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NCT06352619Recruiting

Third Enhanced Control of Hypertension and Thrombectomy Stroke Domain Within ACT-GLOBAL Adaptive Platform Trial

Third Enhanced Control of Hypertension and Thrombectomy Stroke Domain Within A Multi-faCtorial, mulTi-arm, Multi-staGe, Randomised, gLOBal Adaptive pLatform Trial for Stroke (ACT-GLOBAL_ENCHANTED3/MT)

Source: ClinicalTrials.gov · Last updated 8 Jul 2026

Brief summary (registry, in English)

Several clinical trials have produced variable conclusions regarding the effects of intensive blood pressure (BP) lowering in post-EVT acute ischaemic stroke (AIS) patients. Although two trials indicate harm from very intensive target-based treatment (SBP \<130 mmHg), the others neutral effects in the SBP range 140-160 mmHg. The ENCHANTED3/MT domain of the ACT-GLOBAL platform trial aims to test different approaches to the treatment of elevated SBP in post-EVT AIS patients to find an optimal BP management strategy. ENCHANTED3/MT will randomize (1:1:1) up to 2,000 patients with SBP ≥150 mmHg post-EVT to conservative (no or minimal SBP reduction by 5-10mmHg or a target of 175-180mmHg if very-high baseline SBP \[≥180mmHg\]), moderate (SBP reduction by 10-20mmHg or a target of 160 ± 5, whichever is higher; no control if low-high baseline SBP \[150-160mmHg\]), or intensive (SBP reduction by 30-50mmHg or a target of 140±5 mmHg, whichever is higher) BP management.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
2000 (estimated)
First submitted
2 Apr 2024
Start date
11 Oct 2024
Primary completion date
Dec 2027
Lead sponsor
The George Institute
NCT number
NCT06352619

What you commit to

  • Study type: Interventional
  • Planned participants: 2000
  • From 11 Oct 2024 to the primary completion date, Dec 2027
  • 2 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other

  • 1.Any definite contraindications to BP lowering treatment.

Who the study is looking for

  • Age ≥18 years;
  • Use of endovascular therapy (EVT) within 24 hours of symptom onset or last known well according to local guidelines;
  • Sustained high systolic blood pressure ≥150 mmHg (2 readings \<10 mins apart) within 3 hours after completion of EVT.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The George Institute for Global Health
Coordinator of this site? Confirm its status
SydneyAustraliaRecruiting
University Of Calgary
Coordinator of this site? Confirm its status
CalgaryCanadaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.