Clinical trial • Phase I/II • Neurology | Cardiology

Deferoxamine mesilate for Aneurysmal subarachnoid hemorrhage | Subarachnoid hemorrhage

Phase I/II trial of Deferoxamine mesilate for Aneurysmal subarachnoid hemorrhage | Subarachnoid hemorrhage.

Overview

Trial Therapeutic Area
Neurology | Cardiology
Trial Disease
Aneurysmal subarachnoid hemorrhage | Subarachnoid hemorrhage
Trial Stage
Phase I/II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
31-12-2024
First CTIS Authorization Date
14-01-2025

Trial design

Randomised, nacl 0,9% (placebo); dose/schedule not specified-controlled Phase I/II trial across 2 sites in Netherlands.

Randomised
Yes
Comparator
NaCl 0,9% (placebo); dose/schedule not specified
Target Sample Size
40
Trial Duration For Participant
183

Eligibility

Recruits 40 Vulnerable population not selected. Inclusion requires "Able to obtain written informed consent from patient". Exclusion: "Patients not able to give informed consent"..

Pregnancy Exclusion
Pregnancy, as confirmed by routine urine test on admission
Vulnerable Population
Vulnerable population not selected. Inclusion requires "Able to obtain written informed consent from patient". Exclusion: "Patients not able to give informed consent".

Inclusion criteria

  • {"criterion_text":"- 18-85 years old inclusive\n- Subarachnoid hemorrhage diagnosed by CT on admission\n- No history of possible traumatic origin of subarachnoid hemorrhage,\n- Eligible for inclusion within 72 hours of subarachnoid hemorrhage\n- Saccular intracranial aneurysm proven by cerebral angiography or CTA\n- Surgical or endovascular obliteration is successfully performed\n- Able to obtain written informed consent from patient\n- Patients in good clinical grade (WFNS 1-3) (GCS 13-15) at time of randomization"}

Exclusion criteria

  • {"criterion_text":"- Patients not able to give informed consent\n- The presence of 4 or more of the following risk modifiers for ARDS prior to enrollment: Tachypnea (respiratory rate >30), SpO2 <95%, Obesity (BMI >30), Acidosis (pH <7.35), Hypoalbuminemia (albumin <3.5 g/dL), Concurrent use of chemotherapy\n- Pregnancy, as confirmed by routine urine test on admission\n- Abnormal renal function at time of inclusion (eGFR <60 mL/min/1.73m2)\n- Elevated liver function test at time of inclusion (AST > 35 U/L and ALT > 45 U/L.)\n- History of liver disease or active liver or renal disease\n- Patients with low ferritine (< 20 µg/L)\n- Hypersensitivity to deferoxamine\n- Patient taking medication not recommended for concomitant use with deferoxamine as per the product label (e.g. high dose vit. C medication)\n- Patients not able to undergo MRI (due to contraindications such as having ferromagnetic or electrical metal implants or not being able to lie still for the duration of the scan)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The presence of new ischemia at control imaging (2 weeks and 6 months)","definition_or_measurement_approach":"Presence of new ischemia assessed by control imaging performed at 2 weeks and at 6 months."}

Secondary endpoints

  • {"endpoint_text":"- Serum Ferritin\n- GOS-E\n- EQ-5D\n- mRS","definition_or_measurement_approach":"Serum Ferritin measured in blood; neurological and functional outcome scales (GOS-E, EQ-5D, mRS) assessed at 6 months."}

Recruitment

Planned Sample Size
40
Recruitment Window Months
36
Consent Approach
Written informed consent from the patient is required (see inclusion: "Able to obtain written informed consent from patient"). Patients unable to give informed consent are excluded ("Patients not able to give informed consent"). Subject information and informed consent form documents (L1_SIS and ICF) are provided (multiple versions present). No assent process or paediatric consent described (adult population 18-85).

Geography

Total Number Of Sites
2
Total Number Of Participants
40

Netherlands

Earliest CTIS Part Ii Submission Date
12-01-2025
Latest Decision Or Authorization Date
16-02-2026
Processing Time Days
400
Number Of Sites
2
Number Of Participants
40

Sites

Site Name
Universitair Medisch Centrum Groningen
Department Name
Neurosurgery
Contact Person Name
Naomi Kremer
Contact Person Email
n.i.kremer@umcg.nl
Site Name
Radboud universitair medisch centrum / RADBOUDUMC
Department Name
Neurosurgery
Contact Person Name
Lars van der Loo
Contact Person Email
lars.vanderloo@radboudumc.nl

Sponsor

Primary sponsor

Full Name
Stichting Radboud universitair medisch centrum
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Deferoxamine Noridem 500mg Κόνις για ενέσιμο διάλυμα ή διάλυμα για έγχυση
Active Substance
Deferoxamine mesilate
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (marketing authorisation details present: mrpNumber UK/H/3325/001; authorisation country CY)
Investigational Product Name
NaCl 0,9%
Modality
Other

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