Could stroke patients on blood thinners finally get clot-busting treatment?

NCT ID NCT06878066

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tests whether clot-busting drugs (alteplase or tenecteplase) are safe and effective for stroke patients who have taken a blood thinner (FXa inhibitor) in the last 48 hours. Current guidelines avoid this treatment due to bleeding concerns, but new evidence suggests it may be safe. The trial will compare 300 patients who receive the clot-buster with those who get standard care, measuring recovery and bleeding risks.

What this could mean

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

Active substance

Alteplase or Tenecteplase (clot-busting drugs)

What this could lead to

If successful, this could change stroke treatment guidelines so that more patients on blood thinners can receive life-saving clot-busting therapy without delay.

What could go wrong

This is a phase 3 trial, but results may not apply to all patients. There is a risk of brain bleeding, and the study does not require a blood test to measure drug levels before treatment.

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.

hemorrhagic stroke intracerebral hemorrhage Intracranial Hemorrhages ischemic stroke stroke disorder

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

  • Dept of Medicine, Haraldsplass deaconal Hospital

    RECRUITING

    Bergen, 5009, Norway

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

  • Dept of Medicine, Helse More and Romsdal Health Trust, Aalesund Hospital

    RECRUITING

    Ålesund, 6017, Norway

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

  • Dept of Neurology, Drammen Hospital Trust

    RECRUITING

    Drammen, 3004, Norway

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

  • Dept of Neurology, Hospital of Southern Norway, SSHF

    RECRUITING

    Kristiansand, 4615, Norway

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

  • Dept of Neurology, Innlandet Hospital Trust, Lillehammer

    RECRUITING

    Lillehammer, 2609, Norway

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

  • Dept of Neurology, Ostfold Hospital Trust, Kalnes

    RECRUITING

    Grålum, 1714, Norway

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

  • Dept of Neurology, Stavanger University Hospital

    RECRUITING

    Stavanger, 4011, Norway

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

  • Dept of Neurology, Vesfold Hospital Trust, Tonsberg

    RECRUITING

    Tønsberg, 3103, Norway

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

  • Dept. Of Medicine, St.Olav Hospital, Trondheim

    RECRUITING

    Trondheim, 7030, Norway

    Contact Email: •••••@•••••

  • Dept. Of Neurology, Haukeland University Hopsital

    RECRUITING

    Bergen, 5009, Norway

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

  • Dept. of Medicine, Baerum Hospital

    RECRUITING

    Bærum, Gjettum, 1346, Norway

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

  • Dept. of Neurology, Oslo University Hospital

    RECRUITING

    Oslo, 0450, Norway

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

    Contact

  • Dept. of Neurology, Tromso University Hospital

    RECRUITING

    Tromsø, 9019, Norway

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