Can a Cholesterol-Lowering drug stop brain arteries from narrowing further?

NCT ID NCT07562178

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether pemafibrate, a drug that lowers triglycerides, can prevent the worsening of narrowed brain arteries in people who have already had a stroke or mini-stroke. About 270 participants will be randomly assigned to receive either pemafibrate plus standard care or standard care alone for 12 months. The main goal is to see if the drug reduces further artery narrowing, which could lower the risk of another stroke.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Pemafibrate

What this could lead to

If it works, this could offer a new way to lower the risk of recurrent stroke or TIA in patients with high triglycerides and narrowed brain arteries.

What could go wrong

This is a relatively small, open-label trial (Phase not specified), so results may not be definitive. The drug may not prevent artery progression or could cause side effects like liver or kidney issues.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

cerebral artery stenosis cerebral atherosclerosis hypertriglyceridemia intracranial arterial disease intracranial arteriosclerosis ischemic stroke stroke disorder transient ischemic attack

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Dokkyo Medical University Hospital

    RECRUITING

    Mibu, Tochigi, 321-0293, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Iwate Medical University Hospital

    RECRUITING

    Hizume, Iwate, 028-3695, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Japanese Red Cross Kyoto Daini Hospital

    RECRUITING

    Kyoto, Kyoto, 602-8026, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Japanese Red Cross Saitama Hospital

    NOT_YET_RECRUITING

    Saitama, Saitama, 330-8553, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Jichi Medical University Hospital

    RECRUITING

    Shimotsuke, Tochigi, 329-0498, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kagoshima Medical Center

    RECRUITING

    Kagoshima, Kagoshima-ken, 892-0853, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kansai Medical University Hospital

    RECRUITING

    Hirakata, Osaka, 573-1191, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kawasaki Medical School Hospital

    RECRUITING

    Kurashiki, Okayama-ken, 701-0192, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kumamoto University Hospital

    RECRUITING

    Kumamoto, Kumamoto, 860-8556, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Kyorin University Hospital

    NOT_YET_RECRUITING

    Mitaka, Tokyo, 181-8611, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Nagasaki University Hospital

    NOT_YET_RECRUITING

    Nagasaki, Nagasaki, 852-8501, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Osaka General Medical Center

    RECRUITING

    Osaka, Osaka, 558-8558, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Osaka National Hospital

    RECRUITING

    Osaka, Osaka, 540-0006, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Saitama Medical University International Medical Center

    NOT_YET_RECRUITING

    Hidaka, Saitama, 350-1298, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Showa General Hospital

    RECRUITING

    Kodaira, Tokyo, 187-8510, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Tokyo Medical University Hospital

    NOT_YET_RECRUITING

    Shinjuku-Ku, Tokyo, 160-0023, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Tokyo Women's Medical University Hospital

    RECRUITING

    Shinjuku-Ku, Tokyo, 162-8666, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • University Hospital Kyoto Prefectural University of Medicine

    RECRUITING

    Kyoto, Kyoto, 602-8566, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • University of Yamanashi Hospital

    NOT_YET_RECRUITING

    Chūō, Yamanashi, 409-3898, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••