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Trial · NCT02398656

A Randomized Controlled Trial of TNK-tPA Versus Standard of Care for Minor Ischemic Stroke With Proven Occlusion

NCT02398656, Phase 3, Completed, University of Calgary; results first posted 2025-01-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Randomized Controlled Trial of TNK-tPA Versus Standard of Care for Minor Ischemic Stroke With Proven Occlusion. Trials, record NCT02398656. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02398656

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Randomized Controlled Trial of TNK-tPA Versus Standard of Care for Minor Ischemic Stroke With Proven Occlusion
NCT number
NCT02398656
Status
Completed
Phases
Phase 3
Enrollment
1,274 participants, actual
Lead sponsor
University of Calgary
Conditions
Stroke, Acute
Interventions
Tenecteplase, Antiplatelet treatment
First posted
2015-03-25
Last updated
2025-01-31
Results first posted
2025-01-31
Limitations and caveats
The trial was ended based on a recommendation from the DSMB that to continue was futile.

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Return to Baseline Neurological Functioning Measured by the Modified Rankin Scale (mRS)90 Days
Analysis will be a responder analysis where return to baseline level of neurological functioning is defined as follows: If pre-morbid mRS is 0-1 then mRS 0-1 at 90 days is a good outcome. If pre-morbid mRS is 2 then mRS 0-2 is a good outcome. Pre-morbid mRS is assessed using the structured mRS prior to randomization. Outcomes at 90 days will be assessed by an individual blinded to the treatment assignment. The 90day mRS will be rated using the structured mRS questionnaire . The 90 day mRS will be completed in person where possible and by telephone otherwise. The structured questionnaire has been showed to improve reliability in assessing the mRS both in person and by telephone. This is a scale from 0-6. Higher scores mean a worse outcome.
SecondaryNumber of Participants With Modified Rankin Score (mRS) 0-1 at 90 Days90 days
Pre-morbid mRS is assessed using the structured mRS prior to randomization. Outcomes will be assessed by an individual blinded to the treatment assignment. The 90day mRS will be rated using the structured mRS questionnaire . The 90 day mRS will be completed in person where possible and by telephone otherwise. The structured questionnaire has been showed to improve reliability in assessing the mRS both in person and by telephone. This is a scale from 0-6. Higher scores mean a worse outcome. mRS 0-1 represents excellent functional outcome.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Return to Baseline Neurological Functioning Measured by the Modified Rankin Scale (mRS)90 DaysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Modified Rankin Score (mRS) 0-1 at 90 Days90 daysParticipantsCOUNT_OF_PARTICIPANTS

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Return to Baseline Neurological Functioning Measured by the Modified Rankin Scale (mRS)Tenecteplase (tNK)309Participants
Number of Participants With Return to Baseline Neurological Functioning Measured by the Modified Rankin Scale (mRS)Control (Antiplatelet Agents)338Participants
Number of Participants With Modified Rankin Score (mRS) 0-1 at 90 DaysTenecteplase (tNK)298Participants
Number of Participants With Modified Rankin Score (mRS) 0-1 at 90 DaysControl (Antiplatelet Agents)321Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTenecteplase (tNK)637
Overall StudySTARTEDControl (Antiplatelet Agents)637
Overall StudyCOMPLETEDTenecteplase (tNK)454
Overall StudyCOMPLETEDControl (Antiplatelet Agents)432
Overall StudyNOT COMPLETEDTenecteplase (tNK)183
Overall StudyNOT COMPLETEDControl (Antiplatelet Agents)205

Adverse events4

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherStroke ProgressionNervous system disordersTenecteplase (tNK)3543535
otherStroke ProgressionNervous system disordersControl (Antiplatelet Agents)3345233
seriousSymptomatic Intracerebral hemorrhageNervous system disordersTenecteplase (tNK)1643216
seriousSymptomatic Intracerebral hemorrhageNervous system disordersControl (Antiplatelet Agents)24522

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTenecteplase (tNK)20425
Total, all-cause mortalityControl (Antiplatelet Agents)5442
Total, other adverse eventsTenecteplase (tNK)35435
Total, other adverse eventsControl (Antiplatelet Agents)33452
Total, serious adverse eventsTenecteplase (tNK)16432
Total, serious adverse eventsControl (Antiplatelet Agents)2452

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26387127DERIVEDPubMed
38676572DERIVEDPubMed
38768626RESULTPubMed
41143808DERIVEDPubMed
41980227DERIVEDPubMed
42318629DERIVEDPubMed
42734928DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Tenecteplase (tNK) vs Control (Antiplatelet Agents): Number of Participants With Return to Baseline Neurological Functioning Measured by the Modified Rankin Scale (mRS)Trial comparisons
Tenecteplase (tNK) vs Control (Antiplatelet Agents): Number of Participants With Modified Rankin Score (mRS) 0-1 at 90 DaysTrial comparisons
Tenecteplase (tNK) vs Control (Antiplatelet Agents): deaths from any causeTrial comparisons
Tenecteplase (tNK) vs Control (Antiplatelet Agents): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02398656

GET https://conductscience.org/api/trials/v1/NCT02398656/registered