Giving IV clot-busting medicine for ischemic stroke 4.5–24 hours after last known normal
Official title: A Multicenter, Retrospective, Observational Cohort Study on Intravenous Thrombolysis Beyond the Time Window for Acute Ischemic Stroke
Run by Xuanwu Hospital, Beijing · NCT07419997 · Data updated 2026-11-12
This study looks back at adults with acute ischemic stroke who got intravenous clot-busting drugs 4.5–24 hours after they were last seen normal to see if those treatments helped their recovery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2600 (estimated) |
| Sponsor | Xuanwu Hospital, Beijing Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | December 29, 2025 |
| Main results expected | December 29, 2026 |
| Study ends | December 29, 2026 |
| Registry record updated | February 19, 2026 |
| Trial ID | NCT07419997 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with acute ischemic stroke who were treated with IV thrombolysis between 4.5 and 24 hours after last known well and whose clinical records include NIHSS and mRS are the ideal candidates for inclusion.
✕Probably not a fit
Patients with hemorrhagic stroke, those treated outside the 4.5–24 hour window, or those lacking complete clinical records or who had clear contraindications to thrombolysis are unlikely to be helped by this analysis.
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 multicenter, retrospective, observational cohort study collecting past clinical records of adults with acute ischemic stroke who received intravenous thrombolysis 4.5–24 hours after last known well. Investigators will extract demographic and clinical data including age, sex, NIHSS, and mRS, and will compare clinical outcomes and safety signals among patients treated with agents such as alteplase or tenecteplase. Because it is retrospective, treatment decisions were made clinically and the study will analyze real-world effectiveness and complications rather than assigning treatments prospectively. Results will aim to identify which patients, if any, might benefit from later thrombolytic therapy and what risks are associated.
Why it matters
Potential benefit: If successful, the findings could support extending IV thrombolytic treatment to some patients up to 24 hours after their last known normal, potentially improving recovery and reducing long-term disability.
How similar studies have gone: Previous randomized and imaging-selected trials have shown benefit of thrombolysis or reperfusion strategies up to about 9 hours in selected patients, but using IV thrombolysis out to 24 hours is largely untested and mainly supported by small observational reports.
Who can join: the full rules
Show full inclusion / exclusion criteria
1. Patients with acute ischemic stroke, regardless of gender; 2. Age ≥ 18 years old; 3. Time from onset to treatment within 4.5 - 24 hours (the onset time refers to the last time when they appeared normal); 4. Complete relevant clinical data (including gender, age, mRS, NIHSS, etc.).
Where it's running
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Xuanwu Hospital Capital Medical University, Beijing, Beijing 100053
Beijing, China Recruiting
Study contacts
- Study coordinator: Xin Xing, MD
- Email: drxingxin@126.com
- Phone: 01083198082
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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.