Actively Recruiting
Combining Aspirin With Ticagrelor or Clopidogrel in Large-vessel Minor Stroke or TIA
Led by Kafrelsheikh University · Updated on 2025-09-05
900
Participants Needed
1
Research Sites
57 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Along with the current clinical trial, the efficacy and safety of a 180 mg loading dose of ticagrelor administered within 24 hours of the first-ever large-vessel minor stroke or TIA compared to 300 mg clopidogrel were assessed through NIHSS, mRS, and possible adverse effects.
CONDITIONS
Official Title
Combining Aspirin With Ticagrelor or Clopidogrel in Large-vessel Minor Stroke or TIA
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Both genders aged 18 to 75 years
- First-ever large-vessel minor ischemic stroke or transient ischemic attack
- Received antiplatelet treatment within 24 hours of ischemic stroke onset
- Not eligible for rt-PA treatment
You will not qualify if you...
- Not followed up for 90 days after enrollment
- NIHSS score less than 5 or rapidly resolving symptoms before imaging
- Known persistent or recurrent central nervous system disorders (epilepsy, meningioma, multiple sclerosis, head trauma with lasting deficits)
- Clinical seizures at stroke onset
- Major organ failure or active cancer
- Acute myocardial infarction within 6 weeks before enrollment
- Use of warfarin, regular ticagrelor in the week before admission, or chemotherapy within the past year
- Active peptic ulcers, recent gastrointestinal surgery, or bleeding history within 1 year
- Major surgery within the last 3 months
- Known allergy to study drugs
- Abnormal blood clotting tests (INR > 1.4, PT > 18)
- Blood glucose below 50 or above 400 mg/dL
- Blood pressure below 90/60 or above 185/110 mmHg at admission
- Platelet count below 100,000
- Pregnancy or lactation
- Stroke due to venous thrombosis, cardiac arrest, or severe low blood pressure
- Contraindications to study drugs
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Kafr Elsheikh University Hospital
Kafr ash Shaykh, Egypt, 33511
Actively Recruiting
Research Team
M
mohamed G. Zeinhom, MD
CONTACT
S
sherihan R. ahmed, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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