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Stroke drug tirofiban may boost recovery after clot removal

NCT ID NCT06265051

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

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 \&lt; 30ml/min or serum creatinine \&gt; 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.

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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

  • Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 450001, China

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