Badanie oceniające bezpieczeństwo i skuteczność sovateltydu u pacjentów z ostrym udarem niedokrwiennym mózgu (RESPECT-ETB)
Wieloośrodkowe, randomizowane, podwójnie ślepe, równoległe, kontrolowane placebo badanie fazy III w celu oceny bezpieczeństwa i skuteczności sovateltydu u pacjentów z ostrym udarem niedokrwiennym mózgu.
Extensive research is being conducted in search of neuroprotective agents for possible use in the acute phase of stroke and agents that can be used for neurorepair in later stages of stroke. Several trials have been conducted and are in progress using different pharmacological agents, but none of the studies involve the stimulation of ETB receptors to treat cerebral ischemic stroke. Sovateltide (IRL-1620, PMZ-1620) has been effective in animal models of cerebral ischemic stroke. Its safety and tolerability have been demonstrated in a human phase I study with 7 subjects. Clinical phase II and III results indicate that sovateltide is a novel, first-in-class, highly effective drug candidate for treating cerebral ischemic stroke. Safety and significant efficacy in improving the National Institutes of Health Stroke Scale (NIHSS), Modified Rankin scale (mRS), and Barthel index (BI) obtained in phase II and III studies in patients with cerebral ischemic stroke in India are convincing and encouraged us to investigate its safety and efficacy in cerebral ischemic stroke patients in the United States. Therefore, the plan is to conduct a phase III clinical study to evaluate the safety and efficacy of sovateltide therapy along with standard of care in patients of acute ischemic stroke.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
A stroke is a syndrome defined as an abrupt neurological outburst due to impaired blood flow to part of the brain. There are two types of stroke: hemorrhagic stroke and ischemic stroke. A hemorrhagic stroke follows the rupture of a weakened blood vessel in the brain causing accumulation of blood and compression of the surrounding brain tissue. An ischemic stroke follows a blocked blood vessel by a thrombus (blood clot) or embolism. In both types of strokes, the specific region of the brain supplied by the affected blood vessel is deprived of oxygenated blood, causing local hypoxia that damages the brain tissue and cells. Both types of stroke are very serious, however ischemic stroke is more common.
The global burden of ischemic stroke is nearly 4-fold greater than hemorrhagic stroke with close to 87% of the total incidence of stroke attributed to acute cerebral ischemic stroke (ACIS). ACIS is a critical care emergency caused by a significant reduction in blood flow to the brain by a blood clot or embolism. This nearly halts cerebral blood flow to the affected region leading to neuronal death. Neuronal cell death is followed by plasma membrane disruption, swelling of organelles, leaking of cell contents into extracellular space, and loss of neuronal function. Other events that take place include inflammation, excitotoxicity, free radical mediated toxicity, cytokine mediated cytotoxicity, impaired blood-brain-barrier, and oxidative stress.
Therapeutic management of ACIS is a multidisciplinary approach with a primary goal of revascularization and limiting neuronal injury. A stroke team consists of emergency medicine physicians, neurologists/neurosurgeons, radiologists, nurses and advanced care providers, clinical pharmacists, therapists, technicians, and laboratory personnel. Currently, the only FDA-approved pharmacological agent for ischemic stroke is tissue plasminogen activator (t-PA). It is a thrombolytic agent which restores blood flow by breaking down a clot. However, timing is crucial in administration of t-PA as the therapeutic time window is very narrow and the patient must receive it within 4.5 hours of onset of stroke symptoms. Therapeutic administration after this timeframe can result in hemorrhagic transformation, leading to additional brain damage. Nevertheless, even upon timely administration of t-PA in ACIS, only about 30% of patients obtain stroke resolution having minimal or no disability at the 90-day mark.
Sovateltide (PMZ-1620, IRL-1620) is a highly selective ETB receptor agonist and a synthetic analog of ET-1. Studies conducted to determine the effects brought about by sovateltide upon its interaction with neural ETB receptors and have found that it enhances angiogenesis and neurogenesis as well as promotes neural repair and regeneration. In a rat model of ischemic stroke, sovateltide was found to be neuroprotective as well as enhance angiogenic and neurogenic remodeling. Sovateltide significantly improved survival, reduced neurological and motor function deficit, while effectively decreasing infarct volume, edema, and oxidative stress.
Sovateltide was also found to be safe and well tolerated in healthy human volunteers in a phase I clinical trial (CTRI/2016/11/007509). A phase II study was also conducted in patients with acute ischemic stroke where sovateltide demonstrated significant improvement when compared to standard of care (CTRI/2017/11/010654, NCT04046484). A recent phase III study conducted in patients of acute ischemic stroke demonstrated improved favorable functional and neurological outcome at 3 months compared to standard of care (CTRI/2019/09/021373, NCT04047563).
Clinical phase II and III results indicate that sovateltide is a first-in-class neuronal progenitor cell therapeutic that promotes quick recovery and significantly improves neurological outcomes in cerebral ischemic stroke patients. With this convincing evidence, the plan is to conduct a multicentric, randomized, double-blind, parallel, placebo-controlled phase III clinical study in the United States, Canada, United Kingdom and Europe (the demographics and standard of treatment being similar in these countries) to further assess the safety and efficacy of sovateltide in patients with acute cerebral ischemic stroke.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Anil Gulati, MD, PhD
- Numer telefonu: 6307806087
- E-mail: anil.gulati@pharmazz.com
Kopia zapasowa kontaktu do badania
- Nazwa: Neil Marwah, MD
- Numer telefonu: 6307806087
- E-mail: neil.marwah@pharmazz.com
Lokalizacje studiów
-
-
New South Wales
-
Liverpool, New South Wales, Australia, 2170
- Rekrutacyjny
- Liverpool Hospital
-
Kontakt:
- Dr. Cordato, Dennis
- E-mail: dennis.cordato@health.nsw.gov.au
-
-
-
-
-
A Coruña, Hiszpania, 15006
- Rekrutacyjny
- Instituto de Investigación Biomédica de A Coruña
-
Kontakt:
- Dr Maria del Mar Castellanos Rodrigo
-
Badajoz, Hiszpania, 06080
- Rekrutacyjny
- Hospital Universitario Infanta Cristina (HUB)
-
Kontakt:
- Dr Jose Maria Ramirez Moreno
-
Barakaldo, Hiszpania, 48903
- Rekrutacyjny
- Hospital Universitario de Cruces
-
Kontakt:
- Dr Mari Mar Freijo Guerrero
-
Girona, Hiszpania, 17007
- Rekrutacyjny
- Institut Catala d'Oncologia (ICO) - Hospital Universitari Doctor Josep Trueta
-
Kontakt:
- Dr Yolanda Silva Blas
-
Madrid, Hiszpania, 28034
- Rekrutacyjny
- Hospital Universitario Ramon y Cajal
-
Kontakt:
- Dr Jaime Masjuan Vallejo
-
Madrid, Hiszpania, 28040
- Rekrutacyjny
- Hospital Clinico San Carlos
-
Kontakt:
- Dr Jose Antonio Egido Herrero
-
Melilla, Hiszpania, 52001
- Rekrutacyjny
- Medical Imbrain S.L.
-
Kontakt:
- Romero Imbroda, Jesus
- E-mail: jesusromeroimbroda@gmail.com
-
Santiago, Hiszpania, 15706
- Rekrutacyjny
- Hospital Clinico Universitario de Santiago
-
Kontakt:
- Dr Manuel Rodriguez Yanez
-
Seville, Hiszpania, 41013
- Rekrutacyjny
- Hospital Universitario Virgen del Rocio
-
Kontakt:
- Dr Francisco Moniche Alvarez
-
Valencia, Hiszpania, 46026
- Rekrutacyjny
- Hospital Universitari i Politecnic La Fe de Valencia
-
Kontakt:
- Dr Irene Escudero Martinez
-
Valencia, Hiszpania, 46010
- Rekrutacyjny
- Hospital Clinico Universitario de Valencia
-
Kontakt:
- Dr. Alejandro Ponz
-
Zaragoza, Hiszpania, 50009
- Rekrutacyjny
- Hospital Universitario Miguel Servet
-
Kontakt:
- Dr Herbert Tejada Meza
-
-
Barcelona
-
Badalona, Barcelona, Hiszpania, 08916
- Rekrutacyjny
- Hospital Germans Trias i Pujol
-
Kontakt:
- María Hernández Pérez
-
Barcelona, Barcelona, Hiszpania, 08035
- Rekrutacyjny
- Hospital Universitari Vall d'Hebron
-
Kontakt:
- Carlos Alberto Molina Cateriano
-
-
Castille-La Mancha
-
Albacete, Castille-La Mancha, Hiszpania, 2006
- Rekrutacyjny
- Complejo Hospitalario Universitario de Albacete
-
Kontakt:
- Dr Tomas Segura Martin
-
-
Madrid
-
Madrid, Madrid, Hiszpania, 28046
- Rekrutacyjny
- Hospital Universitario La Paz
-
Kontakt:
- Exuperio Díez Tejedor
-
Madrid, Madrid, Hiszpania, 28222
- Rekrutacyjny
- Hospital Universitario Puerta de Hierro Majadahonda
-
Kontakt:
- Dr Joaquin Carneado Ruiz
-
-
Murcia
-
El Palmar, Murcia, Hiszpania, 30120
- Rekrutacyjny
- Hospital Clínico Universitario Virgen de Arrixaca
-
Kontakt:
- Dr Ana Morales Ortiz
-
-
Sevilla
-
Seville, Sevilla, Hiszpania, 41009
- Rekrutacyjny
- Hospital Universitario Virgen Macarena
-
Kontakt:
- Soledad Pérez Sánchez
-
-
Tarragona
-
Tarragona, Tarragona, Hiszpania, 43005
- Rekrutacyjny
- Hospital Universitari Joan XXIII
-
Kontakt:
- Dr Xavier Ustrell Roig
-
-
-
-
-
Bad Neustadt an der Saale, Niemcy, 97616
- Rekrutacyjny
- RHON-KLINIKUM Campus Bad Neustadt
-
Kontakt:
- Soda, Hassan
- E-mail: h.soda.akut@neurologie-bad-neustadt.de
-
Erlangen, Niemcy, 91054
- Rekrutacyjny
- Universitaetsklinikum Erlangen
-
Kontakt:
- Gerner, Stefan
- E-mail: stefan.gerner@uk-erlangen.de
-
Essen, Niemcy, 45147
- Rekrutacyjny
- Universitätsklinikum Essen AöR
-
Kontakt:
- Prof. Dr. med. Martin Köhrmann
-
Lübeck, Niemcy, 23538
- Rekrutacyjny
- Universitätsklinikum Schleswig-Holstein AöR
-
Kontakt:
- Prof. Dr. George Royl
-
Tübingen, Niemcy
- Rekrutacyjny
- University Hospital Tuebingen
-
Kontakt:
- Mengel, Anne Rose
- E-mail: Annerose.Mengel@med.uni-tuebingen.de
-
-
Altenburg
-
Altenburg, Altenburg, Niemcy, 04600
- Rekrutacyjny
- Klinikum Altenburger Land GmbH
-
Kontakt:
- Joerg Berrouschot
-
-
Lower Saxony
-
Göttingen, Lower Saxony, Niemcy, 37075
- Rekrutacyjny
- Universitaetsklinikum Goettingen
-
Kontakt:
- Ilko Maier
-
-
Ludwigshafen Am
-
Rhein, Ludwigshafen Am, Niemcy, 67063
- Rekrutacyjny
- Klinikum der Stadt Ludwigshafen gGmbh
-
Kontakt:
- Dr Simon Nagel
-
-
North Rhine-Westphalia
-
Minden, North Rhine-Westphalia, Niemcy, 32427
- Rekrutacyjny
- Muhlenkreiskliniken (MKK) - Johannes Wesling Klinikum Minden - Neurologische Klinik
-
Kontakt:
- Dr Peter Schellinger
-
-
Recklinghausen
-
Recklinghausen, Recklinghausen, Niemcy, 45657
- Rekrutacyjny
- Klinik fuer Neurologie, Stroke Unit und Fruehrehabilitation Dorstener Strae 151
-
Kontakt:
- Dr Stephan Klebe
-
-
State of Berlin
-
Berlin, State of Berlin, Niemcy, 12203
- Rekrutacyjny
- Charite-Universitaetsmedizin Berlin
-
Kontakt:
- Christian Nolte
- E-mail: christian.nolte@charite.de
-
-
-
-
Arizona
-
Tucson, Arizona, Stany Zjednoczone, 85719
- Rekrutacyjny
- The University of Arizona - College of Medicine
-
Kontakt:
- Kaddouh, Firas
- E-mail: firaskaddouh@arizona.edu
-
-
California
-
Carmichael, California, Stany Zjednoczone, 95608
- Rekrutacyjny
- Mercy Medical Group
-
Kontakt:
- Lucian Maidan, MD
-
Oxnard, California, Stany Zjednoczone, 93030
- Rekrutacyjny
- St. John's Regional Medical Center
-
Kontakt:
- Mani Nezhad
-
-
Florida
-
Sarasota, Florida, Stany Zjednoczone, 34239
- Rekrutacyjny
- Sarasota Memorial Hospital
-
Kontakt:
- Dr. Mauricio Concha
-
-
Georgia
-
Marietta, Georgia, Stany Zjednoczone, 30060
- Rekrutacyjny
- Wellstar Kennestone Hospital
-
Kontakt:
- Dr. Ovais Inamullah
-
-
Missouri
-
Bridgeton, Missouri, Stany Zjednoczone, 63044
- Rekrutacyjny
- SSM Health Neurosciences
-
Kontakt:
- Amer Alshekhlee, MD
-
-
New Jersey
-
Paramus, New Jersey, Stany Zjednoczone, 07652
- Rekrutacyjny
- Hackensack University Medical Center at Paramus
-
Kontakt:
- Amory, Colum
- E-mail: colum.amory@hmhn.org
-
-
North Carolina
-
Chapel Hill, North Carolina, Stany Zjednoczone, 27514
- Rekrutacyjny
- UNC Medical Center
-
Kontakt:
- Dr. Ho, James
-
Greensboro, North Carolina, Stany Zjednoczone, 27401
- Rekrutacyjny
- Guilford Neurologic Associates Inc
-
Kontakt:
- Dr. Pramod Sethi
-
-
Ohio
-
Columbus, Ohio, Stany Zjednoczone, 43210
- Rekrutacyjny
- OSU Wexner Medical Center
-
Kontakt:
- Yousef Hannawi
-
-
Pennsylvania
-
Hershey, Pennsylvania, Stany Zjednoczone, 17033
- Rekrutacyjny
- Penn State Health Milton S. Hershey Medical Center
-
Kontakt:
- Reichwein, Raymond
- E-mail: rreichwein@pennstatehealth.psu.edu
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15213
- Rekrutacyjny
- UPMC Presbyterian Hospital
-
Kontakt:
- Dr Jussie Correia Lima
-
-
Tennessee
-
Chattanooga, Tennessee, Stany Zjednoczone, 37404
- Rekrutacyjny
- CHI Memorial Neuroscience Institute
-
Kontakt:
- Thomas Devlin
-
-
Texas
-
Houston, Texas, Stany Zjednoczone, 77030
- Rekrutacyjny
- Baylor College of Medicine
-
Kontakt:
- Dr. Rao, Chethan
-
Houston, Texas, Stany Zjednoczone, 77030
- Rekrutacyjny
- Memorial Hermann Hospital
-
Kontakt:
- Mahan Shahrivari, MD
-
Houston, Texas, Stany Zjednoczone, 77030
- Rekrutacyjny
- Houston Medical Neurological Institute
-
Kontakt:
- David Chui, MD
-
-
-
-
-
Harrow, Zjednoczone Królestwo, HA1 3UJ
- Rekrutacyjny
- London North West University Healthcare NHS Trust - Northwick Park Hospital
-
Kontakt:
- Sivagnanaratnam, Aravinth
- E-mail: a.sivagnanaratnam@nhs.net
-
Newcastle, Zjednoczone Królestwo, NE1 4LP
- Rekrutacyjny
- Hospitals NHS Foundation Trust - Royal Victoria Infirmary RVI
-
Kontakt:
- Dr. Anand Dixit
-
Stoke-on-Trent, Zjednoczone Królestwo, ST4 6QG
- Rekrutacyjny
- Royal Stoke University Hospital
-
Kontakt:
- Ferdinand, Phillip
- E-mail: phillip.ferdinand@uhnm.nhs.uk
-
-
Bury
-
Bury, Bury, Zjednoczone Królestwo, BL9 7TD
- Rekrutacyjny
- Fairfield General Hospital
-
Kontakt:
- Dr Narayanamoorthi Saravanan
-
-
London
-
London, London, Zjednoczone Królestwo, NW1 2BU
- Rekrutacyjny
- National Hospital for Neurology & Neurosurgery
-
Kontakt:
- Dr Richard Perry
-
London, London, Zjednoczone Królestwo, SE5 9RS
- Rekrutacyjny
- King's College Hospital NHS Foundation Trust
-
Kontakt:
- Dr Yee Mah
-
London, London, Zjednoczone Królestwo, SW17 0QT
- Rekrutacyjny
- St. George's University Hospitals
-
Kontakt:
- Zhang, Liqun
- E-mail: liqun.zhang@stgeorges.nhs.uk
-
-
Southampton
-
Southampton, Southampton, Zjednoczone Królestwo, SO16 6YD
- Rekrutacyjny
- University Hospital Southampton
-
Kontakt:
- Dr Richard Marigold
-
-
Wolverhampton
-
Wolverhampton, Wolverhampton, Zjednoczone Królestwo, WV10 0QP
- Rekrutacyjny
- New Cross Hospital - Royal Wolverhampton NHS Trust
-
Kontakt:
- Dr Nasar Ahmad
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
A patient will be eligible for inclusion in the study if he/she fulfills the following criteria:
- Adult males or females aged 18 - 80 years of age.
- Consent obtained per national laws and regulations, and in accordance with the applicable ethics committee requirements prior to study procedures.
- A stroke is ischemic in origin that is diagnosed clinically and/or radiologically confirmed by Computed Tomography (CT) scan or diagnostic magnetic resonance imaging (MRI) prior to enrolment. No hemorrhage as proved by cerebral CT/MRI scan.
- Cerebral ischemic stroke patients presenting within 24 hours after the onset of symptoms with NIHSS score of ≥8 and <20, NIHSS Level of Consciousness (1A) score <2 at the time of screening. This includes cerebral ischemic stroke patients who completely recovered from earlier episodes before having a new or fresh stroke having a pre-stroke historical measure of mRS score of 0-2.
- The patient is <24 hours from the time of stroke onset when the first dose of sovateltide is administered. Time of onset is when symptoms began; for stroke that occurred during sleep, time of onset is when the patient was last seen or was self- reported to be normal.
- Reasonable expectation of availability to receive the full sovateltide/placebo course of therapy and to be available for subsequent follow-up visits.
Exclusion Criteria:
A patient will not be eligible for inclusion in this study if they meet any of the following exclusion criteria:
- Patients receiving endovascular therapy or is a candidate for any surgical intervention for the treatment of stroke, which may include but not limited to endovascular techniques.
- Patients classified as comatose are defined as a patient who requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (NIHSS Level of Consciousness (1A) score ≥2).
- Evidence of intracranial hemorrhage (intracerebral hematoma, intraventricular hemorrhage, subarachnoid hemorrhage (SAH), epidural hemorrhage, acute or chronic subdural hematoma (SDH)) on the baseline CT or MRI scan.
- Known pregnancy and lactating women.
- Known medical history of neurological (other than current acute ischemic stroke) or psychiatric condition that, in the investigator's opinion, would confound the neurological and functional evaluations, lead to further deterioration of neurological status, or interfere with participation in this study.
- Concurrent participation in any other therapeutic clinical trial.
- Evidence of any other major life-threatening or serious medical condition that would prevent completion of the study protocol impair the assessment of outcome, or in which sovateltide therapy would be contraindicated or might cause harm to the patient.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Poczwórny
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Aktywny komparator: Normal Saline + Standard of care
Normal saline will be used as a comparator. It will be available in a 5.0 mL vial. Three doses will be administered as an IV bolus over one minute every 3 hours ± 1 hour on day 1. The dose will be repeated on days 3 and 6 post randomization. The study drug will be administered as an IV bolus dose over 1 minute within 24 hours of the stroke onset. |
Normal saline to be used as vehicle in the phase-III study to assess efficacy of sovateltide in patients with acute cerebral ischemic stroke.
Inne nazwy:
|
|
Eksperymentalny: Sovateltide + Standard of care
The test product is sovateltide. It is available as a lyophilized injection containing 30 µg of sovateltide in a 5.0 mL vial. Three doses of 0.3 μg/kg will be administered as an IV bolus over one minute every 3 hours ± 1 hour on day 1. The dose will be repeated on days 3 and 6 post randomization. The study drug will be administered as an IV bolus dose over 1 minute within 24 hours of the stroke onset. |
Phase-III study to assess efficacy of sovateltide in patients with acute cerebral ischemic stroke.
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Determine the efficacy of sovateltide in patients with acute cerebral ischemic stroke assessed by modified Rankin Scale (mRS) score of 0-2 at day 90 post-randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with a modified Rankin Scale score of 0-2 on day 90 post-randomization. |
Day 1 through Day 90
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the National Institute of Health Stroke Scale (NIHSS) score of <6 at day 90 post-randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with NIHSS score of <6 on day 90 post-randomization. |
Day 1 through Day 90
|
|
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the Barthel Index (BI) score of ≥90 at day 90 post-randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with BI score of ≥90 on day 90 post-randomization. |
Day 1 through Day 90
|
|
Determine an excellent functional outcome in patients with acute cerebral ischemic stroke assessed by a modified Rankin Scale score of 0-1 at day 90 post-randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of acute cerebral ischemic stroke patients having an excellent functional outcome with a modified Rankin Scale score of 0-1 on day 90 post-randomization. |
Day 1 through Day 90
|
|
Determine a change in Quality-of-life (QoL) as assessed by EuroQol-EQ-5D-5L and Stroke-Specific Quality of Life (SS-QOL) at days 30, 60, and 90 post-randomization.
Ramy czasowe: Day 1 through Day 90
|
Change in QoL as assessed by EuroQol EQ-5D-5L and by SS-QOL from baseline to days 30, 60, and 90 post-randomization. |
Day 1 through Day 90
|
|
Determine the incidence of recurrent cerebral ischemic stroke within 90 days post-randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of patients with recurrent ischemic stroke within 90 days post-randomization. |
Day 1 through Day 90
|
|
Determine the incidence of mortality within 90 days post-randomization.
Ramy czasowe: Day 1 through Day 90
|
Number of deaths within day 90 post-randomization. |
Day 1 through Day 90
|
|
Determine the incidence of symptomatic Intracerebral Hemorrhage (ICH) within 24 (± 6) hours of randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of patients with symptomatic ICH within 24 (± 6) hours of randomization. |
Day 1 through Day 90
|
|
Determine the incidence of radiographic Intracerebral Hemorrhage (ICH) within 24 (± 6) hours of randomization.
Ramy czasowe: Day 1 through Day 90
|
The proportion of patients with radiographic ICH within 24 (± 6) hours of randomization. |
Day 1 through Day 90
|
|
Determine alteration in cognition at days 30 and 90 measured by Montreal Cognitive Assessment (MoCA) Test.
Ramy czasowe: Day 1 through Day 90
|
Change in MoCA score at days 30 and 90 post-randomization. |
Day 1 through Day 90
|
|
Determine any adverse events (AE) or serious adverse events (SAEs) are associated with sovateltide.
Ramy czasowe: Day 1 through Day 90
|
The proportion of patients with adverse events (AEs) and serious adverse events (SAEs). |
Day 1 through Day 90
|
Inne miary wyników
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by mRS score of 0-2 at day 30 post-randomization.
Ramy czasowe: Day 1 through Day 30
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with a mRS score of 0-2 on day 30 post-randomization. |
Day 1 through Day 30
|
|
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the NIHSS score of <6 at day 30 post-randomization.
Ramy czasowe: Day 1 through Day 30
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with NIHSS score of <6 on day 30 post-randomization. |
Day 1 through Day 30
|
|
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the BI score of ≥90 at day 30 post-randomization.
Ramy czasowe: Day 1 through Day 30
|
The proportion of acute cerebral ischemic stroke patients having a good functional outcome with BI score of ≥90 on day 30 post-randomization. |
Day 1 through Day 30
|
|
Determine Alberta Stroke Program Early CT (ASPECT) Score for stroke severity at baseline and identify sites of ischemic lesions.
Ramy czasowe: Day 1 through Day 90
|
Compare baseline Alberta Stroke Program Early CT (ASPECT) Score for stroke severity and identify sites of ischemic lesions. |
Day 1 through Day 90
|
|
Determine the subtype of acute cerebral ischemic stroke according to TOAST classification at day 30 post-randomization.
Ramy czasowe: Day 1 through Day 30
|
Compare the subtype of acute cerebral ischemic stroke by TOAST classification at day 30 post-randomization. |
Day 1 through Day 30
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Krzesło do nauki: Anil Gulati, MD, PhD, Pharmazz, Inc.
Publikacje i pomocne linki
Publikacje ogólne
- Gulati A, Hornick MG, Briyal S, Lavhale MS. A novel neuroregenerative approach using ET(B) receptor agonist, IRL-1620, to treat CNS disorders. Physiol Res. 2018 Jun 27;67(Suppl 1):S95-S113. doi: 10.33549/physiolres.933859.
- Leonard MG, Gulati A. Endothelin B receptor agonist, IRL-1620, enhances angiogenesis and neurogenesis following cerebral ischemia in rats. Brain Res. 2013 Aug 28;1528:28-41. doi: 10.1016/j.brainres.2013.07.002. Epub 2013 Jul 11.
- Leonard MG, Briyal S, Gulati A. Endothelin B receptor agonist, IRL-1620, provides long-term neuroprotection in cerebral ischemia in rats. Brain Res. 2012 Jun 29;1464:14-23. doi: 10.1016/j.brainres.2012.05.005. Epub 2012 May 9.
- Leonard MG, Briyal S, Gulati A. Endothelin B receptor agonist, IRL-1620, reduces neurological damage following permanent middle cerebral artery occlusion in rats. Brain Res. 2011 Oct 28;1420:48-58. doi: 10.1016/j.brainres.2011.08.075. Epub 2011 Sep 7.
- Ranjan AK, Briyal S, Gulati A. Sovateltide (IRL-1620) activates neuronal differentiation and prevents mitochondrial dysfunction in adult mammalian brains following stroke. Sci Rep. 2020 Jul 29;10(1):12737. doi: 10.1038/s41598-020-69673-w.
- Ranjan AK, Briyal S, Khandekar D, Gulati A. Sovateltide (IRL-1620) affects neuronal progenitors and prevents cerebral tissue damage after ischemic stroke. Can J Physiol Pharmacol. 2020 Sep;98(9):659-666. doi: 10.1139/cjpp-2020-0164. Epub 2020 Jun 23.
- Briyal S, Nguyen C, Leonard M, Gulati A. Stimulation of endothelin B receptors by IRL-1620 decreases the progression of Alzheimer's disease. Neuroscience. 2015 Aug 20;301:1-11. doi: 10.1016/j.neuroscience.2015.05.044. Epub 2015 May 27.
- Briyal S, Shepard C, Gulati A. Endothelin receptor type B agonist, IRL-1620, prevents beta amyloid (Abeta) induced oxidative stress and cognitive impairment in normal and diabetic rats. Pharmacol Biochem Behav. 2014 May;120:65-72. doi: 10.1016/j.pbb.2014.02.008. Epub 2014 Feb 20.
- Ramos MD, Briyal S, Prazad P, Gulati A. Neuroprotective Effect of Sovateltide (IRL 1620, PMZ 1620) in a Neonatal Rat Model of Hypoxic-Ischemic Encephalopathy. Neuroscience. 2022 Jan 1;480:194-202. doi: 10.1016/j.neuroscience.2021.11.027. Epub 2021 Nov 23.
- Ranjan AK, Gulati A. Sovateltide Mediated Endothelin B Receptors Agonism and Curbing Neurological Disorders. Int J Mol Sci. 2022 Mar 15;23(6):3146. doi: 10.3390/ijms23063146.
- Gulati A, Agrawal N, Vibha D, Misra UK, Paul B, Jain D, Pandian J, Borgohain R. Safety and Efficacy of Sovateltide (IRL-1620) in a Multicenter Randomized Controlled Clinical Trial in Patients with Acute Cerebral Ischemic Stroke. CNS Drugs. 2021 Jan;35(1):85-104. doi: 10.1007/s40263-020-00783-9. Epub 2021 Jan 11.
- Leonard MG, Prazad P, Puppala B, Gulati A. Selective Endothelin-B Receptor Stimulation Increases Vascular Endothelial Growth Factor in the Rat Brain during Postnatal Development. Drug Res (Stuttg). 2015 Nov;65(11):607-13. doi: 10.1055/s-0034-1398688. Epub 2015 Mar 25.
- Briyal S, Ranjan AK, Gulati A. Oxidative stress: A target to treat Alzheimer's disease and stroke. Neurochem Int. 2023 May;165:105509. doi: 10.1016/j.neuint.2023.105509. Epub 2023 Mar 11.
- Keam SJ. Sovateltide: First Approval. Drugs. 2023 Sep;83(13):1239-1244. doi: 10.1007/s40265-023-01922-4.
- Gulati A, Adwani SG, Vijaya P, Agrawal NR, Ramakrishnan TCR, Rai HP, Jain D, Sundarachary NV, Pandian JD, Sardana V, Sharma M, Sidhu GK, Anand SS, Vibha D, Aralikatte S, Khurana D, Joshi D, Karadan U, Siddiqui MSI. Efficacy and Safety of Sovateltide in Patients with Acute Cerebral Ischaemic Stroke: A Randomised, Double-Blind, Placebo-Controlled, Multicentre, Phase III Clinical Trial. Drugs. 2024 Dec;84(12):1637-1650. doi: 10.1007/s40265-024-02121-5. Epub 2024 Nov 15.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Zaburzenia naczyniowo-mózgowe
- Choroby mózgu
- Choroby ośrodkowego układu nerwowego
- Choroby Układu Nerwowego
- Choroby naczyniowe
- Choroby układu krążenia
- Udar niedokrwienny
- Uderzenie
- Przygotowania farmaceutyczne
- Rozwiązania krystaloidalne
- Rozwiązania izotoniczne
- Rozwiązania
- Roztwór soli fizjologicznej
- Radzieckie
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- Sovateltide/ACIS/IND2022
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Following completion of the trial in 2027, the anonymized patient datasets created and/or analyzed for the current study can be accessed from the corresponding author at a reasonable request from a bona fide researcher/research group.
Ramy czasowe udostępniania IPD
December 2027
Kryteria dostępu do udostępniania IPD
Following completion of the trial in 2027, the anonymized patient datasets created and/or analyzed for the current study can be accessed from the corresponding author at a reasonable request from a bona fide researcher/research group.
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .