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Not yet recruitingNCT07469293Updated Mar 20, 2026

Efficacy and Safety of Intra-arterial Tenecteplase in Acute Ischemic Stroke Patients With Medium Vessel Occlusion Stroke (DATE-MeVO)

A Phase 3 interventional study of Intra-arterial thrombolysis and Standard medical treatment in Acute Ischemic Stroke, sponsored by Southwest Hospital, China. Not yet recruiting at 45 sites in China. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-03-20.

Sponsored by Southwest Hospital, China · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
488
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

DATE-MeVO is an investigator-initiated, multicenter, prospective, randomized controlled, open-label, blinded endpoint (PROBE) clinical trial aiming at evaluating the efficacy and safety of tenecteplase combined with standard medications in acute ischemic stroke patients with medium vessel occlusion stroke within 24 hours of onset.

02

Conditions studied

  • Acute Ischemic Stroke

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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 488 is above the median of 120 across 1,776 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Southwest Hospital, China is the lead sponsor of 87 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 100 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 ≥18 years old
  2. Acute isolated intracranial medium vessel occlusion (Distal middle cerebral artery M2; M3 and M4 segments of the middle cerebral artery; A1-A4 segments of the anterior cerebral artery; P1-P3 segments of the posterior cerebral artery), confirmed by imaging, with symptom onset to randomization within 24 hours;
  3. NlHSS score ≥ 5
  4. CT scan performed within 24 hours confirming that the ischemic lesion does not involve more than one-third of the territory supplied by the responsible vessel (no evidence of early large infarction)
  5. Patients with premorbid mRS 0 or 1
  6. Written obtained from the participant or a legally authorized representative

Exclusion criteria

Exclusion Criteria:

  1. Intracranial hemorrhage confirmed by cranial CT or MRI;
  2. Already received intravenous thrombolysis;
  3. Planned mechanical thrombectomy;
  4. Intraoperative DSA showing vessel rupture, dissection, or contrast agent extravasation;
  5. Pregnant or breastfeeding women;
  6. Allergy to contrast agents or tenecteplase;
  7. Systolic blood pressure > 185 mmHg or diastolic blood pressure > 110 mmHg, and failure to control with oral antihypertensive medications;
  8. Genetic or acquired bleeding disorders, coagulation factor deficiencies; coagulation dysfunction, > 1.7, or use of novel oral anticoagulants within 48 hours;
  9. Blood glucose \< 2.8 mmol/L (50 mg/dL) or > 22.2 mmol/L (400 mg/dL), count \< 100 × 10\^9/L;
  10. History of bleeding within the past month (gastrointestinal or urinary tract bleeding);
  11. Chronic hemodialysis or severe renal insufficiency ( \< 30 mL/min or serum creatinine > 220 μmol/L (2.5 mg/dL));
  12. Severe mental disorders or inability to provide and comply with follow-up due to dementia;
  13. Concurrent malignant tumors or severe systemic diseases with an expected survival time of less than 90 days;
  14. Intracranial aneurysms or arteriovenous malformations;
  15. Participation in another clinical interventional trial within 30 days prior to randomization or currently participating in another clinical interventional trial;
  16. Occlusions in multiple vascular territories confirmed by CTA/MRA;
  17. Other reasons that the investigator deems inappropriate for participation in the trial
Terms in these criteria, in plain language(4)

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

05

Study design

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

Study arms

  • Experimental
    TNK intra-arterial thrombolysis group

    Intra-arterial thrombolysis

    Procedure: Intra-arterial thrombolysis

  • Active comparator
    Standard medical therapy group

    Only standard medical therapy

    Other: Standard medical treatment

Interventions

  • ProcedureIntra-arterial thrombolysis

    A standardized microcatheter-based technique was used to administer recombinant TNK-tPA directly into the thrombus. The total dose (0.0625 mg/kg, max 6.25 mg) was delivered in three equal parts: distally, within the mid-clot, and proximally. Angiographic reassessment at 5 minutes determined if a second identical dose was required (max cumulative dose: 0.125 mg/kg). The procedure was continuously monitored and could be terminated immediately for safety concerns.

  • OtherStandard medical treatment

    Standard medical treatment

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Modified Rankin Scale (mRS) Score of 0 or 1

    Modified Rankin Scale (mRS) is a standardized measure that describes the extent of disability after a stroke. The mRS is a single item scale. It increases from 0 (no symptoms at all) to 6 (death).

    Time frame: At Day 90±7 days

Secondary outcomes

  1. Percentage of Participants With Symptomatic Intracerebral Haemorrhage (sICH)

    sICH via criteria adapted from the European Cooperative Acute Stroke Study (ECASS III), defined as any apparent extravascular blood in the brain or within the cranium that is associated with clinical deterioration defined by an NIHSS score increase of four points or more from baseline.

    Time frame: up to 48 hours

  2. Improvement in NIHSS between baseline and 5-7 days

    National Institutes of Health Stroke Scale (NIHSS) is a 11-item neurologic examination stroke scale used to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss. A trained observer rates the patent's ability to answer questions and perform activities. Ratings for each item are scored with 3 to 6 grades with 0 as normal, and there is an allowance for untestable items.Total NIHSS score (0-42) = sum of 11 individual item scores, higher total scores meaning more severe deficits

    Time frame: at 5-7 days from randomization

  3. Distribution of Modified Rankin Scale (mRS)

    Modified Rankin Scale (mRS) is a standardized measure that describes the extent of disability after a stroke. The mRS is a single item scale. It increases from 0 (no symptoms at all) to 6 (death).

    Time frame: At Day 90±7 days

  4. Percentage of Participants With Modified Rankin Scale (mRS) Score of 0-2

    Modified Rankin Scale (mRS) is a standardized measure that describes the extent of disability after a stroke. The mRS is a single item scale. It increases from 0 (no symptoms at all) to 6 (death).

    Time frame: At Day 90±7 days

  5. EQ-5D-5L score

    Health-related quality of life (the score on the EuroQol Group 5-Dimension 5-Level \[EQ-5D-5L\] questionnaire, range,-0.39 to 1, with higher scores indicating better quality of life)

    Time frame: At Day 90±7 days

  6. All-cause mortality

    All-cause mortality at 90 days

    Time frame: up to 90 days

07

Study locations

45 sites
  • Affiliated Hospital of Youjiang Medical University for Nationalities
    Baise City, Guangxi, China
  • Guilin People'S Hospital
    Guilin, Guangxi, China
    • Pan Honghua · Contact+86 18978337949
  • The People's Hospital Of QianNan
    Qiannan, Guizhou, China
    • Jiang Maojun · Contact+86 15185516184
  • Chongzhou People's Hospital
    Chengdu, Sichuan, China
    • Wu Youlin · Contact+86 18628172896
  • Dali Nationality Autonomous Prefecture Hospital
    Dali, Yunnan, China
    • Han Shibo · Contact+86 18908722303
  • Qujing Central Hospital of Yunnan Province
    Qujing, Yunnan, China
    • Chen Boyu · Contact+86 18064858755
  • Ankang Central Hospital
    Ankang, China
    • Chu Xingjv · Contact+86 15319843133
  • The People'S Hospital of Anyang City
    Anyang, China
    • Zhang Jiangang · Contact
  • Changchun Central Hospital
    Changchun, China
    • Wang Lesheng · Contact+86 13596227220
  • Chengdu Second People's Hospital
    Chengdu, China
    • Wu Changchuan · Contact+86 15388151282
  • Chonggang General Hospital
    Chongqing, China
    • Ding Chawen · Contact+86 17764830950
  • Chongqing University Fuling Hospital
    Chongqing, China
  • Jiangjin Central Hospital
    Chongqing, China
    • Zhang Zuowen · Contact+86 15823472901
  • The Ninth People'S Hospital of Chongqing
    Chongqing, China
    • Huang Shuchun · Contact+86 18708533468
  • The Thrid Affiliated Hospital of CQMU
    Chongqing, China
    • Cheng Saiyu · Contact+86 13527598096
  • Yunyang County People'S Hospital
    Chongqing, China
    • Cai Tieying · Contact+86 13896311415
  • The First Affiliated Hospital of Fujian Medicaluniversity
    Fuzhou, China
    • Zhao Wenlong · Contact+86 18060893376
  • Guangyuan Central Hospital
    Guangyuan, China
    • Pu Tianqiang · Contact+86 18227306608
  • Qiandongnan Prefecture People's Hospital
    Guizhou, China
    • Shen Jian · Contact+86 15985527337
  • Huaibei Miners General Hospital
    Huaibei, China
    • Ma Xinan · Contact+86 15805619166
  • The People's Hospital of Jianyang City
    Jianyang, China
    • Tang Jie · Contact+86 15123825598
  • The 960th Hospital of the PLA Joint Logistics Support Force
    Jinan, China
  • Luoyang Mengjin People's Hospital
    Luoyang, China
    • Zhao Haojin · Contact+86 18937982836
  • The First Affiliated Hospital of Henan University of Science and Technology
    Luoyang, China
    • Shen Ruile · Contact+86 15703790088
  • Yiyang County People'S Hospital
    Luoyang, China
    • Zhao Jingjing · Contact+86 18103797861
  • The Affiliated Hospital of Southwest Medical University
    Luzhou, China
    • Yuan Zhengzhou · Contact+86 18111209050
  • The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University
    Luzhou, China
    • Guo Zhaoyun · Contact+86 13440011005
  • Mianyang 404 Hospital
    Mianyang, China
    • Luo Jun · Contact+86 13518319060
  • Mudanjiang First People's Hospital
    Mudanjiang, China
    • Yu Pengfei · Contact+86 13604609208
  • The First People's Hospital of Qingzhen
    Qingzhen, China
    • Fu Hang · Contact+86 15338501820
  • Yellow River Sanmenxia Hospital
    Sanmenxia, China
    • Wu Xiaofeng · Contact+86 13639893979
  • Ninglin People's Hospital
    Shangqiu, China
    • Ju Zhixiang · Contact
  • The First People'S Hospital of Shangqiu
    Shangqiu, China
  • The People's Hospital Of An Jv
    Suining, China
    • Liao Jiasheng · Contact+86 18398444888
  • Yutian Hospital
    Tangshan, China
    • Li Haijun · Contact+86 13111464171
  • Wuhan Puren Hospital
    Wuhan, China
  • Zhongnan Hospital of Wuhan University
    Wuhan, China
    • Mei Bin · Contact+86 13037196699
  • Xiangyang No.1 People's Hospital
    Xiangyang, China
    • Zhou Peiyang · Contact+86 13597491119
  • Yaan People's Hospital
    Ya'an, China
    • Wang Jian · Contact+86 13550064528
  • Yichang Central People's Hospital
    Yichang, China
    • Zhou Jinghua · Contact+86 15971663190
  • Zhengzhou Central Hospital
    Zhengzhou, China
    • Zhou You · Contact+86 15713891958
  • Zhoukou Central Hospital
    Zhoukou, China
    • Li Shuai · Contact+86 18595389709
  • Zhumadian Central Hospital
    Zhumadian, China
  • Zhuzhou Central Hospital
    Zhuzhou, China
  • Zigong Third People's Hospital
    Zigong, China
08

References and documents

Individual participant data

Plan to share: Yes — The IPD will be available from the Principal Investigator upon reasonable request 6 months after the trial completion.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: 6 months after the trial completion.

Access criteria: The IPD will be available from the Principal Investigator upon reasonable request 6 months after the trial completion.

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 Mar 2026; primary completion for Dec 2028, 33 months later.

Of 143 non-industry phase 3 interventional studies under Ischemic Stroke, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 62. This study's planned 33 months is close to that.

Counting every sponsor, half of 165 studies reached it within 30 months; a quarter within 19 and three quarters within 52.

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

Registered
Feb 9, 2026
First posted
Mar 13, 2026
StartEst.
Mar 25, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Mar 20, 2026
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 Mar 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07469293
Lead sponsor
Southwest Hospital, China
Responsible party
Zhenhua Zhou (Professor, Southwest Hospital, China) — Principal investigator
First posted
Mar 13, 2026
Start date
Mar 25, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Mar 20, 2026

Study contacts

Xianhua Hou
Contact
houxianhua@tmmu.edu.cn
86-13594020663
Lin Chen
Contact
406019975@qq.com
86-18602300737

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 Mar 2026. You cannot join it, but the record below documents what was studied.

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