跳至主要内容
临床试验/NCT02669849
NCT02669849终止2 期

A Phase 2b/3, Double-blind, Randomized, Placebo Controlled, Multicenter Study to Assess the Efficacy and Safety of VX-210 in Subjects With Acute Traumatic Cervical Spinal Cord Injury

Vertex Pharmaceuticals Incorporated0 个研究点目标入组 70 人开始时间: 2016年7月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
终止
入组人数
70
主要终点
Change in Upper Extremity Motor Score (UEMS)

研究概览

简要总结

The purpose of this study is to determine the efficacy and safety of VX-210 in subjects with Acute Traumatic Cervical Spinal Cord Injury. Secondary objectives include the specific evaluation of the effects of VX-210 on neurological recovery and daily function after spinal cord injury.

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
14 Years 至 75 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Acute traumatic cervical SCI, motor level of C4, C5, C6, or C7 on each side:
  • Screening UEMS score must be ≤16 points on each side.
  • AIS A subjects with a C4 motor level on both sides must have at least 1 point of motor activity between C5 and T1 on at least 1 side.
  • AIS B subjects with a C4 motor level on both sides must have at least 1 point of motor activity between C5 and C7 on at least 1 side.
  • American Spinal Injury Association Impairment Scale (AIS) grade A or AIS grade B.
  • Scheduled and planned to undergo a spinal decompression/stabilization surgery that commences within 72 hours after the initial injury.
  • Computed tomography (CT) scan or magnetic resonance imaging (MRI) is consistent with the subject's neurological deficit.

排除标准

  • Participation in any other clinical study for acute SCI without approval by the sponsor.
  • Inability to undergo decompression/stabilization surgery that commences within 72 hours after injury.
  • One or more upper extremity muscle groups untestable during screening ISNCSCI examination.
  • Acute SCI from gunshot or penetrating/stab wound; non-traumatic SCI (e.g., transverse myelitis, acute disc herniation); brachial plexus injury; complete spinal cord transection; or multifocal SCI.
  • Females who are breastfeeding or have a positive serum pregnancy test.
  • Body mass index (BMI) of ≥40 kg/m^2 at screening.
  • History of an adverse reaction to a fibrin sealant or its components.
  • Unconsciousness or other mental impairment that precludes reliable International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) examination.
  • Known immunodeficiency, including human immunodeficiency virus, or use of immunosuppressive or cancer chemotherapeutic drugs.
  • Any significant medical or psychiatric comorbidities that would significantly increase the risk of study enrollment and/or significantly interfere with study outcomes or assessments, in the judgment of the investigator.
  • Other protocol defined Inclusion/Exclusion criteria may apply.

研究组 & 干预措施

VX-210

Experimental

干预措施: VX-210 (Drug)

Placebo

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Change in Upper Extremity Motor Score (UEMS)

时间窗: From baseline at 6 months post-treatment

UEMS focuses selectively on the hand and arm control most relevant to individuals with a cervical spinal cord injury. UEMS ranges from 0 to 50, where a higher score indicates a better movement of hand and arm.

次要结局

  • Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) Quantitative Prehension Score(At 6 months post-treatment)
  • Spinal Cord Independence Measure (SCIM) III Self-Care Subscore(At 6 months post-treatment)
  • Capabilities of Upper Extremity Test (CUE-T) Score(At 6 months post-treatment)
  • Percentage of American Spinal Injury Association Impairment Scale (AIS) Grade Responders(At 6 months post-treatment)
  • Percentage of Motor Level Responders(At 6 months post-treatment)
  • Time to Reach Maximum Observed Plasma Concentration (Tmax) of VX-210(up to 53 hours post-treatment)
  • Maximum Observed Plasma Concentration (Cmax) of VX-210(up to 53 hours post-treatment)
  • Area Under Plasma Concentration Time Curve (AUC) of VX-210(up to 53 hours post-treatment)

研究者

申办方类型
Industry
责任方
Sponsor

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