A Phase IIb Randomized, Double-blind, Placebo-Controlled, Group-Sequential, Multicenter, Dose Finding Study of the Safety and Efficacy of SUN N4057 (Piclozotan) Administered for 72 Hours by Continuous Intravenous Infusion in Subjects With Acute Ischemic Stroke and Measurable Penumbra on MRI
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 43
- 试验地点
- 47
- 主要终点
- Improvement in MRI
研究概览
简要总结
This research study is designed to evaluate the safety, tolerability, and efficacy of SUN N4057 (piclozotan) in subjects with acute ischemic stroke within 9 hours of the onset of symptoms.
详细描述
The primary objective of the study is to determine the efficacy of a 72 hour infusion of SUN N4057 (piclozotan) in subjects with clinical findings of an acute ischemic stroke and a magnetic resonance imaging (MRI) demonstrating a measurable penumbra (perfusion-weighted imaging [PWI] minus diffusion-weighted imaging [DWI] volume). Efficacy will be determined by comparing the proportion of subjects with no growth in stroke lesion volume as assessed by DWI at Screening to stroke lesion volume assessed by FLAIR (fluid-attenuated inversion recovery) on Day 28 in the piclozotan group versus the placebo group.
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
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •General inclusion criteria:
- •Males or females >= 18 and <= 85 years of age at randomization. Female subjects must be either:
- •Surgically sterile;
- •Postmenopausal for at least 1 year; or
- •Non-pregnant, confirmed by a serum pregnancy test, and using a method of birth control that is acceptable to the investigator.
- •Neurological examination demonstrating localizing cortical signs
- •Receipt of study drug less than 6 hours (50% of subjects) or between 6 and 9 hours, inclusive, (50% of subjects) after the onset of symptoms (for un-witnessed stroke, last time seen in normal state or at bedtime for un-witnessed stroke during sleep)
- •Signed informed consent from subject or legally acceptable representative
- •NIHSS score of 6 - 22, inclusive, or at least 2 on the aphasia item of the NIHSS with a location of MRI findings consistent with aphasia
- •MRI-determined inclusion criteria:
- •Acute ischemic stroke with substantial cortical involvement in the middle cerebral artery (MCA) distribution, as verified by the Screening DWI abnormality and/or Screening PWI abnormality. (Note: white matter involvement, in addition to cortex, is not an exclusion.)
排除标准
- •General exclusion criteria:
- •Two or more of the following:
- •Reduced level of consciousness (score >= 2 on NIHSS Q1a)
- •Forced eye deviation or total gaze paresis (score of 2 on NIHSS Q2)
- •Dense hemiplegia (no movement) of upper and lower extremities (score of 4 on NIHSS Q5 regarding motor arm and a score of 4 on NIHSS Q6 regarding motor leg)
- •Pre-stroke modified Rankin score >= 2 at Screening
- •Rapid neurological improvement from Screening up to the start of drug infusion
- •Persistent systolic blood pressure (SBP) > 220 mmHg and/or diastolic blood pressure (DBP) > 120 mmHg (confirmed by at least three readings taken at least 3 minutes apart) prior to randomization. If subsequent readings are consistently below these levels, either spontaneously or following mild antihypertensive therapy, subject may be enrolled.
- •MRI-determined exclusion criteria:
- •Intracranial hemorrhage as verified by Screening MRI. (Note: intracranial hemorrhage on pre-screen computerized tomography [CT] scan also excludes subject.)
研究组 & 干预措施
1
piclozotan IV infusion, low dose, for 72 hours.
干预措施: piclozotan low dose (Drug)
2
piclozotan IV infusion, high dose, for 72 hours.
干预措施: piclozotan high dose (Drug)
3
placebo (normal saline) IV infusion, for 72 hours.
干预措施: placebo (Drug)
结局指标
主要结局
Improvement in MRI
时间窗: 28 days
次要结局
- The change in stroke lesion volume from Screening to day 28(28 days)
- Clinical outcomes at Days 28 and 90 using the individual clinical scales (Modified Rankin Scale, Barthel Index, and National Institutes of Health Stroke Scale [NIHSS]).(Days 28 and 90)
- To assess the safety and tolerability of SUN N4057 (piclozotan) in subjects with acute stroke.(Days 28, 60 and 90)