Sugar-Based gel shows promise for stroke patients in early trial
NCT ID NCT06700824
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested a new gel called OTR4132 in 60 people who had a stroke and received a clot-removal procedure. The gel is designed to help repair damaged brain tissue. Researchers measured neurological function at 24 hours and disability at 3 months to see if the gel improves recovery compared to a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- OTR4132 (a sugar-based gel that helps repair damaged tissue)
- What this could lead to
- If it works, this could point toward a new treatment to help people recover better after a stroke.
- What could go wrong
- This is a small, early-phase trial with only 60 people, so results may not apply to everyone. The treatment is still experimental and may not show clear benefit.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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60 people
The number who actually took part.
- Started
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Mar 2025
- Finished
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Mar 2026
- 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 to 85 years
- 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: 1. Age between 18 and 85 years 2. Acute ischemic stroke in anterior circulation territory, identified by magnetic resonance imaging (MRI). 3. Occlusion of anterior circulation i.e. carotid artery (ICA) or proximal middle cerebral artery (MCA) (M1 and/or M2 segment) 4. Endovascular thrombectomy (with or without previous intravenous thrombolysis) 5. Recanalization confirmed by angiography after endovascular treatment: TICI grade 2b - 3 6. NIHSS (National Institute of Health Stroke Scale/Score) ≥ 11 7. Pre-stroke modified Rankin Score (mRS): 0 or 1 8. Patient\* or legally authorized representative (family member or trusted person if patient unable to give consent) or independent physician (if patient unable to give consent and if an authorized representative cannot be reached) has signed informed consent. * Patients unable to give consent at baseline will go through a deferred consent procedure to continue the study Exclusion Criteria: 1. Previous symptomatic stroke with permanent sequelae 2. Pre-existing medical, neurological, or psychiatric disease that would confound the neurological evaluation 3. Contraindication to MRI 4. Stroke lesion not visible on MRI 5. History of allergy or anaphylactic reactions to any of the ingredients of OTR4132-MD or heparinoids 6. History of hypersensitivity or anaphylactic reactions to iodinated contrast media 7. Intracranial tumor at inclusion 8. Pregnant or breastfeeding women 9. Severe renal failure with glomerular filtration rate (GFR) \< 30 mL/min 10. Severe uncontrolled arterial hypertension e.g. systolic blood pressure \> 185 mmHg or diastolic blood pressure \> 110 mmHg, or intravenous medication necessary to reduce blood pressure 11. Life expectancy of less than 3 months or co-morbidities that could influence the study results or would complicate assessment of outcomes (e.g. dementia, psychiatric disease) or would make clinical follow-up difficult 12. Increased risk of hemorrhage (for instance medical history of significant bleeding disorders, major surgery or significant trauma in the past 3 months, any history of suspected intracranial hemorrhage, symptoms suggestive of subarachnoid hemorrhage, even if the MRI is normal, international normalized ratio (INR)\>1.3 or activated partial thromboplastin time (aPTT)\>ULN (upper limit of normal) 13. Suspected cerebral vasculitis based on medical history and imaging 14. Occlusions in multiple vascular territories 15. Evidence of any prior intracranial intervention (i.e. neurosurgery, endovascular intervention) 16. Worsening of medical or neurological conditions or per-procedures complications 17. Any other serious, advanced, or terminal illness (investigator judgment) 18. Current participation in another therapeutic investigation (drug or device) 19. The patient is not a member or beneficiary of the French social security system
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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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CHU Henri-Mondor
Créteil, 94000, France
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Centre Hospitalier Régional Universitaire de Lille- Hôpital Roger Salengro
Lille, 59000, France
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Centre Hospitalier Régional Universitaire de Nancy
Nancy, 54000, France
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Centre Hospitalier Universi-taire de Bordeaux-Hôpital Pellegrin
Bordeaux, 33076, France
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Centre Hospitalier Universitaire Grenoble Alpes
Grenoble, 38043, France
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Centre Hospitalier Universitaire de Martinique
Fort de France, 97261, France
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Centre Hospitalier Universitaire de la Guadeloupe
Pointe à Pitre, 97159, France
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Centre hospitalier universi-taire de Brest (Cavale Blanche)
Brest, 29609, France
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GHU Paris Psychiatrie & Neurosciences
Paris, France, France
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Hôpital Foch
Suresnes, 92150, France
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Hôpital Fondation Adolphe de Rothschild Service de neuro-vasculaire
Paris, 75019, France
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Hôpital de Hautepierre
Strasbourg, 67200, France
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Hôpital de la Pitié Salpêtrière - AP-HP
Paris, 75013, France
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Hôpitaux Universitaires De Marseille Timone-AP-HM
Marseille, 13385, France
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UIC Imagerie et Neurovasculaire CHU de Nantes
Nantes, 44093, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a kidney protein drug boost stroke recovery after clot removal?
- 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
- Cancer patients face a hidden Second-Stroke threat, and 24 hospitals are mapping it
- Can tiny neural exosomes help the brain heal after a severe stroke?