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Intra-arterial Tenecteplase

Phase 2

Acute Ischemic Stroke | Small molecule | Neurology |Roche Holding AG|Last Updated: Sep 25, 2026

Development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Jan 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment40

FDA Designations

No designations recorded

Clinical trial landscape

Intra-arterial Tenecteplase · 1 trial · 1 indication

Phase 2 1
NCT06781385Intra-Arterial Tenecteplase Following Endovascular Thrombectomy for Large Vessel Occlusion StrokeAcute Ischemic Stroke
ENROLLING BY_INVITATION40 Analytics
PHASE2ENROLLING BY_INVITATION
Intra-Arterial Tenecteplase Following Endovascular Thrombectomy for Large Vessel Occlusion Stroke
Acute Ischemic StrokeUnlock trial analytics

Study Endpoints

Primary Endpoints

Participants with Change in Symptomatic Intracranial Hemorrhage
Hour 36

Number of participants with symptomatic intracranial hemorrhage (parenchymal hematoma type 2, subarachnoid hemorrhage, and/or intraventricular hemorrhage) producing decline from the initial National Institutes of Health Stroke Scale (NIHSS) of ≥ 4 points.

Participants with Parenchymal Hematoma Type 1
24 Hours

Number of participants with parenchymal hematoma type 1

Participants with Parenchymal Hematoma Type 2
24 Hours

Number of participants with parenchymal hematoma type 2

30-Day Mortality Count
Day 30

Number of patients expired

90-Day Mortality Count
Day 90

Number of patients expired

Number of Grade 3 Adverse Events
Hour 24

Total number of grade 3 adverse events

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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Intra-arterial TenecteplaseEXPERIMENTALFollowing endovascular thrombectomy for large vessel occlusion stroke one-time dose of intra-arterial Tenecteplase (0.125 mg/kg, maximum dose 12.5 mg) will be delivered over 5-10 seconds by the treating neuro-interventionalist through a microcatheter positioned as close as possible to the residual thrombus or as distal as possible in the originating vessel, per the discretion of the neuro-interventionalist.
Intra-arterial SalinePLACEBO_COMPARATORFollowing endovascular thrombectomy for large vessel occlusion stroke one-time dose of saline (0.9% NaCl solution) will be delivered over 5-10 seconds by the treating neuro-interventionalist through a microcatheter positioned as close as possible to the residual thrombus or as distal as possible in the originating vessel, per the discretion of the neuro-interventionalist.

Interventions

NameTypeDescription
Intra-arterial TenecteplaseDRUGOne-time dose of intra-arterial tenecteplase post-thrombectomy
Intra-arterial SalineDRUGOne-time dose of intra-arterial saline post-thrombectomy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Patient/legally authorized representative has signed the Informed Consent Form * Ability to comply with the study protocol, in the investigator's judgment * Functionally independent (modified Rankin scale 0-2) prior to presentation * Baseline National Institutes of Health Stro...

Countries:United States
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