Objective
Stroke is the number one cause of disability in the Western world and the 3rd most common cause of death. Despite new treatment options with intra-arterial thrombectomy, still 2 out of 3 patients still have a poor outcome. The main goal of INSIST is to advance treatments of ischemic stroke and its introduction in clinical practice by realizing in silico clinical stroke trials in which stroke and treatment are modeled. We will generate virtual populations of stroke patients, generate and validate in silico models for intra-arterial thrombectomy, thrombosis and thrombolysis, and microvascular perfusion and neurological deterioration after stroke, and integrate the in silico models to realize an in silico clinical stroke trial. We are uniquely positioned by the availability of a large pool of clinical, imaging, histopathological, and outcome data from multiple recently finalized stroke trials, a large registry (totaling 4500 patients), and new trials that will start later this year (totaling 2500 patients). We will build a population model that takes this input to generate virtual populations of stroke patients addressing the wide variety of patient characteristics. We will build on existing and emerging in silico models to validate reusable models for stroke and stroke treatment with a strong interaction with experimenting modeling in laboratories. The in silico models and virtual populations will be combined to simulate clinical trials and validated by simulating and comparing finalized and currently running trials. The in silico models will be used to simulate clinical trials to evaluate effectiveness and safety of novel devices and medication, both for the device as well as the pharmacological industry. For the device industry, we will evaluate the optimal configuration of thrombectomy stents for reduction of thrombus fragmentation. From the perspective of the pharmacy industry, we will simulate the effect of increased TAFIa on the effectiveness of alteplase.
Field of science
- /medical and health sciences/basic medicine/neurology/stroke
- /medical and health sciences/clinical medicine/angiology/vascular diseases
- /natural sciences/biological sciences/biochemistry/biomolecules/proteins/enzymes
- /natural sciences/mathematics/pure mathematics/geometry
Programme(s)
Call for proposal
H2020-SC1-2017-CNECT-2
See other projects for this call
Funding Scheme
RIA - Research and Innovation actionCoordinator
1105AZ Amsterdam
Netherlands
Participants (10)
1012WX Amsterdam
3015 GD Rotterdam
OX1 2JD Oxford
H91 K5YD Galway
H91 Galway
3000 Leuven
20133 Milano
1211 Geneve
92284 Courbevoie
119992 Moscow
