This study of NicaPlant® is conducted in patients who have a subarachnoid haemorrhage. Patients will be randomized in two treatment groups. Both groups will receive the standard of care and the investigational group will receive in addition NicaPlant®. NicaPlant® is tested to reduce the long-term complications of aneurysmal subarachnoid haemorrhage (aSAH).
This is a safety, tolerability, efficacy and pharmacokinetic study of NicaPlant® in subarachnoid haemorrhage patients involving two treatment groups. Both treatment groups will receive standard of care and patients randomised to the investigational group will receive in addition NicaPlant® . NicaPlant® is a nicardipine modified-release formulation. It is presented in the form of a rod-shaped implant with a 4 mg nicardipine load. Following aneurysm clip ligation, 10 NicaPlant® implants will be placed into the basal cisterns in direct contact with the exposed cerebral blood vessel walls.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
41
10 NicaPlant® implants releasing 4 mg nicardipine each.
Both arms receive the usual standard of care.
Universitätsklinik Innsbruck, Universitätsklinik für Neurochirurgie
Innsbruck, Austria
Kepler Universitätsklinikum, Universitätsklinik für Neurochirurgie
Linz, Austria
Medizinische Universität Wien, Universitätsklinik für Neurochirurgie
Vienna, Austria
Charité Universitätsmedizin Berlin, Klinik für Neurochirurgie mit Arbeitsbereich pädiatrische Neurochirurgie
Incidence of moderate to severe cerebral angiographic vasospasm assessed by digital subtraction angiography
Fishers Exact test
Time frame: day 8 ± 1 after aneurysm rupture
Safety by adverse event recording
Descriptive summary
Time frame: trough study completion, an average of 2 years
Incidence of new cerebral infarcts on computer tomography (CT) of the brain versus post-intervention CT scan
Fishers exact test
Time frame: up to day 14 ± 1 after aneurysm rupture
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Berlin, Germany
Universitätsklinikum Göttingen, Neurochirurgische Klinik
Göttingen, Germany
Klinikum Rechts der Isar, Neurochirurgische Klinik und Poliklinik
Munich, Germany