[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100566670":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":34,"centralContacts":38,"locations":48,"responsibleParty":67,"collaborators":43,"id":69,"slug":43,"hasResults":70,"nctId":71,"briefTitle":72,"officialTitle":73,"acronym":74,"eligibilityCriteria":75,"healthyVolunteers":70,"sex":76,"minAge":77,"maxAge":43,"enrollmentInfo":78,"targetDuration":43,"studyType":81,"phases":82,"briefSummary":84,"conditions":85,"keywords":90,"overallStatus":51,"whyStopped":43,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"Xuanwu Hospital, Beijing","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"tenecteplase","EXPERIMENTAL","Subjects assigned to this arm will receive an intravenous bolus of 0.25mg\u002Fkg tenecteplase before the mechanical thrombectomy.",[13],"Drug: Tenecteplase",{"label":15,"type":16,"description":17,"interventionNames":18},"alteplase","ACTIVE_COMPARATOR","Subjects assigned to this arm will receive an intravenous 0.9 mg\u002Fkg alteplase(10% bolus +90% infusion\u002F1 hour) before the mechanical thrombectomy.",[19],"Drug: Alteplase",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DRUG","Tenecteplase","Tenecteplase 0.25mg\u002Fkg administered as a single rapid intravenous bolus (maximum dose 25mg) plus mechanical thrombectomy",[9],[27],"TNK",{"type":22,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"Alteplase","Alteplase 0.9 mg\u002Fkg administered as 10% bolus +90% infusion\u002F1 hour (maximum dose 90mg) plus mechanical thrombectomy",[15],[33],"recombinant tissue plasminogen activator (rtPA)",[35],{"name":36,"affiliation":5,"role":37},"Xiuhai Guo, MD","PRINCIPAL_INVESTIGATOR",[39,45],{"name":40,"role":41,"phone":42,"phoneExt":43,"email":44},"Lu Wang, MD","CONTACT","13161090533",null,"wanglu3261999@163.com",{"name":36,"role":41,"phone":46,"phoneExt":43,"email":47},"18810285127","guoxhxuan@126.com",[49],{"facility":50,"status":51,"city":52,"state":53,"zip":54,"country":55,"countryCode":56,"cosmosGeoPoint":57,"geoPoint":62,"contacts":63},"Xuanwu Hospital, Capital Medical University","RECRUITING","Beijing","Beijing Municipality","100053","China","CN",{"type":58,"coordinates":59},"Point",[60,61],116.39723,39.9075,{"lat":61,"lon":60},[64],{"name":65,"role":41,"phone":66,"phoneExt":43,"email":47},"Xiuhai Guo, MD, PhD","86-10-83198852",{"type":68,"investigatorFullName":43,"investigatorTitle":43,"investigatorAffiliation":43,"oldNameTitle":43,"oldOrganization":43},"SPONSOR","100566670",false,"NCT06658197","Efficacy and Safety of Tenecteplase Bridging Mechanical Thrombectomy for Acute Large Vessel Occlusion Stroke","Efficacy and Safety of Tenecteplase Bridging Mechanical Thrombectomy for Acute Large Vessel Occlusive Stroke(TNK-LVO) :a Phase 3, Multicentre, Open-label, Randomised Controlled Trial","TNK-LVO","Inclusion Criteria:\n\n1. Age is ≥18 years.\n2. AIS symptom onset ≤4.5 hours, onset time refers to the time the patient was last known to be well. (Recommendation time from thrombolysis to puncture within 60 minutes).\n3. Arterial occlusion of the internal carotid artery (ICA), anterior cerebral artery (ACA), posterior cerebral artery (PCA), M1 or M2 segment of the middle cerebral artery (MCA), or basilar artery on computed tomography angiography (CTA) or magnetic resonance angiography (MRA).\n4. Prestroke mRS score ≤2.\n5. Informed consent from the patient or legally authorised representative.\n\nExclusion Criteria:\n\n1. Patients diagnosed with hemorrhagic stroke (including intraparenchymal hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, subdural\u002Fextradural hematoma, etc.) or other related conditions identified by CT.\n2. Contraindication to imaging examinations involving contrast agent injection.\n3. Patients presenting with clinical symptoms of coma (NIHSS Score Item 1a = 3).\n4. History of intracranial hemorrhage.\n5. History of severe head trauma or stroke within the past 3 months.\n6. Intracranial or intraspinal surgery within the past 3 months.\n7. Major surgery within the past 2 weeks.\n8. Gastrointestinal or urinary tract bleeding within the past 3 weeks.\n9. Intracranial tumor, arteriovenous malformation, or giant intracranial aneurysm.\n10. Active visceral bleeding.\n11. Aortic arch dissection.\n12. Arterial puncture at a non-compressible site within the past week.\n13. Uncontrolled hypertension despite active antihypertensive treatment: Systolic Blood Pressure \\> 180 mmHg or Diastolic Blood Pressure \\> 100 mmHg.\n14. Acute hemorrhagic tendency, including platelet count \\\u003C 100 × 10⁹\u002FL or other conditions.\n15. Heparin treatment received within the past 24 hours.\n16. For patients on oral anticoagulants: INR \\> 1.7 or PT \\> 15 seconds.\n17. Use of direct thrombin inhibitors or direct Factor Xa inhibitors within the past 48 hours.\n18. Blood glucose \\\u003C 2.8 mmol\u002FL or \\> 22.2 mmol\u002FL.\n19. Hypodensity affecting \\> 1\u002F3 of the middle cerebral artery territory or an equivalent proportion of the basilar artery territory on non-contrast CT.\n20. Rapidly improving symptoms as determined by the investigator.\n21. Participation as a subject in another research study within the past 30 days.\n22. Any terminal illness where life expectancy is considered not to exceed 1 year.\n23. Any condition where, in the judgment of the investigator, the study treatment might pose a risk to the patient or affect the patient's participation in the study.\n24. Pregnant women.\n25. Known allergy to the active ingredients (Alteplase, Tenecteplase) or any excipients.","ALL","18 Years",{"count":79,"type":80},850,"ESTIMATED","INTERVENTIONAL",[83],"PHASE3","A phase III, multicentre, prospective, randomised, open-label, blinded-endpoint clinical trial will evaluate two thrombolytic agents for the treatment of acute large vessel occlusion stroke within 4.5 hours from symptoms onset: intravenous tenecteplase bridging mechanical thrombectomy vs. intravenous alteplase bridging mechanical thrombectomy.",[86,87,88,89],"Stroke, Ischemic","Stroke, Acute","Thrombosis, Brain","Drug Effect",[91,23],"Ischemic stroke","2026-04-08",{"date":94,"type":95},"2026-04-09","ACTUAL",{"date":97,"type":95},"2025-12-25",{"date":99,"type":80},"2027-06-01",{"name":5,"class":6},1]