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Old stroke data gets a modern check: do newer drugs lower risk?
NCT ID NCT05300737
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether modern medicines (like statins and newer blood thinners) can keep the one-year stroke rate below 5% in people with narrowed neck arteries who have already had a minor stroke or warning signs. About 114 participants are being followed to see how well these drugs work alone, without surgery. The goal is to update knowledge from 30-year-old studies that didn't have today's treatments.
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.
- Participants
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About 114 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2022
- Expected to finish
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Dec 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.
Who is studied
Patients with 50-99% symptomatic carotid stenosis and low risk clinical or radiologic features
- Ages
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40 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: * Age ≥40 years plus stroke or TIA ipsilateral to 50-99% ICA stenosis In addition, patients must have at least one clinical or radiologic marker of reduced stroke risk Clinical Reduced Stroke RISK: 1. Retinal ischemia only (amaurosis fugax, branch retinal artery occlusion (BRAO), central retinal artery occlusion (CRAO) 2. Female sex 3. Most recent stroke or TIA \>1 week ago Radiologic Reduced Stroke RISK: 1. Transcranial Doppler (TCD) study demonstrating lack of microembolic signals 2. Cross-sectional MRI plaque imaging demonstrating absence of intraplaque hemorrhage 3. For patients with TIA: brain MRI shows no DWI lesion Exclusion Criteria: Atrial fibrillation or other high-risk sources of cardiac embolism unless it is device detected AF only or duration \<6 minutes Alcohol and substance abuse within the prior 24 months Clinically significant bleeding diathesis (platelet count \<100K, prothrombin time \>14 seconds) Clear indication for therapeutic anticoagulation (for example, DVT or pulmonary embolism within past 3 months) Left ventricular ejection fraction \<20% Known allergy or intolerance to aspirin or clopidogrel Life expectancy less than 12 months Moderate/severe dementia (Mini-mental or MOCA score \<22 Modified Rankin score of \>4 Nonatherosclerotic cause of carotid stenosis Most recent symptomatic event \>180 days from the time of enrollment \-
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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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Baylor Medicine
Houston, Texas, 77030, United States
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Baystate Medical Center
Springfield, Massachusetts, 01199, United States
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CHUM
Montreal, Quebec, H2X 0C1, Canada
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Calgary Health Sciences Center
Calgary, Alberta, Canada
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Emory University Hospital
Atlanta, Georgia, 30322, United States
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Hartford Hospital
Hartford, Connecticut, 06102, United States
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Northern Ontario School of Medicine
Greater Sudbury, Ontario, Canada
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Northwestern Memorial Hospital
Chicago, Illinois, 60611, United States
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Rhode Island Hospital
Providence, Rhode Island, 02903, United States
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Rush Medical Center
Chicago, Illinois, 60612, United States
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University of Alberta
Edmonton, Alberta, Canada
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Manitoba
Winnipeg, MN, Canada
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University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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University of Massachusetts Medical Center
Worcester, Massachusetts, 01655, United States
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University of Rochester
Rochester, New York, 14642, United States
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Vancouver General Hospital
Vancouver, British Columbia, Canada
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Western University/London Health Sciences Center
London, Ontario, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Stroke's hidden heart rhythm clue under investigation
- Hidden blood disorder may explain mysterious strokes in young adults
- Two ways to catch a hidden heart rhythm after stroke
- Blood test may reveal who recovers after a stroke