Evidence map›Paper›PMID 33600700›Full record

ReviewJournal of stroke2021

Development and Testing of Thrombolytics in Stroke.

Dmitri Nikitin, Seungbum Choi, Jan Mican, Martin Toul, Wi-Sun Ryu, Jiri Damborsky, Robert Mikulik, Dong-Eog Kim

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  6. Response surface methodology to optimize theJournal of food science and technology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Dmitri NikitinInternational Centre for Clinical Research, St. Anne's Hospital, Brno, Czech Republic.
Seungbum ChoiMolecular Imaging and Neurovascular Research Laboratory, Department of Neurology, Dongguk University College of Medicine, Goyang, Korea.
Jan MicanInternational Centre for Clinical Research, St. Anne's Hospital, Brno, Czech Republic.
Martin ToulInternational Centre for Clinical Research, St. Anne's Hospital, Brno, Czech Republic.
Wi-Sun RyuDepartment of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.
Jiri DamborskyInternational Centre for Clinical Research, St. Anne's Hospital, Brno, Czech Republic.
Robert MikulikInternational Centre for Clinical Research, St. Anne's Hospital, Brno, Czech Republic.
Dong-Eog KimMolecular Imaging and Neurovascular Research Laboratory, Department of Neurology, Dongguk University College of Medicine, Goyang, Korea.
Dongguk University · KRMasaryk University · CZSt. Anne's University Hospital Brno · CZDongguk University Ilsan Hospital · KRInternational Clinical Research Center, St. Anne's University Hospital Brno · CZ

Funding

Brno Ph.D. TalentMinistry of Education, Youth and Sports CZ.02.1.01/0.0/0.0/16_026/0008451MSCA fellowship CZ.02.2.69/0.0/0.0/19_074/0016274National Research Foundation of Korea 2015K1A1A2028228National Research Foundation of Korea 2019R1C1C1002909National Research Foundation of Korea 2020R1A2C3008295
6 · The paper itself

Abstract

Despite recent advances in recanalization therapy, mechanical thrombectomy will never be a treatment for every ischemic stroke because access to mechanical thrombectomy is still limited in many countries. Moreover, many ischemic strokes are caused by occlusion of cerebral arteries that cannot be reached by intra-arterial catheters. Reperfusion using thrombolytic agents will therefore remain an important therapy for hyperacute ischemic stroke. However, thrombolytic drugs have shown limited efficacy and notable hemorrhagic complication rates, leaving room for improvement. A comprehensive understanding of basic and clinical research pipelines as well as the current status of thrombolytic therapy will help facilitate the development of new thrombolytics. Compared with alteplase, an ideal thrombolytic agent is expected to provide faster reperfusion in more patients; prevent re-occlusions; have higher fibrin specificity for selective activation of clot-bound plasminogen to decrease bleeding complications; be retained in the blood for a longer time to minimize dosage and allow administration as a single bolus; be more resistant to inhibitors; and be less antigenic for repetitive usage. Here, we review the currently available thrombolytics, strategies for the development of new clot-dissolving substances, and the assessment of thrombolytic efficacies in vitro and in vivo.

Indexed as

Protein engineeringStrokeThrombolytic therapyTissue plasminogen activator

Identifiers

PMID33600700
PMCPMC7900387
OpenAlexW3128146189

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.