New stroke treatment could help patients with medium-artery blockages
NCT ID NCT07347665
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This study looks at whether removing a blood clot from a medium-sized brain artery (M2 segment) helps people recover better after a stroke. About 200 adults who have had a stroke and are not helped by clot-busting medicine will be randomly assigned to get either standard care or standard care plus a procedure to remove the clot. The main goal is to see if more people can live independently 90 days later.
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
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2025
- Expected to finish
-
Mar 2030
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 to 84 years
- 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. Acute cerebral infarction 2. Aged 18-84 years 3. NIHSS score at admission ≥ 8 4. Prestroke mRS scores of 0-1 (able to carry out all usual activities) 5. Occlusion of the M2 segment of MCA on digital subtraction angiography 6. ASPECTS ≥ 8 or DWI-ASPECTS ≥ 8 7. Ineligible or failed intravenous tPA (no recanalization within 30 min after injection) 8. Randomization can be completed within 24 h from the last known well time 9. EVT can be initiated within 30 min from randomization. 10. The patient or their legally authorized representative has signed the informed consent form. Exclusion Criteria: 1. Occlusion of the anterior temporal artery, duplicate M1, or accessory M1 2. Occlusion of multiple major intracranial arteries 3. Difficulty in endovascular access due to tortuous vascular anatomy 4. Significant mass effect with midline shift on CT (or MRI) 5. Known allergy (more severe than skin rash) to contrast agents 6. Evidence of acute intracranial hemorrhage on CT (or MRI) 7. Pregnant or potentially pregnant 8. Clinical evidence of chronic occlusion 9. High risk of hemorrhage (platelet \< 40,000/ul, APTT \> 50 sec or PT-INR \> 3.0) 10. Participating in any other therapeutic investigational trial 11. Judgment of the investigator to be non-compliant or uncooperative during the study
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
3 sites in 3 countries. 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
-
Hyogo Medical University
RECRUITINGNishinomiya, Hyōgo, 663-8501, Japan
-
S.I.S Can Tho International General Hospital
RECRUITINGCan Tho, Can Tho City, 94118, Vietnam
-
Thammasat University Hospital
RECRUITINGKhlong Luang, Changwat Pathum Thani, 12120, Thailand
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?