Evidence map›Paper›PMID 40497495›Full record

Trial reportJournal of the American Heart Association2025

Effect of Time Delay on Reperfusion After Tenecteplase in an Extended Time Window: Analysis From the CHABLIS-T Trials.

Lan Hong, Juehua Zhu, Zhijiao He, Xinru Wang, Siyuan Li, Xinyu Liu, Yifeng Ling, Lumeng Yang, Qi Fang, Qiang Dong and 2 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04086147 phase2completednot on this map

Chinese Acute Tissue-based Imaging Selection for Lysis in Stroke: a Prospective, Multicentre, Randomized, Open-label, Rater-blinded, Randomized Trial

TypeinterventionalSponsorHuashan HospitalRan2019 to 2021Enrolled86ConditionsStrokeArmsLow dose tenecteplase, High dose tenecteplase
NCT04516993 phase2completednot on this map

Prospective, Multicenter, Open, End-point Blinded, Stratified Block Randomized, Parallel Positive Controlled Clinical Trial of Tenecteplase in Acute Ischemic Stroke With Large Vessel Occlusion Over Time Window

TypeinterventionalSponsorHuashan HospitalRan2021 to 2023Enrolled224ConditionsStrokeArmsTenecteplase, The best treatment selected by local doctors(Aspirin, Recombinant Tissue Plasminogen Activator, Urokinase, Thrombectomy)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

12 authors.

Lan HongDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.ORCID 0000-0002-4002-4627
Juehua ZhuDepartment of Neurology The First Affiliated Hospital of Soochow University Suzhou Jiangsu Province China.ORCID 0000-0002-5174-6887
Zhijiao HeDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.
Xinru WangDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.
Siyuan LiDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.ORCID 0000-0002-5041-6499
Xinyu LiuDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.
Yifeng LingDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.ORCID 0000-0002-9813-5813
Lumeng YangDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.
Qi FangDepartment of Neurology The First Affiliated Hospital of Soochow University Suzhou Jiangsu Province China.
Qiang DongDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.ORCID 0000-0002-3874-0130
Xin ChengDepartment of Neurology, National Center for Neurological Disorders, National Clinical Research Centre for Aging and Medicine Huashan Hospital, Fudan University Shanghai China.ORCID 0000-0001-7816-0547
CHABLIS‐T Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between time and reperfusion in an extended time window remains unexplored. This study aimed to investigate whether time delay was associated with reduced odds of reperfusion in patients with acute ischemic stroke treated with tenecteplase in the 4.5- to 24-hour time window, in the CHABLIS-T (Chinese Acute Tissue-Based Imaging Selection for Lysis in Stroke-Tenecteplase) trials.

methodsPatients from the CHABLIS-T and CHABLIS-T II trials treated with tenecteplase were included. Major reperfusion was assessed via follow-up perfusion imaging or digital subtraction angiography. Time intervals from symptom onset/last known well to hospital arrival/administration of tenecteplase were analyzed as continuous and categorical variables in multivariable logistic regression models. Subgroup analysis examined the consistency of the association across different patient characteristics.

resultsSixty-seven patients achieved postthrombolytic major reperfusion among the 199 patients included. Longer onset-to-arrival time was associated with lower odds of major reperfusion (continuous: odds ratio [OR], 0.98 per 10 minutes,

conclusionsTime delay was associated with reduced postthrombolytic reperfusion odds in patients with stroke treated with tenecteplase, especially in nonatherosclerotic cases. Prompt reperfusion remains essential, even in patients with benign perfusion profiles in an extended time window. REGISTRATION: URL: https://clinicalTrials.gov; URL: CHABLIS-T NCT04086147; CHABLIS-T II NCT04516993.

Indexed as

Fibrinolytic AgentsIschemic StrokeReperfusionTenecteplaseThrombolytic TherapyTime-to-TreatmentAgedFemaleHumansMaleMiddle AgedTime FactorsTreatment OutcomeFibrinolytic AgentsTenecteplaseacute strokereperfusiontenecteplasethrombolysistreatment delay

Identifiers

PMID40497495
PMCPMC12229177

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.