The purpose of this trial is to determine if intravenous administration of the metal ion trapping agent DP-b99 up to 9 hours following acute ischemic stroke onset, and then for 3 additional days (4 consecutive days in total) is effective in improving long term outcome. Patients will be followed up for 3 months after the stroke.
This will be a randomized, double-blind, placebo-controlled, multicenter, multi-national, parallel-arm, pivotal study comparing a placebo group to a DP-b99 group treated with intravenous 1.0 mg/kg/d for 4 consecutive days, in acute ischemic stroke patients with an entry National Institutes of Health Stroke Scale (NIHSS) score of 10-16 and a clinical syndrome that includes at least 1 of the following: language dysfunction, visual field defect or Extinction and Inattention (formerly Neglect) (as reflected by at least 1 point on any of the corresponding items of the NIHSS: 9, 3 or 11). An interim analysis for futility will be performed after Day 90 (or last available observation) primary endpoint data have been collected on about 45% of subjects planned to be enrolled. Clinical trial material (CTM) will be administered within 9 hours after the onset of acute ischemic stroke symptoms. Subjects will be randomized at a ratio of 1:1 to receive either DP-b99 or placebo. A data and safety monitoring board (DSMB) will assess the accumulating safety data periodically and will oversee the interim futility analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
446
Modified Rankin Scale (mRS) categorical analysis ("shift")
Time frame: 90 days
Recovery, defined as a score of ≤ 1 on modified Rankin Score
Time frame: 90 days
Safety and tolerability
the numbers of patients with treatment-emergent adverse events, results of physical examination, 12-lead electrocardiogram, vital signs and laboratory tests (complete blood count, chemistry and urinalysis)
Time frame: throughout study - baseline until day 90
recovery as assessed by an NIHSS of not more than 1
Time frame: 90 days
'home time'
exploratory endpoint of 'home time', which measures the length of time (as number of nights)spent at home/relatives' home between hospital discharge and day 90
Time frame: 90 days
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Research Center of Southern California
Oceanside, California, United States
Associated Neurologists, P.C.
Danbury, Connecticut, United States
Memorial Health University Medical Center
Savannah, Georgia, United States
The University of Kentucky The Methodist Hospital
Lexington, Kentucky, United States
University of Louisville, Kentucky Neuroscience Research
Louisville, Kentucky, United States
Tufts Medical Center
Boston, Massachusetts, United States
Capital Health Regional Medical Center Neuroscience Institute
Trenton, New Jersey, United States
Presbitarian Hospital
Charlotte, North Carolina, United States
St. Elizabeth's Medical Center
Youngstown, Ohio, United States
Legacy Meridian Park Medical Center
Tualatin, Oregon, United States
...and 144 more locations