Evidence map›Paper›PMID 41013792›Full record

ArticleTrials2025

Effect of atorvastatin versus no Statin Treatment on major clinical events in Acute CardioEmbolic stroke patients without a definite indication for statin therapy: protocol for the STACE trial.

Hong-Kyun Park, Jun Yup Kim, Keun-Sik Hong, Yong-Jin Cho, Jong-Moo Park, Dongwhane Lee, Kyusik Kang, Soo Joo Lee, Jae Guk Kim, Jae-Kwan Cha and 44 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

54 authors.

Hong-Kyun ParkDepartment of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.ORCID http://orcid.org/0000-0002-8120-2469
Jun Yup KimDepartment of Neurology, Cerebrovascular Center, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Keun-Sik HongDepartment of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
Yong-Jin ChoDepartment of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
Jong-Moo ParkDepartment of Neurology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea.
Dongwhane LeeDepartment of Neurology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea.
Kyusik KangDepartment of Neurology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Republic of Korea.
Soo Joo LeeDepartment of Neurology, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Republic of Korea.
Jae Guk KimDepartment of Neurology, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Republic of Korea.
Jae-Kwan ChaDeparment of Neurology, Dong-A University Hospital, Busan, Republic of Korea.
Dae-Hyun KimDeparment of Neurology, Dong-A University Hospital, Busan, Republic of Korea.
Moon-Ku HanDepartment of Neurology, Cerebrovascular Center, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Beom Joon KimDepartment of Neurology, Cerebrovascular Center, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Jihoon KangDepartment of Neurology, Cerebrovascular Center, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Tai Hwan ParkDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Sang-Soon ParkDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Jin Kyo ChoiDepartment of Neurology, Seoul Medical Center, Seoul, Republic of Korea.
Kyungbok LeeDepartment of Neurology, Soonchunhyang University Hospital, Seoul, Republic of Korea.
Jeong-Yoon LeeDepartment of Neurology, Soonchunhyang University Hospital, Seoul, Republic of Korea.
Jun LeeDepartment of Neurology, Yeungnam University Hospital, Daegu, Republic of Korea.
Doo Hyuk KwonDepartment of Neurology, Yeungnam University Hospital, Daegu, Republic of Korea.
Byung-Chul LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
Kyung-Ho YuDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
Mi Sun OhDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
Minwoo LeeDepartment of Neurology, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
Man-Seok ParkDepartment of Neurology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Joon-Tae KimDepartment of Neurology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Kang-Ho ChoiDepartment of Neurology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Hyunsoo KimDepartment of Neurology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Dong-Eog KimDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Dong-Seok GwakDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
Jay Chol ChoiDepartment of Neurology, Jeju National University Hospital, Jeju National University, College of Medicine, Jeju, Republic of Korea.
Joong-Goo KimDepartment of Neurology, Jeju National University Hospital, Jeju National University, College of Medicine, Jeju, Republic of Korea.
Chul-Hoo KangDepartment of Neurology, Jeju National University Hospital, Jeju National University, College of Medicine, Jeju, Republic of Korea.
Jee-Hyun KwonDepartment of Neurology, Ulsan University College of Medicine, Ulsan, Republic of Korea.
Wook-Joo KimDepartment of Neurology, Ulsan University College of Medicine, Ulsan, Republic of Korea.
Dong-Ick ShinDepartment of Neurology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
Kyu Sun YumDepartment of Neurology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.
Sung Il SohnDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Hyungjong ParkDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Chulho KimDepartment of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Gangwon-Do, Republic of Korea.
Sang-Hwa LeeDepartment of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Gangwon-Do, Republic of Korea.
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University Hospital, Seoul, Republic of Korea.
Hae-Bong JeongDepartment of Neurology, Chung-Ang University Hospital, Seoul, Republic of Korea.
Chan-Young ParkDepartment of Neurology, Chung-Ang University Hospital, Seoul, Republic of Korea.
Kyungmi OhDepartment of Neurology, Korea University Guro Hospital, Seoul, Republic of Korea.
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Seoul, Republic of Korea.
Jung Hoon HanDepartment of Neurology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea.
Keon-Joo LeeDepartment of Neurology, Korea University Guro Hospital, Seoul, Republic of Korea.
Sung Hyuk HeoDepartment of Neurology, Kyung Hee University Hospital, Seoul, Republic of Korea.
Ho Geol WooDepartment of Neurology, Kyung Hee University Hospital, Seoul, Republic of Korea.
Juneyoung LeeDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.
Hee-Joon BaeDepartment of Neurology, Cerebrovascular Center, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. braindocbae@gmail.com.

Funding

Korea National Institute of Health research project 2023-ER-1006-01
6 · The paper itself

Abstract

backgroundEvidence supporting the use of statin therapy to reduce stroke recurrence and cardiovascular events in acute cardioembolic stroke (CES) patients without atherosclerosis is limited. Past observational studies have been hampered by selection bias and unmeasured confounding factors. This study aims to investigate the potential benefits of statin therapy in acute CES patients without established indications through a registry-based, randomized clinical trial.

methodsThis is a registry-based, multicenter, prospective, randomized, open-label, blinded endpoint (PROBE) study designed to evaluate the efficacy and safety of statin therapy in acute CES patients without established indications for statin use. Patients will be randomly assigned (1:1) to either statin users or non-users, with statin users receiving atorvastatin at a dose of 10 mg or higher throughout the study period. We plan to recruit 1036 participants to detect a relative risk reduction of 43% with 80% power and a two-sided alpha error of 0.05, accounting for a 10% loss to follow-up. The primary outcome is the occurrence of a major clinical event, defined as a composite of stroke recurrence, myocardial infarction, and all-cause mortality within 3 months after the index stroke. The secondary efficacy outcomes include (1) stroke recurrence, (2) all-cause mortality, (3) vascular death, and (4) major vascular events. DISCUSSION: This study will assist stroke physicians in determining the appropriate use of statin therapy for acute CES patients who do not have guideline-based indications.

trial registrationCRIS Registration Number: KCT0006806. Registered on November 29, 2021. URL: https://cris.nih.go.kr/cris.

Indexed as

AtorvastatinEmbolic StrokeHydroxymethylglutaryl-CoA Reductase InhibitorsFemaleHumansMaleMiddle AgedMulticenter Studies as TopicMyocardial InfarctionProspective StudiesRandomized Controlled Trials as TopicRecurrenceRegistriesSecondary PreventionTime FactorsTreatment OutcomeAtorvastatinHydroxymethylglutaryl-CoA Reductase InhibitorsAcute ischemic strokeCardioembolismGuidelinesStatin

Identifiers

PMID41013792
PMCPMC12465799

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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.