Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Comparing blood pressure management strategies after stroke treatment

Official title: Third Enhanced Control of Hypertension and Thrombectomy Stroke Domain Within A Multi-faCtorial, mulTi-arm, Multi-staGe, Randomised, gLOBal Adaptive pLatform Trial for Stroke (ACT-GLOBAL_ENCHANTED3/MT)

Run by The George Institute · NCT06352619 · Data updated 2026-11-12

This study is testing different ways to manage blood pressure in stroke patients who have had a specific treatment to see which method helps them recover better and reduces risks.

More Ischemic Stroke, Acute trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorThe George Institute
Academic / other
Locations2 sites (Sydney, New South Wales and 1 other locations)
StatusRecruiting
StartedOctober 11, 2024
Main results expectedDecember 2027
Study endsMay 2028
Registry record updatedJuly 8, 2026
Trial IDNCT06352619 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who have undergone EVT for acute ischemic stroke and have sustained high systolic blood pressure of 150 mmHg or higher.

Probably not a fit

Patients with contraindications to blood pressure lowering treatment will not benefit from this study.

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

What this trial studies

This trial aims to evaluate different blood pressure (BP) management strategies in patients who have experienced an acute ischemic stroke and undergone endovascular therapy (EVT). It will randomize up to 2,000 patients with elevated systolic blood pressure (SBP) to receive conservative, moderate, or intensive BP control. The goal is to determine which approach leads to better functional outcomes and minimizes risks such as intracranial hemorrhage. The study is part of a larger adaptive platform trial designed to test multiple treatments for stroke simultaneously.

Why it matters

Potential benefit: If successful, this study could identify the optimal blood pressure management strategy that improves recovery outcomes for stroke patients.

How similar studies have gone: Previous studies have shown mixed results regarding blood pressure management in stroke patients, indicating that this approach is still under investigation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age ≥18 years;
2. Use of endovascular therapy (EVT) within 24 hours of symptom onset or last known well according to local guidelines;
3. Sustained high systolic blood pressure ≥150 mmHg (2 readings \<10 mins apart) within 3 hours after completion of EVT.

Exclusion Criteria:

1.Any definite contraindications to BP lowering treatment.

Where it's running

  • The George Institute for Global Health
    Sydney, New South Wales, Australia
    Recruiting
  • University of Calgary
    Calgary, Alberta, Canada
    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.