Can a blood pressure cuff on your arm help your brain heal after a stroke?
NCT ID NCT06559241
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a noninvasive arm cuff therapy, called remote ischemic conditioning, can improve recovery in people who have had a major stroke and undergone a clot-removal procedure. The therapy involves briefly inflating and deflating a cuff on the upper arm to protect the brain from further damage. About 2105 participants will receive the therapy for either 14 or 30 days, and their functional outcomes will be measured at 90 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- remote ischemic conditioning (arm cuff device)
- What this could lead to
- If it works, this simple, noninvasive therapy could significantly improve functional recovery and reduce disability after a major stroke.
- What could go wrong
- This is a large Phase 3 trial, but earlier studies were small. The therapy may not provide meaningful benefit over standard care, and results may not apply to all stroke types.
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 2,105 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Feb 2027
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.
- 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: 1. Age≥18 years; 2. Acute ischemic stroke due to large vessel occlusion in the anterior circulation that is not suitable for intravenous thrombolytic therapy, or has contraindications to intravenous thrombolytic therapy, or treated with intravenous thrombolytic therapy without recanalization; 3. Large vessel occlusion confirmed by computed tomography angiography (CTA) or magnetic resonance angiography (MRA), including the occlusion of the intracranial segment of the internal carotid artery (ICA) and M1 segment of the middle cerebral artery (MCA), is the cause of symptoms, and mechanical thrombectomy is planned within 24 hours from the time last known well; 4. Baseline score of the National Institutes of Health Stroke Scale (NIHSS) ≥ 6 points; 5. Patients or family members signed a written informed consent form. Exclusion Criteria: 1. Imaging examination revealed the presence of multiple vascular supply areas of cerebral infarction (such as the simultaneous presence of infarction in both anterior and posterior circulation); 2. Absence of femoral artery pulsation, extremely difficult intravascular access, or extremely tortuous large vessels, which are expected to result in the inability to undergo timely endovascular treatment; 3. Difficult-to-control hypertension: continuous monitoring upon admission shows systolic blood pressure ≥180mmHg, or diastolic blood pressure ≥100mmHg; 4. Coma or lethargy patients (consciousness level score ≥2 in NIHSS); 5. Unable to obtain an accurate baseline NIHSS score; 6. Pre-stroke modified Rankin Scale (mRS) score \>1; 7. Baseline ASPECTS score ≤5; 8. Presence of bleeding tendency, deficiency of coagulation factors, or oral anticoagulant therapy with INR \> 3.0; 9. Baseline blood glucose \<2.7mmol/L or \>22.2mmol/L; 10. Baseline platelet count \< 30\*10\^9/L; 11. Severe known renal impairment defined as requiring dialysis (hemodialysis or peritoneal dialysis), or if known creatinine clearance rate \<30mL/min; 12. Cranial CT or MRI shows intracranial hemorrhage; 13. Cranial CT or MRI shows midline deviation and significant occupying effect; 14. Clinical history, previous imaging examinations, or clinical judgment suggesting intracranial tumors, arteriovenous malformations, or intracranial arterial dissection; 15. History of head injury in the past 3 months; 16. History of life-threatening allergy to contrast agents, nickel, titanium metal, or their alloys; 17. Pregnancy, if women of childbearing age have a positive urinary or serum β-human chorionic gonadotropin (β-hCG) test or are breastfeeding; 18. The life expectancy of patients is less than 6 months, and they cannot be evaluated within 3 months; 19. Limb deformity, soft tissue injury, or other conditions that affect the implementation of distant ischemia adaptation therapy; 20. Participating in other ongoing clinical trials; 21. Other conditions that the investigators believe are not suitable for participation in this study.
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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
56 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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Aerospace Central Hospital
RECRUITINGBeijing, 100049, China
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Anshan Changda Hospital
RECRUITINGAnshan, Liaoning, Anshan, China
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Army Medical University Noncommissioned Officer School Affiliated Hospital
RECRUITINGShijiazhuang, Hebei, 050047, China
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Beijing Chao-Yang Hospital
RECRUITINGBeijing, 100020, China
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Beijing Daxing District People's Hospital
RECRUITINGBeijing, 102600, China
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Beijing Fangshan District First Hospital
RECRUITINGBeijing, Beijing Municipality, 100010, China
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Beijing Fengtai You'anmen Hospital
RECRUITINGBeijing, 100071, China
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Beijing Luhe Hospital affiliated to Capital Medical University
RECRUITINGBeijing, Beijing Municipality, 100000, China
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Beijing Red Cross Emergency Medical Center
RECRUITINGBeijing, 100085, China
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Cangzhou Central Hospital
RECRUITINGCangzhou, Hebei, 061000, China
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Chongqing University Fuling Hospital
NOT_YET_RECRUITINGChongqing, 408000, China
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Dalian Central Hospital
NOT_YET_RECRUITINGDalian, Liaoning, 116000, China
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Feixian People's Hospital
SUSPENDEDLinyi, Shandong, 273400, China
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First People's Hospital of Tianmen
SUSPENDEDTianmen, Hubei, 430000, China
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Fujian Provincial Hospital
NOT_YET_RECRUITINGFuzhou, Fujian, 350028, China
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Hebei General Hospital
NOT_YET_RECRUITINGShijiazhuang, Hebei, 455001, China
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Henan Province People's Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, 450000, China
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Huanggang Central hospital
RECRUITINGHuanggang, Hubei, 438000, China
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Huangshi central hospital
RECRUITINGHuangshi, Hubei, 435000, China
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Inner Mongolia Autonomous Region People's Hospital
NOT_YET_RECRUITINGHohhot, Inner Mongolia, 010000, China
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Jiaozuo Coal Industry Group Co., Ltd. Central Hospital
RECRUITINGJiaozuo, Henan, 454000, China
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Jinan Third People's Hospital
RECRUITINGJinan, Shandong, 250000, China
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Jingmen Central hospital
RECRUITINGJingmen, Hubei, 448000, China
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Jingmen People's Hospital
RECRUITINGJingmen, Hubei, 448000, China
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Liaocheng People's Hospital
RECRUITINGLiaocheng, Shandong, 252000, China
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Liaocheng Third People's Hospital
RECRUITINGLiaocheng, Shandong, 252000, China
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Luoyang Yanshi People's Hospital
RECRUITINGLuoyang, Henan, 471000, China
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Mianyang third people's hospital
RECRUITINGMianyang, Sichuan, 621000, China
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Nanyang Central Hospital
RECRUITINGNanyang, Henan, 473000, China
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Shengli Oilfield Central Hospital
RECRUITINGDongying, Shandong, 257000, China
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Shenzhen Second People's Hospital
NOT_YET_RECRUITINGShenzhen, Guangdong, 518000, China
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South China Hospital Affiliated to Shenzhen University
RECRUITINGShenzhen, Guangdong, 518000, China
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Suzhou Municipal Hospital of Anhui Province
RECRUITINGSuzhou, Anhui, 234000, China
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Taihe County People's Hospital
RECRUITINGTaihe Chengguanzhen, Anhui, 236600, China
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The Central Hospital of Xiangtan
NOT_YET_RECRUITINGXiangtan, Hunan, 411100, China
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The First Affiliated Hospital of Dalian Medical University
RECRUITINGDalian, Liaoning, 116000, China
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The First Affiliated Hospital of Soochow University
RECRUITINGSuzhou, Jiangsu, 215006, China
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The Fourth Affiliated Hospital of Soochow University
RECRUITINGSuzhou, Jiangsu, 215000, China
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The Hongda Hospital of Jiamusi University
RECRUITINGJiamusi, Heilongjiang, 154000, China
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The People's Hospital of Gaotang
RECRUITINGLiaocheng, Shandong, 252800, China
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The Second Affiliated Hospital of Wenzhou Medical University
RECRUITINGWenzhou, Zhejiang, 325000, China
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The Second Nanning People's Hospital
RECRUITINGNanning, Guangxi, 530000, China
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The Third People's Hospital of Hubei Province
NOT_YET_RECRUITINGWuhan, Hubei, 430033, China
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The Third Xiangya Hospital of Central South University
RECRUITINGChangsha, Hunan, 410000, China
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Tongling People's Hospital
RECRUITINGTongling, Anhui, China
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Xihua county people's hospital
RECRUITINGZhoukou, Henan, 466600, China
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Xuanwu Hospital, Capital Medical University
RECRUITINGBeijing, 100053, China
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Xunxian People's Hospital
RECRUITINGHebi, Henan, 456250, China
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Ya 'an People's Hospital
RECRUITINGYa'an, Sichuan, 625000, China
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Yeda Hospital
RECRUITINGYantai, Shandong, China
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Yichang Central People's Hospital
RECRUITINGYichang, Hubei, 443000, China
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Yueqing People's Hospital
RECRUITINGYueqing, Zhejiang, 325600, China
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Zhangzhou Municipal Hospital of Fujian Province
RECRUITINGZhangzhou, Fujian, 363000, China
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Zhongnan Hospital of Wuhan University
RECRUITINGWuhan, Hubei, 430000, China
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the First People's Hospital of Changde
RECRUITINGChangde, Hunan, 415000, China
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the First People's Hospital of Chenzhou
NOT_YET_RECRUITINGChenzhou, Hunan, 423000, 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