Evidence map›Paper›PMID 42812199›Full record

SynthesisFrontiers in neurology2026

Tenecteplase in acute ischemic stroke: an updated meta-analysis.

Hussain Almohammed, Ahmed Salah Morad, Bushra Wadi Bin Saddiq, Fatimah Ibrahim Almuhaysin, Bayan Mohammed Khair Al Zoabi, Wejdan Ahmed Aldawsari, Tanveer Nidal Khan, Husna Irfan Thalib, Zainab Alabdi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hussain AlmohammedCollege of Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Ahmed Salah MoradGeneral Medicine Practice, Batterjee Medical College, Jeddah, Saudi Arabia.
Bushra Wadi Bin SaddiqGeneral Medicine Practice, Batterjee Medical College, Jeddah, Saudi Arabia.
Fatimah Ibrahim AlmuhaysinCollege of Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Bayan Mohammed Khair Al ZoabiGeneral Medicine Practice, Batterjee Medical College, Jeddah, Saudi Arabia.
Wejdan Ahmed AldawsariCollege of Medicine, Tabuk University, Tabuk, Saudi Arabia.
Tanveer Nidal KhanGeneral Medicine Practice, Batterjee Medical College, Jeddah, Saudi Arabia.
Husna Irfan ThalibGeneral Medicine Practice, Batterjee Medical College, Jeddah, Saudi Arabia.
Zainab AlabdiNeurology Department, King Fahad Hospital, Al Ahsa, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Tenecteplase (TNK) has emerged as a promising alternative to alteplase (tPA) for intravenous thrombolysis in acute ischemic stroke (AIS). This study aimed to evaluate the efficacy and safety of TNK compared with tPA. Methods: Following the PRISMA 2020 guidelines, PubMed, Web of Science, Cochrane Central, EBSCO, and Scopus were systematically searched from inception through January 2026 to identify randomized controlled trials (RCTs) and observational studies comparing TNK with tPA in adults with AIS. Effect estimates were pooled using fixed- or random-effects models according to the degree of heterogeneity and were reported as risk ratios (RRs), odds ratios (ORs), or mean differences (MDs) with 95% confidence intervals (CIs). Results: Twenty-four studies (6 RCTs and 18 observational studies; total Conclusion: TNK provides efficacy and safety profiles comparable to those of tPA while offering a greater likelihood of excellent functional recovery, faster treatment initiation, and lower mortality in observational studies. Further high-quality RCTs are warranted to confirm these findings. Systematic review registration: CRD420251030320.

Indexed as

Fibrinolytic AgentsIschemic StrokeTenecteplaseHumansThrombolytic TherapyTissue Plasminogen ActivatorFibrinolytic AgentsTenecteplaseTissue Plasminogen Activatoralteplasedoor-to-needlemortalitystroketenecteplase

Identifiers

PMID42812199
PMCPMC13619431

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.