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Effects Of DP-b99 On Neurological Function In Subjects With Acute Ischemic Hemispheric Stroke

Primary Purpose

Brain Ischemia, Stroke, Cerebrovascular Disorders

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
DP-b99
Sponsored by
D-Pharm Ltd.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Brain Ischemia focused on measuring Cerebral Ischemia, Ischemic Brain Injury, Brain Infarction, Brain Ischemia

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Patients that may enter the study: Patients with ischemic stroke, (that is, stroke that results from a blockage of blood flow to part of the brain), which is accompanied by language dysfunction (e.g. inability to understand speech), visual field defect or inattention to one side of the body or the space around the patient. Patients in whom the study treatment can start no less than 1 and not more than 9 hours after the stroke's onset Patients with moderate-severe degree of neurological deficit in the 9 hours after stroke onset (defined as NIHSS score of 7 to 20 Patients that can understand the requirements of the study and are willing to provide written informed consent (If the subject is incapacitated, informed consent will be sought from a legally acceptable representative.) Patients that cannot participate: Patients with a brain (intracerebral or subarachnoid) hemorrhage per screening computed tomography scan candidates for thrombolytic therapy for the current stroke patients having a mental impairment that renders them incapable to understand the study's requirements patients with other diseases that in the investigator's opinion may lead, independently of the current stroke, to further deterioration in the subject's neurological status during the trial period, or may confuse the evaluation of the present stroke Patients likely to undergo a procedure involving cardiopulmonary bypass during the study period Patients with medical conditions that may not enable them to complete the study (e.g life-threatening diseases,) Patients whose condition improves already during the screening period Patients who already have functional limitations before the present study (retrospective Modified Rankin Scale score of >3) Patients who suffered a stroke within the past 90 days that seems to have been in the same brain region as the current acute stroke Patients with severe hypertension (systolic BP >210 mm Hg or diastolic BP >120 mm Hg) or hypotension (systolic BP <90 mm Hg), Patients with significant history of renal or liver disease(s) (serum creatinine of > 2.0 mg/dL; alanine aminotransferase, aspartate aminotransferase, or gamma-glutamyl transferase values of > threefold the upper normal limit) Patients with a platelet count of <100,000/mm3 Female patients of childbearing potential who are not using adequate and effective birth control measures or who are pregnant or lactating (the screening evaluation of female subjects of childbearing potential will include a serum pregnancy test.) Patients who are users of addictive agents, or alcoholics Patients who have received an investigational drug within the 90 days before the present stroke or such that are past recipients of DP-b99

Sites / Locations

  • Neurologische Klink GmbH der Rhoen-Klinikum AG
  • Charité - Universitätsmedizin Berlin / Campus Charité Mitte, Klinik und Poliklinik für Neurologie
  • Universitätsklinik Essen Klinik und Poliklinik für Neurologie
  • Neurologische Universitätsklinik Abteilung für Neurologie
  • Klinik und Poliklinik für Neurologie Klinikum der Universität zu Köln
  • Universitätsklinikum Leipzig Klinik und Poliklinik für Neurologie
  • Otto-von-Guericke-Universität Magdeburg Medizinische Fakultät, Klinik für Neurologie
  • Johannes Gutenberg-Universität Mainz Neurologische Klinik
  • Klinikum 1 Minden Neurologische Klinik
  • Städtisches Krankenhaus München-Harlaching Abteilung für Neurologie
  • Neurologische Klinik und Poliklinik Technische Universität München Klinikum rechts der Isar
  • Städtisches Krankenhaus München-Bogenhausen Abteilung für Neurologie und Klinische
  • Universitätsklinikum Münster Klinik und Poliklinik für Neurologie
  • Klinikum Osnabrück Abteilung Neurologie
  • Knappschaftskrankenhaus Recklinghausen Klinik für Neurologie und Klinische Neurophysiologie
  • Universitätsklinikum Ulm Abteilung für Neurologie im RKU
  • Medizinisches Zentrum Kreis Aachen gGmbH Klinik für Neurologie
  • Rambam Medical Center
  • Wolfson Medical Center
  • Hadassah Ein Kerem Medical Center
  • Tel Aviv Sourasky Medical Center
  • Chaim Sheba Medical Center

Outcomes

Primary Outcome Measures

Change in the National Institutes of Health Stroke Scale (NIHSS) score from baseline to Day 90

Secondary Outcome Measures

Safety and tolerability Neurological recovery and function

Full Information

First Posted
September 11, 2005
Last Updated
November 22, 2007
Sponsor
D-Pharm Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00190047
Brief Title
Effects Of DP-b99 On Neurological Function In Subjects With Acute Ischemic Hemispheric Stroke
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Parallel Study To Evaluate The Effects Of DP-b99 On Neurologic Function And Disability In Subjects With Acute Ischemic Hemispheric Stroke
Study Type
Interventional

2. Study Status

Record Verification Date
November 2007
Overall Recruitment Status
Completed
Study Start Date
February 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
D-Pharm Ltd.

4. Oversight

5. Study Description

Brief Summary
This study will examine if DP-b99 can improve neurological function (for example strength and coordination) in the 3 months after an acute stroke
Detailed Description
The study will include a Screening/Baseline Period, a Treatment Period, and a Post-treatment Follow-up Period. During the Screening Period, subjects will be selected for the study on the basis of inclusion and exclusion criteria (see below). A screening computed tomography scan to exclude brain bleeding will be performed. The patient's informed consent will be obtained. The patient will be randomly allocated to DP-b99 or placebo. Immediately after this randomization and baseline assessments (lab tests and ECG), subjects will be given a 2-hour intra-venous infusion of DP-b99 or placebo. Additional 3 such infusions will then be given daily to a total of 4 consecutive treatment days, which make up the "Treatment Period". Throughout the 4-day Treatment Period the treatment's safety and the National Institutes of Health Stroke Scale (NIHSS) score will be evaluated daily. (The NIHSS assesses certain abilities of the patient, e.g. strength, speech, vision and coordination). If their condition requires, patients may have to stay in hospital more than these 4 days, regardless of their participation in the study.Subjects will be further assessed for NIHSS score changes and safety (lab tests and ECG) during the Post-treatment Follow-up Period, with data collected 30 and 90 days after the stroke. Other outcome scales (Barthel Index and Modified Rankin Scale) will be also used in the Day 30 and Day 90 visits

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain Ischemia, Stroke, Cerebrovascular Disorders
Keywords
Cerebral Ischemia, Ischemic Brain Injury, Brain Infarction, Brain Ischemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
150 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
DP-b99
Primary Outcome Measure Information:
Title
Change in the National Institutes of Health Stroke Scale (NIHSS) score from baseline to Day 90
Secondary Outcome Measure Information:
Title
Safety and tolerability Neurological recovery and function

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Patients that may enter the study: Patients with ischemic stroke, (that is, stroke that results from a blockage of blood flow to part of the brain), which is accompanied by language dysfunction (e.g. inability to understand speech), visual field defect or inattention to one side of the body or the space around the patient. Patients in whom the study treatment can start no less than 1 and not more than 9 hours after the stroke's onset Patients with moderate-severe degree of neurological deficit in the 9 hours after stroke onset (defined as NIHSS score of 7 to 20 Patients that can understand the requirements of the study and are willing to provide written informed consent (If the subject is incapacitated, informed consent will be sought from a legally acceptable representative.) Patients that cannot participate: Patients with a brain (intracerebral or subarachnoid) hemorrhage per screening computed tomography scan candidates for thrombolytic therapy for the current stroke patients having a mental impairment that renders them incapable to understand the study's requirements patients with other diseases that in the investigator's opinion may lead, independently of the current stroke, to further deterioration in the subject's neurological status during the trial period, or may confuse the evaluation of the present stroke Patients likely to undergo a procedure involving cardiopulmonary bypass during the study period Patients with medical conditions that may not enable them to complete the study (e.g life-threatening diseases,) Patients whose condition improves already during the screening period Patients who already have functional limitations before the present study (retrospective Modified Rankin Scale score of >3) Patients who suffered a stroke within the past 90 days that seems to have been in the same brain region as the current acute stroke Patients with severe hypertension (systolic BP >210 mm Hg or diastolic BP >120 mm Hg) or hypotension (systolic BP <90 mm Hg), Patients with significant history of renal or liver disease(s) (serum creatinine of > 2.0 mg/dL; alanine aminotransferase, aspartate aminotransferase, or gamma-glutamyl transferase values of > threefold the upper normal limit) Patients with a platelet count of <100,000/mm3 Female patients of childbearing potential who are not using adequate and effective birth control measures or who are pregnant or lactating (the screening evaluation of female subjects of childbearing potential will include a serum pregnancy test.) Patients who are users of addictive agents, or alcoholics Patients who have received an investigational drug within the 90 days before the present stroke or such that are past recipients of DP-b99
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gilad Rosenberg, M.D.
Organizational Affiliation
D-Pharm Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Neurologische Klink GmbH der Rhoen-Klinikum AG
City
Bad Neustadt / Saale
ZIP/Postal Code
97616
Country
Germany
Facility Name
Charité - Universitätsmedizin Berlin / Campus Charité Mitte, Klinik und Poliklinik für Neurologie
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Universitätsklinik Essen Klinik und Poliklinik für Neurologie
City
Essen
ZIP/Postal Code
45122
Country
Germany
Facility Name
Neurologische Universitätsklinik Abteilung für Neurologie
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
Facility Name
Klinik und Poliklinik für Neurologie Klinikum der Universität zu Köln
City
Köln
ZIP/Postal Code
50931
Country
Germany
Facility Name
Universitätsklinikum Leipzig Klinik und Poliklinik für Neurologie
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
Otto-von-Guericke-Universität Magdeburg Medizinische Fakultät, Klinik für Neurologie
City
Magdeburg
ZIP/Postal Code
39120
Country
Germany
Facility Name
Johannes Gutenberg-Universität Mainz Neurologische Klinik
City
Mainz
ZIP/Postal Code
55101
Country
Germany
Facility Name
Klinikum 1 Minden Neurologische Klinik
City
Minden
ZIP/Postal Code
32427
Country
Germany
Facility Name
Städtisches Krankenhaus München-Harlaching Abteilung für Neurologie
City
München-Harlaching
ZIP/Postal Code
81545
Country
Germany
Facility Name
Neurologische Klinik und Poliklinik Technische Universität München Klinikum rechts der Isar
City
München
ZIP/Postal Code
81675
Country
Germany
Facility Name
Städtisches Krankenhaus München-Bogenhausen Abteilung für Neurologie und Klinische
City
München
ZIP/Postal Code
81925
Country
Germany
Facility Name
Universitätsklinikum Münster Klinik und Poliklinik für Neurologie
City
Münster
ZIP/Postal Code
48129
Country
Germany
Facility Name
Klinikum Osnabrück Abteilung Neurologie
City
Osnabrück
ZIP/Postal Code
49076
Country
Germany
Facility Name
Knappschaftskrankenhaus Recklinghausen Klinik für Neurologie und Klinische Neurophysiologie
City
Recklinghausen
ZIP/Postal Code
45657
Country
Germany
Facility Name
Universitätsklinikum Ulm Abteilung für Neurologie im RKU
City
Ulm
ZIP/Postal Code
89081
Country
Germany
Facility Name
Medizinisches Zentrum Kreis Aachen gGmbH Klinik für Neurologie
City
Würselen-Bardenberg
ZIP/Postal Code
52146
Country
Germany
Facility Name
Rambam Medical Center
City
Haifa
ZIP/Postal Code
31096
Country
Israel
Facility Name
Wolfson Medical Center
City
Holon
ZIP/Postal Code
58220
Country
Israel
Facility Name
Hadassah Ein Kerem Medical Center
City
Jerusalem
ZIP/Postal Code
91120
Country
Israel
Facility Name
Tel Aviv Sourasky Medical Center
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
Facility Name
Chaim Sheba Medical Center
City
Tel Hashomer
ZIP/Postal Code
52621
Country
Israel

12. IPD Sharing Statement

Citations:
Citation
Oral Session on Acute stroke: treatment concepts, presented on Thursday, 31 May 2007 at the XVI. European Stroke Conference, Glasgow, United Kingdom, 29 May - 1 June 2007. The abstract can be found at: http://www.esc-archive.eu/glasgow07/gla_so10_1.asp
Results Reference
result
Links:
URL
http://www.dpharm.com
Description
Click here for more information on the sponsor

Learn more about this trial

Effects Of DP-b99 On Neurological Function In Subjects With Acute Ischemic Hemispheric Stroke

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