REGENESIS (US): 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

Status and phase

Withdrawn

Phase 2

Conditions

Stroke

Treatments

Drug: Saline Placebo

Drug: NTx™-265: rhCG, then rEPO

Study type

Interventional

Funder types

Industry

Identifiers

NCT00715364

NTx™-265-CP-201-IS (US)

Details and patient eligibility

About

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.

Enrollment

30 estimated patients

Sex

All

Ages

18 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age 18-85.
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:
1. not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy) or,
2. 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

Exclusion criteria

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