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New stroke drug shows promise in early trial
NCT ID NCT06202378
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new drug called SHPL-49 in 270 people who had an acute ischemic stroke. Participants received either the drug or a placebo as an IV infusion twice daily for 7 days. The goal was to see if the drug helps improve recovery and is safe to use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SHPL-49 injection
- What this could lead to
- If successful, this could point toward a new treatment to improve recovery after a stroke.
- What could go wrong
- This is a Phase 2 trial, so results are still early. The treatment may not prove effective or safe in larger studies.
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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270 people
The number who actually took part.
- Started
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Dec 2023
- Finished
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Dec 2024
- 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 80 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 18-80 years old (including upper and lower limits); 2. Clinically diagnosed as acute ischemic stroke according to the latest guidelines; 3. Patients with acute ischemic stroke who plan to receive or have received standard intravenous thrombolysis in hospital (this research center) within 8h after the onset of the disease; 4. Participants who have NIHSS ≥5 and ≤ 22 before thrombolysis; 5. Pre-stroke mRS Score ≤1; 6. Participants or legally authorized representatives who are able and willing to sign informed consent. Exclusion Criteria: 1. Complicated with intracranial hemorrhagic diseases, including hemorrhagic stroke, epidural hematoma, intracranial hematoma, ventricular hemorrhage, subarachnoid hemorrhage, etc.; 2. Severe disturbance of consciousness: patients with NIHSS 1a consciousness level item score ≥2; 3. Cerebral Computed tomography (CT) or Magnetic resonance imaging (MRI) indicated a large anterior circulation cerebral infarction (ASPECT score \< 6 or infarct area greater than 1/3 of the middle cerebral artery blood supply area); 4. Stroke with rapid improvement of symptoms before intravenous thrombolysis, or acute ischemic symptoms suspected to be caused by other causes; 5. Patients who are ready to receive or have receive intravascular therapy; 6. After the onset of the disease, drugs with neuroprotective effects have been applied in the instructions. Such as commercially available Edaravone, Edaravone and Dexborneol Concentrated Solution for Injection, Butylphthalide, Nimodipine, Ganglioside, Citicoline, Piracetam, Oxiracetam, Human Urinary Kallidinogenase, Cinepazide, Mouse Nerve Growth Factor For Injection, Cerebrolysin, Deproteinised Calf Blood Serum Injection, Deproteinised Calf Blood Extractives Injection, etc.; 7. Severe hypertension: systolic blood pressure ≥185mmHg or diastolic blood pressure ≥110mmHg after taking antihypertensive drugs before thrombolysis; 8. Severe renal insufficiency: serum creatinine \>2 times the upper limit of normal or creatinine clearance (CLcr)\< 30mL/min (Cockcroft-Gault formula), or other known severe renal insufficiency; (Note: Cockcroft-Gault formula: ① Male: CLcr (mL/min) = \[140 - age (yrs)\]× body weight (kg) / \[0.814 × serum creatinine (μmol/L)\]; (2) female: CLcr (mL/min) = {\[140 - age (years old)\] by weight (kg) / \[0.814 x serum creatinine (μmol/L)\]} x 0.85) 9. Severe liver function impairment: Alanine aminotransferase (ALT) or Aspartate aminotransferase(AST)\>3 times the upper limit of normal, or other known liver diseases such as acute and chronic hepatitis, cirrhosis, etc.; 10. Patients with a heart function rating above Class II (according to the New York Heart Association (NYHA) heart function rating) or a history of congestive heart failure; 11. Patients with concurrent malignant tumors or undergoing anti-tumor therapy; 12. Allergic to experimental drugs or similar ingredients or materials used in imaging examinations; 13. Patients during pregnancy, breastfeeding or planning pregnancy; 14. Patients who have a history of epilepsy or have had seizure-like symptoms at the onset of stroke, or suffer from serious mental disorders, intellectual disabilities or dementia; 15. Suspected or confirmed alcohol dependence, or drinking more than 3 units (male) or 2 units (female) of alcohol within 24 hours prior to onset (1 unit =360 mL beer or 45 mL liquor with 40% alcohol or 150 mL wine); 16. Patients have participated in or are participating in another clinical study within the 3 months before singing informed consent; 17. Patients who are judged unsuitable for participation by the investigators in the 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.
Contacts and locations
Locations
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Beijing Tiantan Hosptial,Capital Medical University
Beijing, Beijing Municipality, 100070, China
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Beipiao Central Hospital
Beipiao, Liaoning, 122199, China
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General Hospital of Pingmei Shenma Group
Pingdingshan, Henan, 467099, China
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Hengshui People's Hospital
Hengshui, Hebei, 053099, China
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Keshiketeng Banner Traditional Chinese Medicine and Mongolian Medicine Hospital
Chifeng, Inner Mongolia, 025350, China
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Linfen Central Hospital
Linfen, Shanxi, 041000, China
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Linfen People's Hospital
Linfen, Shanxi, 041000, China
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Linyi People's Hospital
Linyi, Shandong, 276100, China
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Nanshi Hospital of Nanyang
Nanyang, Henan, 473010, China
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Shenyang Medical College Affiliated Central Hospital
Shenyang, Liaoning, 110024, China
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Sinopharm Tongmei General Hospital
Datong, Shanxi, 037001, China
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Tangshan Workers' Hospital
Tangshan, Hebei, 063099, China
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The First Hospital of Jilin University
Changchun, Jilin, 130021, China
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The First People's Hospital of Shenyang
Shenyang, Liaoning, 110041, China
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The First People's Hospital of Tancheng
Linyi, Shandong, 276100, China
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Yuebei People's Hospital
Shaoguan, Guangdong, 512026, China
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