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.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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
Locations
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Dept of Medicine, Haraldsplass deaconal Hospital
RECRUITINGBergen, 5009, Norway
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Dept of Medicine, Helse More and Romsdal Health Trust, Aalesund Hospital
RECRUITINGÅlesund, 6017, Norway
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Dept of Neurology, Drammen Hospital Trust
RECRUITINGDrammen, 3004, Norway
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Dept of Neurology, Hospital of Southern Norway, SSHF
RECRUITINGKristiansand, 4615, Norway
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Dept of Neurology, Innlandet Hospital Trust, Lillehammer
RECRUITINGLillehammer, 2609, Norway
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Dept of Neurology, Ostfold Hospital Trust, Kalnes
RECRUITINGGrålum, 1714, Norway
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Dept of Neurology, Stavanger University Hospital
RECRUITINGStavanger, 4011, Norway
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Dept of Neurology, Vesfold Hospital Trust, Tonsberg
RECRUITINGTønsberg, 3103, Norway
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Dept. Of Medicine, St.Olav Hospital, Trondheim
RECRUITINGTrondheim, 7030, Norway
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Dept. Of Neurology, Haukeland University Hopsital
RECRUITINGBergen, 5009, Norway
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Dept. of Medicine, Baerum Hospital
RECRUITINGBærum, Gjettum, 1346, Norway
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Dept. of Neurology, Oslo University Hospital
RECRUITINGOslo, 0450, Norway
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Dept. of Neurology, Tromso University Hospital
RECRUITINGTromsø, 9019, Norway
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