NCT07322835

Efficacy and Safety of Reperfusion Therapy for Minor Ischemic Stroke in China

Not yet recruiting Last updated 7 January 2026

What this trial tests

trial in Minor Ischemic Stroke in 5,400 participants. Not yet recruiting.

Timeline

1 January 2026

Primary endpoint
1 April 2027

30 June 2027

Quick facts

Lead sponsor	First Affiliated Hospital, Sun Yat-Sen University
Status	Not yet recruiting
Study type	OBSERVATIONAL
Enrollment	5,400
Start date	1 January 2026
Primary completion	1 April 2027
Estimated completion	30 June 2027
Sites	1 location across China

Conditions studied

• Minor Ischemic Stroke — all drugs for Minor Ischemic Stroke →

Sponsor

First Affiliated Hospital, Sun Yat-Sen University

Who can join

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

Sponsor's own description

Acute ischemic stroke is the most common type of stroke in China, accounting for 69.6% -72.8% of new strokes. In recent years, the proportion of mild stroke (NIHSS ≤ 5 points) has gradually increased, exceeding 50%, and the recurrence rate of stroke within one year is 13.2%, with a mortality rate of 6.3%, and 4% -10% may experience early deterioration of neurological function within 72 hours. At present, the main treatment for mild ischemic stroke is antiplatelet aggregation or anticoagulation drugs, but there are still 10% -20% of patients with residual neurological disability. There is still controversy over whether acute reperfusion therapy (including intravenous thrombolysis and endovascular intervention therapy) can improve the prognosis of such patients. In addition, it has been confirmed that beyond the time window thrombolysis is effective for selected ischemic stroke patients, but it is urgent to clarify whether mild ischemic stroke patients can benefit from receiving beyond the time window thrombolysis. Due to the limited evidence and inconsistent conclusions on the efficacy and safety of reperfusion therapy in patients with mild stroke, it is urgent to have a deeper understanding of the current status of reperfusion therapy for mild ischemic stroke in China based on real clinical data, and systematically compare the efficacy and safety of reperfusion therapy (including intravenous thrombolysis and endovascular intervention therapy) with standard drug therapy for this type of patient. This project plans to conduct a nationwide multicenter prospective cohort study to evaluate the differences in excellent neurological function prognosis (mRS ≤ 1) and symptomatic intracranial hemorrhage rate among patients with mild ischemic stroke who receive reperfusion therapy (intravenous thrombolysis ± endovascular intervention therapy) compared to standard drug therapy at 90 days, in order to guide accurate clinical decision-making. The research results have significant implications for improving the prognosis of patients with mild ischemic stroke, and will also lay an important foundation for future large-scale randomized controlled studies to explore the optimal treatment strategies for mild stroke.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.