Stroke treatment upgrade: adding a Clot-Buster after clot removal may boost recovery
NCT ID NCT07687056
First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time
Summary
This trial tests whether giving a clot-busting drug directly into the brain arteries after mechanical clot removal can improve recovery in people having a severe stroke. About 1,500 adults with acute ischemic stroke who undergo endovascular thrombectomy will be randomly assigned to receive either the extra drug or standard care alone. The study measures how independent participants are 90 days later, aiming to see if the added treatment reduces long-term disability.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tenecteplase or Alteplase (clot-busting drugs)
- What this could lead to
- If successful, this approach could become a standard addition to stroke treatment, helping more people recover with less disability after a severe stroke.
- What could go wrong
- This is a large phase 3 trial, but the added drug may increase bleeding risk in the brain. The benefit may be small or not apply to all stroke 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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,500 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- 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: 1. Age ≥18 years 2. Clinical diagnosis of stroke Exclusion Criteria: There are no platform level exclusion criteria.
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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
13 sites in 2 countries. 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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CHUM -Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, Canada
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CIUSSS de l'Estrie - CHUS Fleurimont Hôpital (Sherbrooke)
Sherbrooke, Quebec, Canada
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Health Sciences North Horizon Sante-Nord
Greater Sudbury, Ontario, Canada
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Kelowna Regional Hospital
Kelowna, British Columbia, Canada
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Ottawa Civic Hospital
Ottawa, Ontario, Canada
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Royal Columbian Hospital
New Westminster, British Columbia, Canada
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Royal University Hospital
Saskatoon, Saskatchewan, Canada
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Sunnybrook Health Science Centre
Toronto, Ontario, Canada
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The George Institute for Global Health
Sydney, Barangaroo, NSW 2000, Australia
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University of Alberta
Edmonton, Alberta, Canada
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University of British Columbia
Vancouver, British Columbia, Canada
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University of Calgary- Foothills Medical Centre
Calgary, Alberta, T2N2T9, Canada
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University of Manitoba - Winnipeg Health Science Centre
Winnipeg, Manitoba, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a second Clot-Buster boost stroke recovery?
- Can we predict who recovers best after stroke surgery?
- Can a diabetes drug help the brain heal after a stroke?
- Can a Low-Dose clot buster boost recovery after stroke clot removal?
- Gene therapy particles aim to boost stroke recovery
- Sugar-Based gel shows promise for stroke patients in early trial