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Stroke Trials

April 2026 · 104 Trials · NeuroTrials.ai
FEATURED ARTICLE
To determine whether time to treatment influences the effect of intraarterial thrombolysis (IAT), intravenous thrombolysis (IVT), and conservative standard therapy (CST) on visual outcomes in nonarteritic central retinal artery occlusion (CRAO).

AGILE

Early Thrombolysis and Outcomes in Central Retinal Artery Occlusion: An Individual Participant Data Meta-Analysis

Stroke · 2025

Bottom Line: Early intervention in nonarteritic central retinal artery occlusion is associated with better visual recovery, with intraarterial thrombolysis (IAT) and intravenous thrombolysis (IVT) outperforming nonthrombolytic treatments.

PREVENTION 1

Among patients with atherosclerotic cardiovascular disease, is targeting an LDL cholesterol level of less than 55 mg per deciliter superior to targeting a level of less than 70 mg per deciliter for preventing recurrent major cardiovascular events?

Ez-PAVE

2026

STROKE PREVENTION 1

Can rivaroxaban prevent cognitive decline in AF patients too low-risk for standard anticoagulation?

BRAIN-AF

2026 NEW

Rivaroxaban for Cognitive Decline Prevention in Low-Risk Atrial Fibrillation

REHABILITATION & PLASTICITY 4

Does a BCI intervention using the ReHand-BCI system with robotic hand orthosis feedback produce greater upper extremity motor recovery and neuroplastic changes compared to a sham-BCI intervention in stroke patients with hand paresis?

ReHAND-BCI

2025

What are the long-term effects (through 12 months) of vagus nerve stimulation (VNS) paired with rehabilitation on impairment, activity, and participation in people with upper extremity (UE) impairment after chronic ischemic stroke?

VNS-REHAB 1-Year Outcomes

2025

Can cervical epidural spinal cord stimulation safely and effectively improve motor function and reduce spasticity in individuals with chronic post-stroke upper-limb hemiparesis?

SCS for Post-Stroke Hemiparesis

2025

Does targeted training of the ipsilesional (less impaired) arm improve motor performance in chronic stroke patients with severe contralesional arm paresis?

Ipsilesional Arm Remediation

2026

SAH 2

Is galantamine safe, tolerable, and potentially efficacious in improving long-term functional and cognitive outcomes in patients with aneurysmal subarachnoid hemorrhage when administered during early and subacute stages?

SAHRANG

2025

Does a liberal red-cell transfusion strategy, as compared with a restrictive strategy, result in a lower risk of an unfavorable neurologic outcome at 12 months in critically ill adults with acute aneurysmal subarachnoid hemorrhage and anemia?

SAHARA

2025

THROMBOLYSIS 5

Does left atrial appendage closure safely decrease the risk of bleeding associated with oral anticoagulants while maintaining a low risk of stroke among patients with atrial fibrillation who have undergone catheter ablation and are at moderate or high risk for stroke?

OPTION

2026

Does intravenous tenecteplase administered within 4.5 hours of symptom onset improve visual outcomes compared to oral aspirin in patients with acute central retinal artery occlusion?

TenCRAOS

2026

Does intravenous tenecteplase (0.25 mg/kg) administered within 24 hours of symptom onset improve functional outcome compared with standard medical treatment in patients with ischaemic stroke due to basilar artery occlusion?

TRACE-5

2026

Is there an optimal day within the first 14 days to initiate a direct oral anticoagulant after atrial fibrillation-associated ischemic stroke that minimizes the composite risk of ischemic or hemorrhagic events?

START

2025

Does adding intravenous tenecteplase before thrombectomy improve functional independence at 90 days in patients with acute ischemic stroke due to large-vessel occlusion?

BRIDGE-TNK

2025

SECONDARY PREVENTION 5

Is NOAC monotherapy noninferior to combination therapy with NOAC plus clopidogrel in patients with atrial fibrillation who had drug-eluting stent implantation at least 1 year earlier?

ADAPT AF-DES

2025

Does IV tirofiban reduce recurrent stroke in patients with minor stroke and intracranial atherosclerosis?

CHANCE-4

2025

In survivors of intracerebral haemorrhage with atrial fibrillation, do DOACs reduce the risk of ischaemic stroke without substantially increasing the risk of recurrent intracerebral haemorrhage compared with no anticoagulation?

PRESTIGE-AF

2025

Is 0ยฐ head positioning superior to 30ยฐ head positioning at maintaining clinical stability in patients with large vessel occlusion stroke who are candidates for thrombectomy?

ZODIAC

2025

In persons with type 2 diabetes and atherosclerotic cardiovascular disease, chronic kidney disease, or both, is treatment with oral semaglutide superior to placebo for reducing major adverse cardiovascular events?

SOUL

2025

THROMBECTOMY 5

Does squirting alteplase directly into the artery after a successful thrombectomy improve outcomes?

CHOICE2

2026

Is aspiration or stent retriever better as first-line thrombectomy for basilar artery occlusion?

ANGEL-COAST

2025

Is tenecteplase better than low-dose alteplase for achieving early reperfusion before thrombectomy?

T-FLAVOR

2025

Does thrombectomy improve functional outcomes compared to medical management alone in patients with medium vessel occlusion stroke and moderate-to-severe deficits (NIHSS โ‰ฅ6) presenting within 24 hours?

ORIENTAL MEVO

2025

What is the appropriate antithrombotic regimen for patients with chronic coronary syndrome who are at high atherothrombotic risk and receiving long-term oral anticoagulation?

AQUATIC

2025

ISCHEMIC 1

Is IV tenecteplase plus endovascular thrombectomy (TNK + EVT) associated with better 3-month functional outcomes compared with EVT alone in patients with anterior circulation LVO stroke treated within 4.5 hours, and does any benefit vary with expected onset-to-thrombolysis time or admission center type?

ETIS-TETRIS

2026

ICH 4

Does middle meningeal artery embolisation (MMAe) reduce the composite of surgical drainage need, poor clinical outcome, or clinical deterioration compared to observation alone in mildly symptomatic chronic subdural haematoma patients?

EMBOLISE 2

2026

Can ultra-early recombinant factor VIIa within 2 hours stop ICH from growing and save lives?

FASTEST

2026

Does adding catheter ablation to standard edoxaban therapy reduce the risk of recurrent ischemic stroke or composite cardiovascular outcomes in patients with nonvalvular atrial fibrillation and a recent history of ischemic stroke?

STABLED

2026

Does early intensive blood pressure lowering reduce cerebral swelling in patients with acute ischemic stroke treated with thrombolysis?

ENCHANTED (Swelling Analysis)

2025

MEDICAL MANAGEMENT 5

Does minocycline, in addition to routine treatment, improve 90-day functional outcomes compared with placebo in patients with acute ischaemic stroke presenting within 72 hours of symptom onset?

EMPHASIS

2026

In patients with acute LVO stroke without atrial fibrillation or intracardiac thrombus, which cardiac CT findings are independently associated with a cardioembolic stroke aetiology?

Cardiac CT in LVO Stroke

2025

Is off-label intravenous thrombolysis safe and effective in patients with acute ischemic stroke who have recently taken direct oral anticoagulants? Does DOAC reversal with idarucizumab before IVT improve safety or efficacy outcomes?

DO-IT Target Analysis

2025

Does loberamisal, a dual-acting neuroprotective agent, improve functional recovery when administered within 48 hours of moderate to severe acute ischemic stroke?

LAIS

2026

Does middle meningeal artery (MMA) embolization reduce the rate of chronic subdural hematoma (CSDH) recurrence in patients who underwent an operation and are at high risk of recurrence?

EMPROTECT

2025

PERIOPERATIVE MANAGEMENT 1

In patients with acute ischemic stroke undergoing endovascular thrombectomy under general anesthesia, does early extubation (<6 hours) improve 90-day functional outcomes compared with delayed extubation (6-12 hours)?

EDESTROKE

2026

CAROTID & INTRACRANIAL STENOSIS 5

Does lepodisiran, an siRNA targeting hepatic production of lipoprotein(a), safely and effectively reduce serum lipoprotein(a) concentrations over time?

ALPACA

2025

Among patients with asymptomatic high-grade carotid stenosis, does adding carotid revascularization (stenting or endarterectomy) to intensive medical management provide greater benefit than intensive medical management alone in preventing stroke?

CREST-2

2025

What are the new clinical (ischemic stroke, intracranial/major extracranial bleeding, or death) and new MR-Imaging outcomes (ischemic or hemorrhagic brain lesions) between 3 and 6 months in patients with symptomatic, MR-imaging-verified cervical artery dissection treated with aspirin versus anticoagulation?

TREAT-CAD 6-months

2025

Does revascularization reduce stroke risk when added to optimized medical therapy in patients with asymptomatic or low-to-intermediate risk symptomatic carotid stenosis?

ECST-2

2025

Does adding middle meningeal artery embolization to surgery reduce chronic subdural hematoma recurrence?

EMMA-CAN

2025

CVT 2

Are direct oral anticoagulants (DOACs) as safe and effective as vitamin K antagonists (VKAs) for the treatment of cerebral venous thrombosis?

DOAC-CVT

2025

Is the Contour Neurovascular System safe and effective for the treatment of unruptured intracranial bifurcation aneurysms?

CERUS

2022

GENERAL 1

Can left atrial appendage closure replace NOACs for stroke prevention in anticoagulation-eligible AF patients?

CHAMPION-AF

2026

OTHER 2

To determine whether time to treatment influences the effect of intraarterial thrombolysis (IAT), intravenous thrombolysis (IVT), and conservative standard therapy (CST) on visual outcomes in nonarteritic central retinal artery occlusion (CRAO).

CRAO AGILE Metanalysis

2025

Does tirzepatide improve obstructive sleep apnea severity and associated complications in adults with moderate-to-severe OSA and obesity?

SURMOUNT-OSA

2024