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Trial · NCT03151993

Single Bolus Recombinant Nonimmunogenic Staphylokinase (Fortelyzin) and Bolus Infusion Alteplase in Patients With AIS

NCT03151993, Phase 3, Completed, Supergene, LLC; results first posted 2025-04-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Single Bolus Recombinant Nonimmunogenic Staphylokinase (Fortelyzin) and Bolus Infusion Alteplase in Patients With AIS. Trials, record NCT03151993. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03151993

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Trial

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

Title
Single Bolus Recombinant Nonimmunogenic Staphylokinase (Fortelyzin) and Bolus Infusion Alteplase in Patients With AIS
NCT number
NCT03151993
Status
Completed
Phases
Phase 3
Enrollment
336 participants, actual
Lead sponsor
Supergene, LLC
Conditions
Ischemic Stroke
Interventions
Recombinant staphylokinase, Alteplase
First posted
2017-05-12
Last updated
2025-04-02
Results first posted
2025-04-02

Source ClinicalTrials.gov

Registered outcomes7

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

ListOutcomeTime frameDescription
PrimaryGood Functional Recoverywithin 90 days after fibrinolysis
The number of patients with Modified Rankin Scale (mRS) scores 0-1 on day 90 after drug administration, where 0 - No symptoms, 1 - No significant disability. All scale is 0 - No symptoms, 1 - No significant disability, 2 - Slight disability, 3 - Moderate disability, 4 - Moderately severe disability, 5 - Severe disability, 6 - Dead.
SecondaryThe Number of Patients With Modified Rankin Scale (0-1) + NIHSS (0-1) + Barthel (95-100)within 90 days after fibrinolysis
Composite endpoint, included the number of patients reached Modified Rankin scale 0-1 score, NIHSS 0-1 score and Barthel index 95-100. Modified Rankin scale: 0 - No symptoms, 1 - No significant disability, 2 - Slight disability, 3 - Moderate disability, 4 - Moderately severe disability, 5 - Severe disability, 6 - Dead. The National Institutes of Health Stroke Scale (NIHSS): 0 - No stroke symptoms, 1-4 - Minor stroke, 5-15 - Moderate stroke, 16-20 - Moderate to severe stroke, 21-42 - Severe stroke. Barthel index: 80-100 - Independent, 60-79 - Minimally dependent, 40-59 - Partially dependent, 20-39 - Very dependent, \<20 - Totally dependent.
SecondaryThe Median of NIHSS After 24 Hoursafter 24 hours
The median of The National Institutes of Health Stroke Scale (NIHSS) at 24 h after drug administration, where: 0 - No stroke symptoms, 1-4 - Minor stroke, 5-15 - Moderate stroke, 16-20 - Moderate to severe stroke, 21-42 - Severe stroke.
SecondaryThe Median of NIHSS After 90 Dayswithin 90 days after fibrinolysis
The median of The National Institutes of Health Stroke Scale (NIHSS) after 90 days of drug administration, where: 0 - No stroke symptoms, 1-4 - Minor stroke, 5-15 - Moderate stroke, 16-20 - Moderate to severe stroke, 21-42 - Severe stroke.
SecondaryAll Cause Deathwithin 90 days after fibrinolysisDeath caused by any event
SecondaryIntracranial Haemorrhagewithin 90 days after fibrinolysisThe number of intracranial hemorrhage (events)
SecondarySymptomatic Intracranial Haemorrhagewithin 90 days after fibrinolysis
The number of symptomatic intracranial haemorrhage according to ECASS III definition (events). The ECASS III definition of symptomatic intracranial haemorrhage was any haemorrhage with neurologic deterioration, as indicated by an NIHSS score that was higher by 4 points or more than the value at baseline or the lowest value in the first 7 days, or any haemorrhage leading to death. In addition, the haemorrhage must have been identified as the predominant cause of the neurologic deterioration.

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYGood Functional Recoverywithin 90 days after fibrinolysispatientsNUMBER
SECONDARYThe Number of Patients With Modified Rankin Scale (0-1) + NIHSS (0-1) + Barthel (95-100)within 90 days after fibrinolysispatientsNUMBER
SECONDARYThe Median of NIHSS After 24 Hoursafter 24 hoursscoreMEDIAN
SECONDARYThe Median of NIHSS After 90 Dayswithin 90 days after fibrinolysisscoreMEDIAN
SECONDARYAll Cause Deathwithin 90 days after fibrinolysispatientsNUMBER
SECONDARYIntracranial Haemorrhagewithin 90 days after fibrinolysiseventsNUMBER
SECONDARYSymptomatic Intracranial Haemorrhagewithin 90 days after fibrinolysiseventsNUMBER

Results by group14

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

OutcomeGroupCategoryValueSpreadUnits
Good Functional RecoveryRecombinant Staphylokinase84patients
Good Functional RecoveryActilyse68patients
The Number of Patients With Modified Rankin Scale (0-1) + NIHSS (0-1) + Barthel (95-100)Recombinant Staphylokinase59patients
The Number of Patients With Modified Rankin Scale (0-1) + NIHSS (0-1) + Barthel (95-100)Actilyse52patients
The Median of NIHSS After 24 HoursRecombinant Staphylokinase6Inter-Quartile Range 3 to 11score
The Median of NIHSS After 24 HoursActilyse6Inter-Quartile Range 3 to 12score
The Median of NIHSS After 90 DaysRecombinant Staphylokinase2Inter-Quartile Range 1 to 5score
The Median of NIHSS After 90 DaysActilyse2Inter-Quartile Range 1 to 5score
All Cause DeathRecombinant Staphylokinase17patients
All Cause DeathActilyse24patients

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRecombinant Staphylokinase168
Overall StudySTARTEDActilyse168
Overall StudyCOMPLETEDRecombinant Staphylokinase168
Overall StudyCOMPLETEDActilyse168
Overall StudyNOT COMPLETEDRecombinant Staphylokinase0
Overall StudyNOT COMPLETEDActilyse0

Adverse events20

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHaematuriaRenal and urinary disordersRecombinant Staphylokinase71687
otherHaematuriaRenal and urinary disordersActilyse81688
seriousCerebral oedemaNervous system disordersRecombinant Staphylokinase71687
seriousCerebral oedemaNervous system disordersActilyse1416814
seriousSymptomatic intracranial haemorrhageNervous system disordersRecombinant Staphylokinase51685
seriousSymptomatic intracranial haemorrhageNervous system disordersActilyse1316813
seriousSurgeryNervous system disordersRecombinant Staphylokinase51685
seriousSurgeryNervous system disordersActilyse31683
seriousNeurosurgeryNervous system disordersRecombinant Staphylokinase21682
seriousNeurosurgeryNervous system disordersActilyse11681

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRecombinant Staphylokinase17168
Total, all-cause mortalityActilyse24168
Total, other adverse eventsRecombinant Staphylokinase7168
Total, other adverse eventsActilyse8168
Total, serious adverse eventsRecombinant Staphylokinase22168
Total, serious adverse eventsActilyse38168

Papers13

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
9313600BACKGROUNDPubMed
9500599BACKGROUNDPubMed
9788453BACKGROUNDPubMed
10220625BACKGROUNDPubMed
10475182BACKGROUNDPubMed
10591384BACKGROUNDPubMed
11530146BACKGROUNDPubMed
12847070BACKGROUNDPubMed
17963623BACKGROUNDPubMed
18815396BACKGROUNDPubMed

1 to 10 of 13

See all 13 papers

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 comparisons2

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

ComparisonSource
Recombinant Staphylokinase vs Actilyse: deaths from any causeTrial comparisons
Recombinant Staphylokinase vs Actilyse: 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/NCT03151993

GET https://conductscience.org/api/trials/v1/NCT03151993/registered