Clinical trial • Phase I • Neurology
1,4-DIAMINO-2,3-DICYANO-1,4-BIS(O-AMINOPHENYLMERCAPTO)BUTADIENE HEMIETHANOLATE for Subarachnoid haemorrhage
Phase I trial of 1,4-DIAMINO-2,3-DICYANO-1,4-BIS(O-AMINOPHENYLMERCAPTO)BUTADIENE HEMIETHANOLATE for Subarachnoid haemorrhage.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Subarachnoid haemorrhage
- Trial Stage
- Phase I
- Drug Modality
- Small molecule
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 26-06-2024
- First CTIS Authorization Date
- 22-07-2024
Trial design
Randomised, placebo (placebo to edv2209) - matched salt solution; dose and schedule not specified in available documents-controlled, adaptive Phase I trial in Denmark.
- Randomised
- Yes
- Comparator
- Placebo (Placebo to EDV2209) - matched salt solution; dose and schedule not specified in available documents
- Adaptive
- True, multiple-ascending-dose (dose-escalation) first-in-human design; detailed escalation rules, interim analyses or stopping rules not provided in available data
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 51
Eligibility
Recruits 51 Vulnerable population is selected. Consent is obtained from a trial guardian prior to initiation of any trial-related procedures (proxy/study guardian consent). Study documentation includes a Study Guardian Proxy Consent form and main ICFs for subjects and next of kin, indicating use of proxy consent for incapacitated patients in the acute emergency setting..
- Pregnancy Exclusion
- Female patients who are pregnant or breastfeeding. Women of childbearing potential must have a negative plasma or urine pregnancy test at screening
- Vulnerable Population
- Vulnerable population is selected. Consent is obtained from a trial guardian prior to initiation of any trial-related procedures (proxy/study guardian consent). Study documentation includes a Study Guardian Proxy Consent form and main ICFs for subjects and next of kin, indicating use of proxy consent for incapacitated patients in the acute emergency setting.
Inclusion criteria
- {"criterion_text":"- Male or female patients aged 18-80 years (both inclusive)\n- Moderate or severe SAH diagnosed with CT and caused (or suspected to be caused) by a ruptured saccular aneurysm with symptoms less than 8 hours\n- Intracerebroventricular access obtained within 8 h from start of symptoms\n- A WFNS score 1-5, assessed at any time after SAH diagnosis, but before first dose of IMP\n- Informed consent obtained from a trial guardian prior to initiation of any trial-related procedures."}
Exclusion criteria
- {"criterion_text":"- The SAH due to other causes (e.g., trauma, rupture of fusiform or mycotic aneurysms)\n- Intraventricular or intracerebral blood, in the absence of subarachnoid blood\n- Expected survival < 48 hours\n- Any severe or unstable chronic or acute concomitant condition, which, in the opinion of the PI/delegate, would affect the assessment of the safety of the IMP\n- Any known or CT evidence of previous major cerebral damage or preexisting cerebrovascular disorders, which in the opinion of the PI/delegate may affect the accurate diagnosis and evaluation of SAH\n- Participation in any other clinical trial with an experimental drug within the last 12 weeks\n- Known allergy to the IMP or its constituents\n- Female patients who are pregnant or breastfeeding. Women of childbearing potential must have a negative plasma or urine pregnancy test at screening"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Frequency of TEAEs, SAEs and severe TEAEs, change from baseline in vital signs, laboratory results, OS","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Clinical outcomes as measured by: a. National Institute of Health Stroke Scale (NIHSS) on Day 14 or at discharge, whichever comes first. b. Modified Rankin Scale (mRS) at discharge from the NICU or the Neurosurgical Stepdown Unit, Day 28 and 84 after SAH. c. Extended Glasgow Outcome Scale (GOS-E) at discharge from neurosurgical care, Day 28 and 84 after SAH","definition_or_measurement_approach":"NIHSS assessed on Day 14 or at discharge; mRS assessed at discharge, Day 28 and Day 84; GOS-E assessed at discharge, Day 28 and Day 84."}
- {"endpoint_text":"- Number of days spent in NICU, the Neurosurgical Stepdown Unit, in hospital of trial site, and (if transferred) in any hospital","definition_or_measurement_approach":"Count of days spent in specified units/hospitals as recorded in patient hospitalization records."}
- {"endpoint_text":"- Pharmacokinetic endpoints: a. Plasma: i. Maximum (peak) concentration (Cmax) ii. Nominal time for the occurrence of Cmax (Tmax) iii. Area under the concentration-time curve from 0 to time t (AUC0-t)","definition_or_measurement_approach":"Plasma PK parameters Cmax, Tmax, AUC0-t calculated from plasma concentration-time profiles."}
- {"endpoint_text":"- Pharmacokinetic endpoints: b. CSF: i. Concentration of EDV2209 at the selected sampling times ii. Concentration of EDV2209 at the selected sampling times relative to the plasma concentrations of EDV2209 at the same time points (CSF/plasma ratios) iii.Maximum (peak) concentration (Cmax) iv.Nominal time for the occurrence of Cmax (Tmax) v.Area under the concentration-time curve from 0 to time t (AUC0-t)","definition_or_measurement_approach":"CSF PK parameters: CSF concentrations at sampling times, CSF/plasma ratios, Cmax, Tmax, AUC0-t derived from CSF and paired plasma samples."}
Recruitment
- Planned Sample Size
- 51
- Recruitment Window Months
- 45
- Consent Approach
- Informed consent is obtained from a trial guardian (proxy/study guardian) prior to any trial-related procedures. Subject and next-of-kin ICFs and a Study Guardian Proxy Consent form are provided (document titles indicate Danish (DA) and English (EN) versions). Participants are adults (18-80 years), so assent for minors is not applicable.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 51
Denmark
- Earliest CTIS Part Ii Submission Date
- 17-07-2024
- Latest Decision Or Authorization Date
- 12-12-2024
- Processing Time Days
- 148
- Number Of Sites
- 2
- Number Of Participants
- 51
Sites
- Site Name
- Rigshospitalet
- Department Name
- Department Of Neurology
- Principal Investigator Name
- Tiit Mathiesen
- Principal Investigator Email
- tiit.illimar.mathiesen@regionh.dk
- Contact Person Name
- Tiit Mathiesen
- Contact Person Email
- tiit.illimar.mathiesen@regionh.dk
- Site Name
- Odense University Hospital
- Department Name
- Department of Neurosurgery
- Principal Investigator Name
- Troels Halfeld Nielsen
- Principal Investigator Email
- troels.nielsen@rsyd.dk
- Contact Person Name
- Troels Halfeld Nielsen
- Contact Person Email
- troels.nielsen@rsyd.dk
Sponsor
Primary sponsor
- Full Name
- Edvince AB
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Sweden
Contract research organisations
- Name
- Fortrea Inc.
- Responsibilities
- Sponsor-related duties (codes listed in source): 1, 10, 11, 12, 6, 8, 9
- Name
- Lablytica Life Science AB
- Responsibilities
- Pharmacokinetic bioanalysis
- Name
- Medidata Solutions Inc.
- Responsibilities
- Data/electronic systems (sponsor duty code 7)
- Name
- SDL Limited
- Responsibilities
- Translation
- Name
- Rechon Life Science AB
- Responsibilities
- IMP packaging, labelling and distribution
Third parties
- {"country":"Sweden","full_name":"Lablytica Life Science AB","duties_or_roles":"Pharmacokinetic bioanalysis","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"Sponsor duties codes: 1, 10, 11, 12, 6, 8, 9 (roles provided as duty codes in source data)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Sponsor duties code: 7","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"SDL Limited","duties_or_roles":"Translation","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Sweden","full_name":"Rechon Life Science AB","duties_or_roles":"IMP packed, labelled and distributed","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- EDV2209
- Active Substance
- 1,4-DIAMINO-2,3-DICYANO-1,4-BIS(O-AMINOPHENYLMERCAPTO)BUTADIENE HEMIETHANOLATE
- Modality
- Small molecule
- Routes Of Administration
- Intracerebroventricular use
- Route
- Intracerebroventricular
- First In Human
- Yes
- Orphan Designation
- Yes
- Investigational Product Name
- Placebo to EDV2209
- Modality
- Other
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