A Real-world Study of Tenecteplase Versus Alteplase for Thrombolysis in Patients Within 4.5 H of Onset of Ischemic Stroke
NCT06621121 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 6000
Last updated 2024-10-29
Summary
Stroke is the second leading cause of death worldwide, killing nearly 7 million people every year. Acute ischemic stroke is caused by focal cerebral hypoperfusion, usually due to embolism or atherosclerotic disease . Ischemic strokes account for 60-70% of all strokes worldwide and are severely debilitating, drawing considerable attention due to their high prevalence.The majority of studies comparing the efficacy and safety of teneplase and alteplase are predominantly randomized controlled trials with limited representation from real-world studies.The aim of this study is to compare the safety, efficacy and economic benefits of recombinant human TNK tissue plasminogen activator (tenecteplase, rhTNK-tPA, TNK) and recombinant tissue plasminogen activator (alteplase, rtPA) in clinical practice. This study aimed to establish a foundation for refining intravenous thrombolytic therapy tailored to various patient profiles and to guide clinicians in selecting the most suitable thrombolytic treatment options.
Conditions
- Stroke Acute
- Tenecteplase
- Alteplase
Interventions
- OTHER
-
Tenecteplase
The enrolled patients received treatment with tenecteplase (rhTNK-tPA) at a dosage of 0.25 mg/kg, up to a maximum of 25 mg, based on their clinical condition and the preferences expressed by the patients and their families.
- OTHER
-
Alteplase
The enrolled patients received treatment with alteplase (rtPA) at a dosage of 0.9 mg/kg, up to a maximum of 90 mg, based on their clinical condition and the preferences expressed by the patients and their families.
Sponsors & Collaborators
-
Tianjin Huanhu Hospital
lead OTHER
Principal Investigators
-
Jialing Wu, MD,PhD · Tianjin Huanhu Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-10-26
- Primary Completion
- 2025-10-01
- Completion
- 2026-10-01
Countries
- China
Study Locations
More Related Trials
-
Thrombolysis Treated With TNK-tPA in Acute Ischemic Stroke Patients (3T Stroke-Ⅲ)
NCT05745259 ·Status: UNKNOWN ·Phase: PHASE3
-
Efficacy and Safety of Tenecteplase Bridging Mechanical Thrombectomy for Acute Large Vessel Occlusion Stroke
NCT06658197 ·Status: RECRUITING ·Phase: PHASE3
-
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
-
CHinese Acute Tissue-Based Imaging Selection for Lysis In Stroke -Tenecteplase II
NCT04516993 ·Status: COMPLETED ·Phase: PHASE2
-
Tenecteplase REperfusion in Acute Ischemic sTroke Registry(TREAT)
NCT05724342 ·Status: UNKNOWN
-
Outcomes After Intravenous Alteplase / Tenecteplase With or Without Shuxuetong Injection in Routine Clinical Practice
NCT06018181 ·Status: COMPLETED
-
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
-
Extending the Time Window for Intravenous Tenecteplase in Patients With Distal Medium Vessel Occlusions Stroke
NCT06559436 ·Status: RECRUITING ·Phase: NA
-
Teneteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-Ⅳ
NCT06414499 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Before Interhospital Transfer in Acute Basilar Artery Occlusion at 4.5 to 24 Hours
NCT07203625 ·Status: RECRUITING ·Phase: PHASE4
-
Teneteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-III
NCT05141305 ·Status: COMPLETED ·Phase: PHASE3
-
Tenecteplase Before Interhospital Transfer for EVT in Acute Anterior Circulation LVO at 4.5-24 Hours
NCT07253181 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-BEYOND
NCT06954155 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Versus Alteplase for Stroke Thrombolysis Evaluation Trial in the Ambulance
NCT04071613 ·Status: COMPLETED ·Phase: PHASE2
-
Alteplase-Tenecteplase Trial Evaluation for Stroke Thrombolysis
NCT02814409 ·Status: COMPLETED ·Phase: PHASE3
-
Observational RegIstry of Effectiveness and Safety of teNecTeplase in reAl worLd Settings in China
NCT07271342 ·Status: RECRUITING
-
Adjunctive Use of Intra-Arterial TNK and Albumin Following Thrombectomy
NCT06113848 ·Status: RECRUITING ·Phase: PHASE3
-
Early Antiplatelet Administration After Intravenous Thrombolysis for Acute Ischemic Stroke (TREND-IVT)
NCT06548971 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase vs Medical Management in 4.5-24h LVO no Access to EVT
NCT07168278 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Low-Dose Tenecteplase for Acute Ischemic Stroke Treatment in Aging Patients
NCT07294209 ·Status: RECRUITING ·Phase: PHASE4
-
Tenecteplase Compared to Alteplase for Patients With Large Vesel Oclusion Suspicion Before Thrombectomy
NCT05626972 ·Status: UNKNOWN ·Phase: PHASE3
-
Intravenous Tenecteplase Plus EVT Versus EVT Alone on 4.5 to 24 Hours After Basilar Artery Occlusion
NCT05701956 ·Status: COMPLETED ·Phase: PHASE3
-
Endovascular Treatment With Versus Without Intravenous rhTNK-tPA in Stroke
NCT04733742 ·Status: COMPLETED ·Phase: PHASE2/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