Stroke drug trial hopes to reduce disability with Anti-Inflammatory
NCT ID NCT07509645
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether adding tocilizumab, an anti-inflammatory drug, to standard emergency stroke treatment improves outcomes for people with a severe stroke in the back of the brain. About 348 adults will receive either tocilizumab or a placebo by IV right before a procedure to reopen blocked arteries. The main goal is to see if more people can function independently at 90 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tocilizumab (a drug that blocks interleukin-6, a protein involved in inflammation)
- What this could lead to
- If it works, this could lead to a new treatment that reduces disability after a severe stroke in the back of the brain.
- What could go wrong
- This is a mid-stage trial with 348 people, so results may not apply to all stroke patients. Tocilizumab can increase infection risk, and the benefit over standard care is unproven.
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 348 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Apr 2027
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 or older, of either sex; 2. Acute ischemic stroke caused by occlusion of the basilar artery; 3. Decide to undergo emergency endovascular treatment; 4. Time from stroke onset to groin puncture within 24 hours; 5. National Institutes of Health Stroke Scale (NIHSS) ≥ 10; 6. Posterior circulation Alberta Stroke Program Early computed tomography score (pc-ASPECTS) ≥ 6; 7. Signed informed consent from the patients or the legally authorized representatives. Exclusion Criteria: 1. Intracerebral hemorrhage, epidural hematoma, subdural hematoma, intraventricular hemorrhage, or subarachnoid hemorrhage; 2. Pre-stroke modified Rankin scale (mRS) score \>1; 3. Known allergy to tocilizumab or excipients; 4. Known allergy to iodinated contrast agents; 5. Anticipated difficulty in completing endovascular treatment due to vascular tortuosity; 6. History of congenital or acquired bleeding disorders, coagulation factor deficiency diseases, or thrombocytopenic diseases; 7. Systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg despite blood pressure control; 8. Neutrophils \< 2 × 10\^9 /L; 9. Platelets \< 100 × 10\^9 /L; 10. Blood glucose \<2.8 mmol/L (50 mg/dL) or \>22.2 mmol/L (400 mg/dL); 11. Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels \>2 times the upper limit of normal; 12. Known recent or current serum creatinine \>2 times the upper limit of normal or estimated glomerular filtration rate (eGFR) \<60 mL/min; 13. Pregnant, lactating, or planning pregnancy within 90 days; 14. Severe mental disorders or inability to comply with informed consent and follow-up requirements due to dementia; 15. Concurrent malignant tumors or severe systemic diseases with expected survival of less than 90 days; 16. Presence of autoimmune diseases or use of immunosuppressive drugs; 17. Systemic infectious diseases; 18. Participation in another interventional clinical study within 30 days before randomization or currently participating in another interventional clinical study; 19. Any circumstance that, as assessed by the investigators, might result in harm to the patients if study therapy is initiated; 20. Other conditions that the investigator considers might affect compliance or preclude participation in this study.
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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. 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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Anyang People's Hospital
RECRUITINGAnyang, Henan, 455000, China
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Capital Medical Univercity Xuanwu Hospital
RECRUITINGBeijing, 100053, China
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Lishui Central Hospital
RECRUITINGLishui, Zhejiang, 323000, China
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Nanyang Central Hospital
RECRUITINGNanyang, Henan, 473000, China
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People's Hospital of Linyi
RECRUITINGLinyi, Shandong, 276000, China
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People's Hospital of Xihua
RECRUITINGZhoukou, Henan, 466600, China
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People's Hospital of Yueqing
RECRUITINGYueqing, Zhejiang, 325600, China
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Suzhou Municipal Hospital
RECRUITINGSuzhou, Anhui, 234000, China
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Taizhou enze Hospital
RECRUITINGTaizhou, Zhejiang, 318000, China
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The First Affiliated Hospital of Henan Medical University
RECRUITINGXinxiang, Henan, 453000, China
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Xianyang First People's Hospital
RECRUITINGXianyang, Shanxi, 712000, China
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Yuncheng Central Hospital
RECRUITINGYuncheng, Shanxi, 044000, China
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Zibo Central Hospital
RECRUITINGZibo, Shandong, 255000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Safety and preliminary efficacy of NXL-001 in patients with ischemic stroke
- Virtual reality rehab aims to bring stroke therapy home
- Blood clot markers may forecast stroke outcomes
- Can the brain relearn balance after a stroke? a new study tracks the process
- Could a nerve stimulator restore arm movement after stroke?
- Did pandemic waves reshape stroke treatment? a Pan-European study investigates