ClinicalTrials.gg
Not yet recruitingNCT06801457AN-O2-EMSUpdated Jan 30, 2025

Adjuvant Cerebroprotection Using Normobaric Hyperoxia in Pre-hospital Patients with Suspected Stroke

A Phase 3 interventional study of NBO and Control in Stroke Acute, sponsored by Capital Medical University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-30.

Sponsored by Capital Medical University · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 33 studies in Stroke by Capital Medical University — 7 open to participants now, 10 under way, 3 of them phase 3. Stroke · Capital Medical University.

Planned enrollment
2nd of 28
1,000 · median 168
Started
2025
with 3 others
Phase 3
3 of 33
1 open now
Registered
26th of 33
by date

Among the 33 studies in Stroke by Capital Medical University, this one is the 2nd largest by planned enrollment of the 28 interventional ones that give a count, is one of 4 that started in 2025, is one of 3 in phase 3, and was the 26th registered.

Stroke

8,258 studies on the registry are indexed under Stroke; 2,055 are open to participants now.

Browse Stroke studies →

Open to participants now

7 of the 33 studies in Stroke by Capital Medical University are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

Who these studies take

Of the 1,415 Stroke studies recruiting now, 695 (49%) set no upper age limit and 280 (20%) stop at 75 or younger; 77 take children under 18; 195 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

The primary objective of this study is to determine the efficacy and safety of inhaled normobaric hyperoxia therapy (NBO) beginning in the pre-hospital setting in patients with suspected acute cerebral ischemia (ACI) due to large vessel occlusion presenting within 6 hours of symptom onset.

Read the detailed description

Stroke is a leading cause of death and disability globally, with acute ischemic stroke (AIS) patients often benefiting from intravenous thrombolysis and endovascular therapies such as mechanical thrombectomy, which have been shown to improve reperfusion rates. However, despite reperfusion, the proportion of patients with large vessel occlusion achieving a favorable functional outcome, defined as a modified Rankin Scale score of 0-2 at 90 days, remains under 50%.

Normobaric hyperoxia (NBO) emerges as a compelling option for cerebral protection. Its neuroprotective mechanisms are thought to include hypoxic tissue rescue, blood-brain barrier preservation, brain edema reduction, neuroinflammation alleviation, mitochondrial function improvement, oxidative stress mitigation, and apoptosis inhibition. NBO's diffusion properties allow it to reach the penumbra before reperfusion, enhancing aerobic metabolism and potentially reducing infarct volume. Its advantages also include low cost, wide availability, and ease of use, making it accessible across various healthcare settings.

03

Conditions studied

  • Stroke Acute

Keywords

  • Ischemic stroke
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 to 80 years old;
  • Signs and symptoms are consistent with a new acute stroke, with low possibility of stroke mimics (e.g., no sudden coma, prior seizure disorder, suspected hypoglycemia);
  • No prior stroke;
  • The time from stroke onset/last seen well to randomization is within 6 hours;
  • Paramedic-obtained FAST-ED score >= 3 (The enrollment of patients with a FAST-ED score of 3 is prespecified to constitute no more than 10% of the total study population);
  • No significant pre-stroke disability (pre-stroke mRS 0-1);
  • Signed from the patient or the legally authorized representative (LAR).

Exclusion criteria

Exclusion Criteria:

  • Endotracheal intubation in the field (prior to consent);
  • Respiratory rate \<= 10 or >= 30 breaths per minute;
  • Oxygen-dependence at baseline to maintain SaO2 > 95%;
  • Known history of severe ( less than 1.0), (NYHA) Heart Failure Class III, acute pulmonary infection or aspiration pneumonia, prior to enrollment;
  • Seizure at stroke onset;
  • Exhibiting symptoms of vomiting, severe headache, or unconscious;
  • Known pregnancy: women of childbearing age (18 to 44 years old according to the CDC's Division of Reproductive Health) will be asked about their pregnancy status.
  • Participating in another clinical trial, or completed participation within prior 30 days;
  • Receiving other neuroprotective agent (e.g., edaravone dexborneol, n-butylphthalide);
  • \< 90 days due to comorbidities;
  • Unlikely to complete the 90-day follow-up visit.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,000 participants (estimated)

Study arms

  • Experimental
    NBO

    NBO will be conducted with inhalation of 100% oxygen. NBO will be used in conjunction with best medical practice.

    Other: NBO

  • Other
    Control

    Best medical treatment

    Other: Control

Interventions

  • OtherNBO

    NBO will be conducted with inhalation of 100% oxygen.

  • OtherControl

    Best medical care

06

What researchers measure

Primary outcomes

  1. Level of disability at 90 days measured by modified Rankin scale (mRS) score

    The original modified Rankin scale (mRS) ranges from 0 to 6, with higher scores indicating a worse outcome; the primary outcome here is 3-month ordinal mRS score with mRS 5 and 6 merged into one category; modified intention-to-treat analysis

    Time frame: 90 days after randomization

Secondary outcomes

  1. Functional independence at 90 days defined as the proportion of patients with a modified Rankin scale (mRS) score of 0-2 at 90-day follow up

    The original modified Rankin scale (mRS) ranges from 0 to 6, with higher scores indicating a worse outcome. The mRS score is dichotomized to define the functional independence as mRS score of 0-2.

    Time frame: 90 days after randomization

  2. Excellent functional outcome at 90 days, defined as the proportion of patients with a modified Rankin scale (mRS) score of 0-1 at 90-day follow up

    The original modified Rankin scale (mRS) ranges from 0 to 6, with higher scores indicating a worse outcome. The mRS score is dichotomized to define the excellent functional outcome as mRS score of 0-1.

    Time frame: 90 days after randomization

  3. National Institutes of Health Stroke Scale (NIHSS) obtained obtained upon Endovascular Thrombectomy (EVT) site arrival

    The National Institutes of Health Stroke Scale (NIHSS) ranges from 0 to 42 points, with higher scores indicating worse neurological deficits. This is obtained upon Endovascular Thrombectomy (EVT) site arrival.

    Time frame: Day 0

  4. National Institutes of Health Stroke Scale (NIHSS) obtained at 24 hours

    The National Institutes of Health Stroke Scale (NIHSS) ranges from 0 to 42 points, with higher scores indicating worse neurological deficits.

    Time frame: 24 hours after randomization

  5. ASPECTS on admission head CT

    Alberta Stroke Program Early CT (ASPECT) score ranges from 0 to 10, with 10 being normal and 0 indicating complete MCA infarction obtained upon Endovascular Thrombectomy (EVT) site arrival.

    Time frame: Day 0

  6. NCCT infarct volume at 24 hours in patients undergoing thrombolysis or EVT (standard of care)

    Infarct volume measured by NCCT

    Time frame: 24 hours after randomization

  7. Proportion of patients with elevated troponin level upon EVT hospital arrival

    0-100%. This measure is obtained upon Endovascular Thrombectomy (EVT) site arrival.

    Time frame: Day 0

Other outcomes

  1. Serious adverse events/Adverse events

    total number of serious adverse events/adverse events reported during follow-up, according to standard definitions

    Time frame: Through study completion

  2. Symptomatic intracranial hemorrhage

    Number of cases of symptomatic intracerebral hemorrhage according to standard definition

    Time frame: Up to 36 hours after randomization

  3. Any intracranial hemorrhage

    Number of cases of any intracranial hemorrhage according to standard definitions

    Time frame: Up to 36 hours after randomization

  4. Early neurological deterioration

    Early neurological deterioration at 24 hours, defined as at least 4-point increase in National Institutes of Health Stroke Scale (NIHSS) score from baseline; Larger the increase means worsening of outcomes. The Increase of score range from 0 to 42.

    Time frame: 24 hours after randomization

  5. Heart rate at the end of oxygen therapy

    Vital signs at the end of oxygen therapy

    Time frame: Day 0

  6. Respiratory rate at the end of oxygen therapy

    Vital signs at the end of oxygen therapy

    Time frame: Day 0

  7. Systolic blood pressure at the end of oxygen therapy

    Vital signs at the end of oxygen therapy

    Time frame: Day 0

  8. Diastolic blood pressure at the end of oxygen therapy

    Vital signs at the end of oxygen therapy

    Time frame: Day 0

  9. Oxygen saturation at the end of oxygen therapy

    Vital signs at the end of oxygen therapy

    Time frame: Day 0

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Feb 2025; primary completion for Jan 2028, 35 months later.

Of 92 non-industry phase 3 interventional studies under Stroke, half reached primary completion within 44 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 71. This study's planned 35 months is below that.

Counting every sponsor, half of 129 studies reached it within 44 months; a quarter within 27 and three quarters within 68.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 21, 2025
First posted
Jan 30, 2025
StartEst.
Feb 1, 2025
Primary completionEst.
Jan 30, 2028
CompletionEst.
Jan 30, 2028
Last update
Jan 30, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06801457
Responsible party
Ji Xunming,MD,PhD (Principal Investigator, Capital Medical University) — Principal investigator
First posted
Jan 30, 2025
Start date
Feb 1, 2025 (estimated)
Primary completion
Jan 30, 2028 (estimated)
Completion
Jan 30, 2028 (estimated)
Last update
Jan 30, 2025

Study contacts

Lan Liu, PhD
Contact
liulan1815@outlook.com
8683911991
Wenbo Hu, MD
Contact
huwenbo0050@163.com
8683911991

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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