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Groundbreaking GRASSROOT Trial: India’s First Advanced Brain Stent

Revolutionizing Stroke Treatment with Indigenous Innovation

Groundbreaking GRASSROOT Trial: India’s First Advanced Brain Stent

  • 15 Dec, 2025
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India's GRASSROOT Trial: A Milestone in Stroke Treatment

India has made significant strides in medical research by conducting the first-ever dedicated clinical trial of an advanced brain stent for severe stroke treatment at AIIMS Delhi. This trial, known as the GRASSROOT trial, aimed to evaluate an indigenously developed medical device called the Supernova stent, manufactured by Gravity Medical Technology. This achievement is particularly relevant given that approximately 1.7 million people in India suffer from strokes each year.

What Is the GRASSROOT Trial?

  • Type: India’s first domestic, multi-centre clinical trial focused on a stroke intervention device.
  • Lead Institution: AIIMS Delhi.
  • Coverage: Eight medical centres across India.
  • Objective: Evaluate the safety and efficacy of the Supernova stent in patients with large vessel occlusion strokes.
  • Outcome: Reported excellent safety and clinical outcomes.
  • Results: Published in the Journal of Neurointerventional Surgery (BMJ Group).

Significance of the Trial

The GRASSROOT trial not only showcases India’s ability to generate credible clinical evidence but also reduces reliance on foreign trials for regulatory approvals. This advancement enhances the credibility of Indian medical research on a global scale.

What Is the Supernova Stent?

  • Device Type: Stent-retriever used in mechanical thrombectomy.
  • Function: Physically removes blood clots from blocked brain arteries.
  • India-specific Design Considerations: Tailored for the younger age of stroke onset and unique anatomical and lifestyle differences compared to Western populations.
  • Clinical Experience: Successfully used in over 300 patients across Southeast Asia.

Objectives of the Trial

The primary goal of the GRASSROOT trial was to determine the safety and effectiveness of the Supernova stent for stroke patients in India. Additionally, the trial aimed to produce high-quality clinical evidence locally, thereby supporting regulatory decisions based on Indian patient data.

Regulatory Approval

This was the first stroke device in India approved solely on data from domestic clinical trials. This marks a strengthening of India’s medical device regulatory ecosystem and builds trust in local clinical research standards, setting a precedent for future indigenous device approvals.

Institutional and Leadership Role

AIIMS Delhi served as the national principal investigator, with Dr. Shailesh B. Gaikwad leading the initiative, marking a crucial turning point in neurointerventional care. The collaboration among neurologists, neuroradiologists, and patient volunteers was vital for the trial's success. Additionally, the partnership with Gravity Medical Technology facilitated the transition from research to practical application.

Linkages with Government Initiatives

  • Make in India: Focuses on indigenous design, manufacturing, and approval processes.
  • Atmanirbhar Bharat: Aims to reduce import dependence in critical medical devices.
  • National Health Policy 2017: Emphasizes affordable and accessible tertiary care for all.
  • Ayushman Bharat-PMJAY: Lower device costs can enhance the coverage of advanced medical procedures.

Frequently Asked Questions (FAQs)

Q1. What is the GRASSROOT trial?
Answer: The GRASSROOT trial is India’s first multi-centre clinical trial focused on evaluating the safety and efficacy of the Supernova stent for treating large vessel occlusion strokes.

Q2. Where was the GRASSROOT trial conducted?
Answer: The trial was conducted at AIIMS Delhi and involved eight medical centres across India, emphasizing local clinical research capacity.

Q3. What are the main objectives of the GRASSROOT trial?
Answer: The trial aimed to assess the Supernova stent's safety and effectiveness for Indian stroke patients and to generate high-quality clinical evidence domestically.

Q4. What significance does the Supernova stent hold?
Answer: The Supernova stent represents a significant advancement in stroke treatment, specifically designed for the needs of Indian patients, and is a key component of domestic medical innovation.

Q5. How does the GRASSROOT trial align with government initiatives?
Answer: The trial aligns with initiatives like Make in India and Atmanirbhar Bharat by promoting indigenous design and manufacturing of critical medical devices, thereby reducing import dependence.

UPSC Practice MCQs

Question 1: What is the primary focus of the GRASSROOT trial?
A) Evaluate foreign medical devices
B) Assess the Supernova stent for stroke treatment
C) Conduct research on heart diseases
D) Develop new surgical techniques
Correct Answer: B

Question 2: Which institution led the GRASSROOT trial in India?
A) AIIMS Bhopal
B) AIIMS Delhi
C) Jawaharlal Nehru University
D) All India Institute of Medical Sciences
Correct Answer: B

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