Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema Following Large Hemispheric Infarction (CHARM)
Brain Edema, Stroke, Acute
About this trial
This is an interventional treatment trial for Brain Edema focused on measuring Infarction, Cerebrovascular Disorders, Brain Diseases, Pathological Processes Necrosis, Central Nervous System Diseases, Vascular Diseases, Cardiovascular Diseases, Glyburide, Hypoglycemic Agents, Physiological Effects of Drugs
Eligibility Criteria
Inclusion Criteria:
- A clinical diagnosis of acute ischemic stroke in the middle cerebral artery (MCA) territory.
- A large hemispheric infarction defined as; lesion volume of 80 to 300 centimeters cubed (cm^3) on magnetic resonance imaging (MRI) diffusion-weighted imaging (DWI), or computed tomography perfusion (CTP), or an Alberta Stroke Program Early CT Score (ASPECTS) of 1 to 5 with involvement of at least 2 defined cortical regions.
- Screening National Institutes of Health Stroke Scale (NIHSS) >=10.
At the time of randomization, and in the Investigator's judgement, it must be feasible for study drug treatment infusion to be initiated no later than 10 hours after time of symptom onset, if known, or the time last known normal.
- Participants who wake with stroke may be included if neurological and other exclusion criteria are satisfied. The time of stroke onset is to be taken as the midpoint between sleep onset (or last known to be normal) and time of waking. .
- For participants who receive thrombectomy, inclusion into the study must be based on post-thrombectomy MRI-DWI.
Exclusion Criteria:
- Participant is likely to have supportive care withdrawn on the first day.
- Commitment to decompressive craniectomy (DC) prior to enrollment.
- Evidence of concurrent infarction in the contralateral hemisphere sufficiently serious so as to affect functional outcome.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Sites / Locations
- Barrow Neurological Institute
- Arizona Board of Regents, University of Arizona
- Stanford Stroke Center
- University of California Davis Health System
- UCSD Health-La Jolla
- University of Colorado Hospital
- Yale New Haven Hospital
- University of Florida-Gainsville
- Lyerly Neurosurgery Baptist Health
- University of Florida, Jacksonville
- University of South Florida
- Grady Memorial Hospital
- Augusta University
- The Queens Medical Center
- Rush University Medical Center
- University of Kansas Medical Center Research Institute, Inc.
- University of Louisville
- Ochsner Clinic Foundation
- Maine Medical Center
- University of Maryland
- Sinai Hospital of Baltimore
- Massachusetts General Hospital
- Brigham and Woman's Hospital
- Beth Israel Deaconess Medical Center, Inc.
- UMASS Memorial Medical Center
- Henry Ford Hospital
- St. John's Hospital
- Fairview Southdale Hospital
- Saint Luke's Hospital of Kansas City
- Saint Louis University
- Washington University Physicians
- JFK Medical Center
- Jersey Shore University Medical Center
- Rutgers - Robert Wood Johnson Medical School
- Valley Hospital
- University of New Mexico
- University of Buffalo
- Northwell Health
- NYU Langone Medical Center
- Mount Sinai Hospital
- Columbia University Hervert Irving Comprehensive Cancer Center
- University of Rochester Medical Center
- SUNY Upstate Medical Center
- UNC Hospitals
- Atrium Health Carolinas Medical Center
- Duke University Medical Center
- Guilford Neurologic Research, PA
- Novant Health Forsyth Medical Center
- Wake Forest Baptist Health Sciences
- Summa Health System
- University of Cincinnati
- University Hospitals Cleveland Medical Center
- The Cleveland Clinic Foundation
- Ohio State Univ College Of Medicine
- Miami Valley Hospital South
- ProMedica Toledo Hospital
- Ascension St. John
- Providence Brain and Spine Institute
- Oregon Health & Science University
- Lehigh Valley Hospital - Cedar Crest
- Penn State University Milton S. Hershey Medical Center
- University of Pennsylvania Health System
- Allegheny General Hospital
- University of Pittsburgh School of Medicine
- Rhode Island Hospital Warren Alpert Medical School Brown University
- Erlanger Health System
- University of Tennessee Health Sciences Center
- TriStar Skyline Medical Center
- Vanderbilt Medical Center
- St.David's HealthCare Office of Research
- Valley Baptist Medical Center
- University of Utah Neurology
- University of Washington School of Medicine
- University Hospital and UW Health Clinics
- Liverpool Hospital
- John Hunter Hospital
- Royal North Shore Hospital
- Princess Alexandra Hospital
- Royal Adelaide Hospital
- Monash Medical Centre
- The Alfred Hospital
- Royal Melbourne Hospital
- Sunshine Hospital
- Universitair Ziekenhuis Gent
- UZ Leuven
- CHU UCL Namur
- Clinique CHC MontLégia
- HGF - Hospital Geral de Fortaleza
- Hospital do Rocio
- Hospital de Clínicas de Porto Alegre
- Clinica Neurológica e Neurocirúrgica de Joinville
- Hospital das Clínicas FMRP-USP
- Hospital Sao Paulo
- Foothills Medical Centre
- University of Alberta Hospital
- Anhui Provincial Hospital
- Xuanwu Hospital Capital Medical University
- Beijing Tiantan Hospital, Capital Medical University
- Peking University Third Hospital
- Beijing Tiantan Hospital, Capital Medical University
- The First Affiliated Hospital of Sun Yat-sen University
- The Second Affiliated Hospital of Guangzhou Medical University
- Hainan General Hospital
- Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology
- Renmin Hospital, Wuhan University
- The Second Affiliated Hospital of Soochow University
- Huai'an First People's Hospital
- Zhongda Hospital Southeast University
- The Second Affiliated Hospital of Nanjing Medical University
- Affiliated Hospital of Nantong University
- The Affiliated Hospital of Xuzhou Medical College
- Jiangxi Provincial People's Hospital
- The First Affiliated Hospital of Nanchang University
- Jiangxi Pingxiang People's Hospital
- The First Hospital of Jilin University
- Huashan Hospital, Fudan University
- The Second Affiliated Hospital of Xi'an Jiaotong University(Xibei Hospital)
- Army Specialty Medical Center of The Chinese People's Liberation Army
- Tianjin Medical University General Hospital
- Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
- General Hospital Varazdin
- Clinical Hospital 'Sestre Milosrdnice'
- Clinical Hospital Centar Zagreb
- Fakultni nemocnice Ostrava
- Fakultni nemocnice Brno
- Fakultni nemocnice u sv. Anny v Brne
- Fakultni nemocnice Kralovske Vinohrady
- Fakultni nemocnice v Motole
- Fakultni nemocnice Hradec Kralove
- Bispebjerg og Frederiksberg Hospital
- Copenhagen University Hospital and Glostrup Hospital
- Sjællands Universitetshospital
- Helsinki University Hospital
- Turun yliopistollinen keskussairaala
- CHU CAEN - Hôpital de la Côte de Nacre
- CHU Besançon - Hôpital Jean Minjoz
- CHU de Brest - Hôpital de la Cavale Blanche
- Groupe Hospitalier Pellegrin - Hôpital Pellegrin
- CHU Rennes - Hopital Pontchaillou
- CHU Nantes - Hopital Nord Laënnec
- CHU Nancy - Hôpital Central
- Hopital Roger Salengro - CHU Lille
- Hôpital Bicêtre
- Universitaetsklinikum Freiburg
- Klinikum Augsburg
- Rhon-Klnikum Campus Bad Neustadt
- Universitaetsklinikum Erlangen
- Klinikum der Johann Wolfgang Goethe-Universitaet
- Klinikum Frankfurt Hoechst GmbH
- Klinikum Kassel GmbH
- Universitaetsklinikum Essen
- Universitaetsklinikum Muenster
- Klinikum Altenburger Land GmbH
- Universitaetsklinikum Jena
- Universitaetsklinikum Carl Gustav Carus TU Dresden
- Pest Megyei Flor Ferenc Korhaz
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
- Petz Aladar Egyetemi Oktato Korhaz
- Somogy Megyei Kaposi Mor Oktato Korhaz
- SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz
- Semmelweis Egyetem
- Rabin MC
- Soroka University Medical Center
- Rambam Health Care Center
- Shaare Zedek
- Hadassah University Hospital - Ein Kerem
- Tel Aviv Sourasky Medical Center
- Istituto Clinico Humanitas
- Azienda Ospedaliera Universitaria Policlinico Tor Vergata
- Policlinico Umberto I
- Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
- Azienda Ospedaliera Universitaria Careggi
- IRCCS Ospedale Policlinico San Martino
- Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
- Ospedale San Raffaele
- Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda)
- A.O.U. Senese Policlinico Santa Maria alle Scotte
- Toyota Memorial Hospital
- Hachinohe Red Cross Hospital
- Kimitsu Chuo Hospital
- NHO Kyushu Medical Center
- Chiyukai Fukuoka Wajiro Hospital
- Chiyukai Fukuoka Shinmizumaki Hospital
- Chiyukai Shin Yukuhashi Hospital
- Southern Tohoku General Hospital
- Gifu Prefectural General Medical Center
- Showakai Brain Attack Center Ota Memorial Hospital
- Asahikawa Red Cross Hospital
- Ohnishi Neurological Center
- Kobe City Hospital Organization Kobe City Medical Center General Hospital
- Tsuchiura Kyodo General Hospital
- Iwate Prefectural Central Hospital
- St. Marianna University Hospital
- NHO Sendai Medical Center
- Kurashiki Central Hospital
- Okayama City General Medical Center Okayama City Hospital
- National Cerebral and Cardiovascular Center
- Rinku General Medical Center
- Saitama Medical University International Medical Center
- Nippon Medical School Hospital
- Tokyo Metropolitan Tama Medical Center
- Kyorin University Hospital
- NHO Minami Wakayama Medical Center
- Yamaguchi University Hospital
- Yamanashi Prefectural Central Hospital
- Seoul National University Bundang Hospital
- Kyungpook National University Hospital
- Dong-A University Hospital
- Asan Medical Center
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics
- Republican Vilnius University Hospital, Public Institution
- Vilnius University Hospital Santariskiu Clinic, Public Institution
- Centro Hospitalar de Entre o Douro e Vouga, E.P.E. - Hospital de São Sebastião
- Unidade Local de Saúde de Matosinhos, E.P.E. - Hospital Pedro Hispano
- Hospital Garcia de Orta, EPE
- Centro Hospitalar e Universitário de Coimbra E.P.E. - Hospitais da Universidade de Coimbra
- Centro Hospitalar de Lisboa Ocidental, E.P.E. - Hospital de Egas Moniz
- Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria
- Centro Hospitalar de São João, E.P.E
- SPb SBIH 'City Hospital # 26'
- Saint-Petersburg Scientific-Research Institute of Emergency Care
- SBEI HPE 'Kazan State Medical University' of the MoH of the RF
- SHI "Territorial Clinical Hospital #1 n.a. S.V. Ochapovsky"
- SBIH of Moscow 'City Clinical Hospital # 1 n. a. N. I. Pirogov'
- Hospital Universitari de Bellvitge
- Hospital Universitario Reina Sofia
- Complejo Hospitalario Universitario de Santiago
- Hospital Regional Universitario de Malaga
- Hospital del Mar
- Hospital Universitari Vall d'Hebron
- Hospital Universitari de Girona Dr Josep Trueta
- Hospital Universitario Ramon y Cajal
- Hospital Universitario Virgen del Rocio
- Hospital Universitario Virgen Macarena
- Hospital Universitari i Politecnic La Fe
- Hospital Clinico Universitario de Valladolid
- Ospedale Regionale di Lugano
- Inselspital - Universitaetsspital Bern
- Kaohsiung Chang Gung Memorial Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Chang Gung Memorial Hospital,Linkou
- Addenbrooke's Hospital
- King's College Hospital
- Imp Coll Health Nhst 1
- The National Hospital for Neurology & Neurosurgery
- Nottingham University Hospitals City Campus
- Queen Elizabeth University Hospital Campus
- Newcastle University- Clinical Ageing Research Unit
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
BIIB093
Placebo
BIIB093 administered as a bolus followed by continuous intravenous (IV) infusion over 72 hours.
Placebo administered as a bolus followed by continuous intravenous (IV) infusion over 72 hours.