New registry to test Clot-Busting injection for severe lung clots
NCT ID NCT07245927
First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This registry is studying a drug called non-immunogenic staphylokinase (Fortelyzin®) given as a single injection to dissolve blood clots in the lungs. It will include up to 20,000 adults with massive pulmonary embolism who are already receiving the drug in routine care. The goal is to see how safe and effective it is in real-world settings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Non-immunogenic staphylokinase (Fortelyzin®)
- What this could lead to
- If successful, this could confirm that a single injection of staphylokinase is a safe and effective way to dissolve blood clots in the lungs, potentially improving survival and reducing complications.
- What could go wrong
- This is an observational registry, not a controlled trial, so results may be less definitive. Bleeding risks are a concern, and the drug may not work for all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 20,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Men and women aged 18 years and older with verified massive pulmonary embolism, who received a single intravenous bolus of the non-immunogenic staphylokinase (15 mg).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women aged 18 years and older. * Verified diagnosis of massive pulmonary embolism (using computer tomography) * Signs of overload / dysfunction of the right ventricle (at least one) in combination with persistent arterial hypotension or shock * The time from the symptoms onset is no more than 14 days. * Thrombolysis with the non-immunogenic staphylokinase, 15 mg as a single intravenous bolus. Exclusion Criteria: * Increased risk of bleeding: * extensive bleeding at present or within the previous 6 months; * intracranial (including subarachnoid) hemorrhage at present or in history; * hemorrhagic stroke within the last 6 months; * a history of diseases of the central nervous system (including neoplasms, aneurysms); * intracranial or spinal surgical interventions within the last 2 months; * major surgery or major trauma within the previous 4 weeks; * recent puncture of an incompressible blood vessel (eg, subclavian or jugular vein); * severe liver disease, including liver failure, cirrhosis, portal hypertension (including esophageal varices) and active hepatitis; * confirmed gastric or duodenal ulcer within the last 3 months; * neoplasm with an increased risk of bleeding; * simultaneous administration of Dabigatran without prior administration of idarucizumab; * arterial aneurysms, developmental defects of arteries / veins; * acute pancreatitis; * bacterial endocarditis, pericarditis; * suspicion of aortic dissecting aneurysm; * any other conditions, in the opinion of the investigator, associated with a high risk of bleeding. * Lactation, pregnancy. * Known hypersensitivity to the non-immunogenic recombinant staphylokinase.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Belgorod Regional Clinical Hospital of St. Joseph
RECRUITINGBelgorod, Russia
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Center of Neurology and Cardiology
RECRUITINGKirov, Russia
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City Clinical Hospital of Emergency medicine №25
RECRUITINGVolgograd, Russia
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E.I. Chazov National Medical Research Center of Cardiology
RECRUITINGMoscow, 121552, Russia
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F.I. Inozemtsev City Clinical Hospital
RECRUITINGMoscow, Russia
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G.A. Zakharyin Clinical hospital №6
RECRUITINGPenza, Russia
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Kuzbass Cardiology center
RECRUITINGKemerovo, Russia
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Lipetsk City Hospital No. 4 "Lipetsk-Med"
RECRUITINGLipetsk, Russia
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Moscow Multidisciplinary Clinical Center "Kommunarka"
RECRUITINGMoscow, Russia
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N.A. Semashko Nizhny Novgorod Regional Clinical Hospital
RECRUITINGNizhny Novgorod, Russia
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S.P. Botkin City Clinical Hospital
RECRUITINGMoscow, Russia
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S.S. Yudin City Clinical Hospital
RECRUITINGMoscow, Russia
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Tver Regional Clinical Hospital
RECRUITINGTver', Russia
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V.P. Polyakov Samara Regional Clinical Cardiology Dispensary
RECRUITINGSamara, Russia
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