Stroke showdown: which Pre-Clot drug wins?
NCT ID NCT05728333
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two different medicines given before a procedure to remove a blood clot from the brain in people having a major stroke. The goal is to see which medicine helps more people recover with little or no disability. About 800 adults who arrive at the hospital within 24 hours of stroke symptoms will take part.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2023
- Expected to finish
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Jul 2026
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. Aged 18 years or older. 2. Presenting with acute ischemic stroke symptom. 3. Time from onset to hospital arrival: * (1) within 4.5 hours * (2) 4.5-9.0 hours, image inclusion criteria for the EXTEND trial must be met * (3) \> 4.5 hours but within 24 hours, image inclusion criteria for the WAKE-UP trial must be met. 4. Eligible for intravenous thrombolysis. 5. Occlusion of the internal carotid artery, M1 or M2 segment of the middle cerebral artery, vertebrobasilar artery confirmed by CTA, MRA, or DSA. 6. Informed consent obtained from patients or their legal representatives. Exclusion Criteria: 1. CT or MR evidence of hemorrhage (the presence of micro-bleeds is allowed); 2. Contraindications of IV rt-PA or tirofiban; 3. Contraindication to radiographic contrast agents, nickel, titanium metals or their alloys; 4. Arterial tortuosity and/or other arterial disease that would prevent the device from reaching the target vessel; 5. Patients with a preexisting neurological or psychiatric disease that would confound the neurological functional evaluations; 6. CT or MRI evidence of mass effect or intracranial tumor (except small eningioma); 7. CT or MRI evidence of cerebral vasculitis; 8. CTA or MRA evidence of intracranial arteriovenous malformations or aneurysms; 9. Any terminal illness with life expectancy less than 6 months.
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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
1 site. 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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Hangzhou First People's Hospital
RECRUITINGHangzhou, Zhejiang, 310000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a second Clot-Buster boost stroke recovery?
- Can a Low-Dose clot buster boost recovery after stroke clot removal?
- Stroke treatment upgrade: adding a Clot-Buster after clot removal may boost recovery
- Clot removal may boost recovery in mild stroke patients
- Could lying Head-Down help stroke patients? new trial aims to find out
- New home therapy boosts confidence after stroke