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Acute Ischemic StrokePhase 2/3ORIONNCT06990867

Optimizing Reperfusion to Improve Outcomes and Neurologic Function

A Phase 2/3 study testing JX10 in people with Acute Ischemic Stroke, run by Corxel Pharmaceuticals at 104 sites in 21 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this study is to evaluate the safety and efficacy of JX10 versus placebo in participants with Acute Ischemic Stroke (AIS) who present for care within 4.5 to 24 hours. The main question the study aims to answer are: 1. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Acute Ischemic Stroke
What is being tested?
JX10
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
740 participants
Where
104 sitesin 21 countries
Study dates
15 May 2025to 31 Dec 2029
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 and ≤ 90 years old.
  • Acute ischemic stroke with compatible clinical presentation and symptomatic high grade or complete occlusion of the intracranial internal carotid, M1, M2 or distal branches of the middle cerebral artery (MCA), anterior cerebral artery (ACA), or posterior cerebral artery (PCA).
  • Radiographic evidence of salvageable tissue.
  • Pre-treatment score of NIHSS ≥ 5.

Who cannot join

  • Radiographic findings pre-randomization of any of the following:
  • Large core infarction, or
  • Occlusion in more than 1 vascular territory, or
  • Significant mass effect or clinically significant cerebral edema, or
  • Evidence of acute intracranial or extracranial hemorrhage, intracranial tumor (except small meningioma), neoplasm, or arteriovenous malformation), or
  • Clinical history, past imaging, or clinical judgement suggests that the intracranial occlusion is chronic.
Show all 12Show fewer
  • Medical history or active clinically significant bleeding, lesions, or conditions (at the investigator's judgement) considered to be of significant risk for major bleeding.
  • Severe, uncontrolled hypertension (systolic blood pressure ≥ 185 mmHg or diastolic blood pressure ≥ 110 mmHg) that cannot be controlled with antihypertensive therapy.
  • Known bleeding diathesis (hereditary or acquired) or any significant coagulopathy. Specifically, platelet count < 100,000/μL, international normalized ratio > 1.7, aPTT > 40 seconds, or prothrombin time > 15 seconds.
  • Major trauma, surgery, or invasive procedures.
  • Pre-existing medical, neurological, or psychiatric disease that would confound the neurological or functional evaluations of this study.
  • Pre-treatment blood glucose > 400 mg/dL (22.20 mmol/L) or Pre-treatment blood glucose < 50 mg/dL (2.78 mmol/L) unless it is corrected prior to study treatment administration. Participants with subsequently normalized blood glucose levels may be considered for inclusion, per Investigator judgement.

Trial locations and contacts

104 sites in 21 countries. Contact the study team or a site near you to ask about taking part.

Corxel Pharmaceuticals Study Information Center contact

201-268-3723

Information.center@corxelbio.com

104 sites in 21 countries

United States20 sites, 20 recruiting
  • Corxel Investigational Site

    Baltimore, Maryland, 21215

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Chattanooga, Tennessee, 37404

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Chicago, Illinois, 60616

    Study Director

    Recruiting
  • Corxel Investigational Site

    Colorado Springs, Colorado, 80909

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Columbus, Ohio, 43214

    Corxel Investigational Site, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Dallas, Texas, 75246

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Delray Beach, Florida, 33484

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Great Neck, New York, 11021

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Houston, Texas, 77030

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Kalamazoo, Michigan, 49048

    Study Director, 201-268-3723, Information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Long Beach, California, 90806

    Study Director, 201-268-3723, Information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Los Angeles, California, 90048

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    New York, New York, 10029

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Sacramento, California, 95817

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    St Louis, Missouri, 63110

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Toledo, Ohio, 43606

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Traverse City, Michigan, 49684

    Study Director, 201-268-3723, Information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Tulsa, Oklahoma, 74104

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Washington D.C., District of Columbia, 20007

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Wichita, Kansas, 67214

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in United States

China16 sites, 16 recruiting
  • Corxel Investigational Site

    Baotou

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Beijing

    Study Director

    Recruiting
  • Corxel Investigational Site

    Beijing

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Changchun

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Guangzhou

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site,

    Harbin

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Harbin

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Kaili

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Linfen

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Nanyang

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Shanghai

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Shenyang

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Suzhou

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Weifang

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Xuzhou

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Zhangjiakou

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in China

Japan10 sites, 10 recruiting
  • Corxel Investigational Site

    Fukuoka

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Hyōgo

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational site

    Ibaraki

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Kamakura

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Meguro City

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Mitaka

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Miyagi

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational site

    Toyota

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Yamagata

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Yamaguchi

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Japan

Spain9 sites, 9 recruiting
  • Corxel Investigational Site

    A Coruña

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Albacete

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Barcelona

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Girona

    Study director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Madrid

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Madrid

    Corxel Investigational Site, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Málaga

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Seville

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Valencia

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Spain

France6 sites, 6 recruiting
  • Corxel Investigational site

    Lille

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Nancy

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational site

    Paris

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Rouen

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Toulouse

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Tours

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in France

Bulgaria5 sites, 5 recruiting
  • Corxel Investigational Site

    Blagoevgrad

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Burgas

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Pleven

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Plovdiv

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Sofia, 1606

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Bulgaria

Germany5 sites, 5 recruiting
  • Corxel Investigational Site

    Altenburg

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Frankfurt

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Leipzig

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Lübeck

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Trier

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Germany

Portugal5 sites, 5 recruiting
  • Corxel Investigational Site

    Almada

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Braga

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Faro

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Loures

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Matosinhos Municipality

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Portugal

Greece4 sites, 4 recruiting
  • Corxel Investigational Site

    Athens

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Chaïdári

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Pátrai

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Thessaloniki

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Greece

Serbia4 sites, 4 recruiting
  • Corxel Investigational Site

    Belgrade

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Kragujevac

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Niš

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Novi Sad

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Serbia

Canada3 sites, 3 recruiting
  • Corxel Investigational Site

    Edmonton

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Kingston

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Winnipeg

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Canada

Belgium2 sites, 2 recruiting
  • Corxel Investigational Site

    Ghent, 9000

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Hasselt

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Belgium

Italy2 sites, 2 recruiting
  • Corxel Investigational Site

    Pavia

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Roma

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Italy

Latvia2 sites, 2 recruiting
  • Corxel Investigational Site

    Daugavpils

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Riga

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Latvia

Lithuania2 sites, 2 recruiting
  • Corxel Investigational Site

    Kaunas

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Vilnius

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Lithuania

Thailand2 sites, 2 recruiting
  • Corxel Investigational Site

    Bangkok

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Khon Kaen

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Thailand

United Kingdom2 sites, 2 recruiting
  • Corxel Investigational Site

    London

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Stoke-on-Trent

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in United Kingdom

Vietnam2 sites, 2 recruiting
  • Corxel Investigational Site

    Hanoi

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting
  • Corxel Investigational Site

    Ho Chi Minh City

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Vietnam

Hungary1 site, 1 recruiting
  • Corxel Investigational Site

    Budapest

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Hungary

Malaysia1 site, 1 recruiting
  • Corxel Investigational Site

    Kuching

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in Malaysia

South Korea1 site, 1 recruiting
  • Corxel Investigational Site

    Seoul

    Study Director, 201-268-3723, information.center@corxelbio.com

    Recruiting

Other trials in South Korea

About this study

Official title: Optimizing Reperfusion to Improve Outcomes and Neurologic Function (ORION): A Multicenter, Double-Blind, Placebo-Controlled, Randomized, Parallel-Group, Phase 2/3 Study to Evaluate the Efficacy and Safety of JX10 in Acute Ischemic Stroke With Late Presentations

The goal of this study is to evaluate the safety and efficacy of JX10 versus placebo in participants with Acute Ischemic Stroke (AIS) who present for care within 4.5 to 24 hours.

The main question the study aims to answer are:

  1. JX10 improves functional outcomes as measured by the modified Rankin Scale score when compared with placebo following AIS.
  2. Risk of symptomatic intracranial hemorrhage of JX10 in participants with AIS.

During Part 1, participants will be randomized to JX 10 (1mg/kg, 3 mg/kg) or placebo. During Part 2, participants will receive JX10 (optimal dose chosen from Part 1) or placebo.

Being tested
JX10, Placebo
Keywords
reperfusion, ORION, Acute Ischemic Stroke, Late Presentation, JX10, thrombolytic
Medical subject headings
Ischemic Stroke

What participants receive

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

  • JX10Drug

    JX10 is a thrombolytic agent.

  • PlaceboDrug

    Placebo is being used as the comparator.

Study groups in NCT06990867
Study groupRoleWhat they receive
Part 1 - JX10 (1mg/kg)ExperimentalNot described
Receives: Drug: JX10
Part 1 - JX10 (3mg/kg)ExperimentalNot described
Receives: Drug: JX10
Part 1 - PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
JX10 Part 2 - (1 or 3 mg/kg)ExperimentalNot described
Receives: Drug: JX10
Part 2 - PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Efficacy: Proportion of participants with no or minimal symptoms (mRS score 0-1) at 90 days

    Measured: 90 days

  2. Safety: Incidence of symptomatic intracranial hemorrhage within 36 hours post-randomization

    Measured: Within 36 hours post-randomization

Secondary outcomes (4)
  1. Ordinal mRS score (0-6), based on a 6-point ordinal scale at 90 days

    Measured: 90 days

  2. Proportion of participants with functional independence at 90 days

    Functional independence: mRS score 0-2

    Measured: 90 days

  3. Incidence of adverse events (AEs) and serious adverse events (SAEs)

    Measured: 90 days

  4. Incidence of major bleeding within 24 hours and 14 days of study treatment

    Measured: Within 24 hours and 14 days of study treatment

Timeline

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

  1. First posted25 May 2025
  2. Study start15 May 2025
  3. Primary completion31 Oct 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
740 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06990867
Sponsor's protocol ID
JX10002
Acronym
ORION
Status last verified
Sep 2026
First submitted
22 May 2025
Last updated
21 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing JX10 in people with Acute Ischemic Stroke, run by Corxel Pharmaceuticals at 104 sites in 21 countries.

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 4 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 104 sites in United States, China, Japan, Spain, France and 16 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Corxel Pharmaceuticals Study Information Center (201-268-3723, Information.center@corxelbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy: Proportion of participants with no or minimal symptoms (mRS score 0-1) at 90 days (time frame: 90 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Sep 2026.

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ORION Clinical Trial NCT06990867 | AzTrials