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临床试验/NCT04304508
NCT04304508已完成2 期

Multicenter, Randomized, Placebo-controlled, Double-blind, Parallel Group, Dose-finding Phase 2 Study to Evaluate Efficacy and Safety of BAY2433334 in Patients Following an Acute Non-cardioembolic Ischemic Stroke

Bayer197 个研究点 分布在 7 个国家目标入组 1,808 人开始时间: 2020年6月15日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
Bayer
入组人数
1,808
试验地点
197
主要终点
Efficacy-Number of Participants With Composite of Symptomatic Ischemic Stroke or Covert Brain Infarcts Detected by Magnetic Resonance Imaging (MRI)

研究概览

简要总结

The purpose of this study is to try to find the best dose of the new drug BAY 2433334 to give to participants and to look at how well BAY 2433334 works on top of antiplatelet therapy in patients following a recent non cardioembolic ischemic stroke which occurs when a blood clot that has not formed in the heart travelled to the brain. BAY 2433334, works by blocking a step of the blood clotting process in our body and thins the blood and is a so called oral FXIa inhibitor.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
45 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participant must be 45 years of age and older at the time of signing the informed consent
  • Non-cardioembolic ischemic stroke with
  • persistent signs and symptoms of stroke lasting for ≥ 24 hours OR
  • acute brain infarction documented by computed tomography (CT) or MRI AND
  • with the intention to be treated with antiplatelet therapy during the study conduct
  • Imaging of brain (CT or MRI) ruling out hemorrhagic stroke or another pathology that could explain symptoms (e.g. brain tumor, abscess, vascular malformation)
  • Severity of index event nearest the time of randomization:
  • Part A: minor stroke (defined as National Institutes of Health Stroke Scale (NIHSS) ≤ 7) can be enrolled
  • Part B: participants with minor or moderate stroke and NIHSS ≤ 15 can be enrolled. Participants undergoing thrombolysis or endovascular therapy (mechanical thrombectomy) can be enrolled but at the earliest 24 hours after the intervention
  • Randomization within 48 hours after the onset of symptoms of the index event (or after patients were last known to be without symptoms in case of wake-up stroke)
  • Ability to conduct an MRI either before randomization or within 72 hours after randomization

排除标准

  • Prior ischemic stroke within last 30 days of index event
  • History of atrial fibrillation or suspicion of cardioembolic source of stroke
  • Dysphagia with inability to safely swallow study medication
  • Contraindication to perform brain MRI
  • Part A only: thrombolysis or endovascular therapy (mechanical thrombectomy) performed for index event
  • Active bleeding; known bleeding disorder, history of major bleeding (intracranial, retroperitoneal, intraocular) or clinically significant gastrointestinal bleeding within last 6 months of randomization.

研究组 & 干预措施

BAY2433334 high dose

Experimental

干预措施: BAY2433334 (Drug)

BAY2433334 medium dose

Experimental

干预措施: BAY2433334 (Drug)

BAY2433334 low dose

Experimental

干预措施: BAY2433334 (Drug)

BAY2433334 matching placebo

Placebo Comparator

干预措施: BAY2433334 matching placebo (Other)

结局指标

主要结局

Efficacy-Number of Participants With Composite of Symptomatic Ischemic Stroke or Covert Brain Infarcts Detected by Magnetic Resonance Imaging (MRI)

时间窗: From baseline up to 26 weeks

Ischemic stroke was defined as either of : 1) Rapid onset (or present on awakening) of a new focal neurological deficit with clinical (\>24 hours symptoms/signs) or imaging evidence of infarction that was not attributable to a non-ischemic cause; 2) Acute worsening of an existing focal neurological deficit that was judged to be attributable to a new infarction or extension of the previous infarction in the same vascular territory, based on persisting symptoms/signs or imaging evidence of infarction and no evidence of a non-ischemic etiology. If imaging was inconclusive, persistent symptoms/signs must be significant (worsening of NIHSS score of 4 or more) and sustained (duration of ≥24 hours or until death). Covert brain infarcts were defined as incident infarcts detected by serial MRI in the absence of an adjudicated stroke consistent with the location of the infarct. MRI criteria for brain infarction were available in the MRI procedures manual.

Safety-Number of Participants With Composite of International Society on Thrombosis and Hemostasis (ISTH) Major Bleeding and Clinically Relevant Non-major (CRNM) Bleeding

时间窗: From baseline up to 52 weeks

ISTH Major Bleeding criteria: 1. Fatal bleeding, and/or 2. Symptomatic bleeding in a critical area or organ (intracranial, intraocular, intraspinal, pericardial, retroperitoneal, intraarticular, or intramuscular with compartment syndrome), and/or 3. Clinically overt bleeding associated with a recent decrease in the hemoglobin level of ≥ 2 g/dL (20 g/L; 1.24 mmol/L) compared to the most recent hemoglobin value available before the event, and/or 4. Clinically overt bleeding leading to transfusion of 2 or more units of packed red blood cells or whole blood. ISTH Clinically Relevant Non-Major Bleeding is considered any sign or symptom of hemorrhage that does not fit the criteria for the ISTH definition of major bleeding, but does meet at least one of the following criteria 1. requiring medical intervention by a healthcare professional. 2. leading to hospitalization or increased level of care. 3. prompting a face to face (i.e. not just a telephone or electronic communication) evaluation.

次要结局

  • Efficacy-Number of Participants With Composite of Symptomatic Ischemic Stroke and Covert Brain Infarcts Detected by MRI, Cardiovascular (CV) Death, Myocardial Infarction (MI) and Systemic Embolism.(From baseline up to 26 weeks)
  • Efficacy-Number of Participants With Covert Brain Infarcts Detected by MRI(From baseline up to 26 weeks)
  • Efficacy-Number of Participants With All-cause Mortality(From baseline up to 52 weeks)
  • Safety-Number of Participants With ISTH Major Bleeding(From baseline up to 52 weeks)
  • Efficacy-Number of Participants With Symptomatic Ischemic Stroke, CV Death, MI(From baseline up to 52 weeks)
  • Efficacy-Number of Participants With Symptomatic Ischemic and Hemorrhagic Stroke(From baseline up to 52 weeks)
  • Efficacy-Number of Participants With Symptomatic Ischemic Stroke(From baseline up to 52 weeks)
  • Safety-Number of Participants With Intracerebral Hemorrhage (Non-traumatic)(From baseline up to 52 weeks)
  • Safety-Number of Participants With ISTH CRNM Bleeding(From baseline up to 52 weeks)
  • Safety-Number of Participants With ISTH Minor Bleeding(From baseline up to 52 weeks)
  • Efficacy-Number of Participants With Disabling Stroke (mRS≥4)(From baseline up to 52 weeks)
  • Safety-Number of Participants With All Bleeding(From baseline up to 52 weeks)

研究者

发起方
Bayer
申办方类型
Industry
责任方
Sponsor

研究点 (197)

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