Clinical trial • Neurology

CEREBROLYSIN CONCENTRATE for Ischaemic stroke|Stroke

Clinical trial of CEREBROLYSIN CONCENTRATE for Ischaemic stroke|Stroke.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Ischaemic stroke|Stroke
Drug Modality
Peptide/protein/enzyme|Small molecule

Key dates

Initial CTIS Submission Date
14-03-2025
First CTIS Authorization Date
07-07-2025

Trial design

Randomised, active: cerebrolysin (cerebrolysin concentrate) solution for injection/infusion, route: infusion; reported max daily amount 30 ml, max total 630 ml, max treatment period 21 (time unit code as per dossier). comparator/placebo: ser fiziologic 90 mg/10 ml solvent pentru uz parenteral (sodium chloride) administered by infusion; reported max daily amount 250 ml, max total 5250 ml, max treatment period 21.-controlled trial across 1 site in Romania.

Randomised
Yes
Comparator
Active: CEREBROLYSIN (CEREBROLYSIN CONCENTRATE) solution for injection/infusion, route: infusion; reported max daily amount 30 ml, max total 630 ml, max treatment period 21 (time unit code as per dossier). Comparator/placebo: Ser fiziologic 90 mg/10 ml solvent pentru uz parenteral (SODIUM CHLORIDE) administered by infusion; reported max daily amount 250 ml, max total 5250 ml, max treatment period 21.
Target Sample Size
416
Trial Duration For Participant
90

Eligibility

Recruits 416 No vulnerable populations selected. Participants must be able to understand study procedures and provide written informed consent; age range 18-80 years inclusive. No assent procedures described..

Pregnancy Exclusion
Pregnancy or lactating women, or women of childbearing potential who do not agree to use adequate contraception as defined by CTCG guidance.
Vulnerable Population
No vulnerable populations selected. Participants must be able to understand study procedures and provide written informed consent; age range 18-80 years inclusive. No assent procedures described.

Inclusion criteria

  • {"criterion_text":"- Acute ischemic supratentorial stroke confirmed by CT or MRI\n- Patients will receive standard treatment for acute ischemic stroke (AIS) in accordance with national guidelines or standard clinical\n- Onset of stroke within 72 hours\n- Stroke volume of > 4 cm3\n- ARAT score < 50 on the affected arm\n- Goodglass-Kaplan score >2 at baseline\n- Pre-stroke mRS of 0 or 1\n- No symptomatic stroke within 3 months before baseline\n- Age between 18 and 80 years, inclusive\n- Ability to understand the study procedures and willingness to provide written informed consent (ICF)"}

Exclusion criteria

  • {"criterion_text":"- Progressive or unstable stroke\n- Substantial decrease of alertness at randomization\n- History of significant alcohol or drug abuse within previous 3 years\n- Pregnancy or lactating women, or women of childbearing potential who do not agree to use adequate contraception as defined by CTCG guidance.\n- Use of concomitant neuroprotective or nootropic medications (e.g., citicoline, memantine, amantadine, erythropoietin, piracetam, pramiracetam, pyritinol,meclosulfonate, or investigational neuroprotective substances) and/or vasodilatory agents affecting cerebral blood flow (e.g., naftidrofuryl, cinnarizine, flunarizine, nimodipine, nicergoline, pentoxifylline, dihydroergotoxine, vinpocetine, vincamine, or ginkgo biloba), except for peripherally acting agent\n- Any contraindications to Cerebrolysin, including known hypersensitivity to Cerebrolysin or a history of allergic diathesis\n- Current enrolment in another therapeutic study\n- Treatment with Cerebrolysin or Neuroprotectants in the last 30 days\n- Pre-existing and active major neurological disease (eg. Parkinson’s Disease, Epilepsy)\n- Pre-existing and active major psychiatric disease, such as major depression, schizophrenia, bipolar disease, or dementia\n- Advanced liver, kidney, cardiac, or pulmonary disease based on the investigator judgement\n- A terminal medical diagnosis with expected survival < 1 year\n- Severe visual or hearing impairment interfering with test procedures"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Action Reasearch Arm Test (ARAT)","definition_or_measurement_approach":"Change of the ARAT Score from baseline to day 90 (assess improvement of upper limb function from baseline to day 90)."}

Secondary endpoints

  • {"endpoint_text":"- NIH Stroke Scale (NIH)","definition_or_measurement_approach":"Assessment of neurological deficit measured by NIH Stroke Scale at 7, 14, 21, and 90 days after baseline."}
  • {"endpoint_text":"- Modified Rankin Scale (mRS)","definition_or_measurement_approach":"Assessment of functional outcome measured by mRS at 7, 14, 21, and 90 days after baseline."}
  • {"endpoint_text":"- Barthel Index","definition_or_measurement_approach":"Assessment of activities of daily living measured by Barthel Index at 7, 14, 21, and 90 days after baseline."}
  • {"endpoint_text":"- Hospital Anxiety and Depression Scale (HADS)","definition_or_measurement_approach":"Assessment of symptoms of anxiety and depression using HADS at 7, 14, 21, and 90 days after baseline."}
  • {"endpoint_text":"- EQ-5D-5L","definition_or_measurement_approach":"Assessment of quality of life using EQ-5D-5L at 7, 14, 21, and 90 days after baseline."}

Recruitment

Planned Sample Size
416
Recruitment Window Months
54
Consent Approach
Written informed consent required from the participant (ability to understand study procedures and willingness to provide written informed consent). Participants are adults aged 18-80; no assent described. Subject information and ICF documents available in Romanian and English (L1_ICF Romanian; L1_ICF English).

Geography

Total Number Of Sites
1
Total Number Of Participants
416

Romania

Earliest CTIS Part Ii Submission Date
03-04-2025
Latest Decision Or Authorization Date
21-08-2025
Processing Time Days
140
Number Of Sites
1
Number Of Participants
416

Sites

Site Name
Spitalul Clinic Judetean De Urgenta Cluj
Department Name
Neurology II
Contact Person Name
Adina Dora Stan
Contact Person Email
adinadora@yahoo.com

Sponsor

Primary sponsor

Full Name
Foundation For The Study Of Nanoneuroscience And Neuroregeneration
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Romania

Third parties

  • {"country":"Romania","full_name":"Foundation For The Study Of Nanoneuroscience And Neuroregeneration","duties_or_roles":"1","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
CEREBROLYSIN
Active Substance
CEREBROLYSIN CONCENTRATE
Modality
Peptide/protein/enzyme
Routes Of Administration
INFUSION
Route
INFUSION
Authorisation Status
Marketing authorisation in Romania (marketingAuthNumber 4610/2004/03, prodAuthStatus 2)
Maximum Dose
30 ml daily; max total 630 ml
Investigational Product Name
Ser fiziologic 90 mg/10 ml solvent pentru uz parenteral
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INFUSION
Route
INFUSION
Authorisation Status
Marketing authorisation in Romania (marketingAuthNumber 11175/2018/01, prodAuthStatus 2)
Maximum Dose
250 ml daily; max total 5250 ml

Related trials

Other published trials that may interest you.