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tenecteplase

Phase 3

Acute Ischemic Stroke | Small molecule | Neurology |Meridian Bioscience Inc|Last Updated: Jun 2, 2026

Target and mechanism

Molecular targetPLAT
Target classExogenous Protein
ModalitySmall molecule

Also known as Intravenous tenecteplase (TNK)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment660

FDA Designations

No designations recorded

Clinical trial landscape

tenecteplase · 1 trial · 1 indication

Phase 3 1
NCT07621796Efficacy and Safety of Tenecteplase Among acutE Ischemic Stroke Patients With Recent Ingestion of Direct Oral AnticoagulantAcute Ischemic Stroke
NOT YET_RECRUITING660 Analytics
PHASE3NOT YET_RECRUITING
Efficacy and Safety of Tenecteplase Among acutE Ischemic Stroke Patients With Recent Ingestion of Direct Oral Anticoagulant
Acute Ischemic StrokeUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy of intravenous Tenecteplase (TNK)
90 days post administration

Determine the efficacy of intravenous Tenecteplase (TNK) vs placebo among acute ischemic stroke patients within 4.5 hours of their last known well who used DOAC within 48 hours prior to thrombolysis. The primary endpoint is 90-day modified Rankin Scale (mRS). Modified Rankin Scale is a 6 point tool to assess disability with 0 being no disability and 6 being death.

Safety of intravenous TNK
within 36 hours from thrombolysis administration

Determine the safety of intravenous TNK among acute ischemic stroke patients within 4.5 hours of last known well who used DOAC within 48 hours prior to thrombolysis. The primary safety endpoint is symptomatic intracranial hemorrhage (sICH) sICH is defined as any hemorrhage with neurological deterioration in the form of ≥ 4 points increase in the NIHSS, or that leads to death and is identified as the predominant cause of the neurologic deterioration (ECASS III definition) and occurring within 36 hours from thrombolysis administration

Secondary Endpoints

Patients with excellent functional outcome
90 days post administration
Patients with good functional outcome
90 days post administration
Utility weighted mRS between intravenous TNK versus placebo
90 days post administration
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Intravenous Tenecteplase (TNK)EXPERIMENTALIntravenous TNK 0.25 mg/Kg
PlaceboPLACEBO_COMPARATORnormal saline placebo

Interventions

NameTypeDescription
Intravenous tenecteplase (TNK)DRUGIntravenous administration of tenecteplase (TNK) at 0.25 mg/kg for a maximum dose of 25 mg.
PlaceboDRUGPlacebo
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Eligibility Criteria

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

Inclusion Criteria: * Adults (18 years or older) with a suspected acute ischemic stroke and clearly disabling deficits * Presenting within 4.5 hours of last known well * Able to initiate intravenous thrombolysis within 4.5 hours of last known well * On recent DOAC therapy (dabigatran, apixaban, riv...

Countries:United States
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Frequently asked questions about tenecteplase

What is tenecteplase used for?

Tenecteplase is an investigational small molecule being studied for the treatment of acute ischemic stroke. It is currently in Phase 3 clinical development. The drug is administered intravenously and is being evaluated in patients who have recently ingested a direct oral anticoagulant.

What does tenecteplase target?

Tenecteplase is a small molecule being developed for acute ischemic stroke. Its specific molecular target has not been disclosed. The drug is being studied for its efficacy and safety in patients with acute ischemic stroke who have recently taken a direct oral anticoagulant.

Who is developing tenecteplase?

Tenecteplase is being developed by Meridian Bioscience Inc, a company traded under the ticker symbol VIVO. The drug is currently in Phase 3 clinical development for the treatment of acute ischemic stroke.

What phase is tenecteplase in?

Tenecteplase is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The ongoing Phase 3 trial is evaluating the drug's efficacy and safety in patients with acute ischemic stroke.

What clinical trials is tenecteplase in?

Tenecteplase is being studied in a Phase 3 clinical trial with the identifier NCT07621796. This randomized, double-blind, placebo-controlled trial is enrolling 660 participants in the United States. The trial is evaluating the efficacy and safety of tenecteplase in acute ischemic stroke patients who have recently ingested a direct oral anticoagulant.

Is tenecteplase the same as intravenous tenecteplase (TNK)?

Yes, tenecteplase is also known as intravenous tenecteplase (TNK). The drug is being studied in a Phase 3 clinical trial for acute ischemic stroke, with the trial identifier NCT07621796.