GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Glucagon-like Peptide-1 Receptor Agonists for Endovascular Stroke Thrombectomy

Status
Not yet recruitingResults none
Why it is watched
non-weight indication: cerebrovascular
Who it enrolls
age 18 Years to no upper limit; no BMI minimum stated; conditions: Ischemic Stroke
Interventions
Semaglutide
Conditions
Ischemic Stroke
Phase and size
Phase 3 · 826 participants
Dates
Start 2026-09-30
Primary completion 2031-09-30
Sponsor
Population Health Research Institute (Other)
Last checked
Sep 13, 2026
01Endpoints

What the trial will measure

  • Vanguard phase: Feasibility - RecruitmentFrom site activation until the end of recruitment (approximately 24 months)
  • Full trial: Functional IndependencFrom randomization to day 90±14
02Eligibility

Who can take part

Inclusion Criteria: 1. Age 18 years or above on the date of randomization. 2. EVT for an LVO in the anterior circulation, defined as the intracranial segment of the internal carotid artery (ICA) and/or the M1 or proximal M2 segment of the middle cerebral artery (MCA). 3. National Institutes of Health Stroke Scale (NIHSS) ≥ 6 points at the time of randomization. 4. Pre-stroke modified Rankin Scale (mRS) 0 or 1. 5. Ability to randomize within 6 hours from the end of EVT. 6. Capable of giving signed informed consent either independently, or by a legally authorized representative (LAR). Exclusion Criteria: 1. Pregnancy or breast-feeding. 2. Renal insufficiency (creatinine clearance \< 30mL/min). 3. Cirrhosis or severe hepatic dysfunction, characterized by jaundice, encephalopathy or coagulopathy. 4. History of pancreatitis in the year prior to randomization or evidence of acute pancreatitis on randomization. 5. Active sepsis on randomization. 6. Cancer, regionally advanced or metastatic, or for which treatment had been administered within 6 months from randomization, or hematological cancer that is not in complete remission. 7. Any terminal medical condition with life expectancy of less than 3 months. 8. Personal or family history of medullary thyroid carcinoma (MTC) or patients with multiple endocrine neoplasia syndrome type 2 (MEN 2). 9. Body mass index (BMI) less than 19. 10. Known hypersensitivity to GLP-1 RAs. 11. Active treatment with an GLP-1RA prior to randomization. 12. Refusal or inability to administer subcutaneous (SC) injections by the patient or a caregiver. 13. Close affiliation with the investigational site.
03Change log

Registry changes

No changes recorded since the trial was added.