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Efficacy of Alteplase in a Mouse Model of Acute Ischemic Stroke: A Retrospective Pooled Analysis

BACKGROUND AND PURPOSE—The debate over the fact that experimental drugs proposed for the treatment of stroke fail in the translation to the clinical situation has attracted considerable attention in the literature. In this context, we present a retrospective pooled analysis of a large data set from...

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Published in:Stroke (1970) 2016-05, Vol.47 (5), p.1312-1318
Main Authors: Orset, Cyrille, Haelewyn, Benoit, Allan, Stuart M, Ansar, Saema, Campos, Francesco, Cho, Tae Hee, Durand, Anne, El Amki, Mohamad, Fatar, Marc, Garcia-Yébenes, Isaac, Gauberti, Maxime, Grudzenski, Saskia, Lizasoain, Ignacio, Lo, Eng, Macrez, Richard, Margaill, Isabelle, Maysami, Samaneh, Meairs, Stephen, Nighoghossian, Norbert, Orbe, Josune, Paramo, Jose Antonio, Parienti, Jean-Jacques, Rothwell, Nancy J, Rubio, Marina, Waeber, Christian, Young, Alan R, Touzé, Emmanuel, Vivien, Denis
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Language:English
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Summary:BACKGROUND AND PURPOSE—The debate over the fact that experimental drugs proposed for the treatment of stroke fail in the translation to the clinical situation has attracted considerable attention in the literature. In this context, we present a retrospective pooled analysis of a large data set from preclinical studies, to examine the effects of early versus late administration of intravenous recombinant tissue-type plasminogen activator. METHODS—We collected data from 26 individual studies from 9 international centers (13 researchers; 716 animals) that compared recombinant tissue-type plasminogen activator with controls, in a unique mouse model of thromboembolic stroke induced by an in situ injection of thrombin into the middle cerebral artery. Studies were classified into early (
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.116.012238