Clot-Busting drug may help clear brain bleeds during surgery

NCT ID NCT05491356

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This study tested whether giving a clot-busting drug called tPA directly into a chronic subdural hematoma (a slow brain bleed) helps drain it better during surgery. Forty adults who needed a twist-drill drainage procedure took part. The main goal was to see if the approach is feasible and safe, not yet to prove it works better than standard care.

What this could mean

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

Active substance
tissue plasminogen activator (tPA)
What this could lead to
If it works, this could lead to a better way to clear blood clots from the brain, possibly reducing the need for repeat surgeries.
What could go wrong
This is a small pilot study with only 40 people, so results may not apply widely. tPA also carries a risk of bleeding, especially in patients on blood thinners.

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Conditions

The condition(s) this trial relates to.

fibrinolytic defect Hematoma, Subdural Hemorrhage

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Hamilton General Hospital

    Hamilton, Ontario, L8L 2X2, Canada

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