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HT-3951 vs. Placebo in Stroke Rehabilitation (RESTORE)

Primary Purpose

Ischemic Stroke

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
HT-3951
Placebo
Sponsored by
Dart NeuroScience, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Stroke focused on measuring Stroke,, Rehabilitation, Ischemic, fMRI

Eligibility Criteria

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

Main Inclusion Criteria:

  • Age range between 21 to 85 years, inclusive, at the Screening Visit
  • Subjects who have experienced an ischemic stroke documented by CT or MRI resulting in an upper extremity deficit that, in the opinion of the Investigator, warrants the need for rehabilitation therapy
  • Medically stable subjects who are able to be randomized to study medication beginning between ≥ 2 and ≤ 52 weeks post-stroke
  • Subjects who have initiated, are undergoing, have completed or agree to begin physical or occupational rehabilitation for at least 2 weeks prior to study Day 1.
  • Mild to moderate unilateral upper extremity motor impairment characterized by FMA-EU score of > 18
  • Modified Rankin Scale score of 1 to 4

Main Exclusion Criteria:

  • History of stroke within 6 months prior to the subject's current episode of ischemic stroke (History of transient ischemic attacks or ischemic stroke (nonhemorrhagic) more than 6 months prior to the current ischemic stroke are acceptable.)
  • Subjects with unresolved upper or lower motor deficits (e.g., range of motion or strength deficits) from any prior stroke
  • Significant hemorrhagic stroke
  • Any history of seizure disorder or a spontaneous seizure that had occurred at any time after the stroke
  • Apraxia that, in the Investigator's opinion, would likely reduce the ability of the subject to participate in the study or confound study outcome measures
  • Moderate to severe aphasia and/or severe language deficits
  • Severe sensory loss in affected hand
  • Moderate to severe hemispatial neglect or anosognosia involving the affected arm
  • Absent proprioception at the elbow or shoulder joints
  • Excessive spasticity in the affected elbow, defined as a score of greater than or equal to 3 on the Modified Ashworth Spasticity scale (MAS)

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HT-3951 (15mg)

Placebo

Arm Description

HT-3951 capsules administered once daily

Placebo capsules administered once daily

Outcomes

Primary Outcome Measures

Fugl-Meyer Assessment of Upper Extremity, Part A-D
Index Finger-Tapping Frequency Test
Nine-Hole Peg Test
Hand Grip Strength Dynamometer Test
Arm Motor Ability Test-9
Stroke Impact Scale (hand domain)
Somatosensory evoked potential (if available)

Secondary Outcome Measures

Two-Minute Walk Test
Behavioral, neural activity and motor network connectivity levels, using functional MRI

Full Information

First Posted
August 6, 2015
Last Updated
January 30, 2018
Sponsor
Dart NeuroScience, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02530307
Brief Title
HT-3951 vs. Placebo in Stroke Rehabilitation
Acronym
RESTORE
Official Title
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled 21-Day Treatment Study, Including an fMRI Sub-Study, to Evaluate the Effect of HT-3951 on Upper Extremity Motor Function Following Ischemic Stroke
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Terminated
Why Stopped
Administrative
Study Start Date
February 2016 (undefined)
Primary Completion Date
December 31, 2017 (Actual)
Study Completion Date
December 31, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dart NeuroScience, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, double-blind, placebo-controlled parallel group outpatient study that will utilize standard stroke rehabilitation outcome measures, as well as fMRI techniques in a subset of subjects, to evaluate the effect of HT-3951 on motor recovery and behavior in medically stable subjects following ischemic stroke.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Stroke
Keywords
Stroke,, Rehabilitation, Ischemic, fMRI

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HT-3951 (15mg)
Arm Type
Experimental
Arm Description
HT-3951 capsules administered once daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsules administered once daily
Intervention Type
Drug
Intervention Name(s)
HT-3951
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Fugl-Meyer Assessment of Upper Extremity, Part A-D
Time Frame
21-days
Title
Index Finger-Tapping Frequency Test
Time Frame
21-days
Title
Nine-Hole Peg Test
Time Frame
21-days
Title
Hand Grip Strength Dynamometer Test
Time Frame
21-days
Title
Arm Motor Ability Test-9
Time Frame
21-days
Title
Stroke Impact Scale (hand domain)
Time Frame
21-days
Title
Somatosensory evoked potential (if available)
Time Frame
21-days
Secondary Outcome Measure Information:
Title
Two-Minute Walk Test
Time Frame
21-days
Title
Behavioral, neural activity and motor network connectivity levels, using functional MRI
Time Frame
21-days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: Age range between 21 to 85 years, inclusive, at the Screening Visit Subjects who have experienced an ischemic stroke documented by CT or MRI resulting in an upper extremity deficit that, in the opinion of the Investigator, warrants the need for rehabilitation therapy Medically stable subjects who are able to be randomized to study medication beginning between ≥ 2 and ≤ 52 weeks post-stroke Subjects who have initiated, are undergoing, have completed or agree to begin physical or occupational rehabilitation for at least 2 weeks prior to study Day 1. Mild to moderate unilateral upper extremity motor impairment characterized by FMA-EU score of > 18 Modified Rankin Scale score of 1 to 4 Main Exclusion Criteria: History of stroke within 6 months prior to the subject's current episode of ischemic stroke (History of transient ischemic attacks or ischemic stroke (nonhemorrhagic) more than 6 months prior to the current ischemic stroke are acceptable.) Subjects with unresolved upper or lower motor deficits (e.g., range of motion or strength deficits) from any prior stroke Significant hemorrhagic stroke Any history of seizure disorder or a spontaneous seizure that had occurred at any time after the stroke Apraxia that, in the Investigator's opinion, would likely reduce the ability of the subject to participate in the study or confound study outcome measures Moderate to severe aphasia and/or severe language deficits Severe sensory loss in affected hand Moderate to severe hemispatial neglect or anosognosia involving the affected arm Absent proprioception at the elbow or shoulder joints Excessive spasticity in the affected elbow, defined as a score of greater than or equal to 3 on the Modified Ashworth Spasticity scale (MAS)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Philip Perera, MD
Organizational Affiliation
Dart NeuroScience, LLC
Official's Role
Study Director
Facility Information:
City
Phoenix
State/Province
Arizona
Country
United States
City
Scottsdale
State/Province
Arizona
Country
United States
City
Downey
State/Province
California
Country
United States
City
Glendale
State/Province
California
Country
United States
City
Loma Linda
State/Province
California
Country
United States
City
Orlando
State/Province
Florida
Country
United States
City
Chicago
State/Province
Illinois
Country
United States
City
Grand Rapids
State/Province
Michigan
Country
United States
City
Kansas City
State/Province
Missouri
Country
United States
City
West Orange
State/Province
New Jersey
Country
United States
City
New York
State/Province
New York
Country
United States
City
White Plains
State/Province
New York
Country
United States
City
Charlotte
State/Province
North Carolina
Country
United States
City
Tulsa
State/Province
Oklahoma
Country
United States
City
Portland
State/Province
Oregon
Country
United States
City
Elkins Park
State/Province
Pennsylvania
Country
United States
City
Dallas
State/Province
Texas
Country
United States
City
Houston
State/Province
Texas
Country
United States

12. IPD Sharing Statement

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HT-3951 vs. Placebo in Stroke Rehabilitation

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