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NCT05395351

Alteplase in Elderly Acute Ischemic Stroke (AIS) Patients During Hospitalization

Completed Results posted Last updated 20 December 2024
What this trial tests

trial testing rt-PA in Stroke in 113,035 participants. Completed in 28 March 2023.

Timeline
30 November 2022
Primary endpoint
28 March 2023
28 March 2023

Quick facts

Lead sponsorBoehringer Ingelheim
StatusCompleted
Study typeOBSERVATIONAL
Enrollment113,035
Start date30 November 2022
Primary completion28 March 2023
Estimated completion28 March 2023
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Stroke. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

All-cause Mortality During Hospitalization of Acute Ischemic Stroke (AIS) Patients Primary · Up to 100 days.

All-cause mortality during hospitalization of acute ischemic stroke (AIS) patients who received intravenous recombinant tissue plasminogen activator (IV rt-PA).

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)2.62.1 – 3.2
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)0.80.7 – 0.9
Percentage of Patients With Hemorrhagic Stroke During Hospitalization Secondary · Up to 100 days.

Percentage of patients with hemorrhagic stroke during hospitalization.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)6.75.8 – 7.5
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)3.12.9 – 3.3
Change of NIHSS Score From Before Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment to 24 Hours After IV Rt-PA Treatment Secondary · Up to 24 hours.

The National Institutes of Health Stroke Scale (NIHSS) is a scale of stroke severity, it ranges from 0 to 42 where a score of 0 indicates no stroke symptoms and higher scores indicate incremental levels of neurologcial impairment.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)2.8± 5.0
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)2.5± 4.3
Modified Rankin Score (mRS) at Discharge Secondary · Up to 100 days.

The Modified Rankin Score (mRS) ranges from 0 to 6, where 0 indicates no symptoms, 1 no significant disability, 2 slight disability, 3 moderate disability, 4 moderately severe disability, 5 severe disability and 6 death.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)383
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)5447
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)612
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)6427
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)281
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)2131
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)216
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)1393
Number of Patients With Stroke Recurrence During Hospitalization Secondary · Up to 100 days.

Number of patients with stroke recurrence during hospitalization.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)369
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)2039
Length of Hospitalization Secondary · Up to 100 days.

Length of hospitalization.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years Who Received IV Rt-PA (Alteplase)12.7± 9.6
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years Who Received IV Rt-PA (Alteplase)11.5± 7.6
Percentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Among Acute Ischemic Stroke (AIS) Patients Arrived or Were Admitted to the Hospital Within 4.5 Hours of Symptom Onset Secondary · Up to 4.5 hours.

Percentage of intravenous recombinant tissue plasminogen activator (IV rt-PA) treatment among acute ischemic stroke (AIS) patients arrived or were admitted to the hospital within 4.5 hours of symptom onset.

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years21.020.4 – 21.6
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years28.928.6 – 29.2
Percentage of Intravenous Recombinant Tissue Plasminogen Activator (IV Rt-PA) Treatment Within 4.5 Hours of Symptom Onset Among Eligible AIS Patients (3.5-hour Arrival or Admission) Secondary · Up to 4.5 hours.

Percentage of intravenous recombinant tissue plasminogen activator (IV rt-PA) treatment within 4.5 hours of symptom onset among eligible AIS patients (3.5-hour arrival or admission).

GroupValue95% CI
Acute Ischemic Stroke (AIS) Patients Aged >80 Years23.923.2 – 24.6
Acute Ischemic Stroke (AIS) Patients Aged 18 to 80 Years32.231.8 – 32.5

Sponsor's own description

The objective of the study is to find out the in-hospital clinical outcomes among Chinese Acute Ischaemic Stroke (AIS) patients, who were treated with intravenous (IV) Recombinant Tissue Plasminogen Activator (rt-PA) within 4.5 hours of symptom onset in different age groups (18 to 80 years and above 80 years).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. In-hospital outcomes of intravenous recombinant tissue plasminogen activator treatment for acute ischemic stroke in patients aged >80 years: Findings from the Chinese Stroke Center Alliance.
    Jiang Y, Wang C, Gu H, Zhou Q, et al · · 2025 · PMID 39477171 · DOI 10.1016/j.jstrokecerebrovasdis.2024.108102

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