Trial | Trial dates | Centres | Participants | Primary outcome measure | Age (years) | Onset of symptoms | NIHSS | |
IV r-tPA | MT | |||||||
MR CLEAN35 | 2010–14 | 16 | 502 | mRS at 90 days | ≥18 | ≤4.5 | ≤6 | >1 |
REVASCAT36* | 2012–14 | 4 | 206 | mRS at 90 days | 18–80‡ | ≤4.5 | ≤8 | >5 |
EXTEND 1A37† | 2012–14 | 10 | 70 | Reperfusion at 24 hours, NIHSS at day 3 | ≥18 | ≤4.5 | ≤6 | No restriction |
SWIFT-prime38† | 2012–14 | 39 | 196 | mRS at 90 days | 18–80 | ≤3.5 | ≤6 | 8–29 |
ESCAPE39† | 2013–14 | 22 | 316 | mRS at 90 days | ≥18 | ≤4.5 | ≤12 | >5 |
THRACE40† | 2010–15 | 26 | 402 | mRS≤2 at 90 days | 18–80 | ≤4 | ≤5 | 10–25 |
THERAPY41* | 2012–14 | 36 | 108 | mRS≤2 at 90 days | 18–85 | ≤4.5§ | ≤8¶ | >7 |
PISTE42 | 2013–15 | 10 | 65 | mRS≤2 at 90 days | ≥18 | ≤4.5 | 6 | No restriction |
EASI43* | 2013–14 | 1 | 77 | mRS≤2 at 3 months | ≥18 | <3 | ≤6 | >7** |
*Enrolment was halted early after positive results for thrombectomy were reported from other similar trials.
†Trial stopped early due to efficacy.
‡After enrolling 160 patients, inclusion criteria were modified to include patients up to the age of 85 years with an ASPECTS >8.
§Three-hour limit if patient>80 with diabetes, previous stroke, previous anticoagulation and NIHSS>25.
¶Revised protocol reduced cut-off to 5 hours.
**Or the presence of clinical imaging mismatch, and suspected or proven occlusion of the M1 or M2 segments of the middle cerebral artery, supraclinoid internal carotid artery or basilar artery.
IV r-tPA, intravenous thrombolysis with recombinant tissue-type plasminogen activator; mRS, modified Rankin Scale; MT, mechanical thrombectomy; NIHSS, National Institutes of Health Stroke Scale.