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Trial · NCT05395351

Alteplase in Elderly Acute Ischemic Stroke (AIS) Patients During Hospitalization

NCT05395351, Completed, Boehringer Ingelheim; results first posted 2024-12-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Alteplase in Elderly Acute Ischemic Stroke (AIS) Patients During Hospitalization. Trials, record NCT05395351. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05395351

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Trial

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

Title
Alteplase in Elderly Acute Ischemic Stroke (AIS) Patients During Hospitalization
NCT number
NCT05395351
Status
Completed
Enrollment
113,035 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Stroke
Interventions
rt-PA
First posted
2022-05-27
Last updated
2024-12-20
Results first posted
2024-12-20
Limitations and caveats
Hospital participation in the Chinese Stroke Centre Alliance (CSCA) was voluntary. To avoid selection bias, all patients were included without sampling when dataset was extracted. The larger sample size and broad geological distribution increased representativeness.~Data collected by hospitals were not audited by external chart review. Data reliability depends on training for data abstractors and automated checks to identify erroneous, illogical data entries.

Source ClinicalTrials.gov

Registered outcomes8

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

ListOutcomeTime frameDescription
PrimaryAll-cause Mortality During Hospitalization of Acute Ischemic Stroke (AIS) PatientsUp to 100 days.All-cause mortality during hospitalization of acute ischemic stroke (AIS) patients who received intravenous recombinant tissue plasminogen activator (IV rt-PA).
SecondaryPercentage of Patients With Hemorrhagic Stroke During HospitalizationUp to 100 days.Percentage of patients with hemorrhagic stroke during hospitalization.
SecondaryChange of NIHSS Score From Before Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment to 24 Hours After IV Rt-PA TreatmentUp to 24 hours.
The National Institutes of Health Stroke Scale (NIHSS) is a scale of stroke severity, it ranges from 0 to 42 where a score of 0 indicates no stroke symptoms and higher scores indicate incremental levels of neurologcial impairment.
SecondaryModified Rankin Score (mRS) at DischargeUp to 100 days.
The Modified Rankin Score (mRS) ranges from 0 to 6, where 0 indicates no symptoms, 1 no significant disability, 2 slight disability, 3 moderate disability, 4 moderately severe disability, 5 severe disability and 6 death.
SecondaryNumber of Patients With Stroke Recurrence During HospitalizationUp to 100 days.Number of patients with stroke recurrence during hospitalization.
SecondaryLength of HospitalizationUp to 100 days.Length of hospitalization.
Secondary
Percentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Among Acute Ischemic Stroke (AIS) Patients Arrived or Were Admitted to the Hospital Within 4.5 Hours of Symptom Onset
Up to 4.5 hours.
Percentage of intravenous recombinant tissue plasminogen activator (IV rt-PA) treatment among acute ischemic stroke (AIS) patients arrived or were admitted to the hospital within 4.5 hours of symptom onset.
SecondaryPercentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Within 4.5 Hours of Symptom Onset Among Eligible AIS Patients (3.5-hour Arrival or Admission)Up to 4.5 hours.Percentage of intravenous recombinant tissue plasminogen activator (IV rt-PA) treatment within 4.5 hours of symptom onset among eligible AIS patients (3.5-hour arrival or admission).

Outcomes8

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAll-cause Mortality During Hospitalization of Acute Ischemic Stroke (AIS) PatientsUp to 100 days.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission who received intravenous recombinant tissue plasminogen activator (IV rt-PA) (Alteplase). Endpoint was planned to only include Group 1 and 2.
Percentage of participantsNUMBER
SECONDARYPercentage of Patients With Hemorrhagic Stroke During HospitalizationUp to 100 days.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission. Endpoint was planned to only include Group 1 and 2.
Percentage of subjectsNUMBER
SECONDARYChange of NIHSS Score From Before Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment to 24 Hours After IV Rt-PA TreatmentUp to 24 hours.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission. Endpoint was planned to only include Group 1 and 2. Only patients with collected NIHSS scores were included in the endpoint.
Score on a scaleMEAN
SECONDARYModified Rankin Score (mRS) at DischargeUp to 100 days.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission. Subjects without a discharge mRS score were excluded. Endpoint was planned to only include Group 1 and 2.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Patients With Stroke Recurrence During HospitalizationUp to 100 days.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission. Endpoint was planned to only include Group 1 and 2.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYLength of HospitalizationUp to 100 days.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission. Endpoint was planned to only include Group 1 and 2.
daysMEAN
SECONDARY
Percentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Among Acute Ischemic Stroke (AIS) Patients Arrived or Were Admitted to the Hospital Within 4.5 Hours of Symptom Onset
Up to 4.5 hours.Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission.Percentage of participantsNUMBER
SECONDARYPercentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Within 4.5 Hours of Symptom Onset Among Eligible AIS Patients (3.5-hour Arrival or Admission)Up to 4.5 hours.
Patients registered in the Chinese Stroke Centre Alliance (CSCA) platform from August 2015 to July 2019 with an acute ischemic stroke (AIS) diagnoses at admission and who arrived to the hospital within 3.5 hours of symptom onset and who were eligible for rt-PA treatment.
Percentage of participantsNUMBER

Results by group28

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

OutcomeGroupCategoryValueSpreadUnits
All-cause Mortality During Hospitalization of Acute Ischemic Stroke (AIS) PatientsAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)2.695% Confidence Interval 2.1 to 3.2Percentage of participants
All-cause Mortality During Hospitalization of Acute Ischemic Stroke (AIS) PatientsAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)0.895% Confidence Interval 0.7 to 0.9Percentage of participants
Percentage of Patients With Hemorrhagic Stroke During HospitalizationAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)6.795% Confidence Interval 5.8 to 7.5Percentage of subjects
Percentage of Patients With Hemorrhagic Stroke During HospitalizationAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)3.195% Confidence Interval 2.9 to 3.3Percentage of subjects
Change of NIHSS Score From Before Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment to 24 Hours After IV Rt-PA TreatmentAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)2.8Standard Deviation 5.0Score on a scale
Change of NIHSS Score From Before Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment to 24 Hours After IV Rt-PA TreatmentAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)2.5Standard Deviation 4.3Score on a scale
Modified Rankin Score (mRS) at DischargeAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)mRS score 0383Participants
Modified Rankin Score (mRS) at DischargeAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)mRS score 05447Participants
Modified Rankin Score (mRS) at DischargeAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)mRS score 1612Participants
Modified Rankin Score (mRS) at DischargeAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)mRS score 16427Participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)3,332
Overall StudySTARTEDAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)28,086
Overall StudySTARTEDAcute Ischemic Stroke (AIS) Patients Aged >80 Years Without Thrombolysis Treatment12,533
Overall StudySTARTEDAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Without Thrombolysis Treatment69,084
Overall StudyCOMPLETEDAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)3,332
Overall StudyCOMPLETEDAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)28,086
Overall StudyCOMPLETEDAcute Ischemic Stroke (AIS) Patients Aged >80 Years Without Thrombolysis Treatment12,533
Overall StudyCOMPLETEDAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Without Thrombolysis Treatment69,084
Overall StudyNOT COMPLETEDAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)0
Overall StudyNOT COMPLETEDAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)0

Adverse events0

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

None in this release.

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)883,332
Total, all-cause mortalityAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)21128,086
Total, all-cause mortalityAcute Ischemic Stroke (AIS) Patients Aged >80 Years Without Thrombolysis Treatment00
Total, all-cause mortalityAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Without Thrombolysis Treatment00
Total, other adverse eventsAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)00
Total, other adverse eventsAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)00
Total, other adverse eventsAcute Ischemic Stroke (AIS) Patients Aged >80 Years Without Thrombolysis Treatment00
Total, other adverse eventsAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Without Thrombolysis Treatment00
Total, serious adverse eventsAcute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)00
Total, serious adverse eventsAcute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
39477171DERIVED

Source PubMed

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 comparisons1

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

Comparison
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase) vs Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase): Number of Patients With Stroke Recurrence During Hospitalization

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/NCT05395351

GET https://conductscience.org/api/trials/v1/NCT05395351/results?page=2