Stroke patients may get a second chance with early tirofiban
NCT ID NCT05604638
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether giving the drug tirofiban soon after the standard clot-busting drug tenecteplase can help people recover better from a stroke. About 348 adults who had a stroke and received tenecteplase will be enrolled. The goal is to see if this combination reduces disability and improves daily function without increasing risks.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 348 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2024
- Expected to finish
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Mar 2026
An estimate. End dates often move.
- Lead sponsor
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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
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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 old; 2. Within 4-24 hours after intravenous thrombolytic therapy with tenerplase for acute ischemic stroke, there was no significant change in symptoms compared to the baseline (defined as an increase or decrease of 0 or 1 point in the NIHSS score), and neurological function deteriorated (defined as an increase of ≥ 2 in the NIHSS score compared to the baseline) Fluctuations in neurological function (defined as an increase of 4 points or more in the NIHSS score compared to the baseline and then a decrease of 4 points or more); 3. NIHSS ≥ 4 points before randomization; 4. The patient or their family members sign a written informed consent form. Exclusion Criteria: 1. Intracranial hemorrhage was confirmed by CT or MRI after intravenous thrombolysis and before randomization; 2. CTA/MRA/DSA showed occlusion of the internal carotid artery, middle cerebral artery M1, M2 or M3 segment, anterior cerebral artery A1, A2 or A3 segment, posterior cerebral artery P1, P2 or P3, vertebral or basilar artery; 3. Confirmed or suspected cardioembolic stroke mechanisms, including any of the following: documented cardiac sources of thromboembolism: chronic or paroxysmal atrial fibrillation, rheumatic mitral stenosis, prosthetic heart valves, infective endocarditis, intracardiac thrombus or implanted prosthetic material, dilated cardiomyopathy (left ventricular ejection fraction \<40%), or spontaneous echo contrast in the left atrium; other laboratory-confirmed embolic sources: patent foramen ovale with concomitant atrial septal aneurysm, or cryptogenic stroke with a CHADS-VASC score ≥ 2 indicating high thromboembolic risk; 4. Blood platelet count was lower than 100×10\^9/L; 5. Renal insufficiency, glomerular filtration rate \< 30 mL/min; 6. Pregnant or lactating women; 7. Allergic to tirofiban, nickel, titanium or their alloys; 8. Prior neurological or psychiatric illness that prevents assessment of neurological function; 9. Pre-existing bleeding disease, severe heart, liver, or kidney disease, or sepsis; 10. Brain tumors with a space-occupying effect on imaging (other than micromeningiomas); 11. Intracranial aneurysm, arteriovenous malformation; 12. Life expectancy of any advanced disease \< 6 months; 13. Participating in other clinical trials.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
38 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
Locations
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Affiliated Hospital of Jiujiang University
RECRUITINGJiujiang, Jiangxi, China
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Dalian Municipal Central Hospital
RECRUITINGDalian, Liaoning, China
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Ganzhou Municipal Hospital
RECRUITINGGanzhou, Jiangxi, China
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Ganzhou People's Hospital
RECRUITINGGanzhou, Jiangxi, 341000, China
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Huangmei People's Hospital
RECRUITINGHuanggang, Hubei, China
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Hunan University of Medicine Affiliated Pingjiang Hospital
RECRUITINGYueyang, Hunan, China
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Hunan Xupu Chengnan Hospital
RECRUITINGHuaihua, Hunan, China
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Ji'an Central People's Hospital
RECRUITINGJi’an, Jiangxi, China
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Jiangxi Provincial People's Hospital
RECRUITINGNanchang, Jiangxi, China
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Longyan People´s Hospital, Longyan City
RECRUITINGLongyan, Fujian, China
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Mingguang People's Hospital
RECRUITINGChuzhou, Anhui, China
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Nankang TCM Hospital
RECRUITINGGanzhou, Jiangxi, China
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People's Hospital Of Shaodong
RECRUITINGShaoyang, Hunan, China
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People's Hospital of Anyuan County
RECRUITINGGanzhou, Jiangxi, China
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People's Hospital of Chongyi County
RECRUITINGGanzhou, Jiangxi, China
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People's Hospital of Dayu County
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Ganxian District
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Quannan County
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of RuiJin City
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Shangyou County
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Shicheng County
RECRUITINGGanzhou, Jiangxi, China
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People's Hospital of Wan'an county
RECRUITINGJi’an, Jiangxi, China
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People's Hospital of Xinfeng County
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Xunwu County
RECRUITINGGanzhou, Jiangxi, 341000, China
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People's Hospital of Yichun
RECRUITINGYichun, Jiangxi, China
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People's Hospital of Yudu County
RECRUITINGGanzhou, Jiangxi, 341000, China
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Second Hospital of Xingguo County
RECRUITINGGanzhou, Jiangxi, China
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Second People's Hospital of Yudu County
RECRUITINGGanzhou, Jiangxi, China
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Shaoshan People's Hospital
RECRUITINGXiangtan, Hunan, China
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Songyuan Jilin Oilfield Hospital
RECRUITINGSongyuan, Jilin, China
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The People's Hospital of Ningdu County
RECRUITINGGanzhou, Jiangxi, China
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The Second Affiliated Hospital of Guangxi Medical University
RECRUITINGNanning, Guangxi, China
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Traditional Chinese Medicine Hospital of Xingguo County
RECRUITINGGanzhou, Jiangxi, China
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Traditional Chinese Medicine Hospital of Yudu County
RECRUITINGGanzhou, Jiangxi, China
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Xiangtan Central Hospitall
RECRUITINGXiangtan, Hunan, China
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Yiling People's Hospital of Yichang city
RECRUITINGYichang, Hubei, China
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Yingtan People's Hospital
RECRUITINGYingtan, Jiangxi, China
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Zhongmeng Hospital of Hexigten Banner
RECRUITINGChifeng, Neimenggu, 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 tiny neural exosomes help the brain heal after a severe stroke?