Can a clot-busting procedure help stroke patients with prior disabilities?
NCT ID NCT05911568
First seen Jun 27, 2026 · Last updated Sep 03, 2026 · Updated 2 times
Summary
This study looks at whether removing a large blood clot from the brain (endovascular thrombectomy) is better than standard medical care for stroke patients who already had a moderate-to-severe disability before their stroke. About 1,060 adults with a recent stroke and a pre-existing disability will be randomly assigned to either get the clot removal procedure or not. The goal is to see which approach leads to better recovery or survival.
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.
- Participants
-
About 1,060 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2023
- Expected to finish
-
Apr 2028
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.
Who is studied
Ischemic stroke patients who have a blockage in one of the large blood vessels in the brain and have a moderate-to-severe disability prior to their stroke. They will be consented up to 72 hours after stroke onset in the acute hospitalization setting.
- 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. Adult patients (≥18 years) 2. Moderate-to-severe pre-stroke functional disability, defined as mRS 3-4, for at least 3 months prior to stroke onset 3. Presenting to study hospital within 24 hours of last known well time 4. Diagnosis of acute ischemic stroke 5. Intracranial causative occlusion of the internal carotid artery or the M1 or dominant M2 segments of the middle cerebral artery visualized on the baseline CT(or MR) angiogram 6. Presenting CT Alberta Stroke Program Early CT (ASPECT) score ≥3 or MRI ASPECT score ≥4 7. Presenting NIH Stroke Scale score ≥6 8. Informed consent from patient if competent or from legally authorized representative Exclusion Criteria: 1. Known diagnosis of a terminal cancer or terminal illness at the time of stroke 2. Assessment of pre-stroke functional status cannot be performed during the hospital stay 3. Pre-stroke disability deemed temporary in the investigator's opinion (for example, recovering from a general medical illness or traumatic bodily injury)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for 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
33 sites. 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
-
Ascension St. John
RECRUITINGTulsa, Oklahoma, 74104, United States
-
Baptist Hospital of Miami
RECRUITINGMiami, Florida, 33176, United States
-
Baptist Memorial Hospital
RECRUITINGMemphis, Tennessee, 38120, United States
-
Barnes Jewish Hospital
RECRUITINGSaint Loius, Missouri, 63110, United States
-
Boston Medical Center
RECRUITINGBoston, Massachusetts, 02118, United States
-
Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
-
Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
-
Columbia University
RECRUITINGNew York, New York, 10032, United States
-
Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
-
Hartford Health Hospital
RECRUITINGHartford, Connecticut, 06106, United States
-
HonorHealth
RECRUITINGPhoenix, Arizona, 85013, United States
-
Houston Methodist Neurological Institute
RECRUITINGHouston, Texas, 77030, United States
-
Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
-
Kaiser Permanente Los Angeles Medical Center
RECRUITINGLos Angeles, California, 90027, United States
-
New York University
RECRUITINGBrooklyn, New York, 11220, United States
-
Providence St. Vincent Medical Center
RECRUITINGPortland, Oregon, 97225, United States
-
Stanford University
RECRUITINGPalo Alto, California, 94305, United States
-
Swedish Medical Center
WITHDRAWNEnglewood, Colorado, 80113, United States
-
The Ohio State University Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
-
TriHealth Good Samaritan Hospital
RECRUITINGCincinnati, Ohio, 45220, United States
-
University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35294, United States
-
University of California San Diego
RECRUITINGSan Diego, California, 92121, United States
-
University of California at Los Angeles
RECRUITINGLos Angeles, California, 90095, United States
-
University of Chicago
RECRUITINGChicago, Illinois, 60637, United States
-
University of Cincinnati Medical Center
RECRUITINGCincinnati, Ohio, 45219, United States
-
University of Louisville
RECRUITINGLouisville, Kentucky, 40202, United States
-
University of Miami
RECRUITINGMiami, Florida, 33125, United States
-
University of Pittsburgh Medical Center
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
-
University of Texas at Austin
RECRUITINGAustin, Texas, 78712, United States
-
University of Utah
RECRUITINGSalt Lake City, Utah, 84112, United States
-
University of Virginia
RECRUITINGCharlottesville, Virginia, 22904, United States
-
University of Washington
RECRUITINGSeattle, Washington, 98104, United States
-
Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
-
West Virginia University
TERMINATEDMorgantown, West Virginia, 26506, United States
-
Yale University
RECRUITINGNew Haven, Connecticut, 06510, 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
- Stroke's hidden heart rhythm clue under investigation
- Zapping the spine while wearing a robotic ankle: a new way to help kids walk?
- Can a nurse and a neighbor help tame chronic disease?
- Can PET scans reveal hidden heart inflammation after a stroke?