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RecruitingNCT07345702BAOCHE-LCUpdated Jul 30, 2026

Basilar Artery Occlusion Chinese Endovascular Registry in Patients With Large-Core Infarct

An observational study in Basilar Artery Occlusion, Ischemic Stroke and Large Core Infarct, sponsored by Xuanwu Hospital, Beijing. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by Xuanwu Hospital, Beijing · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
518
Ages
18 Years and older
Sex
All
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Study summary

This multicenter retrospective registry study evaluates the safety and effectiveness of endovascular therapy versus medical therapy for acute large-core basilar artery occlusion. It also investigates clinical, imaging, and laboratory factors associated with functional outcomes and mortality. Patients are grouped according to the treatment received in routine clinical practice.

02

Conditions studied

  • Basilar Artery Occlusion
  • Ischemic Stroke
  • Large Core Infarct

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03

In context

Ischemic Stroke

2,593 studies on the registry are indexed under Ischemic Stroke; 931 are open to participants now.

This study's planned enrollment of 518 is above the median of 300 across 777 observational studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Xuanwu Hospital, Beijing is the lead sponsor of 346 studies on the registry; 217 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults (≥18 years) with imaging-confirmed acute vertebrobasilar occlusion and large-core infarction (pc-ASPECTS 0-5) treated within 7 days of symptom onset/last known well at participating centers in China. Patients are identified retrospectively from routine clinical practice and classified according to treatment received: endovascular therapy plus standard medical management versus standard medical management alone.

Inclusion criteria

  1. Age ≥18 years, men or women.
  2. Occlusion (TIMI 0-1) of the basilar artery or intracranial segments of both vertebral arteries (V4) as evidenced by CTA/MRA/DSA.
  3. Time from symptom onset (or last known well) to treatment (endovascular therapy or medical therapy) ≤7 days.
  4. Patients with large core infarction in the posterior circulation, defined as a posterior circulation Acute Stroke Prognosis Early CT score (pc-ASPECTS) score of 0-5 on CT angiography source images or MR with diffusion-weighted imaging or non-contrast CT.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with occlusions in both anterior and posterior circulation.
  2. CT or MR evidence of hemorrhage (the presence of microbleeds on MRI is allowed).
  3. Missing key clinical information (e.g., unavailable baseline NIHSS, unclear symptom onset/last known well time, or missing major treatment information including whether EVT was performed).
  4. Baseline NIHSS score \<6.
  5. Woman of childbearing potential who is known to be pregnant or lactating or who has a positive pregnancy test on admission.
  6. Missing follow-up outcomes at 90 days.
  7. Any other condition judged by investigators to substantially affect analysis or interpretation.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
518 participants (estimated)
Patient registry
No

Groups and cohorts

  • Endovascular Therapy

    Procedure: Endovascular Therapy

  • Best Medical Treatment Alone

Interventions

  • ProcedureEndovascular Therapy

    Endovascular therapy performed as part of routine clinical care for acute basilar artery occlusion, including mechanical thrombectomy with stent retriever and/or aspiration. Rescue angioplasty and/or intracranial stenting may be used at the operator's discretion. Peri-procedural management and concomitant medical therapy follow local standard practice.

06

What researchers measure

Primary outcomes

  1. Proportion of Patients Achieving mRS 0-3 at 90 Days

    The modified Rankin scale (range, 0 \[no symptoms\] to 6 \[death\]). Higher scores mean a worse outcome.

    Time frame: 90 days

Secondary outcomes

  1. Ordinal Shift analysis of mRS at 90 days

    The modified Rankin scale (range, 0 \[no symptoms\] to 6 \[death\])

    Time frame: 90 days

  2. Rate of All-Cause Mortality at 90 Days

    Death from any cause within 90 days.

    Time frame: 90 days

  3. Rate of Symptomatic Intracranial Hemorrhage

    Time frame: 24 (-2/+12) hours

  4. Proportion of Patients Achieving mRS 0-3 at 1 year

    The modified Rankin scale (range, 0 \[no symptoms\] to 6 \[death\]). Higher scores mean a worse outcome.

    Time frame: 1 year

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Study locations

1 of 1 sites recruiting
  • Xuanwu Hospital
    Beijing, Beijing Municipality 100053, China
    Recruiting
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References and documents

Individual participant data

Plan to share: No — The study is proceeding.

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 Jul 30, 2026, 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
NCT07345702
Lead sponsor
Xuanwu Hospital, Beijing
Responsible party
Chuanhui Li (Associate Professor, Xuanwu Hospital, Captimal Medical University, Xuanwu Hospital, Beijing) — Principal investigator
First posted
Jan 16, 2026
Start date
Jan 31, 2026
Primary completion
Oct 31, 2026 (estimated)
Completion
Oct 31, 2026 (estimated)
Last update
Jul 30, 2026

Study contacts

Chuanhui Li
Contact
lichuanhui@xwh.ccmu.edu.cn
15210439828

Oversight

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

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