A Phase IIb Prospective, Randomized, Double-blind, Placebo Controlled, Multicenter, Dose Escalation Study of NTx®-265: Human Chorionic Gonadotropin (hCG) and Epoetin Alfa (EPO) in Acute Ischemic Stroke Patients (REGENESIS-LED)
Overview
- Phase
- Phase 2
- Intervention
- human chorionic gonadotropin (hCG), then epoetin alfa (EPO)
- Conditions
- Stroke
- Sponsor
- Stem Cell Therapeutics Corp.
- Enrollment
- 96
- Locations
- 23
- Primary Endpoint
- National Institutes of Health Stroke Scale (NIHSS) Change From Baseline at Day 90
- Status
- Terminated
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of this study is:
- To assess the neurological outcome in acute ischemic stroke patients treated with NTx®-265, when compared with patients given a placebo control.
- To assess the safety and tolerability of NTx®-265 when given to acute ischemic stroke patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18-85
- •NIHSS score 8-20
- •Stroke is ischemic in origin, supratentorial, and radiologically confirmed
- •Patient is 24-48 hours from time of stroke onset when the first dose of NTx®-265 therapy is administered
- •Reasonable expectation of availability to receive the full 9 day NTx®- 265 therapy and subsequent follow-up visits
- •Reasonable expectation that patient will receive standard post-stroke physical, occupational, speech, and cognitive therapy as indicated
- •Female patient is either not of childbearing potential or agrees to use two of the effective separate non-hormonal forms of contraception throughout the study
Exclusion Criteria
- •Patients presenting with lacunar, hemorrhagic and/or brain stem stroke
- •Patients who have received tissue plasminogen activator (tPA)following the index stroke
- •Patients classified as comatose
- •Women who have tested positive for pregnancy, or are breast-feeding, or are not using a birth control
- •Serum hemoglobin \> 16 grams(g)/deciliter (dL)(males) or \> 14 g/dL (females); or platelet count \> 400,000/cubic millimeters(mm3)
- •Advanced liver, kidney, cardiac, or pulmonary disease
- •Elevated serum bilirubin,alkaline phosphatase, aspartate aminotransferase (AST) or alanine transaminase (ALT),creatinine, or prostate-specific antigen (PSA) levels
- •Patients with a known history of hypercoagulability
- •Expected survival \< 1 year
- •Allergy or other contraindication to hCG or EPO
Arms & Interventions
NTx®-265 Low Dose
hCG 385 µg (10,000 international unit \[IU\]), subcutaneously (SC), on Day 1, 3 and 5 of study participation, then EPO 4,000 IU, intravenously (IV), on Day 7, 8, and 9 of study participation
Intervention: human chorionic gonadotropin (hCG), then epoetin alfa (EPO)
NTx®-265 Medium Dose
hCG 385 µg (10,000 IU), SC, on Day 1, 3 and 5 of study participation, then EPO 12,000 IU, IV, on Day 7, 8, and 9 of study participation
Intervention: human chorionic gonadotropin (hCG), then epoetin alfa (EPO)
NTx®-265 High Dose
hCG 385 µg (10,000 IU), SC, on Day 1, 3 and 5 of study participation, then EPO 20,000 IU, IV, on Day 7, 8, and 9 of study participation
Intervention: human chorionic gonadotropin (hCG), then epoetin alfa (EPO)
Saline Placebo
Intervention: Saline Placebo
Outcomes
Primary Outcomes
National Institutes of Health Stroke Scale (NIHSS) Change From Baseline at Day 90
Time Frame: Baseline and Day 90
The NIHSS is a systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit. Values range from 0 (no deficit) to 42 (dead).
Secondary Outcomes
- NIHSS Response >=4 at Day 90(Baseline and Day 90)
- NIHSS Change From Baseline at Day 30(Baseline and Day 30)
- Modified Rankin Scale (mRS) Response <=2 at Day 90(Day 90)
- Barthel Index at Day 90(Day 90)
- Action Research Arm Test (ARAT) Change From Baseline at Day 90(Baseline and Day 90)
- Gait Velocity Test Change From Baseline at Day 90(Baseline and Day 90)
- Boston Naming Test (BNT) Change From Baseline at Day 90(Baseline and Day 90)
- Line Cancellation Test Change From Baseline at Day 90(Baseline and Day 90)
- Trails A Test Change From Baseline at Day 90(Baseline and Day 90)
- Trails B Test Change From Baseline at Day 90(Baseline and Day 90)
- Geriatric Depression Scale at Day 90(Day 90)