UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR

Clinical trials are studying UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR in people with acute ischemic stroke and in people with immune-mediated thrombotic thrombocytopenic purpura or other thrombotic microangiopathies. These early-phase trials mainly aim to evaluate safety, tolerability, and treatment-emergent side effects in carefully selected patient groups.

Table of Contents

Trial overview

Two authorized interventional trials are studying UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR.[1][2] Both are Phase 1 studies, which are early trials mainly designed to look at safety and tolerability.[1][2]

Acute ischemic stroke study

The first trial is titled “Evaluation of Novel Thrombolytic TGD001 in Patients With Acute Ischemic Stroke” and is being done in people with acute ischemic stroke.[1] The study is authorized, planned for 130 participants, and is given as an interventional study with intravenous treatment.[1]

This study includes people whose stroke is supported by neuroimaging, meaning brain scans are used to confirm the diagnosis.[1] It includes two groups: people who receive endovascular thrombectomy and people who do not receive endovascular thrombectomy or standard-of-care intravenous thrombolysis.[1]

The main goal is to assess the safety and tolerability of single intravenous doses of TGD001 in this stroke setting.[1] The primary outcomes are symptomatic intracranial hemorrhage and treatment-emergent adverse events.[1]

Thrombotic microangiopathy study

The second trial is titled “TGD001 Treatment in Thrombotic Microangiopathies” and is also authorized and interventional.[2] It studies people with immune-mediated thrombotic thrombocytopenic purpura and thrombotic microangiopathy.[2]

This trial plans to enroll 70 participants and is focused on an acute episode, meaning a sudden active phase of illness.[2] The brief summary says the study aims to assess the safety and tolerability of TGD001 in participants with suspicion or clinical diagnosis of an acute iTTP episode.[2]

The primary outcome in this study is treatment-emergent adverse events.[2] That means the researchers are watching for health problems that appear after treatment begins.[2]

Who can participate

In the stroke trial, participants must have acute ischemic stroke and the diagnosis must be supported by imaging.[1] The trial also separates participants based on whether they receive endovascular thrombectomy or not.[1]

In the thrombotic microangiopathy trial, participants are people with suspicion or a clinical diagnosis of an acute immune-mediated thrombotic thrombocytopenic purpura episode.[2] The condition list also includes thrombotic microangiopathy, showing that the study is focused on this disease group.[2]

What the trials measure

The stroke trial uses two main endpoints, or main results the study wants to measure: symptomatic intracranial hemorrhage and treatment-emergent adverse events.[1] These endpoints help researchers check both serious bleeding and overall safety.[1]

The thrombotic microangiopathy trial uses treatment-emergent adverse events as its primary endpoint.[2] This endpoint is a standard way to track whether new health problems happen after treatment starts.[2]

Trial phase and study design

Both studies are in Phase 1, which is usually the first stage of testing in people.[1][2] At this stage, the main focus is safety, tolerability, and early signs of how the treatment behaves in the target group.[1][2]

Both trials are listed as interventional, meaning the researchers give a treatment and then observe the results.[1][2] Together, the two studies plan to enroll 200 people.[1][2]

Trial ID Phase Condition studied Status Enrollment
2025-522455-26-00 Phase 1 Acute Ischemic Stroke Authorised 130
2025-523802-34-00 Phase 1 Immune-Mediated Thrombotic Thrombocytopenic Purpura; Thrombotic microangiopathy Authorised 70

Ongoing Clinical Trials on UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR

  • A Study of TGD001 in Patients with Acute Ischemic Stroke to Test Safety and Effectiveness

    Recruiting

    1 1 1
    Germany Poland Spain
  • A study to evaluate the safety and effectiveness of urokinase, catalytic domain, fused with a single-chain antibody against von Willebrand factor in patients with immune-mediated thrombotic thrombocytopenic purpura.

    Not yet recruiting

    1 1 1
    France Germany Italy Spain

Glossary

  • Acute ischemic stroke: A stroke caused by a blocked blood vessel in the brain. It is an emergency because brain tissue can be damaged quickly.
  • Thrombotic microangiopathy: A group of conditions where tiny blood vessels become blocked by small clots. This can harm organs and lower blood platelets.
  • Immune-mediated thrombotic thrombocytopenic purpura: A specific type of thrombotic microangiopathy caused by the immune system. It can lead to dangerous clotting in small vessels and a low platelet count.
  • Interventional trial: A study where participants receive a treatment or procedure so researchers can measure its effects.
  • Phase 1: An early stage of clinical research. The main goal is usually to check safety and tolerability.
  • Safety: Whether a treatment can be given without causing unacceptable harm.
  • Tolerability: How well people can handle a treatment, including whether side effects are manageable.
  • Treatment-emergent adverse events: Health problems that appear or get worse after treatment starts.
  • Symptomatic intracranial hemorrhage: Bleeding inside the skull that causes symptoms. This is a serious outcome researchers watch for in stroke studies.
  • Neuroimaging: Brain scans used to look at the brain and confirm a diagnosis, such as stroke.
  • Endovascular thrombectomy: A procedure that removes a clot from a blood vessel, usually in the brain, using a thin tube placed inside the blood vessels.
  • Intravenous thrombolysis: Treatment given through a vein to help break down a clot.

References

  1. https://clinicaltrials.gov/study/2025-522455-26-00
  2. https://clinicaltrials.gov/study/2025-523802-34-00