MedPath

Urokinase

Generic Name
Urokinase
Brand Names
Kinlytic
Drug Type
Biotech
CAS Number
9039-53-6
Unique Ingredient Identifier
83G67E21XI
Background

Urokinase is an endogenous peptide that is cleaved in the presence of plasmin between lysine 158 and isoleucine 159 to yield active urokinase. Urokinase remains connected between these 2 chains by a sulfhydryl bond.

Urokinase was granted FDA approval on 16 January 1978.

Indication

In Canada, urokinase is indicated for lysis of acute massive pulmonary emboli, acute thrombi obstructing coronary arteries, occlusive thromboemboli in peripheral arteries and grafts, and restoration of patency to intravenous catheters.

Associated Conditions
Obstruction; Catheter, Infusion Catheter (Vascular), Pulmonary Embolism, Pulmonary Embolism Acute Massive, Thromboembolism of the Coronary Artery, Thromboembolism of the Graft, Thromboembolism of the Peripheral Artery

Comparison of Standard Versus High Dose Urokinase for Dysfunctional Tunneled Dialysis Catheters in Haemodialysis Patients: a Randomized Controlled Trial

Phase 4
Completed
Conditions
Hemodialysis
Thrombolytic Therapy
Dialysis Access Dysfunction
Randomised Controlled Trial
End Stage Renal Disease (ESRD)
Interventions
First Posted Date
2025-01-31
Last Posted Date
2025-01-31
Lead Sponsor
National Healthcare Group, Singapore
Target Recruit Count
44
Registration Number
NCT06802679
Locations
🇸🇬

Khoo Teck Puat Hospital, Singapore, Singapore

Early Lumbar Drainage Combined With Intrathecal Urokinase Injection for Treatment of Severe Aneurysmal SAH (LD-ITUK)

Phase 4
Recruiting
Conditions
Aneurysmal Subarachnoid Hemorrhage
Interventions
Drug: Placebo
First Posted Date
2024-02-29
Last Posted Date
2024-04-15
Lead Sponsor
Second Affiliated Hospital of Nanchang University
Target Recruit Count
424
Registration Number
NCT06284642
Locations
🇨🇳

The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China

Treatment of Acute Ischemic StroKe With Intravenous UroKinase Real-world Research: a Multicenter, Prospective Study

Recruiting
Conditions
Acute Ischemic Stroke
Interventions
First Posted Date
2024-01-08
Last Posted Date
2024-01-08
Lead Sponsor
The First Affiliated Hospital of Zhengzhou University
Target Recruit Count
1800
Registration Number
NCT06194968
Locations
🇨🇳

Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China

🇨🇳

Red Cross Hospital of Yulin City, Yulin, Guangxi, China

🇨🇳

The First People's Hospital of Yulin, Yulin, Guangxi, China

and more 13 locations

Brain Aneurysms: Utility of Cisternal Urokinase Irrigation

Completed
Conditions
Subarachnoid Hemorrhage, Aneurysmal
Vasospasm, Cerebral
Hydrocephalus
Interventions
Procedure: Endovascular treatment
Procedure: External ventricular drain
Procedure: Clipping
First Posted Date
2021-03-11
Last Posted Date
2021-03-11
Lead Sponsor
University of Valencia
Target Recruit Count
247
Registration Number
NCT04792944
Locations
🇪🇸

Hospital General Universitario de Valencia, Valencia, Spain

Thrombolysis of Urokinase for Minor Stroke

Phase 3
Completed
Conditions
Minor Stroke
Interventions
Drug: Aspirin;Clopidogrel
First Posted Date
2020-06-09
Last Posted Date
2023-11-14
Lead Sponsor
The First Affiliated Hospital of Zhengzhou University
Target Recruit Count
1005
Registration Number
NCT04420351
Locations
🇨🇳

The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China

Intravenous Thrombolysis Registry for Acute Ischemic Stroke in China

Withdrawn
Conditions
Ischemic Stroke
Interventions
First Posted Date
2019-06-25
Last Posted Date
2019-06-25
Lead Sponsor
General Hospital of Shenyang Military Region
Registration Number
NCT03997292
Locations
🇨🇳

General Hospital of Shenyang Military Region, Shenyang, Liaoning, China

Thrombolysis With rhPro-UK in 4.5-6 Hours After Acute Ischemic Stroke in a Double-blinded,Controlled Trial

Phase 3
Completed
Conditions
Acute Ischaemic Stroke
Interventions
First Posted Date
2018-07-06
Last Posted Date
2020-04-28
Lead Sponsor
Tasly Biopharmaceuticals Co., Ltd.
Target Recruit Count
149
Registration Number
NCT03578822
Locations
🇨🇳

XuanWu Hospital, Capital Medical University, Beijing, Beijing, China

🇨🇳

Harrison International Peace Hospital, Hengshui, Hebei, China

🇨🇳

Tangshan Gongren Hospital, Tangshan, Hebei, China

and more 16 locations

Study of rhPro-UK in Patients With Acute Ischaemic Stroke in 4.5 Hours After Stroke Onset(PROST)

Phase 3
Completed
Conditions
Acute Ischaemic Stroke
Interventions
First Posted Date
2018-05-30
Last Posted Date
2020-06-22
Lead Sponsor
Tasly Biopharmaceuticals Co., Ltd.
Target Recruit Count
674
Registration Number
NCT03541668
Locations
🇨🇳

XuanWu Hospital, Capital Medical University, Beijing, Beijing, China

🇨🇳

Beijing Luhe Hospital,Capital Medical University, Beijing, Beijing, China

🇨🇳

The First Hospital of Handan, Handan, Hebei, China

and more 32 locations

Intravenous Thrombolysis Registry for Chinese Ischemic Stroke Within 4.5 h Onset

Completed
Conditions
Ischemic Stroke
Interventions
Drug: rtPA
First Posted Date
2016-08-03
Last Posted Date
2019-12-17
Lead Sponsor
General Hospital of Shenyang Military Region
Target Recruit Count
4000
Registration Number
NCT02854592
Locations
🇨🇳

General Hospital of ShenYang Military Region, ShenYang, China

Study of a Novel Thrombectomy Device to Treat Acute Iliofemoral Deep Venous Thrombosis

Not Applicable
Conditions
Venous Thrombosis
Interventions
Device: a manual spiral thrombus broken suction device
Procedure: catheter-directed thrombolysis
First Posted Date
2015-04-13
Last Posted Date
2017-01-18
Lead Sponsor
Xuzhou Medical University
Target Recruit Count
40
Registration Number
NCT02414802
Locations
🇨🇳

Department of Interventional Radiology and Vascular Surgery, the Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu, China

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