OBJECTIUS

El grup de recerca en neurociències clíniques, Tarraco Grup de recerca en Neurociències clíniques, treballa en el camp de les malalties neurològiques, incloent les malalties neurovasculars, les neuroinflamatòries i les neurodegeneratives. Els objectius del grup de recerca són:

Estudiar les diferents malalties que afecten al sistema nerviós.

Col·laborar en projectes que aportin valor al diagnòstic, pronòstic i prevenció de les malalties neurològiques.

Fer divulgació científica de les patologies que afecten el sistema nerviós dins del nostre territori.

RESPONSABLES
  • Dr. Xavier Ustrell

  • Línies de recerca
  • Projectes
  • Difusió
  • Membres del grup
  • Publicacions
  • Contacte
  • Malalties neurovasculars, el grup treballa en diferents projectes clínics per estudiar el diagnòstic, pronòstic i maneig agut dels pacients amb ictus isquèmics o hemorràgics, biomarcadors de la malaltia, ateromatosi i predictors clínics de fibril·lació auricular.
  • Neuroimmunologia. El grup de recerca col·labora en la xarxa catalana de l’esclerosi múltiple, així com en assajos clínics internacionals.
  • Malalties neurodegeneratives. Aquesta línia està centrada en la recerca de biomarcadors predictius de la malaltia d’Alzheimer així com en l’estudi de neuroimatges en diferents patologies neurodegeneratives.
  • Epilèpsia i malalties neuromusculars.

    On-going

  • A Multi-center, Randomized, open-label blinded endpoint (PROBE), phase III study, for the comparation of Tenecteplase (TNK) versus Alteplase, with a 1:1 allocation, before thrombectomy in patients with acute ischemic stroke and large vessel occlusion in Catalonia (TNK-CAT). Principal Investigator: Dr. Xavier Ustrell. Hospital Joan XXIII Tarragona-IISPV. Sponsor: Vall d’Hebrón Institut de Recerca (VHIR). Principal Investigator. Ongoing. NCT05626972

  • “A randomized trial on hemodynamic optimization of cerebral perfusion after endovascular therapy in patients with acute ischemic stroke”. Principal Investigator: Dr. Alan Flores. Hospital Joan XXIII Tarragona-IISPV. Sponsor: Hospital Sant Pau Barcelona. CoInvestigator. Ongoing. NCT04892511

  • ENRICH-AF. “Edoxaban for Intracranial hemorrhage survivors with Atrial Fibrillation”. Principal Investigator: Dr. Xavier Ustrell. Hospital Joan XXIII Tarragona IISPV. Sponsor: Population Health Research Institute Canada. Ongoing. NCT03950076

  • OCEANIC-STROKE. A Study to Learn More About Asundexian (Also Called BAY2433334) for Prevention of Ischemic Stroke in Male and Female Participants Aged 18 Years and Older Who Already Had Such a Stroke Due to a Blood Clot That Formed Outside the Heart and Travelled to the Brain, or Temporary Stroke-like Symptoms. Hospital Joan XXIII Tarragona IISPV. Sponsor: Bayer Pharmaceuticals. 2023. Principal Investigator Dr. Xavier Ustrell. Clinical Research Coordinator. Ongoing. NCT05686070

  • LIBREXIA-STROKE. A Study of Milvexian in Participants After an Acute Ischemic Stroke or High-Risk Transient Ischemic Attack- LIBREXIA-STROKE. Principal Investigator: Dr. Xavier Ustrell. Hospital Joan XXIII Tarragona IISPV. Sponsor: Jansen Pharmaceuticals. Clinical Research Coordinator. Ongoing. NCT05702034.

  • “Manejo de los lípidos en pacientes con Ictus en Cataluña y Baleares”. Principal Investigator: Dr. Alan Flores. Hospital Joan XXIII Tarragona IISPV. Co-Investigator. Ongoing.

  • HIC-CAT. Beneficios del Ingreso Precoz en un centro Terciario para Pacientes con Hemorragia Intracerebral. Sponsor: Hospital de la Santa Creu i Sant Pau. Acting as: Co-Investigator. Hospital Joan XXIII Tarragona-IISPV. Ongoing.

  • CONVINCE . “Colchicine for Prevention of Vascular Inflammation in Non-Cardioembolic Stroke. Prospective Randomised Open-label Blinded Endpoint Clinical Trial of Low-dose Colchicine for Secondary Prevention After Stroke”. Principal Investigator Dr.Xavier Ustrell. Hospital Joan XXIII Tarragona-IISPV. Sponsor: Health Research Board Stroke Clinical Trial Network Ireland. 2018. Principal Investigator. Ongoing. NCT02898610

     

    Complerts

  • AXIOMATIC –SSP Trial. Antithrombotic Treatment with Factor Xia Inhibition to Optimize Management of Acute Thromboembolic Events in Secondary Stroke Prevention. Principal Investigator: Dr. Xavier Ustrell. Hospital Universitari Joan XXIII Tarragona IISPV. Closed. Acting as Principal Investigator. NCT03766581

  • “A Trial Comparing Transfer to the Closest Local Stroke Center vs Direct Transfer to Endovascular Stroke Center of Acute Stroke Patients with Suspected Large Vessel Occlusion in the Catalan Territory”. Sponsor: Fundaciò Ictus Malaltia Vascular. 2019. Principal Investigator. Closed.
    Pérez de la Ossa N, Abilleira S, Jovin TG, et al. ; RACECAT Trial Investigators. Effect of Direct Transportation to Thrombectomy-Capable Center vs Local Stroke Center on Neurological Outcomes in Patients With Suspected Large-Vessel Occlusion Stroke in Nonurban Areas: The RACECAT Randomized Clinical Trial. JAMA. 2022 May 10;327(18):1782-1794. doi: 10.1001/jama.2022.4404. Erratum in: JAMA. 2023 Apr 4;329(13):1123. PMID: 35510397; PMCID: PMC9073661.

  • RESPECT-ESUS. Dabigatran for Prevention of Stroke after Embolic Stroke of Undetermined Source. Funded by Boehringer Ingelheim; RE-SPECT ESUS ClinicalTrials.gov number, NCT02239120. Closed.
    Diener HC, Sacco RL, Easton JD, et al.; RE-SPECT ESUS Steering Committee and Investigators. Dabigatran for Prevention of Stroke after Embolic Stroke of Undetermined Source. N Engl J Med. 2019 May 16;380(20):1906-1917. doi: 10.1056/NEJMoa1813959. PMID: 31091372.

  • WAKE UP stroke: MRI-Guided Thrombolysis for Stroke with Unknown Time of Onset. Funded by the European Union Seventh Framework Program. WAKE-UP ClinicalTrials.gov number, NCT01525290; and EudraCT number, 2011-005906-32. Closed. Thomalla G, Simonsen CZ, Boutitie F et al. ; WAKE-UP Investigators. MRI-Guided Thrombolysis for Stroke with Unknown Time of Onset. N Engl J Med. 2018 Aug 16;379(7):611-622. doi: 10.1056/NEJMoa1804355. Epub 2018 May 16. PMID: 29766770.

  • ENOS Trial. “Efficacy of nítric oxide, with or without continuing antihypertensive treatment, for management of high Blood pressure in acute stroke (ENOS): a partial-factorial randomised controlled trial. Universitat Notthingam”. 2014. NCT 00989716. Closed.
    ENOS Trial Investigators. Efficacy of nitric oxide, with or without continuing antihypertensive treatment, for management of high blood pressure in acute stroke (ENOS): a partial-factorial randomised controlled trial. Lancet. 2015 Feb 14;385(9968):617-628. doi: 10.1016/S0140-6736(14)61121-1. Epub 2014 Oct 21. Erratum in: Lancet. 2015 Feb 14;385(9968):606. PMID: 25465108; PMCID: PMC4343308.

    Año

    HARMONICS: feasibility of a holistic value-based care hybrid programme that maximises clinical outcomes after stroke.

    Rubiera M, Garcia-Tornel A, Muchada M, Purroy F, Sargento-Freitas J, Ustrell X, Bustamante A, Silva Y, Alsina MD, Girao C, Mauri G, Bernardo-Castro S, Canela N, Dolz E, Ortiz E, Colangelo G, Cano D, Ribo M, Molina CA. 01/03/2026. European Stroke Journal. 11. PMID: 41843803. doi: 10.1093/esj/aakag016

    Impact of arterial occlusion location on early neurological deterioration in patients with minor stroke treated with intravenous thrombolysis. The MINORCAT-END study.

    Font MÀ, García-Sánchez SM, Mengual JJ, Avellaneda-Gómez C, Boned S, Aragonès JM, Silva Y, Martínez M, Doncel-Moriano A, Ustrell X, Camps-Renom P, Mauri-Capdevila G, Purroy F, Rodríguez-Campello A, Palomeras E, Krupinski J, Figueras-Aguirre G, Catena E, García-Alhama J, Esteve-Belloch P, Matos N, Colom C, Aguiló O, Coll A, Díaz G, Tió E, Ortega O, Alfonso S, Jiménez-Fàbrega X, Salvat-Plana M, Elosua R, Pérez de la Ossa N, Abilleira S, Gómez-Choco M. 17/12/2025. Neurological Sciences. 47. PMID: 41405770. doi: 10.1007/s10072-025-08721-7

    Emergent Carotid Artery Stenting in Patients With Acute Ischemic Stroke With Tandem Lesions: One-Year Follow-Up Results From the SECURIS Study.

    Ezcurra-Díaz G, Cardona P, Rodriguez-Villatoro N, Doncel-Moriano Cubero A, Flores-Pina B, Figueras-Aguirre GL, Fernández-Pérez I, Xuclà-Ferrarons T, Purroy F, Flores A, Guasch-Jiménez M, Lambea-Gil Á, Prats-Sanchez L, Ramos-Pachón A, Martinez-Domeño A, Marti-Fabregas J, Fernández-Vidal JM, Abilleira S, Salvat-Plana M, Núñez-Guillén A, Lara-Rodríguez B, Rodriguez-Luna D, Hernandez D, Rodríguez Vázquez A, Cabero-Arnold A, Menéndez Albarracín A, Cánovas D, Camps-Renom P. 01/10/2025. Neurology. 105. PMID: 40939130. doi: 10.1212/WNL.0000000000214067

    Rescue stenting after failed mechanical thrombectomy: The RES-CAT study.

    Collet-Vidiella R, Camps-Renom P, Núñez-Guillén A, Quesada H, Rizzo F, Rodriguez-Villatoro N, Amaro S, Llull L, Santana D, Estrada E, Flores A, Terceño M, Bashir S, Hernández-Pérez M, Remollo S, Barrachina-Esteve O, Cánovas D, Vivas E, Rodríguez-Campello A, Mauri G, Purroy F, Ramos-Pachón A, Guasch-Jiménez M, Guisado-Alonso D, Prats-Sánchez L, Martínez-Domeño A, Lambea-Gil Á, Ezcurra-Díaz G, Branera-Pujol J, Martínez-González JP, Dinia L, Salvat-Plana M, Pérez de la Ossa N, Molina CA, Cardona P, Martí-Fàbregas J. 01/09/2025. European Stroke Journal. 10. PMID: 39745051. doi: 10.1177/23969873241308680

    Association of initial core volume on non-contrast CT using a deep learning algorithm with clinical outcomes in acute ischemic stroke: a potential tool for selection and prognosis?

    Flores, A, Ustrell, X, Seró, L, Suarez, A, Avivar, Y, Cruz-Criollo, L, Galecio-Castillo, M, Cespedes, J, Cendrero, J, Salvia, V, Garcia-Tornel, A, Gadea, MO, Canals, P, Ortega-Gutierrez, S, Ribó, M. 24/07/2025. Journal Of Neurointerventional Surgery. 18. PMID: 40707242. doi: 10.1136/jnis-2025-023897

    BRIVA-ONE study: 12-month outcomes of brivaracetam monotherapy in clinical practice

    Villanueva, V, Villar, EG, Fernandez-Cabrera, A, Zurita, J, Lopez-Gonzalez, FJ, Rodríguez-Osorio, X, Parejo-Carbonell, B, Estevez, JC, Mercedes-Alvarez, B, Ojeda, J, Rubio-Roy, M, Garcia-Escrivá, A, Gómez-Ibáñez, A, Martinez-Poles, J, Martinez-Agredano, P, Calle, R, Sierra-Marcos, A, Gonzalez, AM, Herrera, JD, Rodriguez-Uranga, J, Cabezas, B, Martinez, E, Renau, J, de Toledo, M, Hampel, KG, Alarcón, C, Barceló, MI, Monterde, A, Lara, LB, Sansa, G, Serratosa, JM. 01/12/2024. Epilepsia Open. 9. PMID: 39470722. doi: 10.1002/epi4.13078

    Biomarkers of response to ocrelizumab in relapsing-remitting multiple sclerosis.

    Rodríguez-Jorge F, Fernández-Velasco JI, Villarrubia N, Gracia-Gil J, Fernández E, Meca-Lallana V, Díaz-Pérez C, Sainz de la Maza S, Pacheco EM, Quiroga A, Ramió-Torrentà L, Martínez-Yélamos S, Bau L, Monreal E, López-Real A, Rodero-Romero A, Borrega L, Díaz S, Eguía P, Espiño M, Chico-García JL, Barrero FJ, Martínez-Ginés ML, García-Domínguez JM, De la Fuente S, Moreno I, Sainz-Amo R, Mañé-Martínez MA, Caminero A, Castellanos F, Gómez López A, Labiano-Fontcuberta A, Ayuso L, Abreu R, Hernández MÁ, Meca-Lallana J, Martín-Aguilar L, Muriel García A, Masjuan J, Costa-Frossard L, Villar LM. 12/11/2024. Frontiers in immunology. 15. PMID: 39606235. doi: 10.3389/fimmu.2024.1480676

    INITIAL CORE VOLUME ASSESSMENT-BASED MACHINE LEARNING ON NON-CONTRAST CT AS A PREDICTOR OF CLINICAL OUTCOME ON REPERFUSION TREATMENT PATIENTS

    Flores, A, Seró, L, Ustrell, X, Avivar, Y, Olivé, M, Canals, P, Ribo, M. 01/10/2024. International Journal Of Stroke. 19

    Predicting Recanalization Failure With Conventional Devices During Endovascular Treatment Related to Vessel Occlusion

    Flores, A, Elizalde, M, Seró, L, Ustrell, X, Avivar, Y, Pellisé, A, Rodriguez, P, Monterde, A, Lara, L, Gonzalez-de-Echavarri, JM, Cuba, V, Gisbert, MR, Requena, M, Molina, CA, Chamorro, A, de la Ossa, NP, Cardona, P, Cánovas, D, Purroy, F, Silva, Y, Camzpello, A, Marti-Fabregas, J, Abilleira, S, Ribó, M. 01/09/2024. Stroke-Vascular And Interventional Neurology. 4. PMID: 41586295. doi: 10.1161/SVIN.124.001371

    A Randomized Trial on Hemodynamic Optimization of Cerebral Perfusion after Successful Endovascular Therapy in Patients with Acute Ischemic Stroke (HOPE)

    Camps-Renom, P, Guasch-Jiménez, M, Martinez-Domeño, A, Prats-Sánchez, L, Ramos-Pachón, A, Alvarez-Cienfuegos, J, Silva, Y, Fortea-Cabo, G, Morales-Caba, L, Rodríguez-Campello, A, Giralt-Steinhauer, E, Flores, A, Ustrell, X, López-Hernández, N, Corona-García, DJ, Freijo-Guerrero, MM, Luna, A, Tejada-Meza, H, Marta-Moreno, J, Moniche, F, Pardo-Galiana, B, Castellanos, M, Albert-Lacal, L, Sanz-Monllor, A, Aguilera-Simón, A, Marín, R, Ezcurra-Díaz, G, Lambea-Gil, A, Marti-Fàbregas, J. 29/08/2024. Cerebrovascular Diseases. 54. PMID: 39208776. doi: 10.1159/000540606

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