Evidence map›Paper›PMID 39028412›Full record

Trial reportTranslational stroke research2025

A Randomised Controlled Trial of SFX-01 After Subarachnoid Haemorrhage - The SAS Study.

Ardalan Zolnourian, Patrick Garland, Patrick Holton, Mukul Arora, Jonathan Rhodes, Christopher Uff, Tony Birch, David Howat, Stephen Franklin, Ian Galea and 1 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Genetic and pharmacologic modulations elucidate NRF2 protective role in acute pancreatitis.American journal of physiology. Gastrointestinal and liver physiology · 2026
    Article
  3. Review
  4. C-reactive protein and fatigue after subarachnoid haemorrhage.Brain, behavior, & immunity - health · 2025
    Article
  5. Article
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

11 authors.

Ardalan ZolnourianNeurosurgery, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-0428-179X
Patrick GarlandClinical Neurosciences, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-7679-6426
Patrick HoltonNeurosurgery, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-1548-9649
Mukul AroraNeurosurgery, University Hospital Southampton, Southampton, UK.
Jonathan RhodesNeuro Intensive Care, Royal Infirmary of Edinburgh, Edinburgh, UK.
Christopher UffNeurosurgery, Royal London Hospital, London, UK.ORCID http://orcid.org/0000-0001-9787-8001
Tony BirchMedical Physics, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-2328-702X
David HowatEvgen Pharma, Nether Alderley, UK.ORCID http://orcid.org/0000-0001-7296-4165
Stephen FranklinEvgen Pharma, Nether Alderley, UK.
Ian GaleaClinical Neurosciences, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-1268-5102
Diederik BultersNeurosurgery, University Hospital Southampton, Southampton, UK. d.bulters@soton.ac.uk.ORCID http://orcid.org/0000-0001-9884-9050

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SFX-01 is a novel drug for clinical delivery of sulforaphane (SFN). SFN is a potent nuclear factor erythroid 2-related factor 2 activator that reduces inflammation and oxidation, improving outcomes after subarachnoid haemorrhage (SAH) in animal models. This was a multi-centre, double-blind, placebo-controlled, parallel-group randomised clinical trial to evaluate the safety, pharmacokinetics and efficacy of 28 days of SFX-01 300 mg BD in patients aged 18-80 with spontaneous SAH and high blood load on CT. Primary outcomes were (1) safety, (2) plasma and CSF SFN and metabolite levels and (3) vasospasm on transcranial doppler ultrasound. Secondary outcomes included CSF haptoglobin and malondialdehyde and clinical outcome on the modified Rankin Scale (mRS) and SAH outcome tool (SAHOT). A total of 105 patients were randomised (54 SFX-01, 51 placebo). There were no differences in adverse events other than nausea (9 SFX-01 (16.7%), 1 placebo (2.0%)). SFN, SFN-glutathione and SFN-N-acetyl-cysteine AUC

Indexed as

IsothiocyanatesSubarachnoid HemorrhageSulfoxidesAdolescentAdultAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeVasospasm, IntracranialYoung AdultIsothiocyanatessulforaphaneSulfoxidesHaptoglobinNrf2PharmacokineticsRandomised clinical trialSubarachnoid haemorrhageSulforaphane

Identifiers

PMID39028412
PMCPMC12202693

What OpenQuestion holds

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Registered trials

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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.