Skip to main content
. 2021 Oct 22;2021(10):CD000024. doi: 10.1002/14651858.CD000024.pub5

TOAST 1998.

Study characteristics
Methods C: permuted blocks with randomly ordered sizes of 6, 6, and 4; randomisation lists pharmacy controlled
Doctor, patient, and assessor blinded
Ex during trial: none
Losses to FU: 25 participants (11 treatment, 14 control)
Participants USA
1281 participants
Mean age: 65 years
61% male
100% CT before entry
Ischaemic stroke > 1 hour and < 24 hours from symptom onset with estimated pre‐stroke Barthel Index ≥ 12
Interventions Rx: danaparoid (heparinoid Org 10172) bolus followed by continuous infusion to maintain blood anti‐Xa levels of 0.6 to 0.8
Control: placebo
Duration: 7 days
Outcomes Functional outcome: Barthel Index < 85, NIHSS, Glasgow Outcome Scale
Recurrent stroke
ICH (symptomatic CT)
Extracranial haemorrhage
Notes Ex: age < 18 or > 85, women of childbearing potential, severe stroke (NIHSS score > 15), weight < 125 pounds
FU: 7 days and 3 months
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised 1:1 to treatment with ORG 10172 or placebo using permuted blocks with randomly ordered sizes and balanced for every 16 consecutive patients
Allocation concealment (selection bias) Low risk Randomised using permuted blocks
Blinding (performance bias and detection bias)
All outcomes Low risk Double‐blind, placebo‐controlled trial
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind design
Blinding of outcome assessment (detection bias)
All outcomes Low risk Double‐blind design
Incomplete outcome data (attrition bias)
All outcomes Low risk 2/646 in treatment and 5/635 in control lost to follow‐up
Selective reporting (reporting bias) Low risk Outcomes mentioned in methods reported