ClinicalTrials.gg
Not yet recruitingNCT07763405Updated Aug 13, 2026

Lumbrokinase vs Placebo in Moderate-to-Severe Ischemic Stroke

A Phase 4 interventional study of Lumbrokinase and Lumbrokinase Placebo in Ischemic Stroke, Acute, sponsored by Xinqiao Hospital of Chongqing. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Xinqiao Hospital of Chongqing · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
1,196
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

LUMEN is a multicenter, randomized, double-blind, placebo-controlled superiority trial designed to evaluate whether oral lumbrokinase enteric-coated capsules combined with aspirin improve functional outcomes compared with aspirin alone in patients with moderate-to-severe acute ischemic stroke. Eligible adults aged 18-80 years with a baseline NIHSS score of 4-20, prestroke mRS ≤1, and onset within 24 hours are randomly assigned 1:1 to receive either lumbrokinase (600,000 IU, three times daily for 28 days) plus aspirin 100 mg daily for 90 days, or matching placebo plus aspirin 100 mg daily for 90 days. All participants receive standard medical care according to guidelines. The primary efficacy endpoint is the proportion of patients achieving an excellent functional outcome (modified Rankin Scale score 0-1) at 90 days. The primary safety endpoint is the incidence of severe or moderate bleeding (GUSTO definition) within 90 days.

02

Conditions studied

  • Ischemic Stroke, Acute

Browse trials for

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 1,196 is above the median of 120 across 1,776 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Xinqiao Hospital of Chongqing is the lead sponsor of 69 studies on the registry; 21 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

  • Age 18-80 years;
  • Acute ischemic stroke confirmed by CT or MRI;
  • Baseline NIHSS score 4-20 at enrollment;
  • Good prestroke functional status (mRS ≤1);
  • Randomization within 24 hours of last known well;
  • Written provided by the participant or legal representative.

Exclusion criteria

Exclusion Criteria:

  • Received or planned intravenous thrombolysis or endovascular treatment after stroke onset;
  • Cardioembolic stroke (atrial fibrillation, heart valve replacement, atrial myxoma, endocarditis, etc.);
  • Other causative etiologies of stroke (aortic dissection, cervico-cerebral arterial dissection, vasculitis, vascular malformation, moyamoya disease/syndrome, fibromuscular dysplasia, etc.);
  • Non-vascular neurological diseases (intracranial tumor, multiple sclerosis, etc.);
  • Accompanying hemorrhagic transformation of infarction;
  • Concomitant use of other fibrinolytic therapy (e.g., urokinase, batroxobin, snake-venom preparations) or anticoagulant therapy (e.g., argatroban, rivaroxaban, dabigatran);
  • Severe hepatic insufficiency ( or AST >2 × ) or renal insufficiency (creatinine >1.5 × ULN or \<40 mL/min/1.73 m²), or coagulopathy, or systemic bleeding, or thrombocytopenia (\<100×10⁹/L);
  • History of intracranial hemorrhage (e.g., intracerebral hemorrhage or subarachnoid hemorrhage);
  • Bleeding diathesis or major surgery within 90 days (gastrointestinal bleeding, hemoptysis, etc.);
  • to lumbrokinase or aspirin;
  • Planned surgery or vascular reconstruction within 90 days that may require study-drug interruption;
  • History of or aneurysm (including intracranial or peripheral aneurysm);
  • Received lumbrokinase or other fibrinolytic therapy within 14 days prior to randomization;
  • Pregnancy or lactation;
  • Participation in another clinical trial;
  • Prior neurological or psychiatric disease that would interfere with neurological assessment;
  • Expected survival less than 90 days;
  • Expected inability to complete follow-up.
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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,196 participants (estimated)

Study arms

  • Experimental
    Lumbrokinase + Aspirin

    Participants receive lumbrokinase enteric-coated capsules 600,000 IU per dose, three times daily, 30 minutes before meals, for 28 days, plus oral aspirin 100 mg once daily for 90 days. Study drug is started as soon as possible after randomization. Guideline-based standard medical care for acute ischemic stroke is provided throughout.

    Drug: Lumbrokinase

  • Placebo comparator
    Placebo + Aspirin

    Participants receive matching placebo enteric-coated capsules (identical to lumbrokinase capsules in appearance, odor, taste, and packaging) 600,000 IU-equivalent per dose, three times daily, 30 minutes before meals, for 28 days, plus oral aspirin 100 mg once daily for 90 days. Guideline-based standard medical care for acute ischemic stroke is provided throughout.

    Drug: Lumbrokinase Placebo

Interventions

  • DrugLumbrokinase

    Participants receive lumbrokinase enteric-coated capsules 600,000 IU per dose, three times daily, 30 minutes before meals, for 28 days, plus oral aspirin 100 mg once daily for 90 days. Study drug is started as soon as possible after randomization. Guideline-based standard medical care for acute ischemic stroke is provided throughout.

  • DrugLumbrokinase Placebo

    Participants receive matching placebo enteric-coated capsules (identical to lumbrokinase capsules in appearance, odor, taste, and packaging) 600,000 IU-equivalent per dose, three times daily, 30 minutes before meals, for 28 days, plus oral aspirin 100 mg once daily for 90 days. Guideline-based standard medical care for acute ischemic stroke is provided throughout.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with mRS 0-1 at 90 days

    Proportion of participants achieving an excellent functional outcome, defined as a modified Rankin Scale (mRS) score of 0 (no symptoms) or 1 (no significant disability despite some symptoms) at 90 days after randomization.

    Time frame: At 90 days after randomization

  2. Incidence of severe or moderate bleeding (GUSTO definition) within 90 days

    Proportion of participants experiencing severe or moderate bleeding within 90 days, assessed using the GUSTO bleeding classification.

    Time frame: Within 90 days after randomization

Secondary outcomes

  1. 90-day mRS score distribution (ordinal shift analysis)

    90-day mRS score distribution (ordinal shift analysis)

    Time frame: At 90 days after randomization

  2. Change in fibrinogen level from randomization to day 28

    Change in fibrinogen level from randomization to day 28

    Time frame: At 28 days after randomization

  3. Change in hs-CRP level from randomization to day 28

    Change in hs-CRP level from randomization to day 28

    Time frame: At 28 days after randomization

  4. Change in prothrombin time (PT) from randomization to day 28

    Change in prothrombin time (PT) from randomization to day 28

    Time frame: At 28 days after randomization

  5. Change in activated partial thromboplastin time (APTT) from randomization to day 28

    Change in activated partial thromboplastin time (APTT) from randomization to day 28

    Time frame: At 28 days after randomization

  6. Proportion of participants with mRS 0-2 at 90 days

    Proportion of participants with mRS 0-2 at 90 days

    Time frame: At 90 days after randomization

  7. 90-day EQ-5D-5L score

    90-day EQ-5D-5L score

    Time frame: At 90 days after randomization

  8. NIHSS score at 5-7 days after randomization

    NIHSS score at 5-7 days after randomization

    Time frame: At 5-7 days after randomization

  9. Composite vascular events within 90 days (ischemic stroke, intracranial hemorrhage, myocardial infarction, vascular death)

    Composite vascular events within 90 days (ischemic stroke, intracranial hemorrhage, myocardial infarction, vascular death)

    Time frame: Within 90 days after randomization

  10. Ischemic stroke recurrence rate within 90 days

    Ischemic stroke recurrence rate within 90 days

    Time frame: Within 90 days after randomization

  11. Proportion with intracranial hemorrhage within 90 days

    Proportion with intracranial hemorrhage within 90 days

    Time frame: Within 90 days after randomization

  12. All bleeding events within 90 days

    All bleeding events within 90 days (including severe/moderate bleeding and intracranial hemorrhage)

    Time frame: Within 90 days after randomization

  13. All-cause mortality within 90 days

    All-cause mortality within 90 days

    Time frame: Within 90 days after randomization

  14. Investigator-reported adverse events / serious adverse events within 90 days

    Investigator-reported adverse events / serious adverse events within 90 days

    Time frame: Within 90 days after randomization

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Chen Y, Liu Y, Zhang J, Zhou K, Zhang X, Dai H, Yang B, Shang H. Efficacy and safety of lumbrokinase plus aspirin versus aspirin alone for acute ischemic stroke (LUCENT): study protocol for a multicenter randomized controlled trial. Trials. 2022 Apr 11;23(1):285. doi: 10.1186/s13063-022-06200-4. PubMed 35410433 ↗
  • del Zoppo GJ, Levy DE, Wasiewski WW, Pancioli AM, Demchuk AM, Trammel J, Demaerschalk BM, Kaste M, Albers GW, Ringelstein EB. Hyperfibrinogenemia and functional outcome from acute ischemic stroke. Stroke. 2009 May;40(5):1687-91. doi: 10.1161/STROKEAHA.108.527804. Epub 2009 Mar 19. PubMed 19299642 ↗

Individual participant data

Plan to share: Yes — Study data without patient information

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: Related papers published 6 months later, the IPD will be shared

Access criteria: hongdaojun@hotmail.com

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 Nov 2026; primary completion for Dec 2028, 25 months later.

Of 74 non-industry phase 4 interventional studies under Ischemic Stroke, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 41. This study's planned 25 months is below that.

Counting every sponsor, half of 83 studies reached it within 31 months; a quarter within 24 and three quarters within 41.

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

Registered
Aug 10, 2026
First posted
Aug 13, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Aug 13, 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 Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07763405
Lead sponsor
Xinqiao Hospital of Chongqing
Collaborators
The First Affiliated Hospital of Nanchang University
Responsible party
Zhongming Qiu (Professor, Xinqiao Hospital of Chongqing) — Principal investigator
First posted
Aug 13, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Aug 13, 2026

Study contacts

Daojun Hong, MD
Contact
hongdaojun@hotmail.com
+8613879187691
Jing Lin, MD
Contact
linjingsys2016@126.com
Zhongming Qiu
principal investigator · Xinqiao Hospital of the Army Medical University

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion