Thrombolysis in Early Acute Ischemic Stroke Trial-Blood Pressure Management

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorShanghai East Hospital

About this trial

This study is a Phase II, exploratory, prospective, multicenter, open-label, randomized controlled clinical trial with blinded endpoint assessment setting on the safety of an adjusted versus a conventional blood pressure management strategy during intravenous thrombolysis in AIS patients, with a key focus on the incidence of symptomatic intracranial hemorrhage (sICH).

Eligibility criteria

Qualifiers

Age 18 to 80 years (inclusive);

Patients with acute ischemic stroke;

Planned to receive intravenous thrombolysis within 4.5 hours of onset;

Elevated blood pressure: Before receiving intravenous thrombolysis treatment, blood pressure is elevated: systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 100 mmHg (defined as two consecutive measurements within 2 minutes);

Disqualifiers

Intracranial hemorrhage is indicated on CT or MRI (including parenchymal hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, subdural or epidural hematoma).

History of intracranial hemorrhage; severe head trauma or stroke within the last 3 months.

Intracranial tumors, giant intracranial aneurysms.

Intracranial or spinal surgery within the last 3 months; major surgery within the last 2 weeks; arterial puncture at a site not easily compressed for hemostasis within the last 7 days.

Trial design

Treatments tested in this trial

  • Adjusted BP management group
  • Usual BP management group

Treatment groups

340 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Shanghai East Hospital

Lead sponsor

Shanghai 7th People's Hospital

Collaborator