Improving Early Reperfusion With Adjuvant Dornase Alfa in Large Vessel Ischemic Stroke (EXTEND-IA DNase)
NCT05203224 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 330
Last updated 2026-05-06
Summary
Patients presenting to the emergency department with acute ischemic stroke, who are are eligible for standard intravenous thrombolytic therapy within 4.5 hours of stroke onset will be assessed for major vessel occlusion to determine their eligibility for the trial. All participants will receive intravenous tenecteplase (or alteplase due to manufacturer shortage) and endovascular thrombectomy as standard care. The trial is a Bayesian Optimised Phase 2 dose-finding umbrella trial (single arm versus objective performance criterion of 20% substantial reperfusion prior to endovascular thrombectomy based on the EXTEND-IA TNK trials NCT02388061, NCT03340493). The aim is to determine the optimal dose of intravenous dornase alfa (recombinant human DNase 1) with sufficient promise to take forward in a seamless phase 2b/3 design.
Conditions
Interventions
- DRUG
-
Dornase Alfa
Intravenous Dornase alfa
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Bruce CV Campbell, MBBS PhD · University of Melbourne
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-18
- Primary Completion
- 2025-11-24
- Completion
- 2026-02-25
- FDA Drug
- Yes
Countries
- Australia
Study Locations
More Related Trials
-
Tenecteplase Versus Alteplase for Stroke Thrombolysis Evaluation Trial in the Ambulance
NCT04071613 ·Status: COMPLETED ·Phase: PHASE2
-
Post-thrombectomy Intra-arterial Tenecteplase for Acute manaGement of Non-retrievable Thrombus and No-reflow in Emergent Stroke
NCT05892510 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Extending the Time Window for Tenecteplase by Effective Reperfusion in Patients with Large Vessel Occlusion
NCT04454788 ·Status: TERMINATED ·Phase: PHASE3
-
Safety and Feasibility of Argatroban, Tissue Plasminogen Activator and Intra-arterial Therapy in Stroke
NCT02448069 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation to Assess Safety and Tolerability of DM199 in Subjects With Acute Ischemic Stroke
NCT03290560 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Intravenous Thrombolysis With Alteplase in MRI-Selected Patients
NCT01282242 ·Status: COMPLETED ·Phase: PHASE2
-
Extending the Time for Thrombolysis in Emergency Neurological Deficits
NCT00887328 ·Status: COMPLETED ·Phase: PHASE3
-
EXtending the Time Window for Thrombolysis in Posterior Circulation Stroke Without Early CT Signs
NCT05429476 ·Status: COMPLETED ·Phase: PHASE3
-
Alteplase in Elderly Acute Ischemic Stroke (AIS) Patients During Hospitalization
NCT05395351 ·Status: COMPLETED
-
Advancing Reperfusion Therapy for Ischemic Stroke (ARTS): Tenecteplase in Medium Vessel Occlusion (MeVO) for Acute Ischemic Stroke
NCT07047014 ·Status: RECRUITING ·Phase: PHASE3
-
Efficacy and Safety of Tenecteplase Intravenous Thrombolysis in Acute Posterior Circulation Ischemic Stroke Within 4.5-24 Hours After Onset
NCT07094763 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Alteplase Treatment in Elderly Acute Ischaemic Stroke (AIS) Patients
NCT05401149 ·Status: COMPLETED
-
Dabigatran Etexilate for Secondary Stroke Prevention in Patients With Embolic Stroke of Undetermined Source (RE-SPECT ESUS)
NCT02239120 ·Status: COMPLETED ·Phase: PHASE3
-
Randomization to Endovascular Treatment Alone or Preceded by Systemic Thrombolysis With Tenecteplase in Ischemic Stroke
NCT05199194 ·Status: RECRUITING ·Phase: PHASE3
-
Study on the Role of Human Serum Albumin in Large Acute Ischemic Stroke of Anterior Circulation After Thrombectomy
NCT06629116 ·Status: RECRUITING ·Phase: NA
-
Local Versus Systemic Thrombolysis for Acute Ischemic Stroke (SYNTHESIS)
NCT00540527 ·Status: COMPLETED ·Phase: PHASE3
-
An International Observational Study of the Safety and Efficacy of Thrombolysis in Stroke
NCT02229890 ·Status: COMPLETED
-
Treatment of Acute Ischemic STroke With Edaravone Dexborneol II (TASTE-2)
NCT05249920 ·Status: COMPLETED ·Phase: PHASE3
-
The Preliminary Efficacy and Safety of Intra-Arterial Albumin as Adjunct to Mechanical Thrombectomy in Acute Ischemic Stroke
NCT07294391 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Intra-Arterial Tenecteplase Following Endovascular Thrombectomy for Large Vessel Occlusion Stroke
NCT06781385 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
Efficacy and Safety Study of Desmoteplase to Treat Acute Ischemic Stroke (DIAS-4)
NCT00856661 ·Status: TERMINATED ·Phase: PHASE3
-
A Study to Evaluate the Safety and Potential Efficacy of LT3001 Drug Product in Subjects With AIS
NCT04091945 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of BNG-1 to Treat Acute Ischemic Stroke
NCT01675115 ·Status: COMPLETED ·Phase: PHASE3
-
Tenecteplase Reperfusion Therapy in Acute Ischaemic Cerebrovascular Events-5
NCT06196320 ·Status: COMPLETED ·Phase: PHASE3
-
Rt-PA in the Treatment of Acute Ischemic Stroke
NCT00153036 ·Status: COMPLETED ·Phase: PHASE3