Overview

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

Status:
Withdrawn
Trial end date:
2010-09-01
Target enrollment:
0
Participant gender:
All
Summary
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.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Stem Cell Therapeutics Corp.
Treatments:
Chorionic Gonadotropin
Epoetin Alfa
Criteria
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