Could a drug calm brain inflammation after stroke? new trial aims to find out
NCT ID NCT07263776
First seen Jun 27, 2026 · Last updated Aug 18, 2026 · Updated 2 times
Summary
This study tests whether adding an interleukin-6 receptor inhibitor (a drug that reduces inflammation) to standard emergency stroke treatment helps people recover better after a severe stroke caused by a large blood clot in the front part of the brain. About 692 adults who are eligible for emergency clot removal will receive either the drug or a placebo. The main goal is to see if the drug improves disability levels three months after the stroke.
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 692 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2025
- Expected to finish
-
Sep 2026
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 years and older
- 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 years or greater, male or female; 2. Acute ischemic stroke caused by occlusion of intracranial segment of the internal carotid artery, middle cerebral artery M1 or proximal/dominant M2 segment; 3. Decided to undergo emergency endovascular treatment; 4. Time from stroke onset to arterial puncture within 24 hours; 5. National Institutes of Health Stroke Scale (NIHSS) score ≥ 6; 6. 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 ≥180mmHg or diastolic blood pressure ≥110mmHg despite blood pressure control; 8. Neutrophils \<2×109 /L; 9. Platelets \<100×109 /L; 10. Blood glucose \<2.8mmol/L (50 mg/dL) or \>22.2mmol/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. Considered by the investigator to have other conditions that might affect compliance or preclude participation in this study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute anterior circulation large vessel occlusion 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.
Contacts and locations
Locations
-
Beijing Red Cross Emergency Medical Center
Beijing, China
-
Binzhou Medical University Hospital
Binzhou, Shandong, China
-
Daliuta Experimental District People's Hospital of Shenmu City
Yulin, Shanxi, China
-
Henan Provincial People's Hospital
Zhengzhou, Henan, China
-
Huixian People's Hospital
Xinxiang, Henan, China
-
Jiaozuo No.2 People's Hospital
Jiaozuo, Henan, China
-
Jiaxing First Hospital
Jiaxing, Zhejiang, China
-
Jincheng People's Hospital
Jincheng, Shanxi, China
-
JingDong ZhongMei Hospital
Langfang, Hebei, China
-
Jun County People's Hospital
Hebi, Henan, China
-
Lingshan County People's Hospital
Qinzhou, Guangxi, China
-
Linshu Country People's Hospital
Linyi, Shandong, China
-
Linyi People's Hospital
Linyi, Shandong, China
-
Lishui Central Hospital
Lishui, Zhejiang, China
-
Luoyang Central Hospital
Luoyang, Henan, China
-
Mengjin County People's Hospital
Luoyang, Henan, China
-
Nantong First People's Hospital
Nantong, Jiangsu, China
-
Nanyang Central Hospital
Nanyang, Henan, China
-
Nanyang Nanshi Hospital
Nanyang, Henan, China
-
Nanyang Second People's Hospital
Nanyang, Henan, China
-
Ningbo Medical Center Lihuili Hospital
Ningbo, Zhejiang, China
-
Ningbo NO.2 Hospital
Ningbo, Zhejiang, China
-
Ningling County People's Hospital
Shangqiu, Henan, China
-
People's Hospital of Dongying
Dongying, Shandong, China
-
Puyang Oilfield General Hospital
Puyang, Henan, China
-
Qingdao Huangdao District Hospital of Traditional Chinese Medicine
Qingdao, Shandong, China
-
Shangqiu No.1 People's Hospital
Shangqiu, Henan, China
-
Shanxi Bethune Hospital
Taiyuan, Shanxi, China
-
Shanxi Medical University First Hospital
Taiyuan, Shanxi, China
-
Shenzhen Longhua District People's Hospital
Shenzhen, China
-
Si Country People's Hospital
Suzhou, Anhui, China
-
Suixi County Hospital
Suzhou, Anhui, China
-
Suzhou Hospital of Anhui Medical University
Suzhou, Anhui, China
-
Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University
Taizhou, Zhejiang, China
-
Tanghe County People's Hospital
Nanyang, Henan, China
-
Tangshan Workers Hospital
Tangshan, Hebei, China
-
The First Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China
-
The First Affiliated Hospital of Henan Medical University
Xinxiang, Henan, China
-
The People's Hospital of Anyang
Anyang, Henan, China
-
The People's Hospital of Xianyang
Xianyang, Shanxi, China
-
The second Hospital of Qinhuangdao
Qinhuangdao, Hebei, China
-
Tianyou Hospital Affliated to Wuhan University of Science &Technology
Wuhan, Hubei, China
-
Wenzhou People's Hospital
Wenzhou, Zhejiang, China
-
Xiangyang No.1 People's hospital
Xiangyang, Hubei, China
-
Xihua County People's Hospital
Zhoukou, Henan, China
-
Xing'an league People's Hospital
Xing’an, Inner Mongolia, China
-
Xinxiang Central Hospital
Xinxiang, Henan, China
-
Xuanwu Hospital, Capital Medical University
Beijing, 100053, China
-
Yiyuan Country People's Hospital
Zibo, Shandong, China
-
Yueqing People's Hospital
Yueqing, Zhejiang, China
-
Yutian Hospital
Tangshan, Hebei, China
-
Zhangzhou Municipal Hospital
Zhangzhou, Fujian, China
-
Zhongxiang Traditional Chinese Medical Hospital
Zhongxiang, Wuhan, China
-
Zibo Central Hospital
Zibo, Shandong, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can PET scans reveal hidden heart inflammation after a stroke?
- Can an implanted heart monitor catch hidden irregular heartbeats after stroke?
- China builds national watchdog for brain blood vessel devices
- Can tiny neural exosomes help the brain heal after a severe stroke?
- Can a new antibody boost recovery after severe stroke?
- After stroke, a balloon or a stent? trial tests which rescue opens blocked brain arteries better