New antibody could reduce bleeding after stroke
NCT ID NCT05948566
First seen Jun 27, 2026 · Last updated Aug 25, 2026 · Updated 2 times
Summary
This study tests a new drug called TS23, an antibody that may help people recover from ischemic strokes by lowering the chance of bleeding in the brain. The trial involves 300 adults who have had a stroke and will receive either the drug or a placebo. Researchers will check for bleeding and measure stroke severity to see if the drug is safe and effective.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TS23 (monoclonal antibody)
- What this could lead to
- If successful, this could lead to a new treatment that helps people recover better from ischemic strokes by reducing the risk of bleeding in the brain.
- What could go wrong
- This is an early Phase 2 trial, so the drug may not prove safe or effective. There is also a risk that the antibody could cause bleeding or other side effects.
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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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- 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 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 and older 2. Suspected anterior circulation acute ischemic stroke 3. NIH Stroke Scale score ≥4 prior to randomization a. The participant must have a clearly disabling deficit if NIHSS is 4-5. 4. Favorable baseline neuroimaging consisting of all of the following: 1. ASPECTS of 6 or more on CT (or ASPECTS of ≥7 on MRI) 2. Favorable perfusion imaging on CT perfusion (CTP)/MR-perfusion weighted imaging (PWI) consisting of all of the following: i. Mismatch ratio of penumbra: core \>1.2 ii. Mismatch volume \>10 cc iii. Core \<70 cc c. If CT hypodensity is present, then in the investigator's visual assessment, the total acute infarct volume combined area of (a) the CT hypodensity and (b) the perfusion-based core volume (CBF\<30%) should be smaller than perfusion-based volume (area of Tmax\>6s minus CBF\<30%). 5. Able to receive assigned study drug within 4.5 to 24 hours of stroke onset or last known well. 6. Able to receive assigned study drug within 120 minutes of qualifying perfusion imaging. \* 7. Informed consent for the study participation obtained from participant or their legally authorized representatives. * Study drug administration is encouraged within 90 minutes after qualifying perfusion image but is allowed up to 120 minutes. After 120 minutes, another perfusion image to ensure that inclusion criteria are met is required. Exclusion Criteria: 1. Received endovascular treatment with clot engagement. 1. Patients who undergo groin puncture but clot engagement is not attempted due to spontaneous distal migration are permitted to be enrolled in the trial if all other eligibility criteria are met. 2. Patients who undergo groin puncture but clot is not engaged due to reasons other than spontaneous distal migration are NOT permitted. 2. Received or planned to receive intravenous thrombolysis. 3. Pre-stroke modified Rankin score \>2. 4. Previous treatment with TS23 or known previous allergy to antibody therapy. 5. Known pregnancy, women who are breastfeeding or plan to breastfeed within 3 months of receiving TS23 or have a positive urine or serum pregnancy test for women of childbearing potential. 6. Known previous stroke in the past 90 days. 7. Known previous intracranial hemorrhage, intracranial neoplasm, subarachnoid hemorrhage, or arterial venous malformation. 8. Known active diagnosis of intracranial neoplasm. 9. Clinical presentation suggestive of a subarachnoid hemorrhage, even if initial CT scan was normal. 10. Surgery or biopsy of parenchymal organ in the past 30 days. 11. Known trauma with internal injuries or persistent ulcerative wounds in the past 30 days. 12. Severe head trauma in the past 90 days. 13. Persistent systolic blood pressure \>180mmHg or diastolic blood pressure \>105mmHg despite best medical management. 14. Serious systemic hemorrhage in the past 30 days. 15. Known hereditary or acquired hemorrhagic diathesis, coagulation factor deficiency, or oral anticoagulant therapy with International Normalized Ratio (INR) \>1.7. 16. Platelets \<100,000/mm3. 17. Hematocrit \<25 %. 18. Elevated aPTT above laboratory upper limit of normal. 19. Creatinine \> 4 mg/dl, or patients receiving renal dialysis, regardless of creatinine. 20. Received the following within the previous 24 hours: 1. If patient received unfractionated heparin within the last 24 hours, the patient must have an aPTT within normal range prior to enrollment. 2. Low molecular weight heparins such as Dalteparin, enoxaparin, tinzaparin in full dose within the previous 24 hours. 21. Received Factor Xa inhibitors (such as Fondaparinux, apixaban or rivaroxaban) within the past 48 hours. 22. Received direct thrombin inhibitors (e.g., argatroban, dabigatran, bivalirudin, desirudin, lepirudin) within 48 hours. 23. Received glycoprotein IIb/IIIa inhibitors within the past 14 days. 24. Known pre-existing neurological or psychiatric disease which would confound the neurological/functional evaluations. 25. Current participation in another research drug treatment protocol (i.e., participants could not start another experimental agent until after 90 days). 26. Concurrent acute myocardial infarction, pulmonary embolism, deep venous thrombosis or other thrombotic event that requires anticoagulation or anti-platelet treatment.
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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.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
40 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Ascension Columbia St. Mary's Hospital
RECRUITINGMilwaukee, Wisconsin, 53211, United States
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Ascension St. John
RECRUITINGTulsa, Oklahoma, 74104, United States
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Banner University Medical Center
RECRUITINGPhoenix, Arizona, 85006, United States
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Banner University Medical Center - Tucson
RECRUITINGTucson, Arizona, 85719, United States
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Baptist Healthcare System, Inc.
RECRUITINGLexington, Kentucky, 40503, United States
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Barnes Jewish Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
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Brigham and Women's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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Buffalo General Medical Center
WITHDRAWNBuffalo, New York, 14203, United States
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Christiana Hospital
ACTIVE_NOT_RECRUITINGNewark, Delaware, 19718, United States
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Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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Grady Memorial Hospital
RECRUITINGAtlanta, Georgia, 30303, United States
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Harborview Medical Center
ACTIVE_NOT_RECRUITINGSeattle, Washington, 98104, United States
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Hartford Hospital
RECRUITINGHartford, Connecticut, 06102, United States
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JFK Medical Center
RECRUITINGEdison, New Jersey, 08837, United States
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Jackson Memorial Hospital
RECRUITINGMiami, Florida, 33136, United States
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Kaiser Permanente Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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M Health Fairview Ridges Hospital
RECRUITINGBurnsville, Minnesota, 55337, United States
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M Health Fairview Southdale Hospital
RECRUITINGEdina, Minnesota, 55435, United States
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M Health Fairview University of Minnesota Medical Center
RECRUITINGMinneapolis, Minnesota, 55455, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02171, United States
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Mayo Clinic Phoenix
WITHDRAWNPhoenix, Arizona, 85054, United States
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Medical University of South Carolina University Hospital
RECRUITINGCharleston, South Carolina, 32608, United States
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Memorial Hermann Texas Medical Center
RECRUITINGHouston, Texas, 77030, United States
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Methodist University Hospital
RECRUITINGMemphis, Tennessee, 38104, United States
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Mount Sinai West
RECRUITINGNew York, New York, 10029, United States
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NYP Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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NYU Langone Health
RECRUITINGBrooklyn, New York, 11220, United States
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North Shore University Hospital
RECRUITINGManhasset, New York, 11030, United States
Contact Email: •••••@•••••
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OSU Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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Prisma Health Greenville Memorial
RECRUITINGGreenville, South Carolina, 29605, United States
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Providence St. Vincent Medical Center
RECRUITINGPortland, Oregon, 97225, United States
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Rhode Island Hospital
RECRUITINGProvidence, Rhode Island, 02903, United States
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SUNY Upstate Medical University
RECRUITINGSyracuse, New York, 13202, United States
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Saint Luke's Hospital of Bethlehem Pennsylvania
RECRUITINGBethlehem, Pennsylvania, 18015, United States
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Sutter Medical Center
WITHDRAWNSacramento, California, 95816, United States
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Temple University Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
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The Mount Sinai Hospital
RECRUITINGNew York, New York, 10029, United States
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UCSD Health La Jolla
RECRUITINGLa Jolla, California, 92093, United States
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UCSD Medical Center- Hillcrest Hospital
RECRUITINGSan Diego, California, 92103, United States
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UF Health Shands Hospital
TERMINATEDGainesville, Florida, 32608, United States
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UVA Medical Center
RECRUITINGCharlottesville, Virginia, 22901, United States
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United Hospital
WITHDRAWNSaint Paul, Minnesota, 55102, United States
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University of Alabama Hospital
RECRUITINGBirmingham, Alabama, 35233, United States
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University of Chicago Medical Center
RECRUITINGChicago, Illinois, 60637, United States
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University of Cincinnati Medical Center
RECRUITINGCincinnati, Ohio, 45267, United States
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University of Iowa Hospitals & Clinics
WITHDRAWNIowa City, Iowa, 52242, United States
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University of Louisville Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
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University of Utah Healthcare
WITHDRAWNSalt Lake City, Utah, 84132, United States
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VCU Medical Center
WITHDRAWNRichmond, Virginia, 23298, United States
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Wake Forest Baptist Medical Center
TERMINATEDWinston-Salem, North Carolina, 27157, United States
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Westchester Medical Center
WITHDRAWNValhalla, New York, 10595, United States
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Yale New Haven Hospital
RECRUITINGNew Haven, Connecticut, 06511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Two ways to catch a hidden heart rhythm after stroke
- Blood test may reveal who recovers after a stroke
- Can a smart bracelet and app stop a second stroke?
- Pharmacist and coach team takes aim at blood pressure after stroke