New hope for stroke patients: which blood thinner works best after emergency treatment?
NCT ID NCT05225961
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two blood thinners—tirofiban and aspirin—in 240 stroke patients who also had a severe blockage in the neck artery. The goal was to see which drug better prevents the artery from reclosing after emergency surgery, while also checking for bleeding risks. Results will help doctors choose the safest and most effective anti-clotting plan for these complex cases.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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240 people
The number who actually took part.
- Started
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Mar 2026
- Finished
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Mar 2026
- 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 to 100 years
- 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: * Patients with acute ischemic stroke of the anterior territory secondary to a tandem lesion, with an indication for thrombectomy treatment according to the current recommendations of the Clinical Practice Guidelines, and the need for cervical stent placement. * The intracranial occlusion locations that may be included are: carotid "T", M1 and M2 segments of the middle cerebral artery, segment A1 of the anterior cerebral artery; and in the case that the posterior cerebral artery has fetal origin and is the site of intracranial occlusion. * ASPECTS (Alberta Stroke Program Early computerized Tomography Score) ≥6. * Greater than or equal to 18 years of age. * Signed informed consent. Exclusion Criteria: * Patients under 18 years of age. * Patients with ASPECTS \<6. * Bilateral strokes or those produced by simultaneous occlusion of an artery in the anterior and posterior territory. * Patients whose carotid stenosis is due to a re-stenosis or reocclusion of a pre-existing cervical stent. * Candidate patients for carotid puncture. * Previous treatment with double antiplatelet therapy for another cause prior to inclusion. * Severe comorbidity and / or reduced life expectancy. * Modified Rankin scale (mRS)\> 2. * Severe allergy to contrast medium. * Pregnant. * Patients with intracranial occlusive arteriosclerotic disease or extra or intracranial dissection. * Documented allergy to acetylsalicylic acid or Tirofiban. * Personal history of platelet penia (Platelets \<100,000) * Concomitant anticoagulant treatment with presence of International Normalized Ratio (INR) \> 1.7 in case of anti-vitamin K treatment or taking direct oral anticoagulant \<48 hours ago) * Medical history of the patient that carries a high risk of bleeding according to the investigator's criteria.
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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
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Complejo Hospital Universitario de Badajoz
Badajoz, Badajoz, Spain
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Complejo Hospitalario Torrecárdenas
Almería, Almería, Spain
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Complexo Hospitalario Universitario A Coruña
A Coruña, A Coruña, Spain
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General Hospital Dr. Balmis (Alicante)
Alicante, Alicante, Spain
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Germans Trias i Pujol Hospital
Badalona, Barcelona, Spain
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Hospital Clínico Universitario Virgen de la Arrixaca, Murcia
Murcia, Murcia, Spain
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Hospital Universitario de Cruces
Bilbao, Bilbao, Spain
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Hospital Universitario y Politécnico de La Fe
Valencia, Valencia, Spain
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Josep Trueta Hospital
Girona, Gerona, Spain
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Ramón y Cajal Hospital
Madrid, Madrid, Spain
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Reina Sofía Hospital
Córdoba, Córdoba, Spain
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Virgen Macarena Hospital
Seville, Seville, Spain
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Virgen del Rocío Hospital
Seville, Seville, Spain
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Other studies related to the condition(s) this trial covers.
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