Evidence map›Paper›PMID 41000016›Full record

ArticleStroke2025

Multicenter Translational Trial of Remote Ischemic Conditioning in Acute Ischemic Stroke (TRICS BASIC).

Simone Beretta, Mauro Tettamanti, Jacopo Mariani, Susanna Diamanti, Alessia Valente, Ornella Cuomo, Chiara Di Santo, Ilaria Dettori, Martina Venturini, Irene Bulli and 28 more

Abstract readMulticenter Study
In one paragraph

Article in Stroke, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

38 authors.

Simone BerettaLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-9417-2748
Mauro TettamantiDipartimento di Politiche per la Salute (M.T.), Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy.ORCID 0000-0001-7345-0887
Jacopo MarianiLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0001-9715-1291
Susanna DiamantiLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-6201-1536
Alessia ValenteDipartimento di Danno Cerebrale e Cardiovascolare Acuto, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy (A. Valente, S.F., M.-G.D.S., C.P., S.S.).ORCID 0000-0002-6917-9278
Ornella CuomoDivision of Pharmacology, Department of Neuroscience, School of Medicine, University of Naples Federico II, Italy (O.C., A. Vinciguerra, G.P.).ORCID 0000-0002-6459-2530
Chiara Di SantoDipartimento di Farmacia e Scienze della Salute e della Nutrizione, Università della Calabria, Italy (C.D.S., D.A., G.B.).
Ilaria DettoriDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).
Martina VenturiniDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).ORCID 0000-0002-8198-4683
Irene BulliDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).ORCID 0000-0002-4751-4434
Elisabetta CoppiDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).ORCID 0000-0003-4434-5919
Manuel Alejandro Montano CastilloNeuroimmunology Unit, Institute of Experimental Neurology, IRCCS Ospedale San Raffaele, Milano, Italy (M.A.M.C., E.B., G.S.G., M.B., G.M.).
Erica ButtiNeuroimmunology Unit, Institute of Experimental Neurology, IRCCS Ospedale San Raffaele, Milano, Italy (M.A.M.C., E.B., G.S.G., M.B., G.M.).ORCID 0000-0003-0362-273X
Giorgia Serena GullottaNeuroimmunology Unit, Institute of Experimental Neurology, IRCCS Ospedale San Raffaele, Milano, Italy (M.A.M.C., E.B., G.S.G., M.B., G.M.).ORCID 0000-0002-9580-6765
Martina ViganòLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.
Francesco SantangeloLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0001-7724-6875
Francesco Andrea PedrazziniLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0009-0009-7575-2569
Carlo PeregoDipartimento di Danno Cerebrale e Cardiovascolare Acuto, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy (A. Valente, S.F., M.-G.D.S., C.P., S.S.).ORCID 0000-0002-0259-0003
Serena SeminaraDipartimento di Danno Cerebrale e Cardiovascolare Acuto, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy (A. Valente, S.F., M.-G.D.S., C.P., S.S.).
Serenella AnzilottiDepartment of Human Sciences and Quality of Life Promotion, San Raffaele University, Rome, Italy (S.A.).
Joanna RzemieniecDipartimento di Scienze Farmaceutiche, Università degli Studi di Milano, Italy (J.R., L.C., B.M., M.M., L.S.).ORCID 0000-0002-5732-2794
Laura CastiglioniDipartimento di Scienze Farmaceutiche, Università degli Studi di Milano, Italy (J.R., L.C., B.M., M.M., L.S.).ORCID 0000-0002-0772-3231
Benedetta MercurialiDipartimento di Scienze Farmaceutiche, Università degli Studi di Milano, Italy (J.R., L.C., B.M., M.M., L.S.).ORCID 0009-0005-0296-9194
Majeda MuluhieDipartimento di Scienze Farmaceutiche, Università degli Studi di Milano, Italy (J.R., L.C., B.M., M.M., L.S.).ORCID 0000-0001-6070-442X
Chiara Paola ZoiaLaboratory of Neurobiology, Department of Medicine and Surgery (C.P.Z., G.S., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0003-1654-4996
Gessica SalaLaboratory of Neurobiology, Department of Medicine and Surgery (C.P.Z., G.S., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0003-3573-7523
Luigi SironiDipartimento di Scienze Farmaceutiche, Università degli Studi di Milano, Italy (J.R., L.C., B.M., M.M., L.S.).ORCID 0000-0002-4738-3454
Marco BacigaluppiNeuroimmunology Unit, Institute of Experimental Neurology, IRCCS Ospedale San Raffaele, Milano, Italy (M.A.M.C., E.B., G.S.G., M.B., G.M.).ORCID 0000-0002-0213-2328
Gianvito MartinoNeuroimmunology Unit, Institute of Experimental Neurology, IRCCS Ospedale San Raffaele, Milano, Italy (M.A.M.C., E.B., G.S.G., M.B., G.M.).ORCID 0000-0003-1295-9131
Felicita PedataDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).
Anna Maria PuglieseDepartment of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Italy (I.D., M. Venturini, I.B., E.C., F.P., A.M.P.).
Diana AmanteaDipartimento di Farmacia e Scienze della Salute e della Nutrizione, Università della Calabria, Italy (C.D.S., D.A., G.B.).ORCID 0000-0002-7513-3495
Giacinto BagettaDipartimento di Farmacia e Scienze della Salute e della Nutrizione, Università della Calabria, Italy (C.D.S., D.A., G.B.).ORCID 0000-0001-8540-6218
Antonio VinciguerraDivision of Pharmacology, Department of Neuroscience, School of Medicine, University of Naples Federico II, Italy (O.C., A. Vinciguerra, G.P.).
Giuseppe PignataroDivision of Pharmacology, Department of Neuroscience, School of Medicine, University of Naples Federico II, Italy (O.C., A. Vinciguerra, G.P.).ORCID 0000-0002-7290-4397
Stefano FumagalliDipartimento di Danno Cerebrale e Cardiovascolare Acuto, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy (A. Valente, S.F., M.-G.D.S., C.P., S.S.).ORCID 0000-0003-3598-6263
Maria-Grazia De SimoniDipartimento di Danno Cerebrale e Cardiovascolare Acuto, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milano, Italy (A. Valente, S.F., M.-G.D.S., C.P., S.S.).
Carlo FerrareseLaboratory of Experimental Stroke Research, Department of Medicine and Surgery, and Milan Center for Neuroscience (NeuroMI) (S.B., J.M., S.D., M. Viganò, F.S., F.A.P., C.F.), University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-7499-6600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBasic science studies have reported remote ischemic conditioning (RIC) as neuroprotective in acute ischemic stroke, although clinical evidence remains conflicting. The TRICS BASIC study (Multicenter Translational Trial of Remote Ischemic Conditioning in Acute Ischemic Stroke) investigated the efficacy and safety of RIC in experimental ischemic stroke using a rigorous clinical trial methodology.

methodsMulticenter, multispecies, parallel group, randomized, controlled, preclinical trial of transient femoral artery clipping to induce RIC in female and male rats and mice subjected to transient endovascular occlusion of the middle cerebral artery. Animals were randomized to receive RIC, or sham surgery, after reperfusion. The primary end point was a good functional outcome at 48 hours, assessed using a composite functional neuroscore. Secondary end points were infarct volume at 48 hours and safety, assessed using a standardized health report at 24 and 48 hours. Preenrollment harmonization, centralized monitoring, allocation concealment, blinded outcome assessment, and intention-to-treat analysis were applied.

resultsThe trial enrolled 164 rodents (82 mice and 82 rats) of both sexes (53% females), across 7 laboratories. A greater proportion of RIC-treated rodents achieved a favorable functional outcome compared with controls, at 48 hours postischemia (55% versus 36%; odds ratio, 2.2 [95% CI, 1.23-4.4];

conclusionsSurgically induced RIC provided a modest but evident neuroprotective effect in experimental ischemic stroke, underscoring the potential of this strategy as an adjunctive treatment in stroke care. The findings of the TRICS BASIC study highlighted the importance of multicenter preclinical trials in addressing variability and enhancing translational validity. REGISTRATION: URL: https://www.preclinicaltrials.eu; Unique identifier: PCTE0000177.

Indexed as

Ischemic PreconditioningIschemic StrokeAnimalsDisease Models, AnimalFemaleInfarction, Middle Cerebral ArteryMaleMiceMice, Inbred C57BLRatsTranslational Research, Biomedicalischemic strokemodels, animalmulticenter studyneuroprotection

Identifiers

PMID41000016
PMCPMC12643561

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