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The effect of using ticagrelor and aspirin, clopidogrel in patients with acute ischemic stroke

Comparison of the effect of simultaneous use of Ticagrelor and Aspirin, Clopidogrel and aspirin and Aspirin alone in patients with acute ischemic stroke

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250602066018N1
Enrollment
328
Registered
2025-07-09
Start date
2025-06-10
Completion date
Unknown
Last updated
2025-07-21

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

Conditions

ischemic stroke.

Interventions

Intervention group: Participants receive Ticagrelor + Aspirin or Clopidogrel + Aspirin therapy for 21 days.Ticagrelor + Aspirin:Ticagrelor: 180 mg loading dose, then 90 mg every 12 hours.Aspirin: 325

Sponsors

Qazvin University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
40 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Signing the informed consent form to enter the study 2. Patients aged 40 or older 3. NIHSS score 0 to 4 (calculated based on the attached file)

Exclusion criteria

Exclusion criteria: 1. Patients with a history of AF (atrial fibrillation), ventricular aneurysm, and suspected cardioembolic origin for TIA or minor stroke, candidates for carotid surgery. 2. Presence of any problem that causes discontinuation of drug therapy for three days. 3. Presence of coagulation and bleeding disorders and history of non-traumatic intracerebral bleeding, gastrointestinal bleeding in the past 6 months 4. Major surgery in the past 30 days

Design outcomes

Primary

MeasureTime frame
Stroke recurrence rate (percentage of patients with recurrent ischemic stroke within 90 days)Mortality rate (percentage of deaths within the study period)Neurological recovery (NIHSS score improvement from baseline). Timepoint: Baseline (Before intervention)Day 21 (End of antiplatelet therapy)Day 90 (Final follow-up). Method of measurement: Stroke recurrence rate – Evaluated using clinical examination and brain imaging techniques at specified time points.Mortality rate – Determined through hospital records and follow-up assessments during the study period.Neurological recovery – Measured using the National Institutes of Health Stroke Scale (NIH Stroke Scale) through structured patient assessments.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr Mahsa Moradnia

Qazvin University of Medical Sciences

mahsamoradnia1992@gmail.com+98 912 465 2812

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026