Observational RegIstry of Effectiveness and Safety of teNecTeplase in reAl worLd Settings in China

This real-world observational registry aims to generate comprehensive and high-quality evidence on the use of intravenous tenecteplase for acute ischemic stroke (AIS) in China following the national approval of the drug. Unlike randomized controlled trials with strict eligibility criteria, this study captures a broad clinical spectrum of patients and care settings, reflecting the actual patterns, challenges, and variations in stroke management across the country.

The registry is designed to provide insights into how tenecteplase performs in routine practice, including patients with multiple comorbidities, diverse stroke etiologies, and differing hospital capabilities. Consecutive enrollment and continuous data capture ensure representativeness and minimize selection bias.

Beyond describing effectiveness and safety, the study evaluates the real-world processes surrounding thrombolysis, including workflow metrics such as door-to-needle time and access to reperfusion resources. Analyses across different regions, hospital levels, and clinical subgroups will help identify practice gaps and opportunities for nationwide quality improvement. Comparisons with previous phase III trial populations, including the ORIGINAL study, will allow assessment of potential channeling bias and help interpret differences between clinical trial efficacy and real-world effectiveness.

The results of this registry will support clinical decision-making, inform guideline updates, and contribute to establishing standardized stroke care pathways for tenecteplase in China. The large sample size and national coverage are intended to ensure sufficient precision for outcome estimation and enable robust exploratory analyses that can guide future research and policy development.

Inclusion criteria

• Adults aged 18 years or older;
• Diagnosed with acute ischemic stroke confirmed by imaging (CT or MRI);
• Treated with intravenous tenecteplase at the participating institution;
• Provided written informed consent, signed by the patient or their legally authorized representative;
• Capable of completing follow-up assessments.

Exclusion criteria

• Received reperfusion therapy prior to the hospital admission (e.g., intravenous thrombolysis prior to admission);
• Participating in any clinical trials where the intervention may affect the outcomes of this study.