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A Clinical Study of the Safety and Efficacy of Natalizumab in Acute Ischemic Stroke

Phase 1
Conditions
Acute Ischemic Stroke
MedDRA version: 18.1Level: LLTClassification code 10055221Term: Ischemic strokeSystem Organ Class: 100000004852
Therapeutic area: Diseases [C] - Nervous System Diseases [C10]
Registration Number
EUCTR2015-004783-11-ES
Lead Sponsor
Biogen Idec Research Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
240
Inclusion Criteria

- Clinical diagnosis of supratentorial acute ischemic stroke defined by LKN ?9 hours prior to study treatment initiation
- Score of 5 to 23 points, inclusive, on the NIHSS at Screening
- Prior to index stroke, patient was able to perform basic activities of daily living without assistance
- For those subjects who underwent a cranial MRI, there is at least 1 acute infarct with a diameter of ?2 cm on baseline brain diffusion-weighted imaging
NOTE: Other protocol-defined inclusion criteria may apply.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 190
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 50

Exclusion Criteria

- Rapidly improving or minor stroke symptoms
- Lacunar or isolated brainstem stroke based on clinical assessment and available acute imaging studies
- Presence of acute intracranial hemorrhage on acute brain CT or MRI
- Severe stroke
NOTE: Other protocol-defined exclusion criteria may apply.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The primary objective of the study is to assess the effects of natalizumab versus placebo in acute ischemic stroke on clinical measures of independence and activities of daily life;Secondary Objective: The secondary objective of the study is to explore dose and exposure response and the clinical treatment effects of natalizumab versus placebo in acute ischemic stroke on the following measures of independence, activities of daily living, neurologic function, quality of life, and cognition and safety and tolerability.;Primary end point(s): The primary efficacy endpoint is a composite global measure of functional disability based on a score of 0 or 1 on the mRS and a score of ?95 on the BI at Day 90;Timepoint(s) of evaluation of this end point: Day 90
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): The secondary endpoints are:<br>- mRS score at Day 90<br>- BI score at Day 90<br>- SIS-16 score at Day 90<br>- MoCA score at Day 90<br>- Safety (incidence and proportion of AEs and SAEs)<br>- NIHSS score at Day 90;Timepoint(s) of evaluation of this end point: - mRS score: Day 90<br>- BI score: Day 90<br>- SIS-16 score: Day 90<br>- MoCA score: Day 90<br>- AEs and SAEs: throughout the study, as necessary<br>- NIHSS score at Day 90
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