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Teneteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-Ⅳ

Study acronym: TRACE Ⅳ
StatusRecruiting
PhasePhase 3
Started2025-07-09
View on ClinicalTrials.gov ↗
Record status
This record was last updated July 24, 2025 (before its estimated July 31, 2026 completion). Its status may not reflect the trial's current state.

Amendment history

2025-07-20
notable
Not Yet Recruiting→Recruiting Study Identification, Study Status, Study Description, Conditions, Arms and Interventions, Eligibility, Contacts/Locations v3
Trial statusNot Yet Recruiting→Recruiting
Start dateestimated 2025-07-02→confirmed 2025-07-09
Eligibility criteria+1 characters
[...] me defined as "last known well" time; Clinical diagnosis of mildminor ischemic stroke (NIHSS ≤ 5) with persistent unilateral limb [...]
Study description+238 characters
TheThis study will beis a multicenter, prospective, randomized, double-blind, doubl [...] ith acute minor ischemic stroke (baseline NIHSS≤5) within 4.5hours5 hours of symptoms onset (symptom onset is defined by the "last seen normal" principle for wake-up stroke) will be enrolled. TheEligible measurablepatients must have neurological deficitdeficits isinvolving definedat as impairment ofleast language or motor function. Participants will be randomized [...] not exceed 25mg, plus placebo oral aspirin and clopidogrel. Aspirin 100mg and clopidogrel 300mg will be given within 6 ± 2 hours after thrombolytic ther [...] [...]
Study sitesdetails revised at 1 of 1 site
2025-07-03
notable
Recruiting→Not Yet Recruiting Study Identification, Study Status, Study Description, Conditions, Study Design, Arms and Interventions, Outcome Measures, Eligibility, Contacts/Locations v2
Trial statusRecruiting→Not Yet Recruiting
Primary completion date2025-07-31→2026-07-31
Completion date2025-12-31→2026-10-31
Start date2024-08-26→2025-07-02
Enrollment target1394→1386
InterventionsControl group (Drug), rhTNK-tPA (Drug)→Control group (Aspirin combined with clopidogrel) (Drug), rhTNK-tPA (Drug)
Eligibility criteria-629 characters
Inclusion Criteria Age ≥ 18 years; CanOnset-to-treatment betime treated< with4.5 study drug within 12 hours of symptoms onset*(*Symptomh; onset istime defined by theas "last seenknown normalwell" principle)time; Clinical diagnosis of minormild ischemic stroke (baselineNIHSS NIHSS≤ 5) with apersistent measurableunilateral neurologicallimb deficitweakness or speech symptoms, defined as impairmenta score of ≥1 on either the language item or motora functionsingle limb item of the NIHSS; DWI/FLAIR mismatch on magnetic resonance imaging. Pre-stroke mRS 0-1; Informed consent signed. Exclusion Criteri [...] [...]
Secondary endpoints11 to 16 entries
Ordinal distribution of mRS scoresscore at 90-day (± 7 days) COSMOS Scale 0-1 at 90-day (±7days) COSMOS scale at 90-day (±7 days) NIHSS 0-1 at 24-hour, 7-day or before discharge (analyze which occurs first) or/ neurological improvement (NIHSS decreased≥24 from baseline) Neurological deterioration at 90 days European quality of life visual analogue scale at 90 days Symptomatic intracranial hemorrhage according to the ECASSIII criteria atwithin 36-hour, 7-day or discharge (analyze which occurs first). Symptomatic intracranial hemorrhage according to the ECASSIII criteria atwithin 7 days or befor [...] [...]
Study description+1 characters
The study will be a multicenter, prospective, open-labelrandomized, blindeddouble-endpointblind, randomizeddouble-dummy controlled trial (2 arms with 1:1 randomization) trial. Participants with acute minor ischemic stroke (baseline NIHSS≤5) within 12 hours4.5hours of symptoms onset (symptom onset is defined by the "last seen normal" principle for wake-up stroke) accompanied with measurable neurological deficit and DWI/FLAIR mismatch will be enrolled. The measurable neurological deficit is def [...] rhTNK-tPA): 0.25mg/kg, the maximum dose does not exceed 25mg, plus placebo oral aspirin and clopidogrel [...]
Study sitesdetails revised at 1 of 1 site
Study title-9 characters
Teneteplase Reperfusion Therapy in Acute Ischemic Cerebrovascular Events-Ⅳ(TRACE Ⅳ)
2024-08-25
minor
Study Identification, Study Status, Study Description, Study Design, Arms and Interventions, Outcome Measures, Eligibility v1
Start date2024-05-20→2024-08-26
Enrollment target1874→1394
InterventionsSingle/dual antiplatelet therapy (Drug), rhTNK-tPA (Drug)→Control group (Drug), rhTNK-tPA (Drug)
Eligibility criteria+70 characters
Inclusion Criteria Age ≥ 18 years; Can be treated with study drug within 4.512 hours of symptoms onset*(*Symptom onset is defined by the " [...] eficit defined as impairment of language or motor function; DWI/FLAIR mismatch on magnetic resonance imaging. Pre-stroke mRS 0-1; Informed consent signed. Exclusion Criteria Contradictory or unable to complete MRI examination. Planned or likely to receive acute endovascular treatments (any angioplasty or vascular [...] h a known bleeding diathesis or with a platelet count < 100×10^9109/L; Participants with a systolic blood pressure ≥> 180 or a diastolic blood pres [...] [...]
Secondary endpoints12 to 11 entries
Neurological impairment (NIHSS increased≥4 from baseline) at 90-day (± 7 days)
Study description-54 characters
[...] with acute minor ischemic stroke (baseline NIHSS≤5) within 4.512 hours of symptoms onset (symptom onset is defined by the "l [...] up stroke) accompanied with measurable neurological deficit and DWI/FLAIR mismatch will be enrolled. The measurable neurological deficit is def [...] 5mg/kg, the maximum dose does not exceed 25mg. Control group: (standardStandard medical care): Single/dual antiplatelet therapy (aspirin, clopidogrel, ticagrelor, etc.) according to the guideline. The primary endpoint is excelle [...]
2024-05-10
minor
Original filing
3,268 trials monitored
See 122 trials at risk
The purpose of this study is to evaluate the efficacy and safety of intravenous tenecteplase (0.25 mg/kg) compared with standard therapy in patients with acute ischemic stroke presenting with mild symptoms-defined as a National Institutes of Health Stroke Scale (NIHSS) score ≤5 accompanied by persistent unilateral limb weakness or speech impairment within 4.5 hours of onset.
Trial Details
NCT Number NCT06414499
Lead Sponsor Beijing Tiantan Hospital
Conditions Minor Ischemic Stroke
Enrollment 1,386 participants
Start Date 2025-07-09
Primary Completion 2026-07-31 (estimated)
Study Completion 2026-10-31 (estimated)
Updated on ClinicalTrials.gov 2025-07-24