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CompletedNCT05155540Updated Jan 3, 2022

Direct Mechanical Thrombectomy Versus Bridging Therapy

A Phase 4 interventional study of Trevo and or Merci devices for stent retreival and Penumbra system for stent aspiration in Thrombectomy, Ischemic Stroke and Large-Artery Atherosclerosis (Embolus/Thrombosis), sponsored by Alexandria University. Completed at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-01-03.

Sponsored by Alexandria University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2020, 6 years 3 months ago, and no results have been posted to the registry.
  • Registered 2 years 5 months after the study started (first participant enrolled Jul 2019, registered Dec 2021).
Phase
Phase 4
Study type
Interventional
Enrollment
51
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This study compares the efficacy and safety of direct mechanical thrombectomy versus bridging therapy in patients with anterior circulation large vessel occlusion in a cohort of patients treated at the stroke unit of a single centre at Alexandria University in Egypt.

Read the detailed description

This study compares the efficacy and safety of direct mechanical thrombectomy versus bridging therapy in patients with anterior circulation large vessel occlusion in a cohort of patients treated at the stroke unit of a single centre at Alexandria University in Egypt. In the first arm, 17 patients were recruited and underwent direct mechanical thrombectomy without receiving recombinant tissue plasminogen activator. In the bridging therapy arm, 34 patients received first tissue plasminogen activator then underwent direct mechanical thrombectomy. The efficacy was evaluated by the NIHSS improvement 24 hours following stroke onset and the modified Rankin scale 3 months following stroke. Safety was assessed by the procedural complications rate especially the hemorhagic transformation.

02

Conditions studied

  • Thrombectomy
  • Ischemic Stroke
  • Large-Artery Atherosclerosis (Embolus/Thrombosis)

Keywords

  • ischemic stroke
  • Direct mechanical thrombectomy
  • Bridging therapy
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In context

Ischemic Stroke

2,593 studies on the registry are indexed under Ischemic Stroke; 930 are open to participants now.

This study's enrollment of 51 is below the median of 120 across 1,752 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Alexandria University is the lead sponsor of 569 studies on the registry; 125 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with anterior ischemic stroke due to large vessel occlusion.
  • A previous autonomous modified Rankin Scale (mRS) of less than 2.
  • A National Institutes of Health Stroke Scale (NIHSS)≥4
  • A groin puncture within 4.5 hours of the neurological deficit onset.

Exclusion criteria

Exclusion Criteria:

  • Imaging documentation of intracranial haemorrhage
  • A premorbid mRS score of 2 or more
  • Absence of diffusion perfusion mismatch in CT perfusion.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
51 participants (actual)

Study arms

  • Active comparator
    Direct mechanical thrombectomy

    Direct mechanical thrombectomy performed within 4.5 of stroke onset without giving intravenous recombinant tissue plasminogen activator.

    Device: Trevo and or Merci devices for stent retreival · Device: Penumbra system for stent aspiration

  • Active comparator
    Bridging therapy

    Mechanical thrombectomy performed within 4.5 of stroke onset after giving intravenous recombinant tissue plasminogen activator at a dose of 0.9 mg/Kg

    Device: Trevo and or Merci devices for stent retreival · Device: Penumbra system for stent aspiration · Drug: recombinant tissue plasminogen activator

Interventions

  • DeviceTrevo and or Merci devices for stent retreival

    FDA approved devices for stent retrieval during mechanical thrombectomy

    Also known as: No other names

  • DevicePenumbra system for stent aspiration

    FDA approved devices for stent aspiration during mechanical thrombectomy

  • Drugrecombinant tissue plasminogen activator

    FDA approved drug for treatment of acute ischemic stroke within 4.5 hours of strokeonset

06

What researchers measure

Primary outcomes

  1. Modified Rankin Scale score

    A measurement of functional independence following ischemic stroke

    Time frame: 3 months

  2. Complication rate

    The rate and type of complications occuring postoperatively

    Time frame: within one week postoperatively

Secondary outcomes

  1. The National Institutes of Health Stroke Scale (NIHSS) score

    A validated scale for assessment of neurological dysfunction associated with stroke

    Time frame: at 24 hours postoperatively

07

Study locations

1 site
  • Alexandria University Faculty of Medicine
    Alexandria, 11523, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon request

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 3, 2022, 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
NCT05155540
Lead sponsor
Alexandria University
Responsible party
Mohamed Anwar (Principal Investigator, Alexandria University) — Principal investigator
First posted
Dec 13, 2021
Start date
Jul 1, 2019
Primary completion
Jul 1, 2020
Completion
Sep 1, 2020
Last update
Jan 3, 2022

Study contacts

Mohamed A Abdel Ghani, Master's
principal investigator · Alexandria University Faculty of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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