Platelet Membrane–Coated Tenecteplase for Arterial Clots
Official title: Platelet Membrane-coated Tenecteplase to Improve Thrombolytic Efficacy by Targeting Thrombus
Run by The First Affiliated Hospital with Nanjing Medical University · NCT07712445 · Data updated 2026-11-12
This study tests whether a platelet membrane–coated form of tenecteplase can dissolve arterial clots in humans and whether blood from patients on antiplatelet therapy affects its clot-busting ability.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | The First Affiliated Hospital with Nanjing Medical University Academic / other |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | June 30, 2026 |
| Main results expected | July 30, 2026 |
| Study ends | July 30, 2027 |
| Registry record updated | July 17, 2026 |
| Trial ID | NCT07712445 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 years old; CAD patients undergoing coronary angiography or interventional therapy who are on stable aspirin and ticagrelor therapy, or healthy volunteers meeting the criteria.
✕Probably not a fit
Patients not experiencing a thrombolytic response or with contraindicating factors may derive no benefit from this specific approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study investigates the thrombolytic effect of platelet membrane–coated tenecteplase (PM-TNK) on human arterial thrombi using ex vivo samples. It also explores how plasma from patients taking antiplatelet therapy might inhibit PM-TNK activity. The study involves collecting venous or arterial blood to assess thrombolysis and potential interactions with prior antiplatelet treatment. Eligible participants include adults with suspected coronary artery disease undergoing angiography or interventional procedures, as well as healthy volunteers, with specific inclusion and exclusion criteria to ensure safety and data integrity. Conducted at The First Affiliated Hospital with Nanjing Medical University, this work aims to inform potential future clinical applications of PM-TNK.
Why it matters
Potential benefit: If successful, PM-TNK could offer a new approach to dissolving arterial clots, potentially improving treatment options for patients with arterial thrombosis.
How similar studies have gone: Prior thrombolytic strategies using targeted or coated enzymes have shown potential in preclinical or early studies, but this approach with PM-TNK is at an exploratory stage.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: \- For CAD patients: Age 18-75 years old, body weight ≥45kg, regardless of gender; Patients with suspected coronary artery disease scheduled for coronary angiography or interventional therapy. Take aspirin and ticagrelor maintenance dose ≥3 days, or loading dose of aspirin (300mg) and ticagrelor (180mg) ≥12 hours; For healthy volunteer: Age 18-75 years old, body weight ≥45kg, regardless of gender Exclusion Criteria: For CAD patients 1. Previous thrombolytic therapy with TNK; 2. Those who are enrolled in other clinical trials; 3. Those who were deemed ineligible by other investigators. For healthy volunteer: 1\. Currently taking any medication that may affect platelet function, such as antiplatelet drugs or nonsteroidal anti-inflammatory drugs. 2. Individuals with blood disorders, active bleeding or a tendency to bleed, including platelet count \<100×10\^9/L, hemoglobin \<100g/L, or recent bleeding in the digestive system or urinary tract within one month. 3. Individuals with impaired liver or kidney function, including alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels above the upper limit of normal reference range, and estimated glomerular filtration rate (eGFR) \<90 mL/min/1.73m\^2 (calculated based on the CKD-EPI equation). 4. Recent (within one month) severe trauma, surgery, or head injury. 5. Pregnant or lactating women. 6. Diabetes. 7. Smokers. 8. Those who are enrolled in other clinical trials; 9. Those who were deemed ineligible by other investigators.
Where it's running
-
The First Affiliated Hospital with Nanjing Medical University
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Chunjian Li
- Email: lijay@njmu.edu.cn
- Phone: 86-13701465229
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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.