New stroke drug combo aims to boost recovery in major trial
NCT ID NCT07335107
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the blood thinner tirofiban after standard stroke treatment helps people recover better from a severe type of stroke caused by a blocked large artery in the brain. About 564 adults in China will receive either tirofiban or usual care after their initial treatment. The goal is to see if more people can live independently 90 days later, while monitoring for bleeding risks.
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 564 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Jan 2026
An estimate. Start dates often move.
- Expected to finish
-
Apr 2027
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 old. 2. Pre-mRS 0-2. 3. Baseline NIHSS 6-30 points. 4. Baseline ASPECTS ≥6 points. 5. Baseline CTA/MRA diagnosed: the ICA or MCA-M1/M2 occlusion. 6. Receiving bridging therapy (EVT following IV Tenecteplase) within 24 hours from stroke onset. 7. Baseline DSA diagnosed: ICAD related LVO. \* ICAD-related LVO is assumed if any one the following criteria is fulfilled: (1) absence of atrial fibrillation; (2) truncal-type occlusion; (3) residual stenosis ≥30% on DSA after the first retriever; (4) researchers determined it to be ICAD-related LVO based on the TOAST classification. 8. Patients have achieved successful reperfusion after EVT (mTICI ≥2b). 9. Patients or their eligible surrogates provided informed consent. Exclusion Criteria: 1. Previously known permanent, persistent, or paroxysmal atrial fibrillation. 2. Permanent stenting during EVT; 3. Patient had severe bleeding or the following conditions, such as active gastrointestinal ulcer, aortic dissection, platelet count \<100 ×109/L, hemoglobin \<100 g/L, INR≥1.7 in the last 6 months. 4. Contraindication to glycoprotein IIb/IIIa inhibitors. 5. Imaging examination (Flat-panel NCCT/DCT) before randomization showed the following: Heidelberg hemorrhage type 1c, 2, or 3 ICH with or without clinical exacerbation (an increase of ≥4 points in the NIHSS score from baseline or an increase of ≥2 points in any of the NIHSS scores or resulting in intubation, decompression of bone valves, ventricular drainage, or other significant medical/surgical intervention), infarct area greater than 50% of the middle cerebral artery blood supply area or infarct volume ≥70ml, cerebral hernia signs. 6. Vascular malformations, arterial dissection, intracranial aneurysms, tumors (except for small meningiomas), cerebrovascular inflammation, cerebral amyloid angiopathy, or other major non-ischemic craniocerebral diseases (e.g. multiple sclerosis) as diagnosed by head imaging. 7. Acute renal failure, dialysis, or estimated glomerular filtration rate (eGFR) \< 30ml/min/1.72m2, or serum creatinine \> 220mmol/L (2.5mg/dl). 8. History of severe liver disease, or aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or glutamyltransferase (GGT) ≥3×ULN and/or total bilirubin (TBIL) ≥2×ULN. 9. Acute ST elevation myocardial infarction (MI), acute decompensated heart failure, QTc\>500 ms, hospitalization or involuntary coronary intervention due to acute coronary syndrome, MI, cardiac arrest within the past 3 months. 10. Severe non-cardiovascular comorbidity with life expectancy \< 3 months (e.g., malignant tumors). 11. Any clinical conditions determined by the study team that may limit adherence to the study process. 12. Currently receiving an investigational drug or device. 13. Women of childbearing age not practicing reliable contraception who do not have a documented negative pregnancy test. 14. The subject's informed consent was not obtained.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute ischemic 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Beijing Tiantan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100070, 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