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Intravenous Thrombolysis, Endovascular Treatment, or Bridging Therapy for Medium Vessel Occlusion Stroke Within 24 Hours

NCT07931807, Phase 3, Not yet recruiting, The First Affiliated Hospital of University of Science and Technology of China

Trial 10

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

FieldValueSource
TitleIntravenous Thrombolysis, Endovascular Treatment, or Bridging Therapy for Medium Vessel Occlusion Stroke Within 24 HoursClinicalTrials.gov
NCT numberNCT07931807ClinicalTrials.gov
StatusNot yet recruitingClinicalTrials.gov
PhasesPhase 3ClinicalTrials.gov
Enrollment1,395 participants, estimatedClinicalTrials.gov
Lead sponsorThe First Affiliated Hospital of University of Science and Technology of ChinaClinicalTrials.gov
ConditionsMedium Vessel Occlusion Stroke (MeVO), Acute Ischemic StrokeClinicalTrials.gov
InterventionsTenecteplase, Endovascular TreatmentClinicalTrials.gov
First posted2026-11-12ClinicalTrials.gov
Last updated2026-11-12ClinicalTrials.gov

Registered outcomes 17

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

ListOutcomeTime frameDescriptionSource
PrimaryFunctional Independence at 90 Days90 days after randomization (±14 days)Proportion of participants with a modified Rankin Scale (mRS) score of 0 to 2 at 90 days, assessed by a blinded rater. The mRS ranges from 0 (no symptoms) to 6 (death).ClinicalTrials.gov
SecondarySymptomatic Intracranial Hemorrhage Within 36 HoursWithin 36 hours after randomization
Proportion of participants with symptomatic intracranial hemorrhage within 36 hours of randomization, classified as definite or probable according to the Heidelberg Bleeding Classification. This is the primary safety outcome.
ClinicalTrials.gov
SecondaryShift in Modified Rankin Scale Score Distribution at 90 Days90 days after randomization (±14 days)Distribution of mRS scores at 90 days. The mRS ranges from 0 (no symptoms) to 6 (death).ClinicalTrials.gov
SecondaryModified Rankin Scale Score of 0 to 1 at 90 Days90 days after randomization (±14 days)Proportion of participants with an mRS score of 0 to 1 at 90 days. The mRS ranges from 0 (no symptoms) to 6 (death).ClinicalTrials.gov
SecondaryModified Rankin Scale Score of 0 to 3 at 90 Days90 days after randomization (±14 days)Proportion of participants with an mRS score of 0 to 3 at 90 days. The mRS ranges from 0 (no symptoms) to 6 (death).ClinicalTrials.gov
SecondaryEarly Neurological Improvement at 24 Hours24 hours after treatment (±6 hours)
Proportion of participants with an improvement in the National Institutes of Health Stroke Scale (NIHSS) score of ≥4 points from baseline or an NIHSS score of 0 to 1 at 24 hours. The NIHSS ranges from 0 to 42, with higher scores indicating more severe neurological deficits.
ClinicalTrials.gov
SecondaryNIHSS Score at 24 Hours24 hours after treatment (±6 hours)The NIHSS ranges from 0 to 42, with higher scores indicating more severe neurological deficits.ClinicalTrials.gov
SecondaryChange From Baseline in NIHSS Score at 24 HoursBaseline and 24 hours after treatment (±6 hours)
Change in NIHSS score from baseline to 24 hours, calculated as the 24-hour score minus the baseline score. The NIHSS ranges from 0 to 42, with higher scores indicating more severe neurological deficits.
ClinicalTrials.gov
SecondaryBarthel Index at 90 Days90 days after randomization (±14 days)Activities of daily living at 90 days assessed using the Barthel Index total score. Scores range from 0 to 100, with higher scores indicating greater independence.ClinicalTrials.gov
SecondaryEQ-5D-5L Utility Index at 90 Days90 days after randomization (±14 days)EQ-5D-5L utility index at 90 days, calculated with the Chinese value set (Luo et al., 2017). The index ranges from -0.391 to 1.000, with higher values indicating better health.ClinicalTrials.gov
SecondarySuccessful ReperfusionAt final angiography during the endovascular procedure
Proportion of participants with successful reperfusion, defined as an expanded Thrombolysis in Cerebral Infarction (eTICI) score ≥2b50 on final angiography. This outcome is assessed in the EVT-alone and bridging groups.
ClinicalTrials.gov
SecondaryFirst-Pass EffectDuring the endovascular procedureProportion of participants achieving eTICI 2c to 3 reperfusion after the first thrombectomy pass without rescue treatment. This outcome is assessed in the EVT-alone and bridging groups.ClinicalTrials.gov
SecondarySuccessful Reperfusion at Initial AngiographyAt initial angiography during the endovascular procedureProportion of participants randomized to bridging IVT plus EVT with successful reperfusion (eTICI ≥2b50) at initial angiography.ClinicalTrials.gov
SecondaryAll-Cause Mortality at 90 DaysWithin 90 days after randomizationProportion of participants who die from any cause within 90 days after randomization.ClinicalTrials.gov
SecondaryTarget Artery Recanalization at 24 to 72 Hours24 to 72 hours after randomization
Proportion of participants with patency of the target artery on computed tomography angiography (CTA) or magnetic resonance angiography (MRA), defined as a modified Arterial Occlusive Lesion (mAOL) score of 2 or 3. The mAOL scale ranges from 0 (no recanalization) to 3 (complete recanalization). This outcome is assessed in all three groups.
ClinicalTrials.gov
OtherAny Intracranial Hemorrhage at 24 Hours24 hours after treatment (±6 hours)
Proportion of participants with any new intracranial hemorrhage identified on follow-up computed tomography (CT) or magnetic resonance imaging (MRI) and classified according to the Heidelberg Bleeding Classification.
ClinicalTrials.gov
OtherProcedure-Related Vascular ComplicationsDuring the endovascular procedure and through the 90-day follow-up (±14 days)
Proportion of participants with at least one vascular complication related to an endovascular procedure, including vessel perforation or dissection, distal embolization or embolization into a new vascular territory, vasospasm, acute vessel occlusion, and vascular access-site hematoma, bleeding, or pseudoaneurysm. Events will be adjudicated by an independent clinical events committee.
ClinicalTrials.gov

Outcomes 0

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

TypeOutcomeTime framePopulationUnitsMeasured asSource

Results by group 0

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

OutcomeGroupCategoryValueSpreadUnitsSource

Participant flow 0

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

PeriodMilestoneGroupParticipantsUnits countedSource

Adverse events 0

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

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 0

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource

Papers 0

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource

Grants 0

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 0

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

ComparisonSource

Tests 0

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

TestNamed asSource

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.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.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)