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临床试验/NCT00715364
NCT00715364撤回2 期

A Phase IIb Prospective, Randomized, Double-blind, Placebo Controlled Study of NTx™-265: Human Chorionic Gonadotropin (hCG) and Epoetin Alfa (EPO) in Acute Ischemic Stroke Patients

Stem Cell Therapeutics Corp.2 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2009年8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
撤回
入组人数
30
试验地点
2
主要终点
Adverse events

研究概览

简要总结

To assess the safety and tolerability of NTx™-265 when given to acute ischemic stroke patients.

To assess the neurological outcome in acute ischemic stroke patients treated with NTx™-265, when compared with patients given a placebo control.

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
Double (Participant, Investigator)

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

入选标准

  • NIHSS score 6-24 within 24-48 hours after stroke onset and enrolment.
  • Stroke is ischemic in origin, supratentorial, and radiologically confirmed (CT scan or diagnostic MRI) prior to enrolment.
  • Patient is 24-48 hours from time of stroke onset when the first dose of NTx™-265 therapy is administered. Time of onset is when symptoms began; for stroke that occurred during sleep, time of onset is when patient was last seen or was self-reported to be normal.
  • Reasonable expectation of availability to receive the full 9 day NTx™-265 course of therapy, and to be available for 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, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy) or,
  • if of childbearing potential, agrees to use two of the following effective separate forms of contraception throughout the study, up to and including the follow up visits: i) condoms, sponge, foams, jellies, diaphragm or intrauterine device (IUD) contraceptives (e.g. implants, injectables, combined oral, etc.) OR ii) a vasectomized partner OR iii) abstinence

排除标准

  • Patients presenting with lacunar, hemorrhagic and/or brain stem stroke
  • Patients classified as comatose, defined as a patient who requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (NIHSS 1A score must be <2)
  • Women who have tested positive for pregnancy, or are breast-feeding, or are not using a highly effective method of birth control that can be maintained for the duration of the study
  • Serum hemoglobin > 16 g/dL (males) or > 14 g/dL (females); or platelet count > 400,000/mm3
  • Advanced liver, kidney, cardiac, or pulmonary disease; the former will be operationally defined using NCI Toxicity Criteria (Grade 2 or higher)
  • Serum bilirubin > 1.5 x ULN
  • Alkaline phosphatase > 2.5 x ULN
  • AST or ALT > 2.5 x ULN
  • Creatinine > 2.0 x ULN
  • Patients with known and documented Transferrin saturation <20% or ferritin < 100 ng/ml
  • Patients with known and documented elevated PSA levels
  • Patients with a known history of hypercoagulability, including known cardiolipin/antiphospholipid antibody syndrome
  • Expected survival < 1 year
  • Allergy or other contraindication to hCG
  • Allergy or other contraindication to epoetin alfa:
  • A known diagnosis of cancer (except non-malignant skin cancer)
  • Uncontrolled hypertension, defined in the context of acute stroke as blood pressure persistently above 220 mm Hg systolic or 120 mm Hg diastolic despite antihypertensive therapy
  • Use of either hCG or epoetin alfa within the previous 90 days
  • Any condition known to elevate hCG, active in the prior 24 months, e.g., choriocarcinoma or germ cell tumor
  • Patients with a pre-stroke/pre-morbid modified Rankin Score (mRS) ≥ 2
  • Any patients living in a nursing home or supervised living center. Patients must be historically fully independent in all activities of daily living including banking, shopping, cooking, toileting, showering and dressing
  • Any other medical condition or degree of stroke such that, in the investigator's opinion, the patient should not be included in the trial
  • With the exception of the qualifying stroke, any other stroke within the previous 3 months
  • Patients who cannot take anti-platelet or anti-coagulant therapy
  • Pre-existing and active major psychiatric or other chronic neurological disease
  • Consume, on average, greater than 14 alcoholic drinks per week, or have a history of substance abuse or dependency within 12 months prior to the study
  • Currently participating in another investigational study

研究组 & 干预措施

2

Placebo Comparator

干预措施: Saline Placebo (Drug)

结局指标

主要结局

Adverse events

时间窗: screening to Day 90

次要结局

  • mRS(Day 90)
  • NIHSS(Day 90)
  • Barthel Index(Day 90)
  • Action Research Arm Test(Day 90)
  • Gait Velocity Test(Day 90)
  • Boston Naming Test(Day 90)
  • Line Cancellation Test(Day 90)
  • Trails A & B Test(Day 90)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (2)

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