Biomarker & Intervention Discovery

Stroke (Ischaemic / Cerebrovascular Disease)

This page lists 8 druggable gene targets, 38 approved or trial-tested drug candidates and 15 recent clinical trials for Stroke (Ischaemic / Cerebrovascular Disease), with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

NIH funding$422MFY2025 · RCDC estimate
Funding levelUnderfunded
Spontaneous remissionSpontaneous early neurological improvement in 10-20% within 24 hours of ischaemic stroke without intervention…
Best-intervention remissionIV thrombolysis (tPA/tenecteplase) within 4.5 hours: increases odds of favourable outcome by 30%; thrombectomy for…
Gap sizeVery large — enormous treatment gap; only 2-15% of eligible patients receive thrombolysis; <5% receive thrombectomy…
Primary barrieraccess/practice
Full remission profile →

Remission & chronicity

Spontaneous remission
Spontaneous early neurological improvement in 10-20% within 24 hours of ischaemic stroke without intervention; functional independence at 3 months in only 40-50% without revascularisation; 15% 30-day mortality untreated
Best-intervention remission
IV thrombolysis (tPA/tenecteplase) within 4.5 hours: increases odds of favourable outcome by 30%; thrombectomy for large vessel occlusion within 24 hours: 46% functional independence vs 27% control (DAWN/DEFUSE); combined thrombolysis + thrombectomy: best outcomes in eligible patients
Gap size
Very large — enormous treatment gap; only 2-15% of eligible patients receive thrombolysis; <5% receive thrombectomy worldwide
Primary barrier
access/practice
The 4.5-hour and 24-hour time windows are frequently missed due to delayed recognition, delayed presentation, or lack of stroke centre access; in-hospital treatment delays add further losses; secondary prevention (antihypertensives, statins, anticoagulation for AF) chronically underprescribed post-stroke

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

ACE 229F10 242F2 238HMGCR 188ITGB3 15P2RY12 204PCSK9 170PTGS1 281
Therapeutic Agent Effect Direction Evidence Tier Potency Source
SALVIANOLIC ACID B ? unclear Mechanistic
CANDOXATRIL ? unclear Mechanistic
CILAZAPRIL ↓ inhibits Mechanistic
TP0556351 ↓ inhibits Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
SILDENAFIL ? unclear Mechanistic
GEMFIBROZIL ? unclear Mechanistic
RESCINNAMINE ? unclear Mechanistic
SPIRAPRIL ? unclear Mechanistic
INDOMETHACIN ? unclear Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
ARGIPRESSIN ? unclear Mechanistic
METOPROLOL ? unclear Mechanistic
DELAPRIL ↓ inhibits Mechanistic
ACETYLCHOLINE ? unclear Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
IMIDAPRIL ↓ inhibits Mechanistic
MALATHION ↓ inhibits Mechanistic
MOEXIPRIL ? unclear Mechanistic 56.0 nM (IC50)
VORINOSTAT ? unclear Mechanistic
ILEPATRIL ↓ inhibits Mechanistic
RXP470.1 ↓ inhibits Mechanistic
CGS-27023A ? unclear Mechanistic
NITROPRUSSIDE ? unclear Mechanistic
ENALAPRILAT ANHYDROUS ↓ inhibits Mechanistic 1.2 nM (IC50)
TORSEMIDE ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
FOSINOPRIL ? unclear Mechanistic
FUROSEMIDE ? unclear Mechanistic
TEMOCAPRIL HYDROCHLORIDE ? unclear Mechanistic
BENAZEPRIL HYDROCHLORIDE ↓ inhibits Mechanistic
CARBARIL ↓ inhibits Mechanistic
BUPROPION HYDROCHLORIDE ? unclear Mechanistic
QUINAPRIL ? unclear Mechanistic 8.3 nM (IC50)
COMPOUND 1 [PMID: 24900526] ↓ inhibits Mechanistic
COMPOUND 20 [PMID: 22153340] ↓ inhibits Mechanistic
BUMETANIDE ? unclear Mechanistic
GALLOPAMIL ? unclear Mechanistic
FLUOXETINE HYDROCHLORIDE ? unclear Mechanistic
AZD6605 ↓ inhibits Mechanistic

Showing top 40 of 229 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
FACTOR IX ? unclear Mechanistic
SSR-126517E ? unclear Mechanistic
COAGULATION FACTOR IX ? unclear Mechanistic
COAGULATION FACTOR X HUMAN ? unclear Mechanistic
LETAXABAN ? unclear Mechanistic
IDRAPARINUX ? unclear Mechanistic
COAGULATION FACTOR X, HUMAN ? unclear Mechanistic
NADROPARIN CALCIUM ? unclear Mechanistic
EDOXABAN ↓ inhibits Mechanistic
RIVAROXABAN ↓ inhibits Mechanistic
THROMBIN ? unclear Mechanistic
LY-517717 ? unclear Mechanistic
SR-123781A ? unclear Mechanistic
ERIBAXABAN ↓ inhibits Mechanistic
TRIMETHOPRIM/SULFADOXINE ? unclear Mechanistic
HEPARIN ? unclear Mechanistic
APIXABAN ↓ inhibits Mechanistic
MANGIFERIN HEPTASULFATE ? unclear Mechanistic
DX-9065A ↓ inhibits Mechanistic
COAGULATION FACTOR VIIA ? unclear Mechanistic
EDOXABAN TOSYLATE ↓ inhibits Mechanistic
TANOGITRAN ? unclear Mechanistic
2-O, 3-O DESULFATED HEPARIN ? unclear Mechanistic
BAY 3389934 ↓ inhibits Mechanistic
FACTOR VIII ? unclear Mechanistic
SEMULOPARIN ? unclear Mechanistic
IDRABIOTAPARINUX SODIUM ↓ inhibits Mechanistic
ANDEXANET ALFA ? unclear Mechanistic
BEMIPARIN ↓ inhibits Mechanistic
VITAMIN K3 ? unclear Mechanistic
DAREXABAN ↓ inhibits Mechanistic
ANTITHROMBIN III ? unclear Mechanistic
FONDAPARINUX ? unclear Mechanistic
PROTHROMBIN COMPLEX CONCENTRATE ? unclear Mechanistic
DANAPAROID ? unclear Mechanistic
GW-813893 ? unclear Mechanistic
IDRAPARINUX SODIUM ↓ inhibits Mechanistic
BETRIXABAN ↓ inhibits Mechanistic
NONACOG ALFA ? unclear Mechanistic
EP-217609 ? unclear Mechanistic

Showing top 40 of 242 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
DESIRUDIN ↓ inhibits Mechanistic
BIVALIRUDIN ↓ inhibits Mechanistic
TAMOXIFEN ? unclear Mechanistic
PEGMUSIRUDIN ? unclear Mechanistic
FLOVAGATRAN ? unclear Mechanistic
ANISINDIONE ? unclear Mechanistic
HEPARIN ? unclear Mechanistic
CATECHIN ? unclear Mechanistic
DABIGATRAN ↓ inhibits Mechanistic
DABIGATRAN ETEXILATE MESYLATE ↓ inhibits Mechanistic
QUERCETIN ? unclear Mechanistic
ODIPARCIL ? unclear Mechanistic
DPOC-4088 ? unclear Mechanistic
LUSUTROMBOPAG ? unclear Mechanistic
ICHORCUMAB ↓ inhibits Mechanistic
PYRIDOXAL PHOSPHATE ANHYDROUS ? unclear Mechanistic
BORTEZOMIB ? unclear Mechanistic 13000.0 nM (Ki)
ANTITHROMBIN ALFA ↓ inhibits Mechanistic
SR-123781A ? unclear Mechanistic
ENOXAPARIN SODIUM ? unclear Mechanistic
CYANIDIN ? unclear Mechanistic
CHEMBL:CHEMBL586628 ? unclear Mechanistic
AZD-8165 ? unclear Mechanistic
STAUROSPORINE ↓ inhibits Mechanistic
AVATROMBOPAG ? unclear Mechanistic
HIRUDIN ? unclear Mechanistic
CYANIN ? unclear Mechanistic
COMPOUND 2C [PMID: 24900538] ↓ inhibits Mechanistic
SILIBININ ? unclear Mechanistic
EP-217609 ? unclear Mechanistic
APRAMIDE A ? unclear Mechanistic
EPICATECHIN ? unclear Mechanistic
ARGATROBAN ↓ inhibits Mechanistic
MELAGATRAN ? unclear Mechanistic 4700.0 nM (IC50)
ATECEGATRAN METOXIL ↓ inhibits Mechanistic
ASPIRIN TRELAMINE ? unclear Mechanistic
VITAMIN K3 ? unclear Mechanistic
XIMELAGATRAN ↓ inhibits Mechanistic
CHEMBL:CHEMBL1083499 ? unclear Mechanistic
DABIGATRAN ETEXILATE ? unclear Mechanistic

Showing top 40 of 238 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
LOVASTATIN ↓ inhibits Mechanistic 37.0 nM (IC50)
SIMVASTATIN ↓ inhibits Mechanistic 2.6 nM (Ki)
ROSUVASTATIN ↓ inhibits Mechanistic 0.9 nM (Ki)
ATORVASTATIN CALCIUM TRIHYDRATE ↓ inhibits Mechanistic
FLUVASTATIN ↓ inhibits Mechanistic 28.0 nM (IC50)
PRAVASTATIN SODIUM ↓ inhibits Mechanistic 1370.0 nM (IC50)
CERIVASTATIN SODIUM ↓ inhibits Mechanistic
PITAVASTATIN CALCIUM ↓ inhibits Mechanistic
PITAVASTATIN ? unclear Mechanistic
TOCOTRIENOLS ? unclear Mechanistic
CRILVASTATIN ? unclear Mechanistic
ASPIRIN ? unclear Mechanistic
PITAVASTATIN MAGNESIUM ↓ inhibits Mechanistic
PITAVASTATIN SODIUM ↓ inhibits Mechanistic
CERIVASTATIN ? unclear Mechanistic 10.0 nM (IC50)
LAROPIPRANT ? unclear Mechanistic
TERIFLUNOMIDE ? unclear Mechanistic
HMG-COA REDUCTASE INHIBITOR ? unclear Mechanistic
PRAVASTATIN ? unclear Mechanistic 30.0 nM (IC50)
ROSUVASTATIN CALCIUM ? unclear Mechanistic
ATORVASTATIN CALCIUM ? unclear Mechanistic
ATORVASTATIN ? unclear Mechanistic 6.0 nM (IC50)
FLUVASTATIN SODIUM ? unclear Mechanistic
CHEMBL39102 ↓ inhibits Mechanistic 16.0 nM (Ki)
CHEMBL39312 ↓ inhibits Mechanistic 3.0 nM (Ki)
CHEMBL175236 ↓ inhibits Mechanistic 29.0 nM (IC50)
CHEMBL115307 ↓ inhibits Mechanistic 1400.0 nM (IC50)
CHEMBL487720 ↓ inhibits Mechanistic 12.0 nM (IC50)
CHEMBL323880 ↓ inhibits Mechanistic 2220.0 nM (IC50)
CHEMBL11804 ↓ inhibits Mechanistic 3000.0 nM (IC50)
CHEMBL11891 ↓ inhibits Mechanistic 1720.0 nM (IC50)
CHEMBL276717 ↓ inhibits Mechanistic 1290.0 nM (IC50)
CHEMBL162642 ↓ inhibits Mechanistic 0.014 nM (IC50)
CHEMBL159951 ↓ inhibits Mechanistic 0.018 nM (IC50)
CHEMBL345375 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL159103 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL2375156 ↓ inhibits Mechanistic 0.83 nM (IC50)
CHEMBL163277 ↓ inhibits Mechanistic 0.27 nM (IC50)
CHEMBL2375155 ↓ inhibits Mechanistic 0.106 nM (IC50)
CHEMBL160102 ↓ inhibits Mechanistic 0.05 nM (IC50)

Showing top 40 of 188 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
EPTIFIBATIDE ↓ inhibits Mechanistic
ATN-161 ↓ inhibits Mechanistic
ABCIXIMAB ↓ inhibits Mechanistic
CYPATE ? unclear Mechanistic
INTETUMUMAB ↓ inhibits Mechanistic
INTEGRIN RECEPTOR ANTAGONIST GLPG0187 ? unclear Mechanistic
ZALUNFIBAN ↓ inhibits Mechanistic
CILENGITIDE ↓ inhibits Mechanistic
ANTI-THYMOCYTE GLOBULIN ? unclear Mechanistic
TIROFIBAN HYDROCHLORIDE ↓ inhibits Mechanistic
ABITUZUMAB ↓ inhibits Mechanistic
TIROFIBAN ? unclear Mechanistic
GANTOFIBAN ? unclear Mechanistic
ETARACIZUMAB ↓ inhibits Mechanistic
TADOCIZUMAB ↓ inhibits Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
COMPOUND 4 [PMID: 23083103] ↓ inhibits Mechanistic
CLOPIDOGREL HYDROCHLORIDE ↓ inhibits Mechanistic
MC-1 ? unclear Mechanistic
PRASUGREL ? unclear Mechanistic
2MESADP ↑ activates Mechanistic
TREPROSTINIL ? unclear Mechanistic
COMPOUND 58L [PMID: 30843696] ↓ inhibits Mechanistic
CLOPIDOGREL ? unclear Mechanistic
TICAGRELOR ↓ inhibits Mechanistic 1.995 nM (Ki)
AZD1283 ↓ inhibits Mechanistic
AR-C67085 ↓ inhibits Mechanistic
R-138727 ↓ inhibits Mechanistic
CLOPIDOGREL HYDROBROMIDE ↓ inhibits Mechanistic
ADP ↑ activates Mechanistic
PSB-22219 ↓ inhibits Mechanistic
TICLOPIDINE ? unclear Mechanistic
REGRELOR DISODIUM ↓ inhibits Mechanistic
BX 667 ↓ inhibits Mechanistic
CYTARABINE ? unclear Mechanistic
PRASUGREL BESYLATE ↓ inhibits Mechanistic
[3H]PSB-22219 ↓ inhibits Mechanistic
CANGRELOR TETRASODIUM ↓ inhibits Mechanistic
CLOPIDOGREL (ACTIVE METABOLITE) ↓ inhibits Mechanistic
[3H]AZ12464237 ↓ inhibits Mechanistic
INS49266 ↓ inhibits Mechanistic
PSB-0739 ↓ inhibits Mechanistic
[3H]PSB-0413 ↓ inhibits Mechanistic
CLOPIDOGREL BISULFATE ↓ inhibits Mechanistic
2MESAMP ↓ inhibits Mechanistic
ELINOGREL ↓ inhibits Mechanistic
TICLOPIDINE HYDROCHLORIDE ↓ inhibits Mechanistic
COMPOUND 20O [PMID: 22984835] ↓ inhibits Mechanistic
CANGRELOR ↓ inhibits Mechanistic 0.4 nM (IC50)
BX 048 ↓ inhibits Mechanistic
ADP&BETA;S ↑ activates Mechanistic
PCMBS ↓ inhibits Mechanistic
REGRELOR ↓ inhibits Mechanistic 16.0 nM (IC50)
COMPOUND 4 [PMID: 22984835] ↓ inhibits Mechanistic
PRASUGREL HYDROCHLORIDE ↓ inhibits Mechanistic
SELATOGREL ↓ inhibits Mechanistic

Showing top 40 of 204 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ALIROCUMAB ↓ inhibits Mechanistic
ONGERICIMAB ↓ inhibits Mechanistic
TAFOLECIMAB ↓ inhibits Mechanistic
LOMITAPIDE MESYLATE ? unclear Mechanistic
EVOLOCUMAB ↓ inhibits Mechanistic
RG-7652 ↓ inhibits Mechanistic
BOCOCIZUMAB ↓ inhibits Mechanistic
FROVOCIMAB ? unclear Mechanistic
RALPANCIZUMAB ↓ inhibits Mechanistic
LERODALCIBEP ↓ inhibits Mechanistic
INCLISIRAN ? unclear Mechanistic
INCLISIRAN SODIUM ? unclear Mechanistic
DIPHENYL BORINIC ACID ↓ inhibits Mechanistic 30000.0 nM (Ki)
PHENYL BUTYL BORINIC ACID ↓ inhibits Mechanistic 1000.0 nM (Ki)
CHEMBL4107804 ↓ inhibits Mechanistic 3200.0 nM (IC50)
CHEMBL4107907 ↓ inhibits Mechanistic 1700.0 nM (IC50)
CHEMBL4114159 ↓ inhibits Mechanistic 800.0 nM (IC50)
CHEMBL4108338 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4107714 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4110311 ↓ inhibits Mechanistic 9500.0 nM (IC50)
CHEMBL4107559 ↓ inhibits Mechanistic 1800.0 nM (IC50)
CHEMBL4114106 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4109097 ↓ inhibits Mechanistic 11700.0 nM (IC50)
CHEMBL4108330 ↓ inhibits Mechanistic 2300.0 nM (IC50)
CHEMBL4109114 ↓ inhibits Mechanistic 4500.0 nM (IC50)
CHEMBL3961039 ↓ inhibits Mechanistic 7300.0 nM (IC50)
CHEMBL4112247 ↓ inhibits Mechanistic 10700.0 nM (IC50)
CHEMBL4109308 ↓ inhibits Mechanistic 800.0 nM (IC50)
CHEMBL4109014 ↓ inhibits Mechanistic 11820.0 nM (IC50)
CHEMBL4108567 ↓ inhibits Mechanistic 3800.0 nM (IC50)
CHEMBL4111131 ↓ inhibits Mechanistic 18000.0 nM (IC50)
CHEMBL4115372 ↓ inhibits Mechanistic 1700.0 nM (IC50)
CHEMBL4106481 ↓ inhibits Mechanistic 3050.0 nM (IC50)
CHEMBL4108186 ↓ inhibits Mechanistic 5610.0 nM (IC50)
CHEMBL4115360 ↓ inhibits Mechanistic 5800.0 nM (IC50)
CHEMBL4114503 ↓ inhibits Mechanistic 25300.0 nM (IC50)
CHEMBL4108540 ↓ inhibits Mechanistic 2970.0 nM (IC50)
CHEMBL4109409 ↓ inhibits Mechanistic 5750.0 nM (IC50)
CHEMBL4109932 ↓ inhibits Mechanistic 14300.0 nM (IC50)
CHEMBL4106569 ↓ inhibits Mechanistic 16800.0 nM (IC50)

Showing top 40 of 170 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CURCUMIN PYRAZOLE ? unclear Mechanistic
BROMFENAC ↓ inhibits Mechanistic
FLURBIPROFEN ↓ inhibits Mechanistic
DIFLUNISAL ↓ inhibits Mechanistic
URSOLIC ACID ? unclear Mechanistic
NEPAFENAC ↓ inhibits Mechanistic
SALICYLIC ACID ? unclear Mechanistic
IBUPROFEN, SODIUM SALT ↓ inhibits Mechanistic
INDOMETHACIN SODIUM ↓ inhibits Mechanistic
NAPROXEN ETEMESIL ↓ inhibits Mechanistic
PIROXICAM-BETA-CYCLODEXTRIN ↓ inhibits Mechanistic
SUPROFEN ↓ inhibits Mechanistic
MECLOFENAMATE ↓ inhibits Mechanistic
NITRIC OXIDE-RELEASING ACETYLSALICYLIC ACID DERIVATIVE ? unclear Mechanistic
MEFENAMIC ACID ↓ inhibits Mechanistic
FENOPROFEN ↓ inhibits Mechanistic
PHENYLBUTAZONE ↓ inhibits Mechanistic
APAZONE ↓ inhibits Mechanistic
OXAPROZIN POTASSIUM ↓ inhibits Mechanistic
FENOPROFEN CALCIUM ↓ inhibits Mechanistic
ICOSAPENT ETHYL ? unclear Mechanistic
(S)-ARN2508 ↓ inhibits Mechanistic
SWE101 ↓ inhibits Mechanistic
MELOXICAM ↓ inhibits Mechanistic 2200.0 nM (IC50)
ISOXICAM ↓ inhibits Mechanistic
DICLOFENAC POTASSIUM ↓ inhibits Mechanistic
TEPOXALIN ↓ inhibits Mechanistic
IBUPROFEN LYSINE ↓ inhibits Mechanistic
ACEMETACIN ↓ inhibits Mechanistic
DERSALAZINE ? unclear Mechanistic
FK-881 ↓ inhibits Mechanistic
(R)-ARN2508 ↓ inhibits Mechanistic
OXAPROZIN ↓ inhibits Mechanistic
BENZYDAMINE HYDROCHLORIDE ↓ inhibits Mechanistic
ASPIRIN ↓ inhibits Mechanistic
OLSALAZINE SODIUM ↓ inhibits Mechanistic
KETOROLAC TROMETHAMINE ↓ inhibits Mechanistic
SALSALATE ? unclear Mechanistic
ANTIVIRAL AGENT ? unclear Mechanistic
LORNOXICAM ↓ inhibits Mechanistic

Showing top 40 of 281 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Stroke (Ischaemic / Cerebrovascular Disease): recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT07896941 Phase: 1/2 Started: 2024-09-30

1. To evaluate the safety and tolerability of CG-BM1 for the treatment of patients with Ischemic Stroke. 2. To observe the preliminary effectiveness of CG-BM1 in treating Ischemic Stroke patients.

NCT06987643 Phase: 2 Started: 2025-06-20

The purpose of this interventional study is to determine whether neflamapimod can improve residual physical disability and/or cognitive dysfunction after Moderate to Severe Acute Ischaemic Stroke.

NCT07361302 Phase: 3 Started: 2026-02-17

This study is open to adults who had an acute stroke caused by a clot blocking a blood vessel in the brain (acute ischemic stroke). This study is for people who had an acute stroke or woke up with a stroke and were last seen well more than 4.5 hours before joining the study. Participants need to hav...

NCT05976685 Phase: N/A Started: 2024-05-01

Atrial fibrillation (AF) is one of the most common cardiac arrhythmias and cardioembolic stroke due to AF is its major complication. Direct oral anticoagulants (DOAC) reduce the risk of cardioembolism in patients with AF. Despite DOAC therapy, there is a significant residual stroke risk of 1-2%/year...

NCT07454707 Phase: 3 Started: 2026-11

The overall aim of this research is to improve secondary stroke prevention for older patients with stroke. In current practice, patients with stroke are often prescribed antiplatelet therapy with either aspirin or clopidogrel to help prevent recurrent strokes. However, an antiplatelet medication may...

NCT07748039 Phase: 3 Started: 2026-10-16

Acute ischemic stroke caused by large vessel occlusion (LVO) is a major cause of disability, and mechanical thrombectomy (MT) has become the standard treatment for eligible patients. However, the optimal role of intravenous thrombolysis before MT remains uncertain. The TRACE-BRIDGE trial is a phase ...

NCT06101667 Phase: N/A Started: 2023-11-16

The aim of this study is to assess the efficacy and safety of endovascular treatment versus medical management in patients with acute basilar artery occlusion with extended time window of 24-72 hours from onset.

NCT06320431 Phase: 3 Started: 2024-09-26

This domain has a prospective, randomized, controlled, open-label, parallel group with blinded endpoint assessment (PROBE) design. Up to 4,000 patients with presumed acute ischemic stroke (AIS) will be followed for 90 days (or until death, if prior to 90 days). The end of the trial is defined as the...

NCT07687056 Phase: 3 Started: 2026-08-11

Study Design and Duration: This domain will be conducted as part of ACT-GLOBAL platform trial and will have the nested domain name of REACT. It has a prospective, randomised, controlled, open-label, parallel group with blinded endpoint assessment (PROBE) design of up to 1,500 subjects with Acute Isc...

NCT07828210 Phase: 4 Started: 2026-09-10

This is a randomized, controlled, open-label study of MLC901 (NeuroAiD™ II) in patients with mild to moderate ischemic stroke. Eligible participants will be randomized in a 1:1 ratio to receive MLC901 in combination with standard treatment or standard treatment alone for 12 weeks.

NCT07233070 Phase: 2 Started: 2025-10-31

This study plans to enroll a total of 208 patients with Acute Ischemic Stroke (AIS) who present within 4.5 to 24 hours of symptom onset and meet the specified imaging criteria.

NCT05948566 Phase: 2 Started: 2024-03-18

SISTER is a Phase-II, prospective, randomized, placebo-controlled, blinded, dose finding trial that aims to determine the safety and preliminary efficacy of TS23, a monoclonal antibody against the alpha-2 antiplasmin (a2-AP), in acute ischemic stroke.

NCT06446960 Phase: 3 Started: 2024-02-09

Central post-stroke pain (CPP) is extremely difficult to relieve and responds very poorly to analgesics targeting neuropathic pain, probably because the mechanisms underlying this pain remain poorly understood. Stroke pain is traditionally considered to be of central origin and related to changes in...

NCT07263308 Phase: 3 Started: 2025-12-18

This study is a prospective, multicenter, open-label, randomized controlled clinical trial. The investigators will apply albumin to the reperfusion treatment of patients with acute ischemic stroke in the anterior circulation. This study aims to verify the efficacy and safety of albumin combined with...

NCT07423975 Phase: 2 Started: 2026-04-08

The investigators initiated a multicenter, prospective, randomized, open label, blinded-endpoint (PROBE) controlled trial to explore the safety and efficacy of different dose of Anakinra compared to standard medical care for patients with acute ischemic stroke who have achieved successful recanaliza...


Agents Found By Disease-Level Search

Searched directly from “Stroke (Ischaemic / Cerebrovascular Disease)” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 8-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

38 agents shown (approved or with trial evidence) — 36 not found by the gene-target search above.

Rivaroxaban (Xarelto, BAY59-7939)NOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT01674647 NCT00494871

Prevent Return of StrokeNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT01027273 NCT01027273

Dietary and nutritional modificationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00486993

Stop smokingNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00486993

Regular physical activitiesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00486993

Weight reduction to normal rangesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00486993

Regular intake of polyphenols, esp. from Ilex paraguayensisNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00486993

Submaximal balloon angioplastyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06763458

PAVE (Parallactic Visual-Field Enhancement) treatment using a virtual reality head mounted displayNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07185971

Combined groupNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06000644

Rhythmic groupNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06000644

Treadmill groupNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06000644

Active Biophoton GeneratorsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05898334

Inactive Biophoton GeneratorsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05898334

Individualized BP loweringNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02982655

Vitamin D3NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02996721

Rev-01NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01895634

Intervention groupNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03916133

PG2NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01325233

Vitamin K antagonist (VKA)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01674647

DexmedetomidineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06139692

MidazolamNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06139692

Brain-computer interfaceNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06503484

GXNPC1NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04088149

Optimal medical therapy aloneNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02841098

Arm Boot CampNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04232163

Apixaban

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT06953726

Rivaroxaban

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT06953726

Task model (CogWatch)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04044911

Mechanical thrombectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05326932

Tenecteplase (0.25mg/kg)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07047014

Standard medical treatmentNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07047014

Luna EMGNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04497545

lower limb rotorNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04497545

Transcranial Tissue Doppler (TCTD)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04405128

Minimally invasive hematoma evacuationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04434807

WarfarinNOT in gene-target list

Phase 3 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT00494871

Rivaroxaban placeboNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00494871

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.