Randomized Trialhigh evidence

Intravenous Tirofiban After Tenecteplase in Acute Ischemic Stroke: The INSTANT Randomized Clinical Trial.

JAMA·June 9, 2026·PMID 42100960

Why it matters

This trial addresses a common clinical scenario where patients fail to improve after thrombolysis and lack a clear target for endovascular therapy. It provides evidence that early antiplatelet escalation with tirofiban may improve functional recovery in this underserved subgroup.

Infographic summary of Intravenous Tirofiban After Tenecteplase in Acute Ischemic Stroke: The INSTANT Randomized Clinical Trial.
Visual abstract · MedLit

The papers that matter, first.

MedLit ranks the medical literature into a specialty feed with concise summaries, evidence-aware triage, and visual takeaways.

§

MedLit · Evidence, Distilled