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Sponsored by: |
D-Pharm Ltd. |
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Information provided by: | D-Pharm Ltd. |
ClinicalTrials.gov Identifier: | NCT00893867 |
The purpose of this trial is to determine if intravenous administration of the metal ion trapping agent DP-b99 within 1-9 hours of acute ischemic stroke onset, and then for 3 additional days (4 consecutive days in total) is effective in improving long term outcome. Patients will be followed up for 3 months after the stroke.
Condition | Intervention | Phase |
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Acute Ischemic Stroke |
Drug: DP-b99 Drug: Placebo |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | A Double Blind, Randomized, Placebo-Controlled, Parallel Group, Multicenter Phase 3 Pivotal Study to Assess the Safety and Efficacy of 1mg/kg/Day Intravenous DP-b99 Over 4 Consecutive Days Versus Placebo When Initiated Within One to Nine Hours of Acute Ischemic Stroke Onset |
Estimated Enrollment: | 770 |
Study Start Date: | June 2009 |
Estimated Study Completion Date: | June 2012 |
Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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DP-b99: Experimental |
Drug: DP-b99
1mg/kg/day over 4 consecutive days given intravenously and initiated within 1-9 hours of acute stroke onset.
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Mannitol: Placebo Comparator |
Drug: Placebo
1mg/kg/day over 4 consecutive days given intravenously and initiated within 1-9 hours of acute stroke onset.
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This will be a randomized, double-blind, placebo-controlled, multicenter, multi-national, parallel-arm, pivotal study comparing a placebo group to a DP-b99 group treated with intravenous 1.0 mg/kg/d for 4 consecutive days, in patients with an entry National Institutes of Health Stroke Scale (NIHSS) score of 10-16 and a clinical syndrome that includes at least 1 of the following: language dysfunction, visual field defect or neglect (specifically, at least 1 point on NIHSS items 3, 9 or 11). Alternatively, patients without at least 1 point on NIHSS items 3, 9 or 11 may be enrolled if routine diffusion-weighted magnetic resonance imaging (DW MRI) or computed tomography perfusion scan indicates that the acute stroke involves the cerebral cortex, and as long as the overall acute neurological deficit is within the range of 10-16 NIHSS points. Clinical trial material (CTM) will be administered within 1 to 9 hours after the onset of acute ischemic stroke symptoms. Subjects will be randomized at a ratio of 1:1 to receive either DP-b99 or placebo. After the initial hospitalization (which should be at least 4 days) follow up visits will take place on study days 30 and 90.
Ages Eligible for Study: | 18 Years to 85 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Have suffered an acute hemispheric ischemic stroke, defined as acute, focal, neurological deficit(s), secondary to a presumed vascular event, which must include both or one of the following:
At least one of the following components (as reflected by at least 1 point on any of the corresponding items of the NIHSS: 9, 3 or 11):
Exclusion Criteria:
Contact: Gilad Rosenberg, MD, MSc | 011 9728 9385100 ext 273 | grosenberg@dpharm.com |
Contact: Linda S Marshall, MD | 011 9728 9385100 ext 206 | lmarshall@dpharm.com |
Germany | |
Universitätsklinik Freiburg, Klinik für Neurologie | |
Freiburg, Germany, 79106 | |
Israel | |
Neurological Dept. Edith Wolfson Medical Center | |
Holon, Israel, 58100 |
Responsible Party: | D-Pharm, Ltd. ( Dr. Gilad Rosenberg, Vice President Clinical Development ) |
Study ID Numbers: | Ptcl-01373 |
Study First Received: | May 4, 2009 |
Last Updated: | May 5, 2009 |
ClinicalTrials.gov Identifier: | NCT00893867 History of Changes |
Health Authority: | United States: Food and Drug Administration; Israel: Ethics Commission; Israel: Israeli Health Ministry Pharmaceutical Administration; Israel: Ministry of Health; Israel: The Israel National Institute for Health Policy Research and Health Services Research; South Africa: Department of Health; South Africa: Human Research Ethics Committee; South Africa: Medicines Control Council; South Africa: National Health Research Ethics Council |
acute ischemic stroke neuroprotective agent |
Cerebral Infarction Stroke Vascular Diseases Brain Ischemia Central Nervous System Diseases Brain Infarction |
Ischemia Brain Diseases Infarction Neuroprotective Agents Cerebrovascular Disorders |
Pathologic Processes Cerebral Infarction Nervous System Diseases Stroke Vascular Diseases Brain Ischemia |
Central Nervous System Diseases Cardiovascular Diseases Brain Infarction Ischemia Brain Diseases Cerebrovascular Disorders |