Early antiplatelet therapy for stroke patients after hemorrhagic infarction
Official title: Early Antiplatelet Therapy After Hemorrhagic Infarction in Acute Ischemic Stroke Treated With Intravenous Thrombolysis in China (HITs):a Randomized Clinical Trial
Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT04624295 · Data updated 2026-11-12
This study is testing if giving aspirin early to stroke patients who had a bleeding problem can help them recover better after treatment.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Sex | All |
| Enrollment | 294 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Locations | 1 site (Hangzhou) |
| Status | Recruiting |
| Started | January 1, 2021 |
| Main results expected | December 31, 2025 |
| Study ends | June 30, 2026 |
| Registry record updated | June 15, 2025 |
| Trial ID | NCT04624295 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include acute ischemic stroke patients who have received intravenous thrombolysis within 24 hours and have been confirmed to have a hemorrhagic infarction.
✕Probably not a fit
Patients who have contraindications for aspirin use or have received anticoagulant drugs within one week after thrombolysis may 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 clinical trial investigates the efficacy and safety of early antiplatelet therapy, specifically aspirin, in patients who have experienced a hemorrhagic infarction following intravenous thrombolysis for acute ischemic stroke. Participants will be randomly assigned to receive either early or non-early aspirin therapy after confirming hemorrhagic infarction through CT imaging. The study aims to determine whether early intervention can improve outcomes for these patients, who are at risk of complications from their condition.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment protocols for stroke patients, potentially reducing complications associated with hemorrhagic infarction.
How similar studies have gone: Previous studies have shown mixed results regarding the relationship between hemorrhagic infarction and outcomes in stroke patients, making this approach both relevant and potentially novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Acute ischemic patients receiving intravenous thrombolysis within 24 hours upon stroke onset 2. Be confirmed as Hemorrhagic Infarction at 24 to 36 hours after intravenous thrombolysis by computerized tomography 3. The patient or family member signed an informed consent Exclusion Criteria: 1. Early use of anticoagulant drugs within 1 week after intravenous thrombolysis; 2. Tirofiban was used after receiving endovascular treatment; 3. Intraoperative stent placement after receiving endovascular treatment; 4. Subarachnoid hemorrhage or ventricular hemorrhage; 5. There are contraindications for aspirin use;
Where it's running
-
the second affiliated hospital of Zhejiang University
Hangzhou, China Recruiting
Study contacts
- Study coordinator: Min Lou, PhD
- Email: loumingxc@vip.sina.com
- Phone: +8657187784810
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.