Evidence map›Paper›PMID 35306827›Full record

Trial reportStroke2022

Effect of Deferoxamine on Trajectory of Recovery After Intracerebral Hemorrhage: A Post Hoc Analysis of the i-DEF Trial.

Lydia Foster, Laura Robinson, Sharon D Yeatts, Robin A Conwit, Amjad Shehadah, Vasileios Lioutas, Magdy Selim, i-DEF Investigators

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02175225 (Study of Deferoxamine Mesylate in Intracerebral Hemorrhage), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02175225 phase2completednot on this map

Study of Deferoxamine Mesylate in Intracerebral Hemorrhage

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2014 to 2018Enrolled294ConditionsIntracerebral HemorrhageArmsDeferoxamine Mesylate, Placebo (for Deferoxamine Mesylate)
3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

  1. Early neurological improvement with deferoxamine after intracerebral hemorrhage: A post hoc analysis of the i-DEF trial.International journal of stroke : official journal of the International Stroke Society · 2025
    Trial
  2. Review
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  8. Ironing out mechanisms of ferroptotic death to tailor new stroke therapies.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  9. Review
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  11. Review
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  16. Article
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  19. Article
  20. New targets in spontaneous intracerebral hemorrhage.Current opinion in neurology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lydia FosterDepartment of Public Health Sciences, Medical University of South Carolina, Charleston (L.F., S.D.Y.).ORCID 0000-0001-6856-5583
Laura RobinsonStroke Division, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (L.R., A.S., V.L., M.S.).ORCID 0000-0002-3530-7761
Sharon D YeattsDepartment of Public Health Sciences, Medical University of South Carolina, Charleston (L.F., S.D.Y.).ORCID 0000-0001-9235-0670
Robin A ConwitNational Institute of Neurological Disorders and Stroke, Bethesda, MD (R.A.C.).ORCID 0000-0001-7650-6698
Amjad ShehadahStroke Division, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (L.R., A.S., V.L., M.S.).ORCID 0000-0001-8679-3774
Vasileios LioutasStroke Division, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (L.R., A.S., V.L., M.S.).ORCID 0000-0002-8521-0036
Magdy SelimStroke Division, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (L.R., A.S., V.L., M.S.).ORCID 0000-0002-1936-3173
i-DEF Investigators

Funding

StATins Use in intRacerebral hemorrhage patieNts (SATURN)U01NS102289 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Magdy H Selim · 2019 to 2026
$15.7M
Futility Study of Deferoxamine Mesylate in Intracerebral Hemorrhage (i-DEF)U01NS074425 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SELIM, MAGDY H · 2012 to 2016
$8.7M
StAtins Use in intRacereberal hemorrhage patieNts MRI (SATURN MRI) Ancillary StudyUF1NS120871 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SELIM, MAGDY H, SHOAMANESH, ASHKAN · 2021 to 2021
$2.7M
NINDS NIH HHS U01 NS074425NINDS NIH HHS U01 NS102289NINDS NIH HHS UF1 NS120871
6 · The paper itself

Abstract

backgroundThere are limited data on the trajectory of recovery and long-term functional outcomes after intracerebral hemorrhage (ICH). Most ICH trials have conventionally assessed outcomes at 3 months following the footsteps of ischemic stroke. The i-DEF trial (Intracerebral Hemorrhage Deferoxamine Trial) assessed modified Rankin Scale (mRS) longitudinally at prespecified time points from day 7 through the end of the 6-month follow-up period. We evaluated the trajectory of mRS among trial participants and examined the effect of deferoxamine on this trajectory.

methodsWe performed a post hoc analysis of the i-DEF trial, a multicenter, randomized, placebo-controlled, double-blind, futility-design, phase 2 clinical trial, based on the actual treatment received. Favorable outcome was defined as mRS score of 0-2. A generalized linear mixed model was used to evaluate the outcome trajectory over time, as well as whether the trajectory was altered by deferoxamine, after adjustments for randomization variables, presence of intraventricular hemorrhage, and ICH location.

resultsA total of 291 subjects were included in analysis (145 placebo and 146 deferoxamine). The proportion of patients with mRS score of 0-2 continually increased from day 7 to 180 in both groups (interaction

conclusionsA large proportion of patients continue to improve up to 6 months after ICH. Future ICH trials should assess outcomes past 90 days for a minimum of 6 months. In i-DEF, treatment with deferoxamine seemed to accelerate and alter the trajectory of recovery as assessed by mRS. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT02175225.

Indexed as

Cerebral HemorrhageDeferoxamineDouble-Blind MethodHumansMedical FutilityTreatment OutcomeDeferoxamineclinical trialdeferoxaminehemorrhageischemic strokerecovery

Identifiers

PMID35306827
PMCPMC9246960

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.