Clinical trial • Phase IV • Cardiology

MEPIVACAINE HYDROCHLORIDE for Ischemic stroke

Phase IV trial of MEPIVACAINE HYDROCHLORIDE for Ischemic stroke. 38 participants.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Ischemic stroke
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
17-07-2024
First CTIS Authorization Date
22-08-2024

Trial design

Phase IV trial across 1 site in France.

Target Sample Size
38
Trial Duration For Participant
1

Eligibility

Recruits 38 Minors and persons under curatorship/tutorship or legal protection or deprived of liberty are excluded. Written informed consent from the participant is required. No assent process for minors is described..

Pregnancy Exclusion
pregnant or breastfeeding women
Vulnerable Population
Minors and persons under curatorship/tutorship or legal protection or deprived of liberty are excluded. Written informed consent from the participant is required. No assent process for minors is described.

Inclusion criteria

  • {"criterion_text":"- Ischemic stroke more than 30 days old\n- Age between 18 and 85 years old\n- At least one deficit among: motor deficit: score < 56 on the Fugl-Meyer scale aphasia: score ≥4 on the Aphasia Rapid Test, presence of a clinically observable visual scotoma\n- Having given their written consent\n- Be affiliated with a social security scheme, Universal Medical Coverage (CMU) or any equivalent scheme"}

Exclusion criteria

  • {"criterion_text":"- Hypersensitivity to amide-bonded local anesthetics.\n- Atrioventricular conduction disorders requiring permanent electro-systolic training not yet performed.\n- Epilepsy not controlled by treatment.\n- Porphyritic subjects.\n- Patients with a motor deficit (but no aphasia or scotomas) in whom there is spasticity leading to a major reduction in joint amplitude in passive motion\n- Minor patients, under curatorship or guardianship, under legal protection, deprived of liberty, pregnant or breastfeeding women\n- Pathologies involving the vital prognosis or compromising follow-up during the study period\n- Patient undergoing local amine anesthesia in the 7 days preceding V1.\n- Patients currently treated with no anti-arrhythmics such as tocainide, aprindine and mexiletine\n- Patients with a contraindication to MRI (ferro-magnetic surgical clips, eye implants, metallic foreign body intraocular or in the nervous system, implants or metallic objects likely to contain the radiofrequency field, cochlear implants, cerebral or cardiac pacemaker , implantable cardiac defibrillators)\n- Patients participating in research involving the therapeutic human person who may modify functional recovery (whether by medication or by medical device) or subject to an exclusion period for another research"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- he response is defined as an improvement 1h (+/- 30min) after injection, compared to the evaluation before mepivacaine injection, on at least one of the clinical scores specific to the symptoms: language, motor skills, visual skills","definition_or_measurement_approach":"Response defined as an improvement 1h (+/- 30min) after injection compared to evaluation before mepivacaine injection on at least one of the clinical scores specific to the symptoms: language, motor skills, visual skills."}

Recruitment

Planned Sample Size
38
Recruitment Window Months
48
Consent Approach
Written informed consent is required from participants ('Having given their written consent'). Subject information and informed consent form documents are present (document entries: '2021-005507-13_NIFC_MEPI-AVC' version 3.0 and '2021-005507-13_FC genetique_MEPI-AVC' version 2.0). Minors are excluded; no assent process or languages for consent forms are specified in the record.

Geography

Total Number Of Sites
1
Total Number Of Participants
38

France

Earliest CTIS Part Ii Submission Date
11-07-2024
Latest Decision Or Authorization Date
22-04-2026
Processing Time Days
650
Number Of Sites
1
Number Of Participants
38

Sites

Site Name
Assistance Publique Hopitaux De Paris, 47 Boulevard De L Hopital
Department Name
Neurologie
Principal Investigator Name
Laurent Cohen
Principal Investigator Email
laurent.cohen@aphp.fr
Contact Person Name
Laurent Cohen
Contact Person Email
laurent.cohen@aphp.fr
Number Of Participants
38

Sponsor

Primary sponsor

Full Name
Assistance Publique Hopitaux De Paris
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"France","full_name":"ASPEN PHARMA TRADING LIMITED","duties_or_roles":"Marketing authorisation / product holder for CARBOCAINE 20 mg/ml, solution injectable","organisation_type":""}

Investigational products

Investigational Product Name
CARBOCAINE 20 mg/ml, solution injectable
Active Substance
MEPIVACAINE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Marketing authorisation present (marketingAuthNumber: 34009 341 694 2 7)
Maximum Dose
60 mg

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