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StrokePhase 2CHABLIS-T IINCT04516993

CHinese Acute Tissue-Based Imaging Selection for Lysis In Stroke -Tenecteplase II

A Phase 2 study testing Tenecteplase and The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy) in people with Stroke, run by Huashan Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To explore the efficacy and safety of tenecteplase for acute ischemic stroke patients (onset time 4.5-24h) of large vessel occlusion using early combined CT/MR imaging outcomes Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Stroke
What is being tested?
Tenecteplase and The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
224 participants
Where
1 siteChina
Study dates
28 Sep 2021to 30 Sep 2023
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients presenting with anterior circulation acute ischaemic stroke
  • Time from onset to treatment 4.5h-24h
  • Patient's age is >= 18 years,<= 80
  • Pre-stroke mRS score of <= 2
  • Clinically significant acute neurologic deficit
  • Baseline National Institute of Health stroke scale >= 6
Show all 9Show fewer
  • Vessel occlusion or severe stenosis ( ICA, MCA-M1/M2, ACA) on computed tomography angiography (CTA)/MRA
  • Multimodal CT/magnetic resonance imaging: perfusion lesion volume (DT > 3 s) to infarct core volume ratio (rCBF<30% or diffusion-weighted imaging lesion) >1.2, absolute difference >10 ml, and ischemic core volume <70ml
  • Informed consent was obtained from patients.

Who cannot join

  • Intracranial hemorrhage or subarachnoid hemorrhage identified by CT or MRI
  • Rapidly improving symptoms (patient with an NIHSS score decrease to < 4 at randomization)
  • Pre-stroke mRS score of > 2
  • Contraindication to imaging with CT/magnetic resonance imaging with contrast agents
  • Infarct core >1/3 middle cerebral artery (MCA) territory
  • Platelet count < 100x10^9/L
Show all 26Show fewer
  • Symptoms were caused by low blood glucose < 2.7 mmol/l
  • Severe uncontrolled hypertension, i.e. systolic blood pressure >= 180 mmHg or diastolic blood pressure >=100 mmHg
  • Current use of warfarin with a prolonged prothrombin time (INR > 1.7 or prothrombin time > 15s)
  • Use of low molecular weight heparin within 24 hours
  • Use of non-vitamin K antagonist oral anticoagulants (NOACs) within 48 hours
  • Use of glycoprotein IIb - IIIa inhibitors within 72 hours.
  • Arterial puncture at noncompressible site in previous 7 days
  • Major surgery in previous 14 days which poses risk in the opinion of the investigator
  • Recent gastrointestinal or urinary tract hemorrhage (within previous 21 days)
  • Significant head trauma or prior stroke in previous 3 months
  • History of previous intracranial hemorrhage, intracranial neoplasm, arteriovenous malformation, or aneurysm. Risks were considered by the investigator
  • Hereditary or acquired haemorrhagic diathesis
  • Active internal bleeding
  • Symptoms suggestive or recent acute pancreatitis, active gastrointestinal ulcer
  • Severe liver disease, including liver failure, cirrhosis, portal hypertension and active hepatitis
  • Pregnancy or lactation
  • Various dying diseases with life expectancy ≤3 months
  • Other conditions in which doctors believe that participating in this study may be harmful to the patient
  • Patients participated in any trial in 30 days
  • Allergic to the test drug and its ingredients

Trial locations and contacts

1 site in 1 country.

China1 site
  • Huashan Hospital

    Shanghai, Shanghai Municipality, 200040

Other trials in China

About this study

Official title: Prospective, Multicenter, Open, End-point Blinded, Stratified Block Randomized, Parallel Positive Controlled Clinical Trial of Tenecteplase in Acute Ischemic Stroke With Large Vessel Occlusion Over Time Window

To explore the efficacy and safety of tenecteplase for acute ischemic stroke patients (onset time 4.5-24h) of large vessel occlusion using early combined CT/MR imaging outcomes

Conditions
Stroke
Being tested
Tenecteplase, The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)
Keywords
acute ischemic stroke, large vessel occlusion, thrombolysis, tenecteplase, dosage, computed tomography, magnetic resonance imaging, diffusion weighted imaging, early combined imaging outcomes, modified Rankin scale, time window beyond 4.5 hours
Medical subject headings
Stroke, Ischemic Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TenecteplaseDrug

    Intravenous (IV) tenecteplase 0.25 mg/kg (single bolus; maximum dose 25 mg)

  • The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)Drug

    Best treatment arm

Study groups in NCT04516993
Study groupRoleWhat they receive
Tenecteplase armExperimentalNot described
Receives: Drug: Tenecteplase
Best treatment arm (e.g. Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)OtherThe best treatment selected by local doctors
Receives: Drug: The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. patients without endovascular therapy obtained >50% reperfusion at 4-6 hours

    Without endovascular therapy: >50% reperfusion on computed tomography perfusion (CTP) at 4-6 hours

    Measured: 4-6 hours

  2. patients with endovascular therapy: mTICI score 2b or better at initial angiogram

    With endovascular therapy: mTICI score 2b or better at initial angiogram after thrombolysis before endovascular therapy

    Measured: Before endovascular therapy

  3. no symptomatic intracranial hemorrhage at 24-36 hours

    No symptomatic intracranial hemorrhage at 24-36 hours

    Measured: 24-36 hours

Secondary outcomes (18)
  1. Imaging efficacy outcome: recanalization rate on CT/magnetic resonance angiography

    Recanalization rate on CTA/MRA at 4-6 hours

    Measured: 4-6 hours

  2. Imaging efficacy outcome: Infarct volume growth (ml) at 3-5 days on MRI or CT perfusion

    Infarct volume growth (ml) at 3-5 days on MRI or CT perfusion

    Measured: 3-5 days

  3. Clinical efficacy outcome: NIHSS change

    NIHSS change at 24 hours (plus or minus 2 hours)

    Measured: 24 hours (plus or minus 2 hours)

  4. Clinical efficacy outcome: percent of excellent functional outcome (modified Rankin scale 0-1) at 90 days (plus or minus 7 days)

    percent of excellent functional outcome (modified Rankin scale 0-1) at 90 days (plus or minus 7 days)

    Measured: 90 days (plus or minus 7 days)

  5. Clinical efficacy outcome: percent of good functional outcome (modified Rankin scale 0-2) at 90 days (plus or minus 7 days)

    percent of good functional outcome (modified Rankin scale 0-2) at 90 days (plus or minus 7 days)

    Measured: 90 days (plus or minus 7 days)

  6. Clinical efficacy outcome: incident event

    Incident vascular event within 90 days (ischemic stroke/ hemorrhagic stroke/ cardiac infarct/ cardiac or brain revascularization (including Carotid Endarterectomy, Intracranial and Extracranial Artery Intervention, Intracranial and extracranial artery bypass, and Coronary artery intervention or bypass graft))

    Measured: 90 days (plus or minus 7 days)

  7. Imaging safety outcome: Intracranial hemorrhage of any volume at 24-36 hours

    Intracranial hemorrhage of any volume at 24-36 hours

    Measured: 24-36 hours

  8. Imaging safety outcome: parenchymal hematoma 2 at 24-36 hours

    Parenchymal hematoma 2 at 24-36 hours

    Measured: 24-36 hours

  9. Imaging safety outcome: Symptomatic intracranial hemorrhage at 24-36 hours

    Symptomatic intracranial hemorrhage at 24-36 hours

    Measured: 24-36 hours

  10. Clinical safety outcome: death within 90 days

    Death within 90 days (plus or minus 7 days)

    Measured: 90 days (plus or minus 7 days)

  11. Clinical safety outcome: Rate of systemic bleeding

    Rate of systemic bleeding within 90 days (plus or minus 7 days)

    Measured: 90 days (plus or minus 7 days)

  12. Barthel index

    Barthel index at 90 days (plus or minus 7 days). The Barthel Index is a scale that indicates the ability to perform a selection of activities of daily living. It comprises 10 items (tasks), with total scores ranging from 0 (worst mobility in activities of daily living) to 100 (full mobility in activities of daily living) and it has adequate clinimetric (quality of clinical measurements) properties in stroke rehabilitation. In the index, the 10 items have these scoring combinations: a) 0 and 5, b) 0, 5 and 10, or c) 0, 5, 10 and 15. These items in the Barthel Index address a patient's ability in feeding, bathing, grooming, dressing, bowel and bladder control, toileting, chair transfer, ambulation and stair climbing.

    Measured: 90 days (plus or minus 7 days)

  13. Imaging efficacy outcome: patients without endovascular therapy obtained >50% reperfusion at 4-6 hours

    Without endovascular therapy: >50% reperfusion on computed tomography perfusion (CTP) at 4-6 hours without Parenchymal hematoma 2

    Measured: 4-6 hours

  14. Imaging efficacy outcome: patients with endovascular therapy: mTICI score 2b or better at initial angiogram

    With endovascular therapy: mTICI score 2b or better at initial angiogram after thrombolysis before endovascular therapy Parenchymal hematoma 2

    Measured: Before endovascular therapy

  15. Imaging efficacy outcome: recanalization rate on CT/magnetic resonance angiography at 3-5 days

    Recanalization rate on CTA/MRA at 3-5 days

    Measured: 3-5 days

  16. Clinical efficacy outcome: NIHSS change at 7 days

    NIHSS change at 7 days (plus or minus 2 days)

    Measured: 7 days (plus or minus 2 days)

  17. Clinical efficacy outcome: vascular death within 90 days

    Vascular death within 90 days (plus or minus 7 days) (stroke, cardiac infarct, pulmonary embolism)

    Measured: 90 days (plus or minus 7 days)

  18. Clinical efficacy outcome: major neurological improvement at 24-36 hours ( NIHSS reduction ≥8 or return to 0-1)major neurological improvement at 24-36 hours ( NIHSS reduction ≥8 or return to 0-1)

    Major neurological improvement at 24-36 hours ( NIHSS reduction >8 or return to 0-1)

    Measured: 24-36 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2020
  2. Study start28 Sep 2021
  3. Primary completion30 Sep 2023
  4. Study completion30 Sep 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
224 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04516993
Sponsor's protocol ID
SHDC2020CR1041B
Acronym
CHABLIS-T II
Status last verified
Nov 2023
First submitted
14 Aug 2020
Last updated
29 Nov 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Liu X, Hong L, Zhao G, He Z, Wang X, Zhu J, Li S, Zhang A, Cao N, Ling Y, Chen X, Guo Y, Fang Q, Wang Z, Dong Q, Cheng X. Regional perfusion parameters as potential indicators of parenchymal hematoma risk following reperfusion therapy for acute ischemic stroke in the extended time window. Ther Adv Neurol Disord. 2025 Dec 21;18:17562864251406032. doi: 10.1177/17562864251406032. eCollection 2025.

    PubMed 41446320
  • Hong L, Zhu J, He Z, Wang X, Li S, Liu X, Ling Y, Yang L, Fang Q, Dong Q, Cheng X; CHABLIS-T Investigators. Effect of Time Delay on Reperfusion After Tenecteplase in an Extended Time Window: Analysis From the CHABLIS-T Trials. J Am Heart Assoc. 2025 Jun 17;14(12):e040994. doi: 10.1161/JAHA.124.040994. Epub 2025 Jun 11.

    PubMed 40497495
  • Cheng X, Hong L, Lin L, Churilov L, Ling Y, Yang N, Fu J, Lu G, Yue Y, Zhang J, Wang F, Wang Z, Zhao Y, Zhou X, Peng Z, Wu D, Zhao L, Zhai Q, Yu X, Fang Q, Shao X, Tang Y, Zhang D, Geng Y, Zhang Y, Fan B, Zhang B, Yin C, Chen Y, Zhang Y, Liu X, Li S, Yang L, Parsons M, Dong Q; CHABLIS-T II Collaborators. Tenecteplase Thrombolysis for Stroke up to 24 Hours After Onset With Perfusion Imaging Selection: The CHABLIS-T II Randomized Clinical Trial. Stroke. 2025 Feb;56(2):344-354. doi: 10.1161/STROKEAHA.124.048375. Epub 2025 Jan 2.

    PubMed 39744861

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tenecteplase and The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy) in people with Stroke, run by Huashan Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

patients without endovascular therapy obtained >50% reperfusion at 4-6 hours (time frame: 4-6 hours). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04516993, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2023.

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CHABLIS-T II Clinical Trial NCT04516993 | AzTrials