Clinical trial Recruiting at 1 site Observational Ages 18 and up

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.

More Stroke trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2600 (estimated)
SponsorXuanwu Hospital, Beijing
Academic / other
Locations1 site (Beijing)
StatusRecruiting
StartedDecember 29, 2025
Main results expectedDecember 29, 2026
Study endsDecember 29, 2026
Registry record updatedFebruary 19, 2026
Trial IDNCT07419997 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

  • Xuanwu Hospital Capital Medical University, Beijing, Beijing 100053
    Beijing, 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.