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A clinical study performed with increasing doses (single dose per patient) to evaluate safety, tolerability and pharmacokinetic of NicaPlant® in aneurysmal subarachnoid haemorrhage patients needing to undergo an aneurysm clipping operatio

Phase 1
Conditions
Aneurysmal subarachnoid haemorrhage
MedDRA version: 20.1 Level: PT Classification code 10008111 Term: Cerebral haemorrhage System Organ Class: 10029205 - Nervous system disorders
Therapeutic area: Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Surgical Procedures, Operative [E04]
Registration Number
EUCTR2016-004521-17-AT
Lead Sponsor
BIT Pharma GmbH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
14
Inclusion Criteria

1. Informed consent is obtained.
2. Male or female patients aged 18 to 75 years (inclusive).
3. Federation of Neurosurgery (WFNS) grade I-IV or Hunt & Hess grade I-IV.
4. Ruptured saccular aneurysm, confirmed by angiography.
5. Onset of aSAH clinical symptoms within the preceding 48 hours.
6. Treatment of aneurysm via surgical clip ligation within 72 hours of aSAH is achievable.
7. Female patients of child-bearing potential must have a negative pregnancy test (urine or serum) at screening and must agree to use adequate birth control during the study and up to 2 months after implantation of the study drug. Female patients are considered to be not of child-bearing potential if they have a history of tubal ligation or hysterectomy or are post-menopausal with a minimum of 2 years without a natural menstrual cycle. Male patients must agree to use adequate birth control during the study and up to 4 months after implantation of the study drug.

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 7
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 2

Exclusion Criteria

1. SAH due to other causes (e.g. trauma, fusiform or mycotic aneurysm).
2. Pregnant or lactating Women.
3. Federation of Neurosurgery (WFNS) grade V or Hunt & Hess grade V.
4. Intraventricular or intracerebral blood, in the absence of subarachnoid blood.
5. Treatment of aneurysm via endovascular embolization.
6. Presence of moderate or severe vasospasm on screening angiography.
7. Any known or CT evidence of previous major cerebral damage.
8. Evidence of a cerebral infarction with neurological deficit on pre-treatment CT.
9. History of malignant disease (except for non-melanoma skin cancer) within the previous 5 years or any history of malignant brain tumours or brain metastasis.
10. Patients who have received an investigational product or participated in another interventional clinical study within 30 days prior to randomisation.
11. Kidney disease as defined by plasma creatinine =2.5mg/dL (221µmol/L); liver disease as defined by total bilirubin >3mg/dL (513µmol/L); and/or known diagnosis or clinical suspicion of liver cirrhosis.
12. Patients with known allergy for Poly (D,L-lactide-co-glycolide) (PLGA) or nicardipine.
13. Major complication during aneurysm repair such as, but not limited to, massive intraoperative haemorrhage, brain swelling, or inability to secure the ruptured aneurysm.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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