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Cethrin in Acute Cervical Spinal Cord Injury

Primary Purpose

Spinal Cord Injury

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Cethrin (BA-210)
Placebo
Sponsored by
BioAxone BioSciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spinal Cord Injury focused on measuring SCI, spinal cord injury, biologic drug, rho, paralysis, paraplegia, tetraplegia, quadriplegia, trauma, central nervous system, fibrin sealant, neurosurgery, cervical, regeneration, neurotrauma

Eligibility Criteria

18 Years - 62 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or females, ages 18-62, inclusive
  • Acute cervical spinal cord injury at a neurological level of C4-C6
  • AIS Grade A or B
  • Scheduled to undergo decompression/stabilization surgery within five days of injury
  • Written or verbal consent from patient or legally authorized representative that patient is able and willing to comply with the study protocol, including follow-up visits

Exclusion Criteria:

  • Participation in any other clinical trial for acute SCI, including previous Cethrin trial
  • Inability to receive study medication within five days of injury
  • Acute SCI from gunshot or penetrating/stab wound; peripheral nerve injury; brachial plexus injury; complete spinal cord transection; or multifocal SCI
  • Significant hemorrhage on MRI/CT scan
  • Females who are breastfeeding or have a positive serum pregnancy test
  • Body mass index (BMI) of ≥ 35 kg/m2 at screening
  • History of an adverse reaction to a fibrin sealant or its human or bovine components
  • Use of intravenous heparin in previous 48 hours, aspirin-containing products in previous 24 hours, thrombolytics in previous 12 hours
  • Hemophilia or other bleeding abnormality (platelet level lower than 100 X 109/L, activated partial thromboplastin time or international normalized ratio higher than the upper limit of normal, or baseline hematocrit lower than 0.25)
  • Unconsciousness or other impairment that precludes reliable ASIA examination
  • Known immunodeficiency, including human immunodeficiency virus, or use of immunosuppressive or cancer chemotherapeutic drugs
  • Clinically significant pre-existing neurological, cardiac, respiratory, hepatic, or renal disease

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Arm Label

    Placebo

    Cethrin (BA-210) - Low Dose

    Cethrin (BA-210) - High Dose

    Arm Description

    Fibrin sealant only.

    Low dose of Cethrin in a fibrin sealant.

    High dose of Cethrin in a fibrin sealant.

    Outcomes

    Primary Outcome Measures

    American Spinal Injury Association (ASIA) Upper Extremity Motor Score Recovery

    Secondary Outcome Measures

    ASIA Total Motor Score Recovery
    ASIA Impairment Scale (AIS) Grade Recovery
    Motor Neurological Level Recovery
    ASIA Sensory Score Recovery
    Spinal Cord Independence Measure (SCIM) III (Total Score, Self-Care Subscore)
    Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP)
    Incidence of Adverse Events

    Full Information

    First Posted
    January 31, 2014
    Last Updated
    November 25, 2014
    Sponsor
    BioAxone BioSciences, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02053883
    Brief Title
    Cethrin in Acute Cervical Spinal Cord Injury
    Official Title
    A Phase II/III, Double-Blind, Randomized, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Cethrin in Subjects With Acute Cervical Spinal Cord Injury
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2014
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Compound recently partnered with another company for continued development.
    Study Start Date
    July 2015 (undefined)
    Primary Completion Date
    May 2016 (Anticipated)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    BioAxone BioSciences, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This is a multicenter, randomized, double-blind, placebo-controlled Phase IIb/III study designed to evaluate the efficacy and safety of Cethrin as a treatment for acute cervical spinal cord injury. During the trial, high and low doses of Cethrin will be compared with placebo.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Spinal Cord Injury
    Keywords
    SCI, spinal cord injury, biologic drug, rho, paralysis, paraplegia, tetraplegia, quadriplegia, trauma, central nervous system, fibrin sealant, neurosurgery, cervical, regeneration, neurotrauma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Fibrin sealant only.
    Arm Title
    Cethrin (BA-210) - Low Dose
    Arm Type
    Experimental
    Arm Description
    Low dose of Cethrin in a fibrin sealant.
    Arm Title
    Cethrin (BA-210) - High Dose
    Arm Type
    Experimental
    Arm Description
    High dose of Cethrin in a fibrin sealant.
    Intervention Type
    Drug
    Intervention Name(s)
    Cethrin (BA-210)
    Intervention Description
    High or low doses of Cethrin administered extradurally in a fibrin sealant during spinal decompression/stabilization surgery.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Fibrin sealant alone administered extradurally during spinal decompression/stabilization surgery.
    Primary Outcome Measure Information:
    Title
    American Spinal Injury Association (ASIA) Upper Extremity Motor Score Recovery
    Time Frame
    Baseline to 6 Months
    Secondary Outcome Measure Information:
    Title
    ASIA Total Motor Score Recovery
    Time Frame
    Baseline to 6 Months
    Title
    ASIA Impairment Scale (AIS) Grade Recovery
    Time Frame
    Baseline to 6 Months
    Title
    Motor Neurological Level Recovery
    Time Frame
    Baseline to 6 Months
    Title
    ASIA Sensory Score Recovery
    Time Frame
    Baseline to 6 Months
    Title
    Spinal Cord Independence Measure (SCIM) III (Total Score, Self-Care Subscore)
    Time Frame
    6 Months
    Title
    Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP)
    Time Frame
    6 Months
    Title
    Incidence of Adverse Events
    Time Frame
    0-6 Months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    62 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males or females, ages 18-62, inclusive Acute cervical spinal cord injury at a neurological level of C4-C6 AIS Grade A or B Scheduled to undergo decompression/stabilization surgery within five days of injury Written or verbal consent from patient or legally authorized representative that patient is able and willing to comply with the study protocol, including follow-up visits Exclusion Criteria: Participation in any other clinical trial for acute SCI, including previous Cethrin trial Inability to receive study medication within five days of injury Acute SCI from gunshot or penetrating/stab wound; peripheral nerve injury; brachial plexus injury; complete spinal cord transection; or multifocal SCI Significant hemorrhage on MRI/CT scan Females who are breastfeeding or have a positive serum pregnancy test Body mass index (BMI) of ≥ 35 kg/m2 at screening History of an adverse reaction to a fibrin sealant or its human or bovine components Use of intravenous heparin in previous 48 hours, aspirin-containing products in previous 24 hours, thrombolytics in previous 12 hours Hemophilia or other bleeding abnormality (platelet level lower than 100 X 109/L, activated partial thromboplastin time or international normalized ratio higher than the upper limit of normal, or baseline hematocrit lower than 0.25) Unconsciousness or other impairment that precludes reliable ASIA examination Known immunodeficiency, including human immunodeficiency virus, or use of immunosuppressive or cancer chemotherapeutic drugs Clinically significant pre-existing neurological, cardiac, respiratory, hepatic, or renal disease

    12. IPD Sharing Statement

    Learn more about this trial

    Cethrin in Acute Cervical Spinal Cord Injury

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