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 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-12-19
Summary
Albumin-assisted therapy has demonstrated good safety and potential neuroprotective effects following mechanical thrombectomy. To further systematically evaluate its efficacy and safety, we are conducting a Phase IIa clinical trial of intra-arterial albumin administration combined with mechanical thrombectomy in patients with acute ischemic stroke. This is a double-center, prospective, open-label, endpoint-blinded, randomized controlled trial designed to preliminarily assess the efficacy and safety of intra-arterial infusion of 20% human albumin after successful recanalization in patients with acute ischemic stroke caused by anterior circulation large-vessel occlusion who undergo mechanical thrombectomy. A total of 60 patients will be enrolled and randomized in a 1:1 ratio by dynamic minimization into two groups: the albumin group (0.6 g/kg of 20% human albumin solution plus mechanical thrombectomy) and the control group (mechanical thrombectomy alone).
The primary objective of this study is to preliminarily evaluate whether intra-arterial infusion of 0.6 g/kg of 20% human albumin via the internal carotid artery immediately after achieving successful recanalization (eTICI ≥ 2b) can reduce infarct volume compared with mechanical thrombectomy alone in patients with anterior circulation large-vessel occlusion who undergo standard mechanical thrombectomy. The secondary objective is to assess the safety and feasibility of intra-arterial infusion of 0.6 g/kg of 20% human albumin immediately after successful recanalization in this patient population.
Conditions
- Acute Ischemic Stroke From Large Vessel Occlusion
Interventions
- DRUG
-
Human serum albumin infusion 20%
20% human albumin solution at a dose of 0.60 g/kg will be administered as a constant-rate infusion into the proximal internal carotid artery over 20 minutes.
Sponsors & Collaborators
-
The First Hospital of Qinhuangdao
collaborator OTHER_GOV -
Tianjin Huanhu Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-10
- Primary Completion
- 2026-12-01
- Completion
- 2026-12-01
More Related Trials
-
Intra-arterial Albumin Infusion After Endovascular Therapy for Stroke Patients
NCT05953623 ·Status: COMPLETED ·Phase: PHASE1
-
Intravenous Thrombosis and Patients with Prior Ischemic Stroke Within 3 Months
NCT06841978 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Endovascular Thrombectomy With and Without Intravenous Thrombolysis in Extended Time Window
NCT05634382 ·Status: UNKNOWN ·Phase: PHASE3
-
The Efficacy and Safety of Endovascular Therapy for Acute Ischemic Stroke Due to Large Core Infarction
NCT07333950 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Endovascular Therapy for Acute Ischemic Stroke Trial
NCT02350283 ·Status: COMPLETED ·Phase: PHASE3
-
The Intensive Care Bundle with Mortality Reduction in Acute Ischemic Stroke Trial
NCT06628817 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy and Safety of Human Urinary Kallidinogenase Combined With Endovascular Therapy in Acute Ischemic Stroke With Large Vessel Occlusion
NCT06211712 ·Status: RECRUITING ·Phase: NA
-
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 Intravenous Thrombolysis in Acute Posterior Circulation Ischemic Stroke Within 4.5-24 Hours After Onset
NCT07094763 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
CHinese Acute Tissue-Based Imaging Selection for Lysis In Stroke -Tenecteplase II
NCT04516993 ·Status: COMPLETED ·Phase: PHASE2
-
CHinese Acute Tissue-Based Imaging Selection for Lysis In Stroke -Tenecteplase
NCT04086147 ·Status: COMPLETED ·Phase: PHASE2
-
Acute Basilar Artery Occlusion: Endovascular Interventions vs Standard Medical Treatment
NCT02441556 ·Status: COMPLETED ·Phase: NA
-
Early Antiplatelet Administration After Intravenous Thrombolysis for Acute Ischemic Stroke (TREND-IVT)
NCT06548971 ·Status: RECRUITING ·Phase: PHASE3
-
Endovascular Treatment for eXtra-Large Ischemic Stroke
NCT06388148 ·Status: RECRUITING ·Phase: NA
-
Advancing Reperfusion Therapy for Ischemic Stroke (ARTS): Tenecteplase in Medium Vessel Occlusion (MeVO) for Acute Ischemic Stroke
NCT07047014 ·Status: RECRUITING ·Phase: PHASE3
-
Tenecteplase Thrombolytic Therapy for Acute Ischemic Stroke in China
NCT06078995 ·Status: RECRUITING
-
Efficacy of Intravenous Tissue-type Plasminogen Activator on Acute Ischemic Stroke Patients With Large Vessel Occlusions
NCT04170647 ·Status: UNKNOWN
-
Thrombolysis Combined With Edaravone Dexborneol on Hemorrhagic Transformation for Acute Ischemic Stroke
NCT05035953 ·Status: UNKNOWN ·Phase: PHASE2
-
Endovascular Treatment With Versus Without Intravenous rhTNK-tPA in Stroke
NCT04733742 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Efficacy and Safety of Tenecteplase Bridging Mechanical Thrombectomy for Acute Large Vessel Occlusion Stroke
NCT06658197 ·Status: RECRUITING ·Phase: PHASE3
-
Additive Effects of Intra-arterial Tenecteplase for Successful Thrombectomy Due to Acute Basilar Artery Occlusion
NCT05580822 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Intravenous Thrombolytic Therapy for Acute Ischemic Stroke Patients with Low NIHSS and Non-disabling Deficits
NCT06115070 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Albumin in Acute Ischemic Stroke Trial
NCT00235495 ·Status: TERMINATED ·Phase: PHASE3
-
Intravenous Tirofiban Versus Alteplase Before Mechanical Thrombectomy in Stroke
NCT05728333 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Intra-arterial Alteplase for Acute Ischemic Stroke After Mechanical Thrombectomy
NCT05856851 ·Status: RECRUITING ·Phase: PHASE3