Teneteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-Ⅳ
NCT06414499 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1386
Last updated 2025-07-24
Summary
The purpose of this study is to evaluate the efficacy and safety of intravenous tenecteplase (0.25 mg/kg) compared with standard therapy in patients with acute ischemic stroke presenting with mild symptoms-defined as a National Institutes of Health Stroke Scale (NIHSS) score ≤5 accompanied by persistent unilateral limb weakness or speech impairment within 4.5 hours of onset.
Conditions
- Minor Ischemic Stroke
Interventions
- DRUG
-
rhTNK-tPA
rhTNK-tPA 0.25mg/kg, the maximum dose does not exceed 25mg: 1 vial is dissolved in 3ml of sterile water for injection to prepare a medicinal solution with a concentration of 5.33mg/ml. Calculate the total amount of the drug according to the weight of participant, and the maximum dose shall not exceed 25 mg. It is administered as a single bolus intravenous injection, and the injection is completed within 5-10 seconds. Additionally, placebo oral aspirin and clopidogrel are given. Aspirin 100 mg and clopidogrel 300 mg are administered within 6 ± 2 hours following thrombolytic therapy.
- DRUG
-
Control group (Aspirin combined with clopidogrel)
Dual antiplatelets with aspirin 100mg and clopidogrel 300mg, plus placebo intravenous rhTNK-tPA. Placebo oral aspirin and clopidogrel are administered within 6 ± 2 hours following intravenous placebo.
Sponsors & Collaborators
-
Beijing Tiantan Hospital
lead OTHER
Principal Investigators
-
Yongjun Wang, MD, PhD · Beijing Tiantan Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-09
- Primary Completion
- 2026-07-31
- Completion
- 2026-10-31
Countries
- China
Study Locations
More Related Trials
-
TNK-tPA Evaluation for Minor Ischemic Stroke With Proven Occlusion
NCT01654445 ·Status: COMPLETED ·Phase: PHASE2
-
Tenecteplase for Acute Ischemic Stroke Within 4.5 to 6 Hours of Onset (EXIT-BT2)
NCT06010628 ·Status: RECRUITING ·Phase: PHASE4
-
Thrombolysis Treated With TNK-tPA in Acute Ischemic Stroke Patients (3T Stroke-Ⅲ)
NCT05745259 ·Status: UNKNOWN ·Phase: PHASE3
-
Safety Of A Second Dose Of Tenecteplase In Selected Acute Ischemic Stroke Patients Not Responding To The First Dose
NCT06801054 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Tenecteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-BEYOND
NCT06954155 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-Ⅱ
NCT04797013 ·Status: COMPLETED ·Phase: PHASE3
-
Intravenous rhTNK-tPA Before Stroke Thrombectomy in the Extended Time Window
NCT06987305 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase REperfusion in Acute Ischemic sTroke Registry(TREAT)
NCT05724342 ·Status: UNKNOWN
-
Tenecteplase in ReperfUsion Therapy for Posterior Circulation Stroke With Extended Time Window: the TRUST Trial
NCT07073469 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Tenecteplase for Intravenous Stroke Thrombolysis in Recent DOAC Users
NCT07092709 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Before Interhospital Transfer for EVT in Acute Anterior Circulation LVO at 4.5-24 Hours
NCT07253181 ·Status: RECRUITING ·Phase: PHASE3
-
Intravenous Thrombolysis With rhTNK-tPA for Acute Non-large Vessel Occlusion in Extended Time Window
NCT05752916 ·Status: COMPLETED ·Phase: PHASE4
-
Penumbral Based Novel Thrombolytic Therapy in Acute Ischemic Stroke
NCT02101606 ·Status: COMPLETED ·Phase: PHASE2
-
Intra-arterial Tenecteplase During First Thrombectomy Attempt for Acute Stroke (BRETIS-TNK II)
NCT05657444 ·Status: COMPLETED ·Phase: PHASE3
-
rhTNK-tPA Thrombolytic Removal of Intraventricular Hemorrhage
NCT06814964 ·Status: RECRUITING ·Phase: PHASE1
-
A Real-world Study of Tenecteplase Versus Alteplase for Thrombolysis in Patients Within 4.5 H of Onset of Ischemic Stroke
NCT06621121 ·Status: RECRUITING
-
Efficacy and Safety of Tenecteplase Bridging Mechanical Thrombectomy for Acute Large Vessel Occlusion Stroke
NCT06658197 ·Status: RECRUITING ·Phase: PHASE3
-
Determining the Optimal Dose of Tenecteplase Before Endovascular Therapy for Ischaemic Stroke (EXTEND-IA TNK Part 2)
NCT03340493 ·Status: COMPLETED ·Phase: PHASE2
-
Tenecteplase (TNK) in the Treatment of Intracerebral Hemorrhage (ICH)
NCT06696131 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Tenecteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events(TRACE)
NCT04676659 ·Status: COMPLETED ·Phase: PHASE2
-
Intravenous TNK vs TPA for AIS Treatment on MSU,a Prospective Multicenter RCT
NCT06498323 ·Status: RECRUITING ·Phase: PHASE4
-
CHinese Acute Tissue-Based Imaging Selection for Lysis In Stroke -Tenecteplase
NCT04086147 ·Status: COMPLETED ·Phase: PHASE2
-
Tenecteplase Before Interhospital Transfer in Acute Basilar Artery Occlusion at 4.5 to 24 Hours
NCT07203625 ·Status: RECRUITING ·Phase: PHASE4
-
Intra-Arterial Tenecteplase Following Endovascular Thrombectomy for Large Vessel Occlusion Stroke
NCT06781385 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
A Study in Chinese Patients to Compare How Tenecteplase and Alteplase Given After a Stroke Improve Recovering of Physical Activity
NCT04915729 ·Status: COMPLETED ·Phase: PHASE3