Status:

COMPLETED

Tenecteplase Versus Alteplase for Stroke Thrombolysis Evaluation Trial in the Ambulance

Lead Sponsor:

Melbourne Health

Conditions:

Stroke, Acute, Stroke Ischemic

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Ischemic stroke is a major health burden globally and in Australia. Treatment for ischemic stroke is time critical and is significantly more effective if administered within the first 90 minutes of sy...

Detailed Description

Currently, alteplase is the standard clot-dissolving therapy for ischemic stroke, however this treatment is only effective in 30-45% of patients. Importantly, treatment of ischemic stroke is more effe...

Eligibility Criteria

Inclusion

  • Patients being attended by the mobile stroke unit with an acute ischemic stroke eligible for thrombolysis using standard clinical and CT criteria.
  • Patient's age is ≥18 years
  • Premorbid mRS \<4

Exclusion

  • Intracranial hemorrhage (ICH) or other diagnosis (e.g. tumor) identified by CT on the MSU
  • Hypodensity in \>1/3 MCA territory or equivalent proportion of ACA or PCA territory on non-contrast CT on MSU
  • Pre-stroke mRS score of \> 3 (indicating significant previous disability)
  • Any terminal illness such that patient would not be expected to survive more than 1 year
  • Any condition that, in the judgment of the investigator could impose hazards to the patient if study therapy is initiated or affect the participation of the patient in the study.
  • Pregnant women.
  • Rapidly improving symptoms.

Key Trial Info

Start Date :

June 20 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 16 2021

Estimated Enrollment :

104 Patients enrolled

Trial Details

Trial ID

NCT04071613

Start Date

June 20 2019

End Date

November 16 2021

Last Update

December 8 2021

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Royal Melbourne Hospital

Melbourne, Victoria, Australia, 3050

2

Eastern Health

Melbourne, Victoria, Australia

3

Western Hospital

Melbourne, Victoria, Australia

4

Alfred Hopsital

Melbourne, Australia