ClinicalTrials.gg
RecruitingNCT07263308ARISE-2Updated Oct 29, 2026

Albumin for Patients With Acute Large Vessel Occlusive Stroke Undergoing Endovascular Therapy -2

A Phase 3 interventional study of Albumin and Endovascular treatment in Acute Ischemic Stroke, sponsored by Capital Medical University. Recruiting at 61 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-29.

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

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Updated Oct 29, 2026Site recruiting status changed7 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,192
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study is a prospective, multicenter, open-label, randomized controlled clinical trial. The investigators will apply albumin to the reperfusion treatment of patients with acute ischemic stroke in the anterior circulation. This study aims to verify the efficacy and safety of albumin combined with endovascular treatment in patients with anterior circulation acute ischemic stroke.

Read the detailed description

This study investigates the application of albumin in reperfusion therapy for patients with acute ischemic stroke in the anterior circulation. Patients who met all inclusion criteria and none of the exclusion criteria will be randomly assigned in a 1:1 ratio to either the Albumin combined with Endovascular Therapy group or the Endovascular Therapy group. All subjects in both groups received acute stroke treatment and secondary prevention therapy according to current American stroke guidelines, aside from our intervention. At baseline, subjects underwent non-contrast cranial computed tomography (CT) or magnetic resonance angiography (MRA) to identify the occlusion site and presence of hemorrhage; relevant laboratory tests and mRS, NIHSS, and ASPECTS scores were also completed. Furthermore, vital signs were recorded. A 90-day post-randomization telephone follow-up was conducted to assess patients using several quality of life scales.

02

Conditions studied

  • Acute Ischemic Stroke

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Keywords

  • Albumin
  • Acute Large Vessel Occlusive Stroke
  • Acute Ischemic Stroke
  • Endovascular Therapy
  • China
03

In context

Ischemic Stroke

2,612 studies on the registry are indexed under Ischemic Stroke; 971 are open to participants now.

This study's planned enrollment of 1,192 is above the median of 120 across 1,776 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Capital Medical University is the lead sponsor of 295 studies on the registry; 91 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  1. Age between 18 and 80 years;
  2. Acute ischemic stroke with indications for endovascular treatment within 24 hours of onset;
  3. Anterior circulation acute ischemic stroke, with acute occlusion of the responsible vessel located in the intracranial segment of the internal carotid artery, or the M1 or M2 segment of the middle cerebral artery;
  4. National Institute of Health Stroke Scale (NIHSS) score >=6;
  5. Alberta Stroke Program Early CT Score (ASPECTS) >=3 points;
  6. Modified Rankin Scale (mRS) score ≤4 before onset of the disease;
  7. Written provided by the patients or their legal relatives.

Exclusion criteria

Exclusion Criteria:

  1. Evidence of intracranial hemorrhage (intracerebral hematoma (ICH), subarachnoid hemorrhage (SAH), epidural hemorrhage, acute or chronic subdural hematoma (SDH)) on the baseline CT or MRI scan;
  2. History of congenital or acquired bleeding disorders, coagulation factor deficiency diseases, thrombocytopenic diseases, etc;
  3. Anticipated difficulty in completing endovascular treatment due to vascular tortuosity;
  4. Known severe allergy (more severe than skin rash) to contrast agents uncontrolled by medications;
  5. Pregnancy, breastfeeding;
  6. An episode or exacerbation of congestive heart failure from any cause in the past 6 months;
  7. History of heart valve disease complicated by congestive heart failure within the past 6 months;
  8. Cardiac surgery with thoracotomy (eg. coronary artery bypass grafting or valve replacement surgery) within the past 6 months;
  9. Acute myocardial infarction in the past 6 months;
  10. Signs or symptoms of acute myocardial infarction upon admission, including electrocardiographic findings;
  11. Elevated serum troponin concentration upon admission (>0.1 μg/L) ;
  12. Acute arrhythmia (including any tachycardia or bradycardia) with hemodynamic instability (systolic blood pressure \<100 mm Hg) upon admission;
  13. Acute or chronic lung diseases requiring long-term or intermittent oxygen therapy;
  14. Findings on physical examination of any of the following abnormalities: (1) Jugular venous distension (jugular venous pulsation >4 cm above the sternal angle); (2) Resting tachycardia due to congestive heart failure (heart rate > 100 per/min); (3) Third heart sound; (4) Abnormal hepatic jugular venous reflux; (5) Pitting edema of the lower extremities attributable to congestive heart failure or without apparent cause; (6) Rales in both lungs; (7) Or evidence of pulmonary edema, pleural effusion, or pulmonary vascular redistribution on chest X-ray;
  15. Severe chronic anemia ( \< 75 g/L);
  16. Known recent or current serum creatinine exceeding 1.5 times the , or estimated (eGFR) \< 60 mL/min;
  17. hypertension that is difficult to control by medication (defined as systolic blood pressure > 220 mmHg, or diastolic blood pressure > 110 mmHg);
  18. Serum (ALT) or aspartate aminotransferase (AST) is greater than 1.5 times the upper limit of the normal value.
  19. History of albumin allergy or known allergy to albumin;
  20. Patients with severe mental disorders or dementia who are unable to cooperate in completing and follow-up content;
  21. The expected survival time is less than 90 days (such as comorbidity with malignant tumor or severe systemic diseases etc.);
  22. Patients who have participated in other interventional clinical studies within 30 days before randomization or are currently participating in other interventional clinical studies.
  23. The investigator believes that the subject has other conditions making it unsuitable for participating in this study.
Terms in these criteria, in plain language(6)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,192 participants (estimated)

Study arms

  • Experimental
    Albumin combined with endovascular treatment group

    Albumin combined with recommended endovascular treatment will be applied.

    Drug: Albumin · Procedure: Endovascular treatment

  • Active comparator
    Endovascular treatment group

    Recommended endovascular treatment will be applied.

    Procedure: Endovascular treatment

Interventions

  • 25% human albumin at a dose of 0.5g/kg (maximum dose 37.5g) should be administered intravenously. On the second, third, and fourth days, 25% human albumin at a dose of 0.5g/kg (maximum dose 37.5g) should be administered daily.

  • ProcedureEndovascular treatment

    Best endovascular treatment.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with mRS 0-2 or return to baseline mRS (if the baseline premorbid mRS =3-4) at 90 days.

    Scores on the modified Rankin scale range from 0 (no neurologic deficit) to 6 (death)

    Time frame: 90 days

Secondary outcomes

  1. Distribution of mRS scores

    Time frame: 90 days and 1 year

  2. Proportion of patients with mRS score 0-1

    Time frame: 90 days and 1 year

  3. 24h National Institutes of Health Stroke Scale (NIHSS)

    The NIHSS ranges from 0 to 42, with higher scores indicating worse outcomes.

    Time frame: 24 hours

  4. National Institutes of Health Stroke Scale (NIHSS) at 7 days

    The NIHSS ranges from 0 to 42, with higher scores indicating worse outcomes.

    Time frame: 7 days

  5. EuroQol Five-Dimension Five-Level Questionnaire (EQ-5D-5L)

    The EQ-5D-5L includes 5 dimensions: mobility, self-care, usual activities,pain/discomfort, and anxiety/depression. Each dimension has 5 levels: 1= no problems, 2= slight problems, 3= moderate problems, 4= severe problems, and 5= extreme problems. Higher scoresindicating worse quality of life.

    Time frame: 90 days and 1 year

  6. Proportion of Barthel Index (BI) ≥95

    Time frame: 90 days and 1 year

Other outcomes

  1. The incidence of symptomatic intracerebral hemorrhage

    Time frame: 7 days

  2. The incidence of newly onset atrial fibrillation within 7 days

    Time frame: 7 days

  3. The incidence rate of newly onset pulmonary edema or congestive heart failure within 7 days

    Time frame: 7 days

  4. All-cause mortality rate

    Time frame: 90 days and 1 year

  5. Proportion of patients with mRS 0-2 or return to baseline mRS (if the baseline premorbid mRS =3-4)

    Scores on the modified Rankin scale range from 0 (no neurologic deficit) to 6 (death)

    Time frame: 1 year

07

Study locations

61 of 61 sites recruiting
  • Susong County Hospital of Traditional Chinese Medicine
    Anqing, Anhui 246501, China
    Recruiting
  • Bozhou People's Hospital
    Bozhou, Anhui 236800, China
    Recruiting
  • Taihe County Hospital of Traditional Chinese Medicine
    Fuyang, Anhui, China
    Recruiting
    • Zongtao Liu · Contact
  • Ma'anshan People's Hospital
    Ma’anshan, Anhui 243000, China
    Recruiting
  • Si County People's Hospital
    Suzhou, Anhui, China
    Recruiting
    • Lei Shi · Contact
  • Wuwei People's Hospital
    Wuhu, Anhui 238300, China
    Recruiting
  • Wuhu Second People's Hospital
    Wuhu, Anhui 241000, China
    Recruiting
  • Xuanwu Hospital,Capital Medical University
    Beijing, Beijing Municipality 100053, China
    Recruiting
  • Fujian Medical University Union Hospital
    Fuzhou, Fujian 350001, China
    Recruiting
  • Zhangzhou Hospital
    Zhangzhou, Fujian 363000, China
    Recruiting
  • Shanghai General Hospital Jiuquan Hospital
    Jiuquan, Gansu, China
    Recruiting
    • Kai Guo · Contact
  • PLA Joint Logistic Support Force 940th Hospital
    Lanzhou, Gansu 730050, China
    Recruiting
  • Gansu Provincial Hospital
    Lanzhou, Gansu, China
    Recruiting
    • Qian Liu, MD · Contact
  • Dongguan People's Hospital
    Dongguan, Guangdong 523000, China
    Recruiting
  • Dongguan Eastern Central Hospital
    Dongguan, Guangdong 523573, China
    Recruiting
  • Sanshui Hospital of Zhujiang Hospital, Southern Medical University
    Foshan, Guangdong 528100, China
    Recruiting
  • Heyuan People's Hospital
    Heyuan, Guangdong 517000, China
    Recruiting
  • Huazhou People's Hospital
    Huazhou, Guangdong 525100, China
    Recruiting
  • Huiyang Sanhe Hospital
    Huizhou, Guangdong 516211, China
    Recruiting
  • Luoding People's Hospital
    Luoyang, Guangdong 527200, China
    Recruiting
  • Cenxi People's Hospital
    Cenxi, Guangxi 543200, China
    Recruiting
  • Guiyang Fourth People's Hospital
    Guiyang, Guizhou 550002, China
    Recruiting
  • Baoding No. 1 Central Hospital
    Baoding, Hebei 071000, China
    Recruiting
  • Kailuan General Hospital Linxi Hospital
    Tangshan, Hebei 063100, China
    Recruiting
  • Jiamusi University Hongda Hospital
    Jiamusi, Heilongjiang 154000, China
    Recruiting
  • Jixi People's Hospital
    Jixi, Heilongjiang, China
    Recruiting
    • Hongshan Cui · Contact
  • Luoyang Central Hospital
    Luoyang, Henan 471000, China
    Recruiting
  • Nanyang First People's Hospital
    Nanyang, Henan 473000, China
    Recruiting
  • Pingdingshan Second People's Hospital
    Pingdingshan, Henan 467000, China
    Recruiting
  • Ningling County People's Hospital
    Shangqiu, Henan, China
    Recruiting
    • Xiaoyin Liu · Contact
  • The First Affiliated Hospital of Xinxiang Medical University
    Weihui, Henan, China
    Recruiting
    • Hongkai Cui · Contact
  • Zhengzhou Central Hospital Affiliated to Zhengzhou University
    Zhengzhou, Henan 450007, China
    Recruiting
  • Zhongmou County People's Hospital
    Zhengzhou, Henan, China
    Recruiting
    • Lingling Meng · Contact
  • Zhoukou Central Hospital
    Zhoukou, Henan 466000, China
    Recruiting
  • Shenqiu County People's Hospital
    Zhoukou, Henan 466300, China
    Recruiting
  • Xihua County People's Hospital
    Zhoukou, Henan 466600, China
    Recruiting
  • Taihe Hospital, Hubei University of Medicine
    Shiyan, Hubei 442000, China
    Recruiting
  • Tianmen First People's Hospital
    Tianmen, Hubei 431700, China
    Recruiting
  • Changde First People's Hospital
    Changde, Hunan 415000, China
    Recruiting
  • Liuyang Jili Hospital
    Guankou, Hunan 410300, China
    Recruiting
  • The First Affiliated Hospital of Shaoyang University
    Shaoyang, Hunan 422000, China
    Recruiting
  • Yiyang Central Hospital
    Yiyang, Hunan 413000, China
    Recruiting
  • Changzhou Fourth People's Hospital
    Changzhou, Jiangsu 213022, China
    Recruiting
  • Xuzhou Cancer Hospital
    Xuzhou, Jiangsu 221005, China
    Recruiting
  • Daliuta Experimental Area Hospital of Shenmu City
    Shenmu, Shaanxi 719315, China
    Recruiting
  • Yan'an University Xianyang Hospital
    Xianyang, Shaanxi 712000, China
    Recruiting
  • Feicheng Hospital of Shandong Yiyang Health Group
    Feicheng, Shandong 271608, China
    Recruiting
  • Affiliated Hospital of Shandong University of Traditional Chinese Medicine
    Jinan, Shandong 250011, China
    Recruiting
  • Linyi People's Hospital
    Linyi, Shandong 276000, China
    Recruiting
  • Rizhao Hospital of Traditional Chinese Medicine
    Rizhao, Shandong, China
    Recruiting
    • Dongcheng Xu · Contact
  • PLA Joint Logistic Support Force 970th Hospital
    Yantai, Shandong 264000, China
    Recruiting
  • Laizhou People's Hospital
    Yantai, Shandong, China
    Recruiting
    • Lihua Liu · Contact
  • Yiyuan County People's Hospital
    Zibo, Shandong 256100, China
    Recruiting
  • Yuncheng Central Hospital
    Yuncheng, Shanxi 044000, China
    Recruiting
  • Meishan Second People's Hospital
    Meishan, Sichuan 620500, China
    Recruiting
  • Sichuan Science City Hospital
    Mianyang, Sichuan 621999, China
    Recruiting
  • Nanbu County People's Hospital
    Nanbu County, Sichuan 637300, China
    Recruiting
  • Donggang Central Hospital
    Nanchong, Sichuan 637300, China
    Recruiting
  • People's Hospital of Bortala Mongol Autonomous Prefecture
    Bole, Xinjiang 833400, China
    Recruiting
  • People's Hospital of Bayingolin Mongolian Autonomous Prefecture
    Korla, Xinjiang 841000, China
    Recruiting
  • Huize County People's Hospital
    Qujing, Yunnan 654200, China
    Recruiting
08

References and documents

Publications

  • Xu Z, Liu Y, Huang Y, Bei Y, He Y, Li Y, Wang H, Meng L, Gao L, Li Y, Cao Y, Liu L, Li J, Ji X, Wu C. Albumin for patients with acute large vessel occlusive stroke undergoing endovascular therapy-2 (ARISE-2): protocol for a randomised controlled trial. Eur Stroke J. 2026 Oct 5;11(10):aakag119. doi: 10.1093/esj/aakag119. PubMed 42831671 ↗

Individual participant data

Plan to share: Undecided

09

Updates

2 registry updates since Sep 25, 2026
Sites
7 sites added, 2 sites removed. The First Affiliated Hospital of Henan University of Chinese Medicine is now Recruiting
Show 7 added (7 China)
  • Shanghai General Hospital Jiuquan Hospital · Jiuquan, China
  • Dongguan People's Hospital · Dongguan, China
  • Dongguan Eastern Central Hospital · Dongguan, China
  • Nanyang First People's Hospital · Nanyang, China
  • Changzhou Fourth People's Hospital · Changzhou, China
  • Sichuan Science City Hospital · Mianyang, China
  • Nanbu County People's Hospital · Nanbu County, China
Show 2 removed
  • Shanghai General Hospital Jiujuan Hospital · Jiuquan, China
  • The First Affiliated Hospital of Henan University of Chinese Medicine · Zhengzhou, China
across 2 updates, Oct 19, 2026 – Oct 29, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 42831671 ↗
Oct 19, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Yuncheng Central Hospital · Yuncheng, ChinaContact 8•••@qq.com · •••6701→8•••@qq.com · •••6701
Oct 29, 2026
Show all 2 updates
  1. Oct 29, 2026
    7 sites added, 2 sites removed
    Show 7 added (7 China)
    • Shanghai General Hospital Jiuquan Hospital · Jiuquan, China
    • Dongguan People's Hospital · Dongguan, China
    • Dongguan Eastern Central Hospital · Dongguan, China
    • Nanyang First People's Hospital · Nanyang, China
    • Changzhou Fourth People's Hospital · Changzhou, China
    • Sichuan Science City Hospital · Mianyang, China
    • Nanbu County People's Hospital · Nanbu County, China
    Show 2 removed
    • Shanghai General Hospital Jiujuan Hospital · Jiuquan, China
    • The First Affiliated Hospital of Henan University of Chinese Medicine · Zhengzhou, China
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Yuncheng Central Hospital · Yuncheng, ChinaContact 8•••@qq.com · •••6701→8•••@qq.com · •••6701
  2. Oct 19, 2026
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 42831671 ↗
    The First Affiliated Hospital of Henan University of Chinese Medicine is now Recruiting

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07263308
Responsible party
Ji Xunming,MD,PhD (Professor of Neurology, Xuanwu Hospital, Capital Medical University, Capital Medical University) — Principal investigator
First posted
Dec 4, 2025
Start date
Dec 18, 2025
Primary completion
Jun 20, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Chuanjie Wu, MD
Contact
wuchuanjie@ccmu.edu.cn
010-83199439

Oversight

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

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Studies of the drug tested here: Albumins

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