Evaluating Intra-Arterial Tenecteplase Post-Thrombectomy in Large Vessel Occlusion Stroke: Safety and Early Efficacy from a Dose-Escalation Randomized Trial

Highlight

  • Intra-arterial tenecteplase administered after successful reperfusion by thrombectomy shows tolerable safety at low doses in large vessel occlusion stroke.
  • Dose escalation revealed unacceptable hemorrhagic risk at 0.1250 mg/kg, but doses 0.0313 mg/kg and 0.0625 mg/kg were safe for further study.
  • Preliminary efficacy signals suggest a trend toward improved 90-day functional independence but were not statistically significant in this early-phase trial.
  • Findings support progressing to larger randomized trials to clarify therapeutic benefit and optimize dosing strategies.

Study Background and Disease Burden

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