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.
- OCRELIZUMAB for Relapsing multiple sclerosis | Relapsing-remitting multiple sclerosis | Secondary progressive multiple sclerosis (active)
- CENOBAMATE for Partial-onset (focal) seizures
- Ocrelizumab for Relapsing multiple sclerosis | Relapsing-remitting multiple sclerosis | Active secondary progressive multiple sclerosis
- Clinical trial in Parkinson's disease
- Tenecteplase for Acute ischaemic stroke due to basilar artery occlusion | Posterior circulation ischaemic stroke