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临床试验/EUCTR2021-002148-56-DK
EUCTR2021-002148-56-DK进行中(未招募)1 期

A RANDOMIZED, DOUBLE BLIND, MULTICENTER, MULTINATIONAL, PLACEBO CONTROLLED, PARALLEL GROUP, SINGLE DOSE, ADAPTIVE EFFICACY AND SAFETY STUDY OF GLENZOCIMAB USED AS AN ADD-ON THERAPY ON TOP OF STANDARD OF CARE IN THE 4.5 HOURS FOLLOWING AN ACUTE ISCHEMIC STROKE - ACTISAVE

ACTICOR BIOTECH0 个研究点目标入组 400 人开始时间: 2022年7月14日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
400

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Adult male or female patients = 18 years (i.e., at least 18 years old at time of randomization).
  • 2. Having given their own written consent or legal representative consent, or emergency consent, and in any case, in strict accordance with country-specific legal requirements.
  • 3. Presenting with an acute disabling ischemic stroke either in the anterior or in posterior circulation, with or without visible occlusion,
  • with a known time of onset, that is = 4.5 hrs
  • 4. Presenting with a pre-IVT NIHSS = 6
  • 5. In whom thrombolysis with rt-tPA is or has been initiated, whether or not patients are additionally eligible to mechanical thrombectomy
  • (MT+alteplase)
  • 6. Women of childbearing potential (WOCBP) must have a negative serum/urine pregnancy test at baseline. Women of childbearing potential, i.e, fertile, are defined as women following menarche and until becoming post-menopausal unless permanently sterile, i.e, having undergone hysterectomy, bilateral salpingectomy and bilateral oophorectomy.
  • 7. Post-menopausal women defined as not having menses for 12 months without an alternative medical cause. For WOCBP, a highly effective birth control method shoudl be in place that can achieve a failure rate of less than 1% per year that should last for at least 2 months after IMP administration.
  • Birth control methods which may be considered as highly effective in WOCBP include:
  • Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (intravaginal, transdermal),
  • Progestogen-only hormonal contraception associated with inhibition of ovulation (injectable, implantable)
  • intrauterine hormone-releasing system (IUS)
  • bilateral tubal occlusion,
  • vasectomized partner,
  • Birth control methods which may be considered as highly effective for men and that should last for 4 months after IMP administration include:
  • vasectomy,
  • use of condom combined with a highly effective birth control method for their WOCBP partner.
  • Please note that hormonal contracption is a risk factor for thromboembolic events and attention should be called to reconsider it passed the acute stroke phase.
  • 8. Patients affiliated to a health insurance - modality depending on country legal requirements
  • 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 133
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 267

排除标准

  • 1. Coma, or NIHSS >25
  • 2. Patients < 18 years
  • 3. Protected adults under guardianship or curatorship
  • 3. Prior ischemic stroke within the past 3 months
  • 4. mRS pre-stroke known to be = 2
  • 5. Large (more than 1/3 of the middle cerebral artery) regions of clear hypodensity on Baseline Computed Tomography Angiography (CTA) or Magnetic Resonance Imaging with vascular injection (MRA).
  • 6. Significant mass effect with midline shift
  • 7. Stroke of hemorrhagic origin
  • 8. Patients likely to require dual antiplatelet therapy (DAPT) within the first 24 hrs after cessation of glenzocimab or placebo infusion for e.g., carotid stenting
  • 9. Known renal insufficiency (Grades 4-5 – severe or terminal)
  • 10. Known renal insufficiency (Grades 4-5 – severe or terminal) with a creatinine clearance < 30 mL/Mn using Cockroft formula).
  • 11. Patients under anti-coagulant therapy, except preventative dose of injectable low molecular weight heparin (LMWH).
  • 12. Known ongoing anti-coagulant therapy, except preventative doses of injectable low molecular weight heparin (LMWH)
  • 13. Known ongoing treatment with a mAb.
  • 14. Prior cardiopulmonary resuscitation < 10 days.
  • 15. Childbirth within < 10 days.
  • 16. Seizures at stroke onset if it precludes obtaining an accurate baseline (pr-IVT) NIHSS
  • 17. Life expectancy (except for stroke) < 3 months.
  • 18. Pregnancy or breastfeeding.
  • 19. Females of childbearing potential not using effective birth control methods.
  • 20. Known current participation in another clinical investigation with experimental drug.

研究者

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