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CompletedNCT06018181Updated Feb 27, 2026

Outcomes After Intravenous Alteplase / Tenecteplase With or Without Shuxuetong Injection in Routine Clinical Practice

An observational study in Ischemic Stroke, Acute, sponsored by Dongzhimen Hospital, Beijing. Completed at 78 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by Dongzhimen Hospital, Beijing · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,408
Ages
18 Years and older
Sex
All
01

Study summary

Acute ischemic stroke is one of the main diseases leading to high risk of disability and morbidity worldwide. Since intravenous thrombolysis(IVT) can effectively improve the long-term functional prognosis of acute ischemic stroke(AIS), IVT within 4.5 hours of onset has been widely recommended by international guidelines.

Although 35-53% of AIS patients achieve functional independence after receiving IVT, there are still a large number of patients who are disabled or even dead, and nearly 70% of patients have ineffective recanalization. Therefore, there is an urgent need for therapeutic drugs after IVT to further improve the prognosis and reduce the burden of AIS.

Shuxuetong injection is widely used in China in patients with AIS after IVT, but the situation in real clinical practice is unclear. Therefore, the study aims to evaluate the effectiveness and safety of Shuxuetong Injection in patients with AIS treated with intravenous alteplase and tenecteplase, and obtain high-quality clinical evidence.

02

Conditions studied

  • Ischemic Stroke, Acute

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Keywords

  • Shuxuetong Injection
  • Intravenous Thrombolysis
  • Patient Registry
03

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 2,408 is above the median of 300 across 777 observational studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Dongzhimen Hospital, Beijing is the lead sponsor of 43 studies on the registry; 18 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Patients with acute ischemic stroke who received alteplase or tenecteplase within 4.5 hours of onset

Inclusion criteria

  • Hospitalized patients aged ≥18 years
  • Diagnosis of acute ischemic stroke
  • Receiving alteplase or tenecteplase treatment ≤ 4.5 hours of onset
  • Signed informed consent by patient or legally authorized representatives

Exclusion criteria

Exclusion Criteria:

  • Having received or planing to undergo endovascular therapy (including mechanical thrombectomy, arterial thrombolysis, angioplasty, etc.)
  • Life expectancy is less than 90 days
  • Other factors that the researchers think are not suitable for participating in the research
  • Currently receiving any experimental treatment
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,408 participants (actual)
Target follow-up
90 Days
Patient registry
Yes

Groups and cohorts

  • Exposure group

    The exposure group was defined as patients receiving Shuxuetong injection and guideline-standardized treatment after intravenous alteplase or tenecteplase. Mainly based on the following guidelines:(1)Guidelines for the diagnosis and treatment of acute ischemic stroke in China 2018; (2)Guidelines for secondary prevention of ischemic stroke and transient ischemic attack in China 2022.

    Drug: Shuxuetong Injection

  • Non-exposure group

    The non-exposed group was defined as patients receiving guideline-standardized treatment after intravenous alteplase or tenecteplase.

Interventions

  • DrugShuxuetong Injection

    According to clinical real treatment records

06

What researchers measure

Primary outcomes

  1. Proportion of mRS (0-1)

    The modified Rankin Scale (mRS) score ranges from 0 (best score) to 6 (worst score).

    Time frame: 90±7 days

Secondary outcomes

  1. Proportion of mRS (0-2)

    Time frame: 90±7 days

  2. Proportion of mRS (0-1) or returning to baseline

    Time frame: 90±7 days

  3. Distribution of mRS

    Time frame: 90±7 days

  4. Change of NIHSS

    The change in the National Institute of Health Stroke Scale (NIHSS) scores from baseline to 14 days or the day of discharge. The NIHSS score ranges from 0 (best score) to 42 (worst score).

    Time frame: baseline, 14 days or the day of discharge

  5. BI

    The Barthel Index (BI) score ranges from 0 (worst score) to 100 (best score).

    Time frame: 90±7 days

  6. Total mortality

    The occurrence of mortality of any cause within 90 days.

    Time frame: Within 90 days

  7. Serious Adverse Events

    The occurrence of serious adverse events including any event resulting in prolonged hospital time, permanent damage to the body system or organ, a life-threatening condition or death within 90 days.

    Time frame: Within 90 days

07

Study locations

78 sites
  • Beijing Royal Integrative Medicine Hospital
    Beijing, Beijing Municipality, China
  • China Aerospace Science and Industry Corporation 731 Hospital
    Beijing, Beijing Municipality, China
  • Chongqing Chinese Medicine Hospital
    Chongqing, Chongqing Municipality, China
  • University-Town Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality, China
  • Nanning First People's Hospital
    Nanning, Guangxi, China
  • Guizhou People's Hospital
    Guiyang, Guizhou, China
  • Hebei CangZhou Hospital of Integrated Traditional Chinese and Western Medicine
    Cangzhou, Hebei, China
  • Tangshan Central Hospital
    Tangshan, Hebei, China
  • The First Affiliated Hospital Of Harbin Medical University
    Harbin, Heilongjiang, China
  • The Second Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang, China
  • Hongqi Hospital Affiliated to Mudanjiang Medical University
    Mudanjiang, Heilongjiang, China
  • Anyang Third People's Hospital
    Anyang, Henan, China
  • Huaxian People's Hospital
    Anyang, Henan, China
  • Neihuang People's Hospital
    Anyang, Henan, China
  • Jiaozuo Second People's Hospital
    Jiaozuo, Henan, China
  • Kaifeng People's Hospital
    Kaifeng, Henan, China
  • Luohe Sixth People's Hospital
    Luohe, Henan, China
  • Nanyang Nanshi Hospital
    Nanyang, Henan, China
  • Baofeng Chinese Medicine Hospital
    Pingdingshan, Henan, China
  • Baofeng People's Hospital
    Pingdingshan, Henan, China
  • Pingdingshan First People's Hospital
    Pingdingshan, Henan, China
  • Ye County People's Hospital
    Pingdingshan, Henan, China
  • Shangqiu Municipal Hospital
    Shangqiu, Henan, China
  • Changyuan Chinese Medicine Hospital
    Xinxiang, Henan, China
  • The First Affiliated Hospital Of Xinxiang Medical University
    Xinxiang, Henan, China
  • Xinxiang Central Hospital
    Xinxiang, Henan, China
  • Xinxiang First People's Hospital
    Xinxiang, Henan, China
  • Xi County Central Hospital
    Xinyang, Henan, China
  • The First Affiliated Hospital of Henan University of Chinese Medicine
    Zhengzhou, Henan, China
  • Runan People's Hospital
    Zhumadian, Henan, China
  • Changsha First Hospital
    Changsha, Hunan, China
  • The Affiliated Hospital of Hunan Academy of Chinese Medicine
    Changsha, Hunan, China
  • The First Affiliated Hospital of Henan University of Science & Technology
    Luoyang, Hunan, China
  • Nanjing Chinese Medicine Hospital
    Nanjing, Jiangsu, China
  • Affiliated Hospital of Nantong University
    Nantong, Jiangsu, China
  • Pengzhou Chinese Medicine Hospital
    Pengzhou, Jiangsu, China
  • Yancheng First People's Hospital
    Yancheng, Jiangsu, China
  • Gaoxin Hospital Of The First Affiliated Hospital Of Nanchang University
    Nanchang, Jiangxi, China
  • Jiangxi People's Hospital
    Nanchang, Jiangxi, China
  • Jilin Central General Hospital
    Jilin City, Jilin, China
  • Songyuan Jilin Oifield Hospital
    Songyuan, Jilin, China
  • Anshan Central Hospital
    Anshan, Liaoning, China
  • 967 Hospital of The Joint Logistics Support Force of PLA
    Dalian, Liaoning, China
  • Central Hospital Affiliated Dalian University of Technology
    Dalian, Liaoning, China
  • Dalian University Affiliated Xinhua Hospital
    Dalian, Liaoning, China
  • The First Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning, China
  • The Second Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning, China
  • Jinzhou Central Hospital
    Jinzhou, Liaoning, China
  • Affiliated Hospital of Liaoning University of Traditional Chinese Medicine
    Shenyang, Liaoning, China
  • The First Hospital of China Medical University
    Shenyang, Liaoning, China
  • Tieling Central Hospital
    Tieling, Liaoning, China
  • Binzhou Medical University Hospital/ The First School of Clinical Medicine of Binzhou Medical University
    Binzhou, Shandong, China
  • Affiliated Hospital of Shandong University of Traditional Chinese Medicine
    Jinan, Shandong, China
  • The Second Hospital of Shandong University
    Jinan, Shandong, China
  • Liaocheng Third People's Hospital
    Liaocheng, Shandong, China
  • Linyi Hospital of Traditional Chinese Medicine
    Linyi, Shandong, China
  • Ningjin People's Hospital
    Ningjin, Shandong, China
  • Qingdao Huangdao District Chinese Medicine Hospital
    Qingdao, Shandong, China
  • Weihai Wendeng District People's Hospital
    Weihai, Shandong, China
  • Zibo First Hospital
    Zibo, Shandong, China
  • Zibo Hospital of Traditional Chinese Medicine
    Zibo, Shandong, China
  • Shanghai Pingdingshan Hospital of Traditional Chinese Medicine
    Shanghai, Shanghai Municipality, China
  • Affiliated Hospital Of Changzhi Institute Of TCM
    Changzhi, Shanxi, China
  • Gujiao Central Hospital
    Taiyuan, Shanxi, China
  • Chengdu Integrated TCM & Western Medicine Hospital
    Chengdu, Sichuan, China
  • Chengdu Seventh People's Hospital
    Chengdu, Sichuan, China
  • Chengdu Shuangliu District Chinese Medicine Hospital
    Chengdu, Sichuan, China
  • Chengdu Xinjin District Chinese Medicine Hospital
    Chengdu, Sichuan, China
  • Jintang Second People's Hospital
    Chengdu, Sichuan, China
  • Sichuan Tianfu People's Hospital
    Chengdu, Sichuan, China
  • The Fourth People's Hospital of Sichuan Province
    Chengdu, Sichuan, China
  • Xuyong Chinese Medicine Hospital
    Luzhou, Sichuan, China
  • Qingshen People's Hospital
    Meishan, Sichuan, China
  • Mianyang Third People's Hospital
    Mianyang, Sichuan, China
  • Nanchong Central Hospital
    Nanchong, Sichuan, China
  • Panzhihua Central Hospital
    Panzhihua, Sichuan, China
  • Yibin Chinese Medicine Hospital
    Yibin, Sichuan, China
  • Beijing University of Chinese Medicine Affiliated Dongzhimen Hospital
    Beijing, China
08

References and documents

Individual participant data

Plan to share: Undecided

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 Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06018181
Lead sponsor
Dongzhimen Hospital, Beijing
Responsible party
Ying Gao (MD, PhD, Dongzhimen Hospital, Beijing) — Principal investigator
First posted
Aug 30, 2023
Start date
Sep 28, 2023
Primary completion
Aug 28, 2025
Completion
Sep 3, 2025
Last update
Feb 27, 2026

Oversight

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

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