A Study of Milvexian in Participants After an Acute Ischemic Stroke or High-Risk Transient Ischemic Attack- LIBREXIA-STROKE (LIBREXIA-STROK)
Ischemic Stroke; Ischemic Attack, Transient
About this trial
This is an interventional treatment trial for Ischemic Stroke; Ischemic Attack, Transient
Eligibility Criteria
Inclusion Criteria: Ischemic Stroke: a neurological deficit attributable to an acute brain infarction and national institute of health stroke score scale (NIHSS) score less than or equal to (<=) 7 and at least 1 of the following: persistent signs or symptoms of the ischemic event at the time of randomization, or acute, ischemic brain lesion determined by standard-of-care neuroimaging, or participant underwent thrombolysis or thrombectomy, or transient ischemic attack (TIA): acute onset neurological deficit attributable to focal ischemia of the brain by history or examination, with complete symptom resolution of the deficit and no brain infarction on neuroimaging (example, computed tomography (CT) scan or magnetic resonance imaging (MRI), performed as part of standard medical practice), and ABCD2 Score greater than or equal to (>=) 6 Participants will be randomized as soon as possible after determining eligibility and within 48 hours of onset of event. Current or planned antiplatelet treatment per international and/or local guidelines. If acetyl salicylic acid (ASA) is used, it will be limited to low dose (75 to 100 milligrams (mg)/day). Loading dose of antiplatelet agents (including ASA) are allowed per standard-of-care A female participant must agree not to be pregnant, breastfeeding, or planning to become pregnant until 4 days (5 half lives) after the last dose of study intervention Willing and able to adhere to the lifestyle restrictions specified in this protocol Exclusion Criteria: Prior history of intracranial hemorrhage except subarachnoid hemorrhage greater than (>) 1 year prior with adequate treatment The index stroke or TIA is considered to have a cardio-embolic etiology based on local standard-of-care investigations and for which guidelines recommend anticoagulation The index stroke or TIA considered to have another known cause, not related to athero-thrombotic sources (treatment of acute stroke trial [TOAST] Other Determined Etiology), based on local standard-of-care investigations Increased risk of bleeding, including clinically significant bleeding within the previous 3 months or known bleeding diathesis or known activated partial thromboplastin time (aPTT) prolongation or spinal cord hemorrhage or retinal hemorrhage Current active liver disease, eg, acute hepatitis, known cirrhosis, including participants receiving antiviral treatment for hepatitis Known allergies, hypersensitivity, or intolerance to milvexian or its excipients
Sites / Locations
- Glendale Adventist Medical CenterRecruiting
- UC Irvine Healthcare CenterRecruiting
- Long Beach MemorialRecruiting
- Harbor Ucla Medical CenterRecruiting
- University of ColoradoRecruiting
- MedStar Health Research InstituteRecruiting
- Sacred Heart HospitalRecruiting
- Sarasota Memorial HospitalRecruiting
- Insight Hospital and Medical Center ChicagoRecruiting
- Javon Bea HospitalRecruiting
- Prairie Education & Research CooperativeRecruiting
- IU Health Methodist HospitalRecruiting
- Community Hospital Cardiovascular ResearchRecruiting
- Ascension via Christi ResearchRecruiting
- Pikeville Medical CenterRecruiting
- Sinai Hospital of BaltimoreRecruiting
- Comprehensive Neurology ServicesRecruiting
- Detroit Clinical Research CenterRecruiting
- Memorial Institute for Neurosciences and Multiple SclerosisRecruiting
- University of Nebraska Medical CenterRecruiting
- Jersey Shore University Medical CenterRecruiting
- Rutgers New Jersey Medical SchoolRecruiting
- Lincoln HospitalRecruiting
- Mercy HospitalRecruiting
- Weill Cornell Medical CollegeRecruiting
- Guilford Neurologic AssociatesRecruiting
- The Ohio State UniversityRecruiting
- Ascension Medical Group - St. John Clinic Infectious DiseaseRecruiting
- Abington Memorial HospitalRecruiting
- Temple University HospitalRecruiting
- Einstein Medical CenterRecruiting
- TriStar Skyline Medical CenterRecruiting
- Saint Thomas HealthRecruiting
- Seton Heart InstituteRecruiting
- Neurology Consultants of Dallas, PARecruiting
- Sentara Medical GroupRecruiting
- Winchester Medical CenterRecruiting
- Multiprofile Hospital for Active Treatment PulsRecruiting
- MHAT Sveti Ivan RilskiRecruiting
- MHAT Avis - Medica OODRecruiting
- UMHAT KaspelaRecruiting
- Fakultni nemocnice BrnoRecruiting
- Nemocnice JihlavaRecruiting
- Nemocnice Pisek, a.s.Recruiting
- Hopital Raymond PoincareRecruiting
- Centre HospitalierRecruiting
- Hôpital Bichat - Claude BernardRecruiting
- Klinikum Altenburger Land GmbHRecruiting
- Asklepios Klinik Nord - HeidbergRecruiting
- Universitaetsklinikum TuebingenRecruiting
- Azienda Unita Sanitaria Locale Umbria 1 Ospedale di Citta di CastelloRecruiting
- Azienda Ospedaliera Universitaria Integrata VeronaRecruiting
- Toyota Memorial HospitalRecruiting
- Steel Memorial Yawata HospitalRecruiting
- Saiseikai Fukuoka General HospitalRecruiting
- National Hospital Organization Kyushu Medical CenterRecruiting
- Takayama Red Cross HospitalRecruiting
- Tokai University Hachioji HospitalRecruiting
- NHO Higashihiroshima Medical CenterRecruiting
- National Hospital Organization Kanazawa Medical CenterRecruiting
- Fukuoka Tokushukai HospitalRecruiting
- Nagoya Tokushukai General HospitalRecruiting
- National Hospital Organization Fukuoka Higashi Medical CenterRecruiting
- Japanese Red Cross Kumamoto HospitalRecruiting
- Tenjinkai Shin Koga ClinicRecruiting
- Tokushukai Matsubara Tokushukai HospitalRecruiting
- NHO Nagoya Medical CenterRecruiting
- National Hospital Organization Osaka National HospitalRecruiting
- Konankai Konan HospitalRecruiting
- Kanmon Medical CenterRecruiting
- NTT Medical Center TokyoRecruiting
- NHO Toyohashi Medical CenterRecruiting
- Sanyudo HospitalRecruiting
- Seoul National University HospitalRecruiting
- Samodzielny Publiczny Wojewodzki Szpital Specjalistyczny w ChelmieRecruiting
- 1 Wojskowy Szpital Kliniczny z Poliklinika SPZOZ w LublinieRecruiting
- Zespol Opieki Zdrowotnej w Skarzysku-Kamiennej Szpital Powiatowy im. M.Curie-SklodowskiejRecruiting
- KO-MED Centra Kliniczne StaszowRecruiting
- Iatros InternationalRecruiting
- Garda, RARecruiting
- Dr J.M. Engelbrecht Trial SiteRecruiting
- Drs Sarvan and MoodleyRecruiting
- Clinical Projects Research SA (PTY) LTDRecruiting
- Hosp. Del MarRecruiting
- Hosp. de La Santa Creu I Sant PauRecruiting
- Hosp. Reina SofiaRecruiting
- Hosp. Clinico San CarlosRecruiting
- Hosp. Clinico Univ. de ValenciaRecruiting
- Hosp. Clinico Univ. de ValladolidRecruiting
- Taipei Medical University Shuang Ho HospitalRecruiting
- National Taiwan University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Milvexian
Placebo
Participants after an acute ischemic stroke or high-risk transient ischemic attack (TIA) who are receiving antiplatelet therapy standard-of-care (SAPT [single antiplatelet therapy] or DAPT [dual antiplatelet therapy]) will receive milvexian orally twice daily.
Participants after an acute ischemic stroke or high-risk TIA who are receiving antiplatelet therapy standard-of-care (SAPT or DAPT) will receive placebo orally twice daily.