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Acute Ischemic StrokePhase 2NCT07392450

A Study of TAK-755 in Adults With Acute Ischemic Stroke

A Phase 2 study testing TAK-755 in people with Acute Ischemic Stroke, run by Takeda at 60 sites in 10 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

Acute ischemic stroke (AIS) is a medical emergency that happens because of a sudden stop of blood flow to a part of the brain. This happens when a blood clot forms within the vessel (known as thrombotic occlusion) or a clot originating from somewhere else blocks a blood vessel (known as embolic occlusion). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Ischemic Stroke
What is being tested?
TAK-755
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
222 participants
Where
60 sitesin 10 countries
Study dates
17 May 2026to 6 Dec 2027
Phase
Phase 2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed Consent:
  • The participant or legally authorized representative has provided informed consent or deferred consent eligibility confirmed before the initiation of any trial procedures.
  • Age:
  • greater than and equal to (>=) 18 years of age, inclusive, at the time of signing the Informed Consent Form (ICF) or confirmation of deferred consent eligibility.
  • Clinical Characteristics:
  • Clinical diagnosis of AIS.
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  • Onset of stroke symptoms within 24 hours of randomization. Wake-up strokes may be included if Last Known Well is within 24 hours of randomization; time of onset will be considered the time of Last Known Well.
  • National Institutes of Health Stroke Scale score of 5 to 25, indicating moderate to severe stroke. Participants with an NIHSS score of 5 are eligible only if at least 1 predefined disabling neurological deficit is present, as defined by one or more of the following
  • NIHSS criteria:
  • Complete hemianopia (NIHSS visual score >=2).
  • Aphasia impairing meaningful communication (NIHSS language score >=2).
  • Motor deficit with inability to sustain effort against gravity (NIHSS left or right motor arm or leg score >=2).
  • Estimated Modified Rankin Scale score less than (<) 2 prior to AIS presentation, signifying no significant disability.
  • Persistent neurological signs and symptoms consistent with unilateral supratentorial circulation stroke.
  • Imaging:
  • Evidence of causative AIS occlusions affecting supratentorial circulation on imaging (intracranial internal carotid artery [ICA], middle cerebral artery [MCA; M1 - M4], anterior cerebral artery [ACA; A1 - A3], posterior cerebral artery [PCA; P1 - P3]).
  • Evidence of salvageable brain tissue on CT or MR imaging.

Who cannot join

  • Medical History:
  • Weight >130 kilograms (kg) or <40 kg.
  • History of severe traumatic brain injury in the past 90 days.
  • History of intracranial hemorrhage.
  • History of intracranial neoplasm except for small meningioma.
  • History of prior stroke in the past 90 days.
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  • History of intracranial or intraspinal surgery within the past 90 days.
  • Major surgery or severe trauma in the past 14 days.
  • History of cerebral amyloid angiopathy.
  • Recent history of active systemic malignancy within the last 5 years, except for locally excised basal cell or squamous cell skin carcinoma with clear margins.
  • Diagnosis of serious, advanced, or terminal illness with anticipated life expectancy of less than 1 year.
  • Participation in other interventional clinical trials within the previous 90 days.
  • Known life-threatening hypersensitivity reaction to TAK-755 or its components.
  • Any prior administration of TAK-755.
  • Administration of caplacizumab in the past 30 days.
  • Administration of von Willebrand factor-containing products in the past 14 days.
  • Baseline conditions (prior to the index AIS event) that prevent an understanding of the nature, scope, and possible consequences of the trial, in the judgment of the investigator.
  • Current Stroke Management:
  • Any prior administration (intravenous or intra-arterial) of alteplase or tenecteplase for the index AIS event, as well as any prior administration of prourokinase or reteplase for the index AIS event in countries where approved.
  • Eligible for administration of intravenous thrombolysis (alteplase or tenecteplase, as well as prourokinase or reteplase in countries where approved) for the index AIS event, based on the site's standard clinical guidelines and direct availability.
  • Intent to proceed with endovascular thrombectomy (EVT) for the index AIS event based on eligibility and direct availability.
  • Seizure at time of index AIS event onset, only if it precludes accurate assessment of baseline NIHSS.
  • Persistent blood pressure elevation (systolic >=185 millimeters of mercury [mmHg] or diastolic >=110 mm Hg) prior to randomization.
  • Blood glucose <50 milligrams per deciliter (mg/dL) or >400 mg/dL.
  • Current Medical Conditions:
  • Active, uncontrolled bleeding.
  • Bleeding diathesis or any other conditions that would pose significant bleeding risk.
  • Inability to undergo MRI or CT.
  • Chronic causative intracranial occlusion.
  • Causative total occlusion of the extracranial ICA.
  • Evidence of septic emboli or bacterial endocarditis.
  • Another clinically significant concomitant disease that may pose additional risks for the participant in the opinion of the investigator.
  • Pregnancy, lactation, or unable to comply with birth control methods or abstinence as specified in the protocol in the opinion of the investigator.
  • Imaging:
  • Poor quality imaging that precludes interpretation according to trial protocol.
  • Evidence of significant intracranial mass effect or midline shift.
  • Evidence of acute occlusion in >1 vascular territory (right/left MCA, right/left ACA, right/left PCA); multiple occlusions within the same vascular territory are allowed.
  • Evidence of acute or chronic intracranial hemorrhage (presence of chronic cerebral microbleeds on magnetic resonance imaging [MRI]) T2*-weighted type sequence (such as gradient recalled echo [GRE] or susceptibility weighted imaging [SWI]) is not exclusionary if total <10 and not consistent with diagnosis of cerebral amyloid angiopathy).
  • Evidence of extensive early ischemic change estimated to be greater than one-third of the middle cerebral artery territory or evidence of well-demarcated hypoattenuation on computed tomography (CT), if performed, consistent with established infarction and judged by the investigator to correspond to the clinical symptoms of the index AIS.
  • Evidence of intracranial tumor (except incidental, small meningioma), cerebral aneurysm, or arteriovenous malformation.
  • Laboratory:
  • Platelet count <50,000/ cubic millimeters (mm^3).
  • Other:
  • Identification by the investigator as being potentially unable or unwilling to cooperate with trial procedures.

Trial locations and contacts

60 sites in 10 countries. Contact the study team or a site near you to ask about taking part.

60 sites in 10 countries

United States9 sites, 9 recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Site Contact, 857-238-5644, wtkimberly@mgh.harvard.edu

    W. Taylor Kimberly

    Not yet recruiting
  • University at Buffalo

    Buffalo, New York, 14202

    Site Contact, 716-829-5046, marilouching@aol.com

    Marilou Ching

    Not yet recruiting
  • HCA Houston Healthcare - North Cypress

    Cypress, Texas, 77429

    Site Contact, 330-503-8301, Sushrut.Dharmadhikari@hcahealthcare.com

    Sushrut Dharmadhikari

    Not yet recruiting
  • Neurology Consultants of Dallas, PA

    Dallas, Texas, 75243

    Site Contact, 214-750-9977, rcheung@neurologydallas.com

    Ryan Cheung

    Not yet recruiting
  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

    Site Contact, 615-875-0406, m.froehler@vanderbilt.edu

    Michael Froehler

    Not yet recruiting
  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

    Site Contact, 412-647-8071, bhattnr@upmc.edu

    Nirav Bhatt

    Not yet recruiting
  • University of California San Francisco

    San Francisco, California, 94143

    Site Contact, 415-364-8649, anthony.kim@ucsf.edu

    Anthony Kim

    Not yet recruiting
  • HonorHealth Neurology

    Scottsdale, Arizona, 85251

    Site Contact, 480-583-0192, ashutosh.jadhav@barrowbrainandspine.com

    Ashutosh Jadhav

    Recruiting
  • University of Arizona

    Tucson, Arizona, 85724

    Site Contact, 203-314-6767, firaskaddouh@arizona.edu

    Firas Kaddouh

    Not yet recruiting

Other trials in United States

China8 sites, 8 recruiting
  • Beijing Tiantan Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100070

    Site Contact, 86 15710088948, yongjunwang111@aliyun.com

    Yongjun Wang

    Recruiting
  • Sinopharm Tongmei General Hospital

    Datong, Shanxi, 037000

    Site Contact, 86 13753265757, wjh1964@sohu.com

    Junhai Wang

    Recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Site Contact, 86 18560082121, wuwei7172@126.com

    Wei Wu

    Recruiting
  • Liaocheng People's Hospital

    Liaocheng, Shandong, 252000

    Site Contact, 86 13396258699, guodonglc8699@163.com

    Dong Guo

    Recruiting
  • Linfen Central Hospital

    Linfen, Shanxi, 041099

    Site Contact, 86 15935767592, daihongguo3199@163.com

    Hongguo Dai

    Recruiting
  • Linyi People's Hospital

    Linyi, Shandong, 276000

    Site Contact, 86 13954993801, wzr0806@163.com

    Ziran Wang

    Recruiting
  • Nanshi Hospital of Nanyang

    Nanyang, Henan, 473003

    Site Contact, 86 13525181800, 2207988910@qq.com

    Xiaohua Xiao

    Recruiting
  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou, Jiangsu, 221000

    Site Contact, 86 18052268195, xyfychengyanbo@163.com

    Yanbo Cheng

    Recruiting

Other trials in China

Brazil7 sites, 7 recruiting
  • Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Medicina Campus de Botucatu

    Botucatu, São Paulo, 18618-687

    Site Contact, 55 14 981157727, bazanr@fmb.unesp.br

    Rodrigo Bazan

    Not yet recruiting
  • Universidade Estadual de Campinas (UNICAMP)

    Campinas, São Paulo, 13083-888

    Site Contact, 55 19 35218242, Wagner.avelar@gmail.com

    Wagner Mauad Avelar

    Not yet recruiting
  • Porto Alegre Clinical Hospital (HCPA)

    Porto Alegre, Rio Grande do Sul, 90035-903

    Site Contact, 55 51 999628467, scmartins@hcpa.edu.br

    Sheila Cristina Ouriques Martins

    Not yet recruiting
  • Hospital Moinhos de Vento

    Porto Alegre, Rio Grande do Sul, 90560-032

    Site Contact, 55 51 999584631, leonardo.carbonera@hmv.org.br

    Leonardo Augusto Carbonera

    Recruiting
  • Hospital Das Clinicas da Faculdade de Medicina de Ribeirao Preto - Universidade de Sao Paulo

    Ribeirão Preto, São Paulo, 14048-900

    Site Contact, 55 16 997815464, opontesneto@fmrp.usp.br

    Octavio Marques Pontes-Neto

    Not yet recruiting
  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto

    São José do Rio Preto, São Paulo, 15090-000

    Site Contact, 55 17 32015054, marianabattaglini81@gmail.com

    Mariana Neves Marques Battaglini

    Not yet recruiting
  • Hospital Sao Paulo / Escola Paulista de Medicina da Universidade Federal de Sao Paulo (EPM/UNIFESP)

    São Paulo, São Paulo, 04022-001

    Site Contact, 55 11 983580583, giselesampaio@hotmail.com

    Gisele Sampaio Silva

    Not yet recruiting

Other trials in Brazil

Germany7 sites, 7 recruiting
  • Charite Universitatsmedizin Berlin

    Berlin, 12203

    Site Contact, 49 30450660843, jan.scheitz@charite.de

    Jan Scheitz

    Not yet recruiting
  • Technische Universitaet Dresden-Universitaetsklinikum Carl Gustav Carus

    Dresden, Saxony, 01307

    Site Contact, 49 35145819692, martin.arndt@ukdd.de

    Martin Arndt

    Not yet recruiting
  • Goethe-Universitaet-Universitaetsmedizin Frankfurt-Zentrum der Neurologie und Neurochirurgie (ZNN)

    Frankfurt am Main, Hesse, 60590

    Site Contact, 49 69630187745, janhendrik.schaefer@kgu.de

    Jan Hendrick Schaefer

    Not yet recruiting
  • Universitaetsmedizin Goettingen

    Göttingen, Lower Saxony, 37075

    Site Contact, 49 5513965628, ilko.maier@med.uni-goettingen.de

    Ilko Maier

    Not yet recruiting
  • Universitaetsklinikum Heidelberg (UKHD)

    Heidelberg, Baden-Wurttemberg, 69120

    Site Contact, 49 6221566999, jan.purrucker@med.uni-heidelberg.de

    Jan Purrucker

    Not yet recruiting
  • Klinikum Ernst von Bergmann

    Potsdam, Brandenburg, 14467

    Site Contact, 49 33124137118, andrea.rocco@klinikumevb.de

    Andrea Rocco

    Not yet recruiting
  • Universitaetsklinikum Tuebingen

    Tübingen, Baden-Wurttemberg, 72076

    Site Contact, 49 70712968293, annerose.mengel@med.uni-tuebingen.de

    Annerose Mengel

    Not yet recruiting

Other trials in Germany

Belgium5 sites, 5 recruiting
  • Ziekenhuis Oost-Limburg

    Genk, Limburg, 3600

    Site Contact, 32 89 804022, sam.vanboxstael@zol.be

    Sam Van Boxstael

    Not yet recruiting
  • Universitair Ziekenhuis Gent (Belgium,Ghent)

    Ghent, Oost-Vlaanderen, 9000

    Site Contact, 32 9 3324529, dimitri.hemelsoet@ugent.be

    Dimitri Hemelsoet

    Not yet recruiting
  • AZ Groeninge

    Kortrijk, WVL, 8500

    Site Contact, 32 473725381, peter.vanacker@uza.be

    Peter Vanacker

    Not yet recruiting
  • Centre Hospitalier Universitaire (CHU) de Liege - Domaine Universitaire du Sart Tilman

    Liège, 4000

    Site Contact, 32 43234049, jly@chuliege.be

    Julien Ly

    Not yet recruiting
  • Groupe sante CHC - Clinique du MontLegia

    Liège, 4000

    Site Contact, 32 4 3554030, philippe.desfontaines@chc.be

    Philippe Desfontaines

    Not yet recruiting

Other trials in Belgium

France5 sites, 5 recruiting
  • CHU Bordeaux, CHU Pellegrin

    Bordeaux, Aquitaine, 33076

    Site Contact, 33 0557820957, igor.sibon@chu-bordeaux.fr

    Igor Sibon

    Not yet recruiting
  • Assistance Publique-Hopitaux de Paris (AP-HP) - Hopital Raymond-Poincare

    Garches, IDF, 92380

    Site Contact, 33 0147107234, sandrine.deltour@aphp.fr

    Sandrine Deltour Bouard

    Not yet recruiting
  • Bicetre Hospital

    Le Kremlin-Bicêtre, IDF, 94270

    Site Contact, 33 014522403, christian.denier@bct.aphp.fr

    Christian Denier

    Not yet recruiting
  • Groupe Hospitalier Bichat Claude Bernard

    Paris, IDF, 75018

    Site Contact, 33 0621661391, elena.meseguer@aphp.fr

    Elena Meseguer

    Not yet recruiting
  • Hopital Lariboisiere

    Paris, IDF, 78600

    Site Contact, 33 0603347303, mikael.mazighi@aphp.fr

    Mikael Mazighi

    Not yet recruiting

Other trials in France

India5 sites, 5 recruiting
  • AES - AS - KLES Dr Prabhakar Kore Hospital and Medical Research Centre

    Belagavi, Karnataka, 590010

    Site Contact, 91 9448468474, sarojaao2002@gmail.com

    Aralikatte Saroja

    Not yet recruiting
  • Amrita Institute Of Medical Sciences and Research Centre

    Kochi, Kerala, 682041

    Site Contact, 91 8921485541, dr.vivek.in@gmail.com

    Vivek Nambiar

    Not yet recruiting
  • Bangur Institute of Neurosciences

    Kolkata, West Bengal, 700020

    Site Contact, 91 9433185327, biman.kanti@rediffmail.com

    Biman Kanti Ray

    Not yet recruiting
  • Christian Medical College, Ludhianana

    Ludhiana, Punjab, 141008

    Site Contact, 91 9915784750, ivy29cmc@gmail.com

    Ivy Anne Sebastian

    Not yet recruiting
  • All India Institute of Medical Sciences, New Delhi, Department of Neurology

    New Delhi, 110029

    Site Contact, 91 8193900444, ayushthetaurian@gmail.com

    Ayush Agarwal

    Not yet recruiting

Other trials in India

Japan5 sites, 5 recruiting
  • Saiseikai Fukuoka General Hospital

    Fukuoka, Fukuoka, 810-0001

    Site Contact, 81 927718151, kazutaka.sonoda@gmail.com

    Kazutaka Sonoda

    Recruiting
  • Fukuoka Wajiro Hospital

    Fukuoka, Fukuoka, 811-0213

    Site Contact, 81 926080001, fukuyama.wajiro.chiken@f-wajirohp.jp

    Kozo Fukuyama

    Recruiting
  • Rinku General Medical Center

    Izumisano, Osaka, 598-8577

    Site Contact, 81 724693111, yhagi@qf6.so-net.ne.jp

    Yasushi Hagihara

    Not yet recruiting
  • Nagano Municipal Hospital

    Nagano, Nagano, 381-8551

    Site Contact, 81 262951199, yoshikazu_kusano@hospital.nagano.jp

    Yoshikazu Kusano

    Recruiting
  • Kotobukikai Tominaga Hospital

    Osaka, Osaka, 556-0017

    Site Contact, 81 665681601, k.m.chiken2019@gmail.com

    Ko Matsuda

    Not yet recruiting

Other trials in Japan

United Kingdom5 sites, 5 recruiting
  • Aberdeen Royal Infirmary

    Cornhill, Aberdeen, AB25 2ZD

    Site Contact, 44 7771361243, m.j.macleod@abdn.ac.uk

    Mary Macleod

    Not yet recruiting
  • University of Glasgow - PPDS

    Glasgow, Lanarkshire, G4 0SF

    Site Contact, 44 7967340243, Terry.quinn@glasgow.ac.uk

    Terence Quinn

    Not yet recruiting
  • NHS Greater Glasgow and Clyde, Queen Elizabeth University Hospital

    Glasgow, Lanarkshire, G51 4TF

    Site Contact, 44 1414515892, amith.sitaram2@nhs.scot

    Amith Sitaram

    Not yet recruiting
  • Imperial College Healthcare NHS Trust, St. Mary's Hospital

    London, W2 1NY

    Site Contact, 44 2033115049, dheeraj.kalladka@nhs.net

    Dheeraj Kalladka

    Not yet recruiting
  • Bedfordshire Hospitals NHS Foundation Trust

    Luton, Bedfordshire, LU4 0DZ

    Site Contact, 44 1582497140, lakshmanan.sekaran@ldh.nhs.uk

    Sekaran Lakshmanan

    Not yet recruiting

Other trials in United Kingdom

Greece4 sites, 4 recruiting
  • University Hospital of Alexandroupolis

    Alexandroupoli, Evros, 68100

    Site Contact, 30 6972699035, vadikosm@yahoo.com

    Konstantinos Vadikolias

    Not yet recruiting
  • Athens Navy Hospital

    Athens, 11521

    Site Contact, 30 2107261148, michael_ioakeimidis@hotmail.com

    Michail Ioakeimidis

    Not yet recruiting
  • Second Department of Neurology, National and Kapodistrian University of Athens, "Attikon" University Hospital

    Chaïdári, Attica, 12462

    Site Contact, 30 6937178635, tsivgoulisgiorg@yahoo.gr

    Georgios Tsivgoulis

    Not yet recruiting
  • AHEPA University General Hospital of Thessaloniki

    Thessaloniki, 54636

    Site Contact, 30 6937037253, tkarapanayiotides@yahoo.gr

    Theodoros Karapanayiotides

    Not yet recruiting

Other trials in Greece

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety, Tolerability, and Efficacy of TAK-755 in Acute Ischemic Stroke

Acute ischemic stroke (AIS) is a medical emergency that happens because of a sudden stop of blood flow to a part of the brain. This happens when a blood clot forms within the vessel (known as thrombotic occlusion) or a clot originating from somewhere else blocks a blood vessel (known as embolic occlusion). Strokes can cause serious health problems, death, and affect one's quality of life. To reduce long-term damage, it is important to restore blood flow to the brain as soon as possible.

The main aim of this study is to check how safe TAK-755 is, and how well adults with AIS tolerate it. Other aims are to check how well TAK-755 helps participants to manage their everyday activities and to understand whether it helps reduce the seriousness of their stroke symptoms when compared to placebo. A placebo looks like TAK-755, but does not have any medicine in it, to make sure participants do not know which treatment they are taking.

The participants will receive TAK-755 or placebo once; afterwards, their health will be monitored for about 3 months (90 days). All participants, regardless of their assignment to either TAK-755 or placebo, will receive the usual treatment for AIS as per the hospital's normal practice.

Being tested
TAK-755, Placebo
Keywords
Drug therapy
Medical subject headings
Ischemic Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAK-755Biological

    Also called rADAMTS13

    TAK-755 IV infusion.

  • PlaceboOther

    TAK-755 matching placebo IV infusion.

Study groups in NCT07392450
Study groupRoleWhat they receive
Part A: TAK-755ExperimentalParticipants will receive a single intravenous (IV) infusion of TAK-755 on Day 1 of Part A. All participants will be followed for up to 90 days post treatment.
Receives: Biological: TAK-755
Part B: TAK-755ExperimentalParticipants will receive a single IV infusion of TAK-755 on Day 1 of Part B. All participants will be followed for up to 90 days post treatment.
Receives: Biological: TAK-755
Part A and B: PlaceboPlacebo comparatorParticipants will receive a single IV infusion of TAK-755 matching placebo on Day 1 of Parts A and B. All participants will be followed for up to 90 days post treatment.
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part A and B: Percentage of Participants who Develop Symptomatic Intracranial Hemorrhage (sICH) as Defined by the Heidelberg Bleeding Classification System

    The Heidelberg Bleeding Classification System is used to determine whether an Intracranial Hemorrhage (ICH) is symptomatic (sICH) or asymptomatic (aICH). It uses a structured 7-step approach that integrates imaging findings with clinical deterioration. This algorithm includes anatomic description of hemorrhage, adjudication of neurological deterioration, and relatedness between ICH and clinical deterioration. Percentage of participants who develop sICH will be reported.

    Measured: Up to 120 hours of study drug administration

Secondary outcomes (16)
  1. Part A: Percentage of Participants With Treatment-Related and Unrelated Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. A TEAE is defined as any event emerging or manifesting at or after the initiation of treatment with a trial intervention or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the trial intervention or medicinal product. An SAE is defined as any untoward medical occurrence that results in death or is life-threatening or requires inpatient hospitalization or results in significant disability/incapacity or is a congenital anomaly or meets the definitions of other medically significant events. Percentage of participants with TEAEs and SAEs will be reported.

    Measured: From start of study drug administration up to follow-up (up to 90 days)

  2. Part A: Percentage of Participants With Severe TEAEs

    A TEAE is defined as any event emerging or manifesting at or after the initiation of treatment with a trial intervention or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the trial intervention or medicinal product. A severe TEAE is a type of AE that interrupts usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Percentage of participants with severe TEAEs will be reported.

    Measured: From start of study drug administration up to follow-up (up to 90 days)

  3. Part A: Percentage of Participants With Life-Threatening Adverse Events (AEs)

    Percentage of participants with life-threatening AEs will be reported.

    Measured: From start of study drug administration up to follow-up (up to 90 days)

  4. Part A: Percentage of Participants With AEs of Special Interest (AESIs)

    AESIs include sICH, treatment-related aICH, treatment-related extracranial bleeding SAEs, and recurrent AIS. Percentage of participants with AESIs will be reported.

    Measured: From start of study drug administration up to 168 hours

  5. Part A: Percentage of Participants With Clinically Relevant Changes in Vital Signs

    Vital signs will include measurement of body temperature, respiratory rate, blood pressure and pulse rate. Any clinically relevant changes in vital signs will be determined at the investigator's discretion.

    Measured: From screening up to 90 days

  6. Part A: Percentage of Participants With Clinically Relevant Changes in Clinical Chemistry and Hematology

    Laboratory parameters will include clinical chemistry and hematology. Any clinically relevant changes in laboratory values will be determined at the investigator's discretion.

    Measured: From screening up to 90 days

  7. Part A: Number of Participants With Treatment-induced Binding Antibodies to ADAMTS13

    As per planned analysis, blood sample will be collected to monitor the development of binding antibodies to ADAMTS13.

    Measured: From Day 30 to Day 90

  8. Part A: Number of Participants With Treatment-induced Neutralizing Antibodies to ADAMTS13

    As per planned analysis, blood sample will be collected to monitor the development of neutralizing antibodies to ADAMTS13.

    Measured: From Day 30 to Day 90

  9. Part A: Percentage of Participants With All-cause Mortality

    Percentage of participants who died during the entire study period will be reported.

    Measured: From start of study drug administration up to follow-up (up to 90 days)

  10. Part A and B: Percentage of Participants With Modified Rankin Scale (mRS) Score of 0-1

    The mRS assessment will be used to grade the level of functional independence of participants following a stroke. It is a single-item, global outcome rating scale that categorizes functional independence based on pre-stroke activities, with seven grades representing no (0), no significant (1), slight (2), moderate (3), moderately severe (4), severe (5) disability and death (6). Lower scores indicate better functional outcome. Percentage of participants with mRS of 0-1 will be reported.

    Measured: At Day 90

  11. Part A and B: Percentage of Participants With mRS Score of 0-2

    The mRS assessment will be used to grade the level of functional independence of participants following a stroke. It is a single-item, global outcome rating scale that categorizes functional independence based on pre-stroke activities, with seven grades representing no (0), no significant (1), slight (2), moderate (3), moderately severe (4), severe (5) disability and death (6). Lower scores indicate better functional outcome. Percentage of participants with mRS of 0-2 will be reported.

    Measured: At Day 90

  12. Part A and B: Ordinal Distribution of mRS at Day 90

    The mRS assessment will be used to grade the level of functional independence of participants following a stroke. It is a single-item, global outcome rating scale that categorizes functional independence based on pre-stroke activities, with seven grades representing no (0), no significant (1), slight (2), moderate (3), moderately severe (4), severe (5) disability and death (6). Lower scores indicate better functional outcome.

    Measured: At Day 90

  13. Part A and B: Change From Baseline in National Institutes of Health Stroke Scale (NIHSS) Score at 24 Hours

    The NIHSS is a tool to objectively quantify the impairment caused by a stroke. NIHSS assessment is a 15-item impairment scale assessing level of consciousness, extraocular movements, visual fields, facial muscle function, extremity strength, sensory function, coordination (ataxia), language (aphasia), speech (dysarthria), and hemi-inattention (neglect). The total score ranges from 0 to 42 where higher scores indicate greater impairment. A negative change from Baseline indicates improvement.

    Measured: Baseline up to 24 hours

  14. Part A and B: Percentage of Participants With Recanalization According to Arterial Occlusive Lesion (AOL) Score of 3

    The AOL scale score is a measure of recanalization and ranges from 0 to 3. The grading scale specifically measures the degree of recanalization at the defined target or causative occlusion. A score of 0 is defined as complete occlusion of the target artery. Scores of 1 and 2 account for partial recanalization, with a score of 1 indicating no distal flow while a score of 2 indicates any distal flow. A score of 3 is defined as complete recanalization with any distal flow. Percentage of participants with AOL Score of 3 will be reported.

    Measured: At 24 Hours

  15. Part A and B: Percentage of Participants With Reperfusion

    Percentage of participants with reperfusion, defined as >90 percent (%) reduction from baseline in volume of tissue with time-to maximum (Tmax) >6 seconds on perfusion imaging will be reported.

    Measured: At 24 Hours

  16. Part A and B: Final Infarct Volume

    Final infarct volume at 72 hours or hospital discharge (if earlier than 72 hours) will be reported.

    Measured: At 72 hours or earlier at hospital discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2026
  2. Study start17 May 2026
  3. Primary completion6 Dec 2027 (estimated)
  4. Study completion6 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
222 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07392450
Sponsor's protocol ID
TAK-755-2002
Other IDs
jRCT2071260013
Status last verified
Aug 2026
First submitted
30 Jan 2026
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

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