rehabilitation improves NIHSS and Fugl-Meyer scores in stable intracerebral hemorrhage patients.
Starting exercise rehabilitation very early after a brain bleed may lead to better physical function and movement for patients.
Hydrocephalus and high Fisher grade blood distribution are strongly associated with post-procedural seizures in SAH
Neurology Meta-analysis
Hydrocephalus and high Fisher grade blood distribution are strongly associated with post-procedural seizures in SAH Specific brain conditions linked to seizures after aneurysm surgery
This meta-analysis of patients undergoing endovascular aneurysm exclusion for subarachnoid hemorrhage identifies hydrocephalus (OR 3.91) and…
New data identifies specific markers, like hydrocephalus, that strongly link to a higher risk of seizures after aneurysm surgery.
Lumbar puncture identifies subarachnoid blood while CT angiography facilitates rapid vascular assessment in SAH
Emergency Medicine Guideline
Lumbar puncture identifies subarachnoid blood while CT angiography facilitates rapid vascular assessment in SAH Lumbar Puncture and CT Angiography Help Diagnose Brain Bleeding
This clinical guideline addresses the management of patients with suspected subarachnoid hemorrhage (SAH) and non-diagnostic head CT scans. …
Doctors use different imaging tools to find brain bleeds when initial scans are unclear, balancing the need for speed against accuracy.
Higher FIB-4 scores are associated with increased odds of poor stroke outcomes and mortality
Neurology Meta-analysis
Higher FIB-4 scores are associated with increased odds of poor stroke outcomes and mortality Higher Fibrosis Scores Linked to Worse Stroke Outcomes
This meta-analysis of 20 cohort studies and 2 cross-sectional studies examines the association between the Fibrosis-4 index (FIB-4) and vari…
A liver health score called FIB-4 shows a link to higher risks of stroke, poor recovery, and death in patients with brain injuries.
Tranexamic acid does not improve mortality or neurological outcomes in acute brain injury
Neurology Meta-analysis
Tranexamic acid does not improve mortality or neurological outcomes in acute brain injury Tranexamic acid does not improve survival in acute brain injuries
This meta-analysis of over 12,000 patients found that tranexamic acid did not significantly impact short-term or long-term mortality or func…
A large review of over 12,000 patients shows that tranexamic acid does not improve survival or recovery after a serious brain injury.
Blood product removal reduces permanent shunting risk and mortality in infants with posthemorrhagic hydrocephalus
Pediatrics Meta-analysis
Blood product removal reduces permanent shunting risk and mortality in infants with posthemorrhagic hydrocephalus Blood Product Removal Shows Lower Risks for Preterm Infants
This meta-analysis of 256 preterm infants with intraventricular hemorrhage and posthemorrhagic hydrocephalus found that blood product remova…
A meta-analysis suggests blood product removal may lower mortality and infection rates in preterm infants with specific brain conditions.
Intracerebral hemorrhage survivors face annual rates of 2.1% recurrent ICH and 2.0% ischemic stroke
Neurology Meta-analysis
Intracerebral hemorrhage survivors face annual rates of 2.1% recurrent ICH and 2.0% ischemic stroke Atrial Fibrillation Linked to Stroke Risk After Brain Bleed
This systematic review and meta-analysis of 198,289 adults with intracerebral hemorrhage (ICH) identifies an annual recurrence rate of 2.1% …
A large review of over 198,000 patients shows a significant link between atrial fibrillation and stroke risk following an intracerebral hemo…
AI-driven and traditional imaging markers provide a structured framework for predicting hematoma expansion in acute ICH
Neurology Sys. Review
AI-driven and traditional imaging markers provide a structured framework for predicting hematoma expansion in acute ICH AI tools may better predict bleeding in the brain
This systematic review evaluates the evolution of imaging-based prediction methods for hematoma expansion in patients with acute intracerebr…
A new review shows AI methods may predict brain bleed expansion better than traditional scans, but hurdles remain.
Remote DWI lesions after intracerebral hemorrhage signal ischemic injury but mechanisms remain unclear
Neurology Sys. Review
Remote DWI lesions after intracerebral hemorrhage signal ischemic injury but mechanisms remain unclear Remote Imaging Lesions May Predict Outcomes for Brain Bleeds
This systematic review examines remote diffusion-weighted imaging (R-DWI) lesions in patients with spontaneous intracerebral hemorrhage. The…
New imaging techniques can identify remote brain tissue damage in patients with a brain bleed, which may help doctors predict patient outcom…
Individualized shunt pressure titration may slow autologous skull graft resorption in patients with hydrocephalus
Orthopedics & Sports Medicine Sys. Review
Individualized shunt pressure titration may slow autologous skull graft resorption in patients with hydrocephalus Adjusting Shunt Pressure May Slow Skull Graft Resorption
This case report and literature review describes a patient with intracerebral hemorrhage, cerebral arteriovenous malformation, and communica…
A case study shows that tailoring shunt pressure can help manage skull graft resorption in patients with specific types of brain injuries.
MIPS and ES rank highest for functional outcomes in patients with spontaneous intracerebral hemorrhage
Neurology Meta-analysis
MIPS and ES rank highest for functional outcomes in patients with spontaneous intracerebral hemorrhage Minimally Invasive Surgery Shows Better Outcomes for Brain Bleeds
This network meta-analysis of 18 randomized controlled trials evaluated surgical interventions for spontaneous intracerebral hemorrhage. MIP…
New research suggests minimally invasive and endoscopic surgeries may offer better functional recovery for patients with brain bleeds compar…
Triple Pill Therapy Lowers Recurrent Stroke Incidence in Patients With Prior Intracerebral Hemorrhage
Neurology RCT
Triple Pill Therapy Lowers Recurrent Stroke Incidence in Patients With Prior Intracerebral Hemorrhage Single pill with three blood pressure drugs cuts stroke risk after brain bleed
This multinational randomized controlled trial enrolled 1670 patients with a history of intracerebral hemorrhage and baseline systolic blood…
A single pill combining three low-dose blood pressure drugs reduced recurrent stroke risk by 39% in people who had a brain bleed.

Questions about Aneurysmal Subarachnoid Hemorrhage

Does where my aneurysm is located change my chances of dying from aneurysmal subarachnoid hemorrhage?

A large meta-analysis found no significant difference in mortality between anterior and posterior circulation aneurysm locations after aSAH.

Full answer →
Will my aneurysm location affect my survival after aneurysmal subarachnoid hemorrhage?

A large meta-analysis found no significant difference in survival between anterior and posterior circulation aneurysm locations after subarachnoid hemorrhage.

Full answer →
Can a five-variable model predict my 90-day outcome after aneurysmal subarachnoid hemorrhage?

Yes, a five-variable model using age, pre-morbid mRS, WFNS grade, modified Fisher grade, and ICH on CT can predict 90-day outcomes after aSAH with good accuracy (AUC 0.868-0.917).

Full answer →