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TerminatedNCT01062698THRACEUpdated Jul 21, 2017

Trial and Cost Effectiveness Evaluation of Intra-arterial Thrombectomy in Acute Ischemic Stroke

An interventional study of Alteplase (rt-PA)/Actilyse and Mechanic thrombectomy (MERCI, PENUMBRA, CATCH, SOLITAIRE) in Cerebral Stroke and Cerebrovascular Accident, sponsored by Central Hospital, Nancy, France. Terminated at 1 site in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2017-07-21.

Sponsored by Central Hospital, Nancy, France · Not applicable, Interventional, and Treatment

Why this study was terminated
Efficacy
Phase
Not applicable
Study type
Interventional
Enrollment
412
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

THRACE is a controled, multicenter and randomized trial.

The primary objective of this study is to determine whether a combined approach intravenous thrombolysis (IV) + Mechanical thrombectomy is superior to the reference treatment with IV thrombolysis alone, in the 3 hours of onset of symptoms in patients with occlusion of proximal cerebral arteries and with a neurological impairment accident (National Institutes of Health Stroke Scale [NIHSS] ≥ 10).

The second objective is to determine the cost-effectiveness of this procedure compared to the standard (IV thrombolysis). The assumption is that the combined approach, by improving the clinical outcome and speed recovery, allows for lower overall costs to the IV thrombolysis in 3 months and less than or at worst neutral to 1 year.

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Conditions studied

  • Cerebral Stroke
  • Cerebrovascular Accident

Keywords

  • mechanical Thrombectomy
  • CVA (Cerebrovascular Accident)
  • Cerebrovascular Accident, Acute
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In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 412 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Central Hospital, Nancy, France is the lead sponsor of 778 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 10\<=NIHSS Score=\<25
  • Symptoms onset less than 4 hours
  • Occlusion of the intracranial carotid, the middle cerebral artery (M1) or the upper third of the basilar

Exclusion criteria

Exclusion Criteria:

  • Contraindications for intravenous thrombolysis
  • Occlusion or stenosis of the pre-occlusive cervical internal carotid artery ipsilateral to the lesion
  • Any cause local prohibiting femoral catheterization
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
412 participants (actual)

Study arms

  • Active comparator
    IV thrombolysis + thrombectomy

    Drug: Alteplase (rt-PA)/Actilyse · Procedure: Mechanic thrombectomy (MERCI, PENUMBRA, CATCH, SOLITAIRE)

  • Active comparator
    IV thrombolysis

    Drug: Alteplase (rt-PA)/Actilyse

Interventions

  • DrugAlteplase (rt-PA)/Actilyse

    Injection of 0.9 mg/kg for 60min with an initial 10% bolus injection.

  • ProcedureMechanic thrombectomy (MERCI, PENUMBRA, CATCH, SOLITAIRE)

    Mechanic thrombectomy

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What researchers measure

Primary outcomes

  1. Modified Rankin Score (mRs )

    Time frame: 3 months after treatment

Secondary outcomes

  1. Quality of Life (Euroqol EQ-5D)

    Time frame: 3 months after treatment

  2. Barthel Score

    Time frame: 3 months after treatment

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Study locations

1 site
  • Central Hospital Nancy (Central HNF)
    Nancy, France
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References and documents

Publications

  • Janvier P, Kerleroux B, Turc G, Pasi M, Farhat W, Bricout N, Benzakoun J, Legrand L, Clarencon F, Bracard S, Oppenheim C, Boulouis G, Henon H, Naggara O, Ben Hassen W. TAGE Score for Symptomatic Intracranial Hemorrhage Prediction After Successful Endovascular Treatment in Acute Ischemic Stroke. Stroke. 2022 Sep;53(9):2809-2817. doi: 10.1161/STROKEAHA.121.038088. Epub 2022 Jun 14. PubMed 35698971 ↗
  • Riou-Comte N, Gory B, Soudant M, Zhu F, Xie Y, Humbertjean L, Mione G, Oppenheim C, Guillemin F, Bracard S, Richard S; THRACE investigators. Clinical imaging factors of excellent outcome after thrombolysis in large-vessel stroke: a THRACE subgroup analysis. Stroke Vasc Neurol. 2021 Dec;6(4):631-639. doi: 10.1136/svn-2020-000852. Epub 2021 Jun 8. PubMed 34103393 ↗
  • Derraz I, Pou M, Labreuche J, Legrand L, Soize S, Tisserand M, Rosso C, Piotin M, Boulouis G, Oppenheim C, Naggara O, Bracard S, Clarencon F, Lapergue B, Bourcier R; ASTER and the THRACE Trials Investigators. Clot Burden Score and Collateral Status and Their Impact on Functional Outcome in Acute Ischemic Stroke. AJNR Am J Neuroradiol. 2021 Jan;42(1):42-48. doi: 10.3174/ajnr.A6865. Epub 2020 Nov 12. PubMed 33184069 ↗
  • Boulouis G, Bricout N, Benhassen W, Ferrigno M, Turc G, Bretzner M, Benzakoun J, Seners P, Personnic T, Legrand L, Trystram D, Rodriguez-Regent C, Charidimou A, Rost NS, Bracard S, Cordonnier C, Oppenheim C, Naggara O, Henon H. White matter hyperintensity burden in patients with ischemic stroke treated with thrombectomy. Neurology. 2019 Oct 15;93(16):e1498-e1506. doi: 10.1212/WNL.0000000000008317. Epub 2019 Sep 13. PubMed 31519778 ↗
  • Provost C, Soudant M, Legrand L, Ben Hassen W, Xie Y, Soize S, Bourcier R, Benzakoun J, Edjlali M, Boulouis G, Raoult H, Guillemin F, Naggara O, Bracard S, Oppenheim C. Magnetic Resonance Imaging or Computed Tomography Before Treatment in Acute Ischemic Stroke. Stroke. 2019 Mar;50(3):659-664. doi: 10.1161/STROKEAHA.118.023882. PubMed 30744542 ↗
  • Achit H, Soudant M, Hosseini K, Bannay A, Epstein J, Bracard S, Guillemin F; THRACE Investigators. Cost-Effectiveness of Thrombectomy in Patients With Acute Ischemic Stroke: The THRACE Randomized Controlled Trial. Stroke. 2017 Oct;48(10):2843-2847. doi: 10.1161/STROKEAHA.117.017856. Epub 2017 Sep 15. PubMed 28916667 ↗
  • Bracard S, Ducrocq X, Mas JL, Soudant M, Oppenheim C, Moulin T, Guillemin F; THRACE investigators. Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomised controlled trial. Lancet Neurol. 2016 Oct;15(11):1138-47. doi: 10.1016/S1474-4422(16)30177-6. Epub 2016 Aug 23. Erratum In: Lancet Neurol. 2016 Nov;15(12):1203. doi: 10.1016/S1474-4422(16)30256-3. PubMed 27567239 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01062698
Lead sponsor
Central Hospital, Nancy, France
Responsible party
Directeur de la Recherche et de l'Innovation (Professor Serge BRACARD, Central Hospital, Nancy, France) — Principal investigator
First posted
Feb 4, 2010
Start date
Jun 2010
Primary completion
Dec 2015
Completion
Mar 2016
Last update
Jul 21, 2017

Study contacts

Serge Bracard, Pr
principal investigator · Central Hospital Nancy France (HNF)
View the source record on ClinicalTrials.gov ↗

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