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Trial · NCT05401149

Alteplase Treatment in Elderly Acute Ischaemic Stroke (AIS) Patients

NCT05401149, Completed, Boehringer Ingelheim; results first posted 2024-10-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Alteplase Treatment in Elderly Acute Ischaemic Stroke (AIS) Patients. Trials, record NCT05401149. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05401149

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Trial

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

Title
Alteplase Treatment in Elderly Acute Ischaemic Stroke (AIS) Patients
NCT number
NCT05401149
Status
Completed
Enrollment
3,058 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Stroke
Interventions
rt-PA
First posted
2022-06-02
Last updated
2024-10-17
Results first posted
2024-10-17
Limitations and caveats
According to Boehringer Ingelheim's internal policy, no document date is required in the title page of the Statistical and Epidemiological Analysis Plan

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryPercentage of Patients With Favourable Outcome (Modified Rankin Scale (mRS) 0-1) at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Percentage of patients with favourable outcome (modified Rankin Scale (mRS) 0-1) at 1 year. The modified Rankin Scale (mRS) is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The scale runs from 0-6, from 'perfect health without symptoms' to 'death'. 0 - No symptoms. 1. \- No significant disability. 2. \- Slight disability. 3. \- Moderate disability. 4. \- Moderately severe disability. 5. \- Severe disability. 6. \- Dead. Reported percentages of subjects were calculated from the conditional logistic regression models with stratification by matching pairs and adjustment for prior mRS score (≤ 1 or not), baseline National Institutes of Health Stroke Scale (NIHSS) score, and time from symptom onset to hospital admission.
SecondaryPercentage of Patients With Any Intracranial Haemorrhage (ICH) During HospitalisationUp to 3 months
Percentage of patients with any intracranial haemorrhage (ICH) during hospitalisation. Reported percentages of subjects were calculated from the conditional logistic regression models with stratification by matching pairs and adjustment for prior mRS score (≤ 1 or not), baseline NIHSS score, and time from symptom onset to hospital admission.
SecondaryAll-cause Mortality During HospitalisationUp to 3 months
All-cause mortality during hospitalisation. Reported percentages of subjects were calculated from the conditional logistic regression models with stratification by matching pairs and adjustment for prior mRS score (≤ 1 or not), baseline NIHSS score, and time from symptom onset to hospital admission.
SecondaryPercentage of Patients With Independence (Modified Rankin Scale (mRS) 0-2) at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Percentage of patients with independence (modified Rankin Scale (mRS) 0-2) at 1 year. The modified Rankin Scale (mRS) is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The scale runs from 0-6, from 'perfect health without symptoms' to 'death'. 0 - No symptoms. 1. \- No significant disability. 2. \- Slight disability. 3. \- Moderate disability. 4. \- Moderately severe disability. 5. \- Severe disability. 6. \- Dead. Reported percentages of subjects were calculated from the conditional logistic regression models with stratification by matching pairs and adjustment for prior mRS score (≤ 1 or not), baseline National Institutes of Health Stroke Scale (NIHSS) score, and time from symptom onset to hospital admission.
SecondaryDistribution of Modified Rankin Scale (mRS) Score at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Distribution of modified Rankin Scale (mRS) score at 1 year. The modified Rankin Scale (mRS) is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The scale runs from 0-6, from 'perfect health without symptoms' to 'death'. 0 - No symptoms. 1. \- No significant disability. 2. \- Slight disability. 3. \- Moderate disability. 4. \- Moderately severe disability. 5. \- Severe disability. 6. \- Dead. Reported percentages of subjects were calculated from the conditional logistic regression models with stratification by matching pairs and adjustment for prior mRS score (≤ 1 or not), baseline National Institutes of Health Stroke Scale (NIHSS) score, and time from symptom onset to hospital admission.
SecondaryAll-cause Mortality at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).All-cause mortality at 1 year.

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Patients With Favourable Outcome (Modified Rankin Scale (mRS) 0-1) at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Propensity score matched (PSM) cohorts of AIS patients between the IV rt-PA and non-reperfusion groups (1:1), clinical outcomes and baseline characteristics were compared between the matched cohorts. Patients \>80 years old and registered in the Zhejiang Stroke Quality Control Centre (ZSQCC) platform from Jan 2017 to Mar 2020.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Patients With Any Intracranial Haemorrhage (ICH) During HospitalisationUp to 3 months
Propensity score matched (PSM) cohorts of AIS patients between the IV rt-PA and non-reperfusion groups (1:1). Patients \>80 years old and registered in the Zhejiang Stroke Quality Control Centre (ZSQCC) platform from Jan 2017 to Mar 2020.
Percentage of ParticipantsNUMBER
SECONDARYAll-cause Mortality During HospitalisationUp to 3 months
Propensity score matched (PSM) cohorts of AIS patients between the IV rt-PA and non-reperfusion groups (1:1). Patients \>80 years old and registered in the Zhejiang Stroke Quality Control Centre (ZSQCC) platform from Jan 2017 to Mar 2020.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Patients With Independence (Modified Rankin Scale (mRS) 0-2) at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Propensity score matched (PSM) cohorts of AIS patients between the IV rt-PA and non-reperfusion groups (1:1). Patients \>80 years old and registered in the Zhejiang Stroke Quality Control Centre (ZSQCC) platform from Jan 2017 to Mar 2020.
Percentage of ParticipantsNUMBER
SECONDARYDistribution of Modified Rankin Scale (mRS) Score at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Propensity score matched (PSM) cohorts of AIS patients between the IV rt-PA and non-reperfusion groups (1:1). Patients \>80 years old and registered in the Zhejiang Stroke Quality Control Centre (ZSQCC) platform from Jan 2017 to Mar 2020.
Units on a scaleMEAN
SECONDARYAll-cause Mortality at 1 YearUp to 1 year post index hospital admission (between January 2017 and March 2020); data retrieved and studied from July 18, 2022 to December 14, 2022 (approximately 5 months of this study).
Among PSM cohort (1560 patients), 120 patients (41 in IV rt-PA group; 79 in non-reperfusion therapy group) were excluded from the analysis due to missing date of death.~To ensure that each matching pair has one patient from IV rt-PA group and one patient from non-reperfusion therapy group at the same time further 118 patients (78 in IV rt-PA group; 40 in non-reperfusion therapy group) were excluded.
Percentage of ParticipantsNUMBER

Results by group12

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Patients With Favourable Outcome (Modified Rankin Scale (mRS) 0-1) at 1 YearIV Rt-PA Cohort27.795% Confidence Interval 24.6 to 30.8Percentage of Participants
Percentage of Patients With Favourable Outcome (Modified Rankin Scale (mRS) 0-1) at 1 YearNon-reperfusion Cohort23.895% Confidence Interval 20.9 to 26.8Percentage of Participants
Percentage of Patients With Any Intracranial Haemorrhage (ICH) During HospitalisationIV Rt-PA Cohort13.795% Confidence Interval 11.3 to 16.1Percentage of Participants
Percentage of Patients With Any Intracranial Haemorrhage (ICH) During HospitalisationNon-reperfusion Cohort10.895% Confidence Interval 8.6 to 12.9Percentage of Participants
All-cause Mortality During HospitalisationIV Rt-PA Cohort4.595% Confidence Interval 3.0 to 5.9Percentage of Participants
All-cause Mortality During HospitalisationNon-reperfusion Cohort2.895% Confidence Interval 1.7 to 4.0Percentage of Participants
Percentage of Patients With Independence (Modified Rankin Scale (mRS) 0-2) at 1 YearIV Rt-PA Cohort37.395% Confidence Interval 33.9 to 40.7Percentage of Participants
Percentage of Patients With Independence (Modified Rankin Scale (mRS) 0-2) at 1 YearNon-reperfusion Cohort33.795% Confidence Interval 30.4 to 37.0Percentage of Participants
Distribution of Modified Rankin Scale (mRS) Score at 1 YearIV Rt-PA Cohort3.5Standard Deviation 2.4Units on a scale
Distribution of Modified Rankin Scale (mRS) Score at 1 YearNon-reperfusion Cohort3.7Standard Deviation 2.3Units on a scale

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIV Rt-PA Cohort780
Overall StudySTARTEDNon-reperfusion Cohort780
Overall StudyCOMPLETEDIV Rt-PA Cohort780
Overall StudyCOMPLETEDNon-reperfusion Cohort780
Overall StudyNOT COMPLETEDIV Rt-PA Cohort0
Overall StudyNOT COMPLETEDNon-reperfusion Cohort0

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 totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIV Rt-PA Cohort308780
Total, all-cause mortalityNon-reperfusion Cohort303780
Total, other adverse eventsIV Rt-PA Cohort00
Total, other adverse eventsNon-reperfusion Cohort00
Total, serious adverse eventsIV Rt-PA Cohort00
Total, serious adverse eventsNon-reperfusion Cohort00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40312065DERIVED

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
IV Rt-PA Cohort vs Non-reperfusion Cohort: deaths from any cause

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/NCT05401149

GET https://conductscience.org/api/trials/v1/NCT05401149/registered