Stroke drug tirofiban may boost recovery after clot removal
NCT ID NCT06265051
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tested whether giving the blood-thinning drug tirofiban after mechanical clot removal improves outcomes for people with severe stroke. Over 1,300 participants were randomly assigned to receive tirofiban or a placebo. The goal was to see if more patients could live independently at 90 days without increasing dangerous bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tirofiban (a blood-thinning drug given intravenously)
- What this could lead to
- If successful, this could provide a proven way to improve recovery and reduce disability after a severe stroke.
- What could go wrong
- This is a mid-stage trial; results may not confirm benefit, and tirofiban can increase bleeding risk, including in the brain.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
1,380 people
The number who actually took part.
- Started
-
Apr 2024
- Finished
-
Dec 2025
- 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. NIHSS score: 6-30; 3. Symptom onset to random time of 24h, including wake-up stroke or unwitnessed stroke; The onset time of symptoms was defined as the last time of normal performance. 4. mRS 0-1 before the stroke; 5. Subject or legal representative can sign an informed consent form; 6. Clinical symptoms caused by acute occlusion of the following sites confirmed by CTA or MRA: intracranial segment of ICA, M1 segment of middle cerebral artery, M2 trunk of middle cerebral artery; 7. ASPECTS≥6 on NCCT or DWI; 8. After the end of mechanical thrombectomy, the mTICI was stable at 2b/3, and there was no secondary embolism in other non-offending vessels, or the diagnostic angiography before mechanical thrombectomy showed that the occluded vessels improved to mTICI 2b/3, and no mechanical thrombectomy was planned. Exclusion Criteria: 1. Intra-arterial thrombolysis; 2. Tirofiban was used within 24 hours before endovascular treatment 3. Women who are known to be pregnant or lactating, or have a positive pregnancy test before randomization; 4. Allergy to tirofiban, radiocontrast agent or Nitinol materials; 5. Any active bleeding within 30 days before stroke or recent bleeding (gastrointestinal, urinary, etc.); 6. parenchymal organ surgery or biopsy within 14 days before stroke; 7. History of heparin-induced thrombocytopenia; 8. Platelet count \< 100\*10\^9/L; 9. Being on hemodialysis or peritoneal dialysis; Known severe renal insufficiency (glomerular filtration rate \< 30ml/min or serum creatinine \> 220μmol/L). 10. Subjects requiring hemodialysis or peritoneal dialysis or who have contraindications to angiography for any reason; 11. The expected survival time is less than half a year (such as malignant tumors, serious heart and lung diseases, etc.); 12. Have participated in other interventional clinical studies that may have an impact on the outcome assessment; 13. Other circumstances that the investigator considers inappropriate for participation in the study or that may pose a significant risk to the patient (e.g., inability to understand and/or comply with study procedures and/or follow-up due to mental illness, cognitive or emotional disorder). 14. The midline shift of the brain or cerebral hernia, ventricular mass effect; 15. Acute intracranial hemorrhage on CT or MRI; 16. New bilateral acute stroke or intracranial multi-drainage large vessel occlusion; 17. Simple extracranial occlusion of the internal carotid artery.
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.
Contacts and locations
Locations
-
Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 450001, China
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 a stent retriever plus suction clear stroke clots faster?