search
Back to results

Clinical Trial to Assess the Efficacy and to Evaluate Safety of HT047 in Patients With Acute Ischemic Stroke

Primary Purpose

Ischemic Stroke

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
HT047 High-dose group
HT047 Low-dose group
Placebo
Sponsored by
Hocheol Kim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Stroke focused on measuring HT047, Pueraria lobata, Scutellaria baicalensis

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult at the age of ≥ 19
  2. Diagnosis of acute ischemic stroke by brain imaging within 14 days of screening
  3. FMA motor score ≤ 55 with arm or leg weakness at screening
  4. K-NIHSS score ≥ 4 and ≤ 15 at screening
  5. Individuals who have visual and hearing abilities to perform the trial; who are able to understand the words and sentences necessary to evaluate the efficacy and safety, as well as the investigator's instructions; and who are able to communicate (such as gestures, writing, speaking, etc.)
  6. Voluntary written informed consent to study participation

Exclusion Criteria:

  1. Presence of motor function impairment, which is caused by previous stroke except acute ischemic stroke occurring within 14 days of screening (A subject with previous history of stroke may participate if he/she showed no motor function impairment and the K-mRS score was ≤1 (0-1))
  2. Diagnosis of and current treatment for degenerative neurological diseases, e.g., Parkinson's disease and Alzheimer's disease
  3. Current treatment with amphetamines, selective serotonin reuptake inhibitors, or antipsychotics
  4. Presence of brain diseases, such as brain tumor, traumatic brain damage, arteriovenous malformation, or moyamoya disease, or ischemic stroke caused by these diseases
  5. Impaired ability to walk upright due to other illness prior to screening
  6. Unstable vital signs at screening based on the judgment of the investigator e.g., systolic blood pressure ≥ 170mmHg despite antihypertensive treatment or other symptoms such as hyperthermia, tachycardia, or hyperventilation
  7. Diagnosis of liver diseases prior to screening, such as hepatitis and liver cirrhosis, or current treatment for these diseases
  8. Continuous treatment with potentially hepatotoxic drugs e.g., current treatment with propylthiouracil, ketoconazole, isoniazid, valproic acid, phenytoin, etc. that may induce acute hepatotoxicity
  9. Severe, New York Heart Association (NYHA) Class III or higher heart failure at screening [NYHA Classes of heart failure] Class I: patients with no limitation of activities; they suffer no symptoms from ordinary activities.

    Class II: patients with slight, mild limitation of activity; they are comfortable with rest or with mild exertion.

    Class III: patients with marked limitation of activity; they are comfortable only at rest.

    Class IV: patients who should be at complete rest, confined to bed or chair; any physical activity brings on.

  10. Diagnosis of or treatment for cancer within 6 months of screening or presence of recurrent or metastatic cancer
  11. Treatment with or intake of traditional oriental medicine (herbal medicine) or health functional foods containing potentially hepatotoxic plants, such as Germander (Teucrium chamaedrys, Teucrium polium), toothed clubmoss (Lycopodium serratum), or celandine (Chelidonium majus), within 4 weeks prior to study participation
  12. Treatment with or intake of traditional Korean medicine containing pueraria root and/or scutellaria root or other drugs or health functional foods containing their respective index components, i.e. puerarin and baicalin, within 4 weeks prior to study participation
  13. Hematologic findings as follows

    ① Increased serum aspartate or alanine aminotransferase (AST/ALT) levels ≥ 1.5 x site specific upper limit of normal in laboratory test

    ② Decreased hemoglobin (Hb) level (Hb< 10 g/dl), decreased platelet (PLT) level (PLT< 100,000/mm3), or hematocrit (Hct) level < 25% in whole blood count test.

    ③ Increased serum creatinine (Cr) level (Cr > 2.0 mg/dl) in laboratory test or patient on dialysis

  14. Pregnant or lactating women A woman of childbearing potential can participate in the study only if non-pregnancy is confirmed.

    Subjects must use a double barrier method or must have been surgically sterilized.

  15. Previous participation in a clinical study for another drug within 3 months of screening. A subject who participated in an observational study that did not involve drug treatment may participate in this study.
  16. Individuals who are considered by the investigator to be inadequate for study participation due to other reasons.

Sites / Locations

  • Myongji Hospital
  • Hanyang University Guri Hospital
  • Hallym University Dongtan Sacred Heart Hospital
  • Chosun University Hospital
  • Gachon University Gil Medical Center
  • Kyung Hee University Hospital
  • Hanyang University Medical Center
  • Kyung Hee University Hospital at Gangdong

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

HT047 High-dose group

HT047 Low-dose group

Placebo

Arm Description

three times a day dosing schedule 3 tablets per dose

three times a day dosing schedule 3 tablets per dose

three times a day dosing schedule 3 tablets per dose

Outcomes

Primary Outcome Measures

Change at Week 12 of treatment with HT047 Tab. from baseline in Korean version of Fugl-Meyer Assessment (FMA) motor function score
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.

Secondary Outcome Measures

Change at Weeks 4, 8 and 12 from baseline in FMA motor function score
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Change at Weeks 4, 8, and 12 from baseline in FMA motor function score according to the timing of treatment initiation after the onset of stroke.
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Change at Weeks 4, 8, and 12 from baseline in FMA motor function score according to the presence of prognostic risk factors (hypertension, diabetes, dyslipidemia, etc.)
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Change at Weeks 4 and 12 from baseline in Korean-National Institutes of Health Stroke Scale (K-NIHSS) scores
Total score of K-NIHSS would be scored by 11 categories.
Change at Weeks 4 and 12 from baseline in Korean modified Rankin Scale (K-mRS) scores
Different 6 questions can be scored by 0-5 marks.
Proportion of subjects with K-NIHSS score 0 - 2 at Week 12
Total score of K-NIHSS would be scored by 11 categories.
Proportion of subjects with K-mRS score 0, ≤ 1, and ≤ 2 at Week 12
Different 6 questions can be scored by 0-5 marks.
Change at Weeks 4 and 12 from baseline in Korean Modified Barthel Index (K-MBI) score
Total scores (0-100) should be rated by 5 stages in 10 categories.

Full Information

First Posted
June 24, 2016
Last Updated
September 30, 2018
Sponsor
Hocheol Kim
search

1. Study Identification

Unique Protocol Identification Number
NCT02828540
Brief Title
Clinical Trial to Assess the Efficacy and to Evaluate Safety of HT047 in Patients With Acute Ischemic Stroke
Official Title
A Multi-center, Randomized, Double-blind, Placebo-controlled, Phase II Clinical Trial to Assess the Efficacy and to Evaluate Safety of HT047 in Patients With Acute Ischemic Stroke
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
August 4, 2016 (undefined)
Primary Completion Date
August 3, 2018 (Actual)
Study Completion Date
August 3, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Hocheol Kim

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To assess the efficacy and to evaluate safety of HT047 in patients with acute ischemic stroke
Detailed Description
This clinical study is designed to initiate treatment with high or low dose HT047 or placebo in subjects with acute ischemic stroke within 2 weeks of onset of the disease and evaluate neurological function recovery in these subjects as measured by the extent of motor function recovery at Week 12 of treatment. Subjects must have had a recent onset of acute ischemic stroke as confirmed by brain imaging. In terms of symptoms of ischemic stroke, patients who have motor function impairment with FMA motor score ≤ 55 as well as neurological function impairment with K-NIHSS score ≥ 4 and ≤ 15 are eligible for study participation. A subject who is considered by the investigator to be appropriate for study participation and provides informed consent will participate in this study. At baseline, subjects will be randomized to HT047 high dose group (2250 mg/day), HT047 low dose group (1500 mg/day), or placebo group in a 1:1:1 ratio in a double blind fashion and be treated with the investigational product for 12 weeks starting from the next morning of baseline with a three times a day dosing schedule, 3 tablets per dose. Since this is a first-in-human trial for HT047, subjects will have a study visit at Week 1 (Day 7) of participation for laboratory tests, ECG, and chest x-ray. A one-month portion of the investigational product will be supplied. During study treatment, subjects will visit the hospital at Weeks 1, 4, 8, and 12. During the Week 1 visit, the above tests will be performed and the subject's physical status will be checked before he/she is sent home. In the subsequent visits, neurological function assessment and drug exchange will be carried out. At each visit, the study staff should carefully check the subject's medication compliance and verify the accurate number of remaining doses to be countered. After 12 weeks of study conduct as shown in the above figure, at Week 12, laboratory tests performed at Week 1 will be repeated and overall change in the subject's status will be confirmed before all study procedures are ended.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Stroke
Keywords
HT047, Pueraria lobata, Scutellaria baicalensis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
78 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HT047 High-dose group
Arm Type
Experimental
Arm Description
three times a day dosing schedule 3 tablets per dose
Arm Title
HT047 Low-dose group
Arm Type
Experimental
Arm Description
three times a day dosing schedule 3 tablets per dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
three times a day dosing schedule 3 tablets per dose
Intervention Type
Drug
Intervention Name(s)
HT047 High-dose group
Intervention Description
HT047 2250mg, three times a day dosing schedule, 3 tablets per dose
Intervention Type
Drug
Intervention Name(s)
HT047 Low-dose group
Intervention Description
HT047 1500mg, three times a day dosing schedule, 3 tablets per dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
placebo having the same appearance as HT047 Tab. 250mg
Primary Outcome Measure Information:
Title
Change at Week 12 of treatment with HT047 Tab. from baseline in Korean version of Fugl-Meyer Assessment (FMA) motor function score
Description
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Change at Weeks 4, 8 and 12 from baseline in FMA motor function score
Description
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Time Frame
4weeks, 8weeks, 12 weeks
Title
Change at Weeks 4, 8, and 12 from baseline in FMA motor function score according to the timing of treatment initiation after the onset of stroke.
Description
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Time Frame
4weeks, 8weeks, 12 weeks
Title
Change at Weeks 4, 8, and 12 from baseline in FMA motor function score according to the presence of prognostic risk factors (hypertension, diabetes, dyslipidemia, etc.)
Description
Total score of motor function test for upper extremity in 66 marks plus total score of motor function test for lower extremity in 34 marks is 100 marks.
Time Frame
4weeks, 8weeks, 12 weeks
Title
Change at Weeks 4 and 12 from baseline in Korean-National Institutes of Health Stroke Scale (K-NIHSS) scores
Description
Total score of K-NIHSS would be scored by 11 categories.
Time Frame
4weeks, 12 weeks
Title
Change at Weeks 4 and 12 from baseline in Korean modified Rankin Scale (K-mRS) scores
Description
Different 6 questions can be scored by 0-5 marks.
Time Frame
4weeks, 12weeks
Title
Proportion of subjects with K-NIHSS score 0 - 2 at Week 12
Description
Total score of K-NIHSS would be scored by 11 categories.
Time Frame
12weeks
Title
Proportion of subjects with K-mRS score 0, ≤ 1, and ≤ 2 at Week 12
Description
Different 6 questions can be scored by 0-5 marks.
Time Frame
12weeks
Title
Change at Weeks 4 and 12 from baseline in Korean Modified Barthel Index (K-MBI) score
Description
Total scores (0-100) should be rated by 5 stages in 10 categories.
Time Frame
4weeks, 12weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult at the age of ≥ 19 Diagnosis of acute ischemic stroke by brain imaging within 14 days of screening FMA motor score ≤ 55 with arm or leg weakness at screening K-NIHSS score ≥ 4 and ≤ 15 at screening Individuals who have visual and hearing abilities to perform the trial; who are able to understand the words and sentences necessary to evaluate the efficacy and safety, as well as the investigator's instructions; and who are able to communicate (such as gestures, writing, speaking, etc.) Voluntary written informed consent to study participation Exclusion Criteria: Presence of motor function impairment, which is caused by previous stroke except acute ischemic stroke occurring within 14 days of screening (A subject with previous history of stroke may participate if he/she showed no motor function impairment and the K-mRS score was ≤1 (0-1)) Diagnosis of and current treatment for degenerative neurological diseases, e.g., Parkinson's disease and Alzheimer's disease Current treatment with amphetamines, selective serotonin reuptake inhibitors, or antipsychotics Presence of brain diseases, such as brain tumor, traumatic brain damage, arteriovenous malformation, or moyamoya disease, or ischemic stroke caused by these diseases Impaired ability to walk upright due to other illness prior to screening Unstable vital signs at screening based on the judgment of the investigator e.g., systolic blood pressure ≥ 170mmHg despite antihypertensive treatment or other symptoms such as hyperthermia, tachycardia, or hyperventilation Diagnosis of liver diseases prior to screening, such as hepatitis and liver cirrhosis, or current treatment for these diseases Continuous treatment with potentially hepatotoxic drugs e.g., current treatment with propylthiouracil, ketoconazole, isoniazid, valproic acid, phenytoin, etc. that may induce acute hepatotoxicity Severe, New York Heart Association (NYHA) Class III or higher heart failure at screening [NYHA Classes of heart failure] Class I: patients with no limitation of activities; they suffer no symptoms from ordinary activities. Class II: patients with slight, mild limitation of activity; they are comfortable with rest or with mild exertion. Class III: patients with marked limitation of activity; they are comfortable only at rest. Class IV: patients who should be at complete rest, confined to bed or chair; any physical activity brings on. Diagnosis of or treatment for cancer within 6 months of screening or presence of recurrent or metastatic cancer Treatment with or intake of traditional oriental medicine (herbal medicine) or health functional foods containing potentially hepatotoxic plants, such as Germander (Teucrium chamaedrys, Teucrium polium), toothed clubmoss (Lycopodium serratum), or celandine (Chelidonium majus), within 4 weeks prior to study participation Treatment with or intake of traditional Korean medicine containing pueraria root and/or scutellaria root or other drugs or health functional foods containing their respective index components, i.e. puerarin and baicalin, within 4 weeks prior to study participation Hematologic findings as follows ① Increased serum aspartate or alanine aminotransferase (AST/ALT) levels ≥ 1.5 x site specific upper limit of normal in laboratory test ② Decreased hemoglobin (Hb) level (Hb< 10 g/dl), decreased platelet (PLT) level (PLT< 100,000/mm3), or hematocrit (Hct) level < 25% in whole blood count test. ③ Increased serum creatinine (Cr) level (Cr > 2.0 mg/dl) in laboratory test or patient on dialysis Pregnant or lactating women A woman of childbearing potential can participate in the study only if non-pregnancy is confirmed. Subjects must use a double barrier method or must have been surgically sterilized. Previous participation in a clinical study for another drug within 3 months of screening. A subject who participated in an observational study that did not involve drug treatment may participate in this study. Individuals who are considered by the investigator to be inadequate for study participation due to other reasons.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dae-Il Chang
Organizational Affiliation
Kyung Hee University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Myongji Hospital
City
Goyang
State/Province
Gyeonggi-do
ZIP/Postal Code
10475
Country
Korea, Republic of
Facility Name
Hanyang University Guri Hospital
City
Guri
State/Province
Gyeonggi-do
ZIP/Postal Code
11923
Country
Korea, Republic of
Facility Name
Hallym University Dongtan Sacred Heart Hospital
City
Hwaseong
State/Province
Gyeonggi-do
ZIP/Postal Code
18450
Country
Korea, Republic of
Facility Name
Chosun University Hospital
City
Gwangju
ZIP/Postal Code
61453
Country
Korea, Republic of
Facility Name
Gachon University Gil Medical Center
City
Incheon
ZIP/Postal Code
21565
Country
Korea, Republic of
Facility Name
Kyung Hee University Hospital
City
Seoul
ZIP/Postal Code
02447
Country
Korea, Republic of
Facility Name
Hanyang University Medical Center
City
Seoul
ZIP/Postal Code
04763
Country
Korea, Republic of
Facility Name
Kyung Hee University Hospital at Gangdong
City
Seoul
ZIP/Postal Code
05278
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
31651889
Citation
Heo SH, Song J, Kim BJ, Kim H, Chang DI; HT047 investigators. Rationale and design to assess the efficacy and safety of HT047 in patients with acute ischemic stroke: A multicenter, randomized, double-blind, placebo-controlled, parallel-group, phase II trial. Medicine (Baltimore). 2019 Oct;98(43):e17655. doi: 10.1097/MD.0000000000017655.
Results Reference
derived

Learn more about this trial

Clinical Trial to Assess the Efficacy and to Evaluate Safety of HT047 in Patients With Acute Ischemic Stroke

We'll reach out to this number within 24 hrs