- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00626574
Treating Patients With Aneurysmal SubArachnoid Hemorrhage (SAH) With Epoetin Alfa (EPO)
A Double Blinded, Placebo Controlled, Pilot Study to Evaluate the Safety of Treating Patients With Aneurysmal SubArachnoid Hemorrhage (SAH) With Epoetin Alfa
This is a prospective, randomized, double-blinded, placebo controlled pilot safety study that will enroll a total of twenty subjects. Subjects will be adults (30-75) who have sustained a SAH secondary to cerebral aneurysm rupture and who present with minimal neurological symptoms. All subjects will have a Hemoglobin less than or equal to 12 g/dL within 24 hours prior to study entry and undergo operative aneurismal clipping. Subjects will be randomized into two groups, ten subjects receiving the drug and ten subjects receiving the placebo. The subjects will receive three intravenous injections of study drug or placebo, once before undergoing operative aneurysmal clipping (study Day 1) and again for two additional days (study Day 2 and study Day 3).
There are 3 phases to this trial:
Screening Phase - patients will present with Subarachnoid hemorrhage (SAH) and prepped for surgery within 36 hours Treatment Phase - first pre-operative dose before surgery (Study Day 1), post-operative (Study Days 2 and 3) Follow-up Phase- Study Day 4 through discharge, 6-7 week follow-up Primary Objective: To determine the safety of administering intravenous doses of Procrit® once daily for three consecutive days to patients with aneurysmal SAH before and after vascular clipping by comparing the incidence of thrombotic events, hemoglobin and 6-7 week mortality between the Procrit® and placebo groups. Secondary Objectives: To determine if administration of Procrit® prior to aneurysm clipping reduces the incidence of vasospasm following a SAH event treated by vascular clipping. To determine if Procrit® administration prior to aneurysm clipping in patients with Aneurysmal SAH will improve neurological assessment scores in the post-SAH/post-clipping time period. To determine the feasibility of organizing a larger, randomized study to explore the neuroprotective effect of Procrit® in patients with Aneurysmal SubArachnoid Hemorrhage (SAH) when Procrit® is administered prior to surgical clipping of the aneurysm.
It is hypothesized that Procrit will provide a significant level of neuroprotection in the brain after an SAH event as a result of reduced cell death, as well as a reduced amount of vasospasm activity and delayed cerebral ischemia which can occur as a result of SAH. These factors may contribute to improved neurological functioning scores when compared to the placebo treated patients.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Florida
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Tampa, Florida, United States, 33606
- Tampa General Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients age 30-75
- Patients undergoing vascular clipping post SAH
- Aneurysmal SAH as determined by history or clinical evaluation
- WFNS Score I and II
- Hb ≤ 12 g/dL within 36 hours prior to first dose of study drug
- Patients who receive Study drug and undergo surgical clipping of the aneurysm within 36 hours of the SAH event
Exclusion Criteria:
- Non-aneurysmal SAH
- WFNS Score III and higher
- Patients presenting with previous history of SAH
- Terminal, brain-dead, comfort care patients
- Patients not undergoing vascular clipping
- Hb > 12 g/dL
- Patients receiving blood transfusion prior to surgery
- Patients who currently receive Procrit or an EPO product
- Patients undergoing surgical clipping of the aneurysm greater than 36 hours after the SAH event
- Pregnancy or lactating
- Renal insufficiency (must present and maintain normal creatinine levels)
- Uncontrolled hypertension (systolic > 150 mmHg)
- Active or known seizure history within one year of SAH event
- Known history of thrombotic vascular events (PE, DVT, AMI, stroke)
- Allergy or sensitivity to mammalian derived products
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Active Comparator: A
Group A will receive Procrit® intravenous injections (40,000U) once daily for 3 days (Study Days 1, 2, and 3).
The first dose of Procrit® will be given within 36 hours of the initial SAH event / symptoms and immediately before the vascular clipping procedure.
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Intravenous administration of epoetin alfa (40,000 IU) immediately before clipping surgery.
Successive doses will be given 24 and 48 hours after the first dose.
Other Names:
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Placebo Comparator: B
Group B will receive Saline intravenous injections once daily for 3 days (Study Days 1, 2, and 3).
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3ml of saline will be administered via an IV push immediately before clipping surgery.
Successive doses will be given 24 and 48 hours after the first dose.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Adverse Events After Administering Intravenous Doses of Procrit® Once Daily for Three Consecutive Days to Patients With Aneurysmal SAH Before and After Vascular Clipping
Time Frame: First 10 days following clipping and 6 week F/U
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Number of adverse events
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First 10 days following clipping and 6 week F/U
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
To Determine if Administration of Procrit® Prior to Aneurysm Clipping Reduces the Incidence of Vasospasm Following a SAH Event Treated by Vascular Clipping.
Time Frame: first 10 days following clipping and 6 week f/u
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first 10 days following clipping and 6 week f/u
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To Determine if Procrit® Administration Prior to Aneurysm Clipping in Patients With Aneurysmal SAH Will Improve Neurological Assessment Scores in the Post-SAH/Post-clipping Time Period
Time Frame: First 10 days following clipping and 6 week f/u
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First 10 days following clipping and 6 week f/u
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To Determine the Feasibility of Organizing a Larger, Randomized Study to Explore the Neuroprotective Effect of Procrit® in Patients With Aneurysmal SubArachnoid Hemorrhage (SAH) When Procrit® is Administered Prior to Surgical Clipping of the Aneurysm.
Time Frame: When all data is collected and analyzed
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When all data is collected and analyzed
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Enrico M Camporesi, MD, University of South Florida
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 105838c
- USF 6176-P67638
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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