Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

AI-guided early thrombolysis for people with STEMI

Official title: Early Pre-hospital Thrombolysis Guided by Artificial Intelligence Assisted Mobile Application in Patients With ST-elevation Myocardial Infarction: A Multi-center Cluster Randomized Controlled Trial

Run by Shenyang Northern Hospital · NCT07160491 · Data updated 2026-11-12

This trial tests whether an AI-assisted mobile app can help clinicians give earlier thrombolysis (plus planned PCI) for adults with STEMI who are unlikely to have the lesion opened within 120 minutes.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment3356 (estimated)
SponsorShenyang Northern Hospital
Academic / other
Locations1 site (Shenyang, Liaoning)
StatusRecruiting
StartedSeptember 8, 2025
Main results expectedJuly 31, 2029
Study endsJuly 31, 2029
Registry record updatedSeptember 18, 2025
Trial IDNCT07160491 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with STEMI within 12 hours of symptom onset, chest pain >30 minutes, ST elevation in two or more adjacent leads, and an anticipated inability to achieve guide-wire crossing within 120 minutes who can provide informed consent.

Probably not a fit

Patients with contraindications to thrombolysis, cardiac rupture, complete LBBB or ventricular pacing, serious comorbidities, complex heart disease, or other conditions making them unsuitable for trial participation are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a cluster-randomized interventional program comparing an AI-assisted mobile application to usual care across participating hospitals and regions in China. The app is used to guide timely thrombolysis combined with coordination for PCI in adults presenting with ST-elevation myocardial infarction within 12 hours of symptom onset. The trial enrolls patients for whom guide-wire passage through the culprit lesion is not expected within 120 minutes of diagnosis and aims to increase pre-hospital and early in-hospital thrombolysis. Outcomes include time from symptom onset to reperfusion and clinical endpoints related to myocardial salvage and complications.

Why it matters

Potential benefit: If successful, the approach could increase early thrombolysis rates, shorten time to reperfusion, and improve clinical outcomes for patients who face PCI delays.

How similar studies have gone: Prior clinical trials support early thrombolysis when timely PCI is not possible, but using an AI-assisted mobile app to coordinate and guide thrombolysis is a novel approach that has not been widely tested in large randomized programs.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* (the following inclusion conditions shall be met at the same time):

  1. age: ≥ 18 years and ≤ 80 years;
  2. Chest pain lasted for more than 30 min, and the onset time of chest pain was ≤ 12 hours;
  3. ECG: ST segment elevation after J-point in 2 or more adjacent leads: limb leads ≥ 0.1 mv or chest leads ≥ 0.2 mv;
  4. it is expected that "guide wire passing through the lesion" could not be achieved within 120 min after the diagnosis of STEMI;
  5. Signed informed consent .

Exclusion Criteria:

* (1) Cardiac rupture; (2) Complete left bundle branch block (LBBB) or ventricular pacing; (3) There are contraindications to thrombolysis; (4) Have serious comorbidities; (5) Have complex heart disease; (6) There are situations that are not suitable for clinical trials.

Where it's running

  • No. 83, Wenhua Road, Shenhe District, Shenyang City
    Shenyang, Liaoning, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.