New drug cocktail aims to boost stroke recovery in mild cases
NCT ID NCT07369999
First seen Jun 27, 2026 · Last updated Aug 04, 2026 · Updated 2 times
Summary
This study tests whether adding butylphthalide (a neuroprotective drug) to standard clot-busting tenecteplase helps people with mild but disabling stroke recover better. About 1,062 adults aged 18-80 who can be treated within 4.5 hours of symptoms will receive either the combo or tenecteplase alone. The main goal is to see if more patients are symptom-free at 90 days.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 1,062 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2026
- Expected to finish
-
Jun 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
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 18-80 years, regardless of gender. * 2\. Clinically diagnosed with acute ischemic stroke and meets the criteria for tenecteplase intravenous thrombolysis. * 3\. Onset of the current stroke within 4.5 hours. * 4\. Clinical diagnosis of minor ischemic stroke with a NIHSS score of 2-5, accompanied by persistent unilateral limb weakness or speech symptoms, defined as a score ≥1 on either the language item or any one limb item of the NIHSS * 5\. Pre-stroke mRS score ≤1. * 6\. The subject or their legal representative is able and willing to sign the informed consent form. Exclusion Criteria: * 1\. History of intracranial hemorrhage. * 2\. Patients who have received or plan to undergo mechanical thrombectomy. * 3\. History of major head trauma or stroke within the past 3 months. * 4\. Known severe liver/kidney dysfunction or patients receiving dialysis (severe liver dysfunction: ALT/AST \>3 times the upper limit of normal; severe kidney dysfunction: serum creatinine \>3.0 mg/dl \[265.2 μmol/L\] or GFR \<30 ml/min/1.73 m²). * 5\. Systolic blood pressure \<90 mmHg or \>220 mmHg. * 6\. Patients with bradycardia (heart rate \<60 beats/min) or sick sinus syndrome. * 7\. History of drug/food allergy or known allergy to the components of the study drugs. * 8\. Patients treated with drugs containing butylphthalide after stroke onset. * 9\. History of congenital/acquired hemorrhagic diseases, coagulation factor deficiency, or thrombocytopenic diseases. * 10\. Pregnant or lactating subjects or subjects planning to become pregnant within 90 days. * 11\. Subjects with severe mental disorders or dementia who cannot cooperate with informed consent and follow-up. * 12\. Subjects with concurrent malignant tumors or severe systemic diseases, with an expected survival of \<90 days. * 13\. Patients who have participated in other clinical interventional studies within 30 days prior to randomization, or who are currently participating in other clinical interventional studies; * 14\. Patients who are unable to complete follow-up visits as scheduled; * 15\. Any other reasons that, in the investigator's opinion, render the patient unsuitable for participation in the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Mild disabling acute ischemic stroke are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
15 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Cili County People's Hospital
RECRUITINGCili, Hunan, China
-
Huayuan County People's Hospital
RECRUITINGHuayuan, Hunan, China
-
Lanshan Central Hospital
RECRUITINGLanshan, Hunan, China
-
Leiyang People's Hospital
RECRUITINGLeiyang, Hunan, China
-
Linxiang People's Hospital
RECRUITINGChang’an, Hunan, China
-
Liuyang Jili Hospital
RECRUITINGGuankou, Hunan, China
-
Ningxiang Hospital of Traditional Chinese Medicine
RECRUITINGYutan, Hunan, China
-
Pingjiang First People's Hospital
RECRUITINGPingjiang, Hunan, China
-
Shaodong People's Hospital
RECRUITINGShaodong, Hunan, China
-
The Central Hospital of Xiangtan, The Affiliated Hospital of Hunan University
RECRUITINGXiangtan, Hunan, 410008, China
-
The Central Hospital of Yongzhou
RECRUITINGYongzhou, Hunan, 410008, China
-
The Third Hospital of Yiyang
RECRUITINGYiyang, Hunan, China
-
Xiangya Hospital, Central South University
RECRUITINGChangsha, Hunan, 410600, China
-
Yizhang County People's Hospital
RECRUITINGYizhang Chengguanzhen, Hunan, China
-
Yuanling County People's Hospital
RECRUITINGYuanling, Hunan, China