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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