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The Neurology Research Program was founded in 2023 and is led by Dr. Danielle de Sa Boasquevisque. The program participates in multicenter (national and multinational) clinical drug and clinical device trials. Areas of research include: ischemic and hemorrhagic stroke, atrial fibrillation, systemic embolism, intracranial atherosclerosis, cerebral amyloid angiopathy and intravenous thrombolysis.

Current Team Members

Dr. Danielle de Sa Boasquevisque
Physician Lead

Dr. Alicia Mattia
Co-Investigator

Dr. Si You Sun
Co-Investigator

Dr. Syed Faraz Masood
Co-Investigator

Dr. Samuel Thrall
Co-Investigator

Dr. Euan Zhang
Co-Investigator

Leanne Kent
Niagara District Stroke Care Coordinator

Ralph Gaa
Research Coordinator

Ongoing Studies

cAPPricorn-1

cAPPricorn-1: A Phase 2 Trial of ALN-APP in Patients With Cerebral Amyloid Angiopathy

The purpose of the study is to evaluate the effect of ALN-APP on measures of Cerebral Amyloid Angiopathy (CAA) disease progression and to characterize the safety, tolerability and pharmacodynamics of ALN-APP in adult patients with sporadic CAA and Dutch-type CAA.

CAPTIVA

CAPTIVA: Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis

The narrowing of brain arteries is one of the most common causes of stroke worldwide. There is evidence to suggest that antithrombotic medications could reduce the rate of stroke in patients with narrowed brain arteries. This study will compare antithrombotic medication (rivaroxaban or ticagrelor or both) to the standard care antiplatelet medication (clopidogrel).

ENRICH-AF

ENRICH-AF: EdoxabaN for IntraCranial Hemorrhage Survivors with Atrial Fibrillation

The objective of this study is to evaluate whether edoxaban is superior to standard medical therapy in reducing the risk of stroke in high-risk atrial fibrillation patients with previous intracranial hemorrhage.

LAAOS-4

LAAOS-4: The Fourth Left Atrial Appendage Occlusion Study

Atrial fibrillation is a common condition where the heart’s upper chambers beat too fast and irregularly, reducing pumping efficiency. This can cause blood to pool, increasing the risk of clot formation. If a clot enters the bloodstream, it can block arteries and cause a stroke.

The LAAOS-4 study aims to determine if closing the left atrial appendage with the WATCHMAN FLX™ or FLX PRO™ device, along with Oral Anticoagulant (OAC) medication, is more effective at preventing strokes and blood clots than OAC medication alone.

LIBREXIA-STROKE

LIBREXIA-STROKE: A Study of Milvexian in Participants After an Acute Ischemic Stroke or High-Risk Transient Ischemic Attack

The purpose of this study is to evaluate whether milvexian compared to placebo reduces the risk of recurrent ischemic stroke.

ReMEDy2

ReMEDy2: Treatment of Acute Ischemic Stroke

This study will evaluate the safety and efficacy of DM199 (rinvecalinase alfa) in treating participants with moderate stroke severity, who present within 24 hours of Acute Ischemic Stroke onset due to small and medium vessel blockages.

SATURN

SATURN: Statins in Intracerebral Hemorrhage

This study aims to determine whether statin drugs should be continued or discontinued after spontaneous lobar intracerebral hemorrhage (subtype of stroke) and whether the decision to continue/discontinue statins should be influenced by an individual’s APOE genotype.

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