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Safety and Efficacy of Intravenous Thrombolysis in Patients with Ischemic Stroke on Treatment with Direct Oral Anticoagulants: DO-IT – The DOAC Intravenous Thrombolysis trial

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-515561-34-01
Acronym
DO-IT
Enrollment
286
Registered
2025-07-01
Start date
2025-08-04
Completion date
Unknown
Last updated
2026-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute ischemic stroke with recent ingestion of direct oral anticoagulants.

Brief summary

modified Rankin Scale (mRS, functional outcome) at 90 days ± 2 weeks (shift analysis)

Detailed description

Dichotomized good functional outcome (mRS 0-2 or return to baseline at day 90 (±2 weeks)), change in stroke severity (National Institutes of Health Stroke Scale and ischemic stroke volume) between baseline and 24 ± 12 hours, health-related Quality of Life (EuroQol 5D-3L) at 90 days ± 2 weeks, symptomatic intracranial hemorrhage within the first 36 hours (European Co-operative Acute Stroke Study-II definition), major extracranial bleeding up to 24 ± 12 hours, all-cause mortality up to 7 days after admission or until discharge

Interventions

DRUGMetalyse 10 000 units (50 mg) powder and solvent for solution for injection
DRUGActilyse® Pulver und Lösungsmittel zur Herstellung einer Injektions- bzw. Infusionslösung

Sponsors

Insel Gruppe AG
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
modified Rankin Scale (mRS, functional outcome) at 90 days ± 2 weeks (shift analysis)

Secondary

MeasureTime frame
Dichotomized good functional outcome (mRS 0-2 or return to baseline at day 90 (±2 weeks)), change in stroke severity (National Institutes of Health Stroke Scale and ischemic stroke volume) between baseline and 24 ± 12 hours, health-related Quality of Life (EuroQol 5D-3L) at 90 days ± 2 weeks, symptomatic intracranial hemorrhage within the first 36 hours (European Co-operative Acute Stroke Study-II definition), major extracranial bleeding up to 24 ± 12 hours, all-cause mortality up to 7 days after admission or until discharge

Countries

Belgium, Finland, France, Germany, Netherlands, Portugal, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026