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A Randomized Trial of Tenecteplase versus Alteplase for Acute Ischemic Stroke
by
Miteff, Ferdinand
, Chung, Kong
, Bivard, Andrew
, Parsons, Mark
, Campbell, Bruce
, Davis, Stephen
, McElduff, Patrick
, O'Brien, Bill
, Bateman, Grant
, Levi, Christopher
, Allen, Chris
, Spratt, Neil
, Bladin, Christopher
, Donnan, Geoffrey
in
Aged
/ Angiography
/ Biological and medical sciences
/ Body weight
/ Brain Ischemia - drug therapy
/ Clinical trials
/ Computed tomography
/ Data analysis
/ Dose-Response Relationship, Drug
/ Evidence-based medicine
/ Fees & charges
/ Female
/ Fibrinolytic Agents - administration & dosage
/ Fibrinolytic Agents - adverse effects
/ Fibrinolytic Agents - therapeutic use
/ General aspects
/ Genetic engineering
/ Humans
/ Intravenous administration
/ Ischemia
/ Magnetic resonance imaging
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Neurology
/ NMR
/ Nuclear magnetic resonance
/ Occlusion
/ Patients
/ Perfusion
/ Reperfusion
/ Single-Blind Method
/ Stroke
/ Stroke - drug therapy
/ t-Plasminogen activator
/ Thrombolysis
/ Thrombolytic drugs
/ Tissue Plasminogen Activator - administration & dosage
/ Tissue Plasminogen Activator - adverse effects
/ Tissue Plasminogen Activator - therapeutic use
/ Treatment Outcome
/ Vascular diseases and vascular malformations of the nervous system
/ Veins & arteries
2012
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A Randomized Trial of Tenecteplase versus Alteplase for Acute Ischemic Stroke
by
Miteff, Ferdinand
, Chung, Kong
, Bivard, Andrew
, Parsons, Mark
, Campbell, Bruce
, Davis, Stephen
, McElduff, Patrick
, O'Brien, Bill
, Bateman, Grant
, Levi, Christopher
, Allen, Chris
, Spratt, Neil
, Bladin, Christopher
, Donnan, Geoffrey
in
Aged
/ Angiography
/ Biological and medical sciences
/ Body weight
/ Brain Ischemia - drug therapy
/ Clinical trials
/ Computed tomography
/ Data analysis
/ Dose-Response Relationship, Drug
/ Evidence-based medicine
/ Fees & charges
/ Female
/ Fibrinolytic Agents - administration & dosage
/ Fibrinolytic Agents - adverse effects
/ Fibrinolytic Agents - therapeutic use
/ General aspects
/ Genetic engineering
/ Humans
/ Intravenous administration
/ Ischemia
/ Magnetic resonance imaging
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Neurology
/ NMR
/ Nuclear magnetic resonance
/ Occlusion
/ Patients
/ Perfusion
/ Reperfusion
/ Single-Blind Method
/ Stroke
/ Stroke - drug therapy
/ t-Plasminogen activator
/ Thrombolysis
/ Thrombolytic drugs
/ Tissue Plasminogen Activator - administration & dosage
/ Tissue Plasminogen Activator - adverse effects
/ Tissue Plasminogen Activator - therapeutic use
/ Treatment Outcome
/ Vascular diseases and vascular malformations of the nervous system
/ Veins & arteries
2012
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A Randomized Trial of Tenecteplase versus Alteplase for Acute Ischemic Stroke
by
Miteff, Ferdinand
, Chung, Kong
, Bivard, Andrew
, Parsons, Mark
, Campbell, Bruce
, Davis, Stephen
, McElduff, Patrick
, O'Brien, Bill
, Bateman, Grant
, Levi, Christopher
, Allen, Chris
, Spratt, Neil
, Bladin, Christopher
, Donnan, Geoffrey
in
Aged
/ Angiography
/ Biological and medical sciences
/ Body weight
/ Brain Ischemia - drug therapy
/ Clinical trials
/ Computed tomography
/ Data analysis
/ Dose-Response Relationship, Drug
/ Evidence-based medicine
/ Fees & charges
/ Female
/ Fibrinolytic Agents - administration & dosage
/ Fibrinolytic Agents - adverse effects
/ Fibrinolytic Agents - therapeutic use
/ General aspects
/ Genetic engineering
/ Humans
/ Intravenous administration
/ Ischemia
/ Magnetic resonance imaging
/ Male
/ Medical research
/ Medical sciences
/ Middle Aged
/ Neurology
/ NMR
/ Nuclear magnetic resonance
/ Occlusion
/ Patients
/ Perfusion
/ Reperfusion
/ Single-Blind Method
/ Stroke
/ Stroke - drug therapy
/ t-Plasminogen activator
/ Thrombolysis
/ Thrombolytic drugs
/ Tissue Plasminogen Activator - administration & dosage
/ Tissue Plasminogen Activator - adverse effects
/ Tissue Plasminogen Activator - therapeutic use
/ Treatment Outcome
/ Vascular diseases and vascular malformations of the nervous system
/ Veins & arteries
2012
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A Randomized Trial of Tenecteplase versus Alteplase for Acute Ischemic Stroke
Journal Article
A Randomized Trial of Tenecteplase versus Alteplase for Acute Ischemic Stroke
2012
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Overview
In this phase 2B trial involving 75 patients with acute ischemic stroke, tenecteplase was more effective than alteplase in achieving reperfusion and clinical improvement at 24 hours. Bleeding complications were similar in the two groups.
Thrombolytic treatment with alteplase, a recombinant tissue plasminogen activator, for acute ischemic stroke is of proven benefit.
1
However, alteplase is far from ideal, with incomplete and often delayed reperfusion in many patients.
2
Tenecteplase, a genetically engineered mutant tissue plasminogen activator, has some pharmacokinetic advantages over alteplase.
3
A balance between efficacy and risk of bleeding in the treatment of stroke appears to be achieved at a lower dose of tenecteplase than the dose used for myocardial infarction.
4
A recent dose-ranging study of tenecteplase involving patients with acute ischemic stroke, which used standard clinical selection criteria, showed that a dose of 0.4 . . .
Publisher
Massachusetts Medical Society
Subject
/ Biological and medical sciences
/ Brain Ischemia - drug therapy
/ Dose-Response Relationship, Drug
/ Female
/ Fibrinolytic Agents - administration & dosage
/ Fibrinolytic Agents - adverse effects
/ Fibrinolytic Agents - therapeutic use
/ Humans
/ Ischemia
/ Male
/ NMR
/ Patients
/ Stroke
/ Tissue Plasminogen Activator - administration & dosage
/ Tissue Plasminogen Activator - adverse effects
/ Tissue Plasminogen Activator - therapeutic use
/ Vascular diseases and vascular malformations of the nervous system
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