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.

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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.

Contacts and locations

Study contacts

  • Contact

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

  • Contact

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

Locations

  • CHUM -Centre Hospitalier de l'Universite de Montreal

    Montreal, Quebec, Canada

    Contact Email: •••••@•••••

    Contact

  • CIUSSS de l'Estrie - CHUS Fleurimont Hôpital (Sherbrooke)

    Sherbrooke, Quebec, Canada

    Contact Email: •••••@•••••

    Contact

  • Health Sciences North Horizon Sante-Nord

    Greater Sudbury, Ontario, Canada

  • Kelowna Regional Hospital

    Kelowna, British Columbia, Canada

    Contact

  • Ottawa Civic Hospital

    Ottawa, Ontario, Canada

    Contact Email: •••••@•••••

    Contact

  • Royal Columbian Hospital

    New Westminster, British Columbia, Canada

    Contact

    Contact

  • Royal University Hospital

    Saskatoon, Saskatchewan, Canada

  • Sunnybrook Health Science Centre

    Toronto, Ontario, Canada

    Contact Email: •••••@•••••

    Contact

  • The George Institute for Global Health

    Sydney, Barangaroo, NSW 2000, Australia

    Contact

    Contact Email: •••••@•••••

  • University of Alberta

    Edmonton, Alberta, Canada

    Contact

    Contact Email: •••••@•••••

  • University of British Columbia

    Vancouver, British Columbia, Canada

    Contact Email: •••••@•••••

    Contact Email: •••••@•••••

    Contact

  • University of Calgary- Foothills Medical Centre

    Calgary, Alberta, T2N2T9, Canada

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

    Contact Email: •••••@•••••

    Contact

  • University of Manitoba - Winnipeg Health Science Centre

    Winnipeg, Manitoba, Canada

    Contact Email: •••••@•••••

    Contact

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