New clot-busting shot could save lives in dangerous lung condition
NCT ID NCT06362746
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a single injection of a clot-dissolving drug (staphylokinase) in 486 adults with intermediate high-risk pulmonary embolism—a serious blood clot in the lungs. The goal is to see if it prevents death, heart collapse, or another clot compared to a placebo. Participants must have a confirmed clot and signs of heart strain but stable blood pressure.
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 486 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Men and women aged 18 and over. * Verified diagnosis of intermediate high-risk PE using CTPA, no more than two weeks from the symptoms onset. * RV dysfunction, defined as a RV/LV ventricular end-diastolic diameter ratio more than 1.0 assessed by CTPA. * Increased risk of early death or hemodynamic collapse, defined by one of the following criteria: 1. systolic blood pressure less than 110 mm Hg, but not less than 90 mm Hg for more than 15 minutes; 2. respiratory rate more than 20 per minute or SpO2 less than 90% without oxygen support; 3. chronic heart failure with left ventricular ejection fraction less than 40%. * Serum troponin I level more than 14 pg/mL in patients under 75 years, and more than 45 pg/mL in patients aged 75 years or older. * Patient consent to use reliable contraceptive methods throughout the study and for 3 weeks after: * women who have a negative pregnancy test and use the following contraceptives: intrauterine devices, oral contraceptives, contraceptive patch, prolonged injectable contraceptives, double barrier method of contraception. Women who are not fertile can also take part in the study (documented conditions: hysterectomy, tubal ligation, infertility, menopause for more than 1 year); * men using barrier contraception. The study may also involve men who are not fertile (documented conditions: vasectomy, infertility). * Availability of signed and dated informed consent of the patient to participate in the study. Exclusion Criteria: * High-risk PE with hemodynamic instability. * Increased risk of bleeding: * extensive bleeding at present or within the previous 6 months; * intracranial (including subarachnoid) hemorrhage at present or in history; * hemorrhagic stroke within the last 6 months; * a history of diseases of the central nervous system (including neoplasms, aneurysms); * intracranial or spinal surgical interventions within the last 2 months; * major surgery or major trauma within the previous 4 weeks; * recent puncture of an incompressible blood vessel (eg, subclavian or jugular vein); * severe liver disease, including liver failure, cirrhosis, portal hypertension (including esophageal varices) and active hepatitis; * confirmed gastric or duodenal ulcer within the last 3 months; * neoplasm with an increased risk of bleeding; * simultaneous administration of Dabigatran without prior administration of idarucizumab; * arterial aneurysms, developmental defects of arteries / veins; * acute pancreatitis; * bacterial endocarditis, pericarditis; * suspicion of aortic dissecting aneurysm; * any other conditions, in the opinion of the investigator, associated with a high risk of bleeding. * Lactation, pregnancy. * Known hypersensitivity to the non-immunogenic recombinant staphylokinase.
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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
21 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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Asinovskaya District Hospital
COMPLETEDAsino, Tomsk Oblast, 636840, Russia
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Belgorod Regional Clinical Hospital of St. Joseph
RECRUITINGBelgorod, 308007, Russia
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Center of Neurology and Cardiology
RECRUITINGKirov, 610035, Russia
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City Clinical Hospital of Emergency medicine №25
RECRUITINGVolgograd, 400138, Russia
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City Clinical Hospital №4
WITHDRAWNPerm, 614107, Russia
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City Hospital No. 15
RECRUITINGSaint Petersburg, 198205, Russia
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City Hospital No. 26
RECRUITINGSaint Petersburg, 196247, Russia
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F.I. Inozemtsev City Clinical Hospital
RECRUITINGMoscow, 105187, Russia
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G.A. Zakharyin Clinical hospital №6
RECRUITINGPenza, 440071, Russia
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Kuzbass Cardiology center
RECRUITINGKemerovo, 650002, Russia
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Lipetsk City Hospital No. 4 "Lipetsk-Med"
RECRUITINGLipetsk, 398006, Russia
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Moscow Multidisciplinary Clinical Center "Kommunarka"
RECRUITINGMoscow, 108814, Russia
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N.A. Semashko Nizhny Novgorod Regional Clinical Hospital
RECRUITINGNizhny Novgorod, 603093, Russia
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N.N. Burdenko Penza Regional Clinical hospital
WITHDRAWNPenza, 440026, Russia
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RZD Medicine hospital
RECRUITINGBarnaul, Altayskiy Kray, 656038, Russia
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Regional Clinical Hospital №2
RECRUITINGKrasnodar, 350012, Russia
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S.P. Botkin City Clinical Hospital
RECRUITINGMoscow, Russia
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S.S. Yudin City Clinical Hospital
RECRUITINGMoscow, 115446, Russia
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Tomsk regional cilinical hospital
RECRUITINGTomsk, 634063, Russia
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Tver Regional Clinical Hospital
RECRUITINGTver', 170036, Russia
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Ufa Emergency City Hospital
RECRUITINGUfa, 450092, Russia
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V.F. Dolgopolov Vyselki Central District Hospital
RECRUITINGVyselki, Krasnodarskiy Kray, 353100, Russia
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V.M. Buyanov City Clinical Hospital
RECRUITINGMoscow, 115516, Russia
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V.P. Polyakov Samara Regional Clinical Cardiology Dispensary
RECRUITINGSamara, 443070, Russia
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