Can a new antibody boost recovery after severe stroke?
NCT ID NCT06437431
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Researchers are testing whether adding glenzocimab to standard endovascular therapy improves recovery in adults with acute ischemic stroke caused by a large blocked vessel and a large area of brain damage. Participants receive either glenzocimab or a placebo as an intravenous infusion. The main goal is to see how many people have a good functional outcome three months later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- glenzocimab, an experimental antibody that blocks a platelet receptor called GPVI
- What this could lead to
- If it works, adding glenzocimab to standard clot removal could help more people with severe strokes regain independence and survive.
- What could go wrong
- This is an early-phase trial, so glenzocimab may not improve recovery or could cause unexpected side effects. Even with treatment, many people with large strokes remain severely disabled.
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.
- Phase
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Expected to start
-
Sep 2026
An estimate. Start dates often move.
- Expected to finish
-
Oct 2030
An estimate. End dates often move.
- Lead sponsor
-
A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Age \>18 years old * Acute ischemic stroke due to an isolated proximal anterior large vessel occlusion (M1 and M2 segment of the middle cerebral artery, terminal internal carotid artery (TICA)) * Indication of EVT within the time window of 0 to 24 hours in participants treated with or without intravenous thrombolysis. * Presenting with a baseline infarct core volume assessed on the MRI (DWI sequence) or CT scan with an ASPECTS\<6 * Woman \<49 years old must have a negative serum/urine pregnancy test at baseline Exclusion Criteria: * Possible tandem occlusion on the baseline imaging, potentially requiring stenting * Significant pre-stroke disability (mRS\>2) * Patients under or needing immediate dual anti-platelet therapy (DAPT) within the first 24 hours after the cessation of glenzocimab or placebo infusion * Significant mass effect with midline shift as confirmed on CT/MRI * Gastrointestinal or urinary tract haemorrhage in previous 21 days * Patient with intracranial haemorrhage * Platelet count \<100 000 mm3 * Known hypersensitivity to glenzocimab or to any of the excipients * Known hypersensitivity to the gadolinium used for the brain MRI perfusion, or one of its excipients * Known Severe renal insufficiency (Grades 4-5) with a glomerular filtration rate \< 30mL/Min/1.73m2 * Patients receiving anticoagulants within the last 24 hours and: * For heparin, an elevated aPTT -greater than upper limit of normal for laboratory * For vitamin K antagonists (ex: warfarin), an INR \>1.7; * For direct thrombin inhibitors or direct factor Xa inhibitors, a plasmatic dosage of the drug greater than upper limit of normal for laboratory * Pregnant or breastfeeding woman * Participation in another interventional clinical investigational drug or medical device trial within 30 days prior to the inclusion.
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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.
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Other studies related to the condition(s) this trial covers.
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