Using Minocycline to improve outcomes in stroke patients

Effect of Oral Minocycline on Acute Stroke Outcome: A Randomized Open Label Prospective Study

Phase2; Phase3 Interventional Maimonides Medical Center · NCT06107725

This study is testing if adding the antibiotic Minocycline to regular stroke treatment can help patients recover better after a stroke.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Enrollment1120 (estimated)
Ages18 Years and up
SexAll
SponsorMaimonides Medical Center Academic / other
Locations1 site (Brooklyn, New York)
Trial IDNCT06107725 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the effectiveness of oral Minocycline in enhancing clinical outcomes for patients experiencing acute strokes. Participants will be randomly assigned to receive either Minocycline in addition to standard stroke care or standard care alone. The study will assess outcomes such as mortality and functional recovery using established scales at various time points. The trial will enroll 1120 patients over a two-year period, starting within 24 hours of stroke symptom onset.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older who present with acute ischemic stroke or intracerebral hemorrhage within 24 hours of symptom onset.

Not a fit: Patients who are not experiencing a stroke or have contraindications to Minocycline will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved survival rates and functional recovery for acute stroke patients.

How similar studies have performed: Previous studies have indicated potential neuroprotective effects of Minocycline, suggesting this approach may be promising but it remains to be fully validated in this specific context.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age \>/=18
2. Acute onset neurological deficit consistent with acute ischemic stroke or on imaging consistent with acute ischemia as defined by WHO (World Health Organization) guidelines
3. Acute onset of neurological deficits with intracerebral Hemorrhage on imaging consistent with intracerebral bleed
4. The onset of symptoms less than 24 hours
5. Measurable neurological deficit using NIHSS (National Institutes of Health Stroke Scale )

Exclusion Criteria:

1. Clinically not suspect stroke.
2. Allergic to the Tetracycline group of medications or Intolerance to Minocycline
3. Pregnancy or suspected pregnancy
4. Previous history of intolerance to minocycline
5. Acute or chronic renal failure
6. Any patients with contraindications to undergo CT/ MRI
7. Life expectancy less than one year or severe co-morbidities or comfort measure only (CMO) on admission
8. Pre-existing infectious disease requiring antibiotics
9. Inability to tolerate enteral medications/feeds
10. Patient/ family refusal

Where this trial is running

Brooklyn, New York

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Stroke, AcuteIschemic StrokeHemorrhagic StrokeMortalityMorbidityMinocyclineAcute StrokeNeuroprotection
Last reviewed 2026-06-13 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.