Clinical trial • Phase I/II • Neurology

UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR for Acute ischemic stroke

Phase I/II trial of UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR for Acute ischemic stroke.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Acute ischemic stroke
Trial Stage
Phase I/II
Drug Modality
Peptide/protein/enzyme|Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
09-07-2025
First CTIS Authorization Date
31-10-2025

Trial design

Randomised, open-label, sodium chloride solution 0.9% (placebo), intravenous; dose/schedule not specified in the record-controlled, adaptive Phase I/II trial across 16 sites in Poland, Spain, Germany.

Randomised
Yes
Open Label
Yes
Comparator
SODIUM CHLORIDE SOLUTION 0.9% (placebo), intravenous; dose/schedule not specified in the record
Adaptive
True, includes a dose-finding (Phase 1b) escalation followed by randomized expansion; specific escalation rules/interim analyses/stopping rules not provided
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
80

Eligibility

Recruits 80 Vulnerable population selected; no specific consent/assent handling details available in the provided record..

Vulnerable Population
Vulnerable population selected; no specific consent/assent handling details available in the provided record.

Inclusion criteria

  • {"criterion_text":"- Age ≥18 and <80 years"}
  • {"criterion_text":"- Functionally independent (mRS 0-2) prior to stroke onset"}
  • {"criterion_text":"- Diagnosis of AIS supported by neuroimaging: a visible occlusion and/or an ischemic lesion (ASPECTS 6 - 10) with target mismatch"}
  • {"criterion_text":"- Baseline NIHSS ≥5 and that remains ≥5 immediately before enrollment"}
  • {"criterion_text":"- Participants who A) meet the local EVT eligibility requirements and undergo EVT or B) do not receive EVT or SOC IVT."}

Exclusion criteria

  • {"criterion_text":"- Intracranial hemorrhage on pre-intervention imaging"}
  • {"criterion_text":"- Demarcated infarct or early ischemic changes resulting in an Alberta stroke program early CT score (ASPECTS) ≤5 on pre-intervention imaging"}
  • {"criterion_text":"- Use of an anticoagulant, including but not limited to direct oral anticoagulants (DOAC) or warfarin, within the last 48 hours or recent oral anticoagulant therapy with an international normalized ratio (INR) ≥1.7."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Symptomatic intracranial hemorrhage (sICH)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Treatment emergent adverse events (TEAEs)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
80
Recruitment Window Months
24
Consent Approach
Informed consent obtained using subject information and informed consent forms; ICF/SIS documents listed for phase 1b and phase 2a and available in multiple languages (English, Spanish, Polish). No detailed description of assent or age-specific consent handling available in the record.

Geography

Total Number Of Sites
16
Total Number Of Participants
80

Poland

Earliest CTIS Part Ii Submission Date
01-10-2025
Latest Decision Or Authorization Date
20-01-2026
Processing Time Days
111
Number Of Sites
3
Number Of Participants
25

Sites

Site Name
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
Department Name
Neurology
Principal Investigator Name
Violetta Palacz-Duda
Principal Investigator Email
violettapduda@gmail.com
Contact Person Name
Violetta Palacz-Duda
Contact Person Email
violettapduda@gmail.com
Site Name
Gornoslaskie Centrum Medyczne Im Prof. Leszka Gieca Sląskiego Uniwersytetu Medycznego W Katowicach
Department Name
Neurology
Principal Investigator Name
Anetta Lasek-Bal
Principal Investigator Email
alasek@gcm.pl
Contact Person Name
Anetta Lasek-Bal
Contact Person Email
alasek@gcm.pl
Site Name
Szpital Uniwersytecki W Krakowie
Department Name
Oddzial Kliniczny Neurologil
Principal Investigator Name
Agnieska Slowik
Principal Investigator Email
neurologiabk@su.krakow.pl
Contact Person Name
Agnieska Slowik
Contact Person Email
neurologiabk@su.krakow.pl

Spain

Earliest CTIS Part Ii Submission Date
28-07-2025
Latest Decision Or Authorization Date
23-12-2025
Processing Time Days
148
Number Of Sites
5
Number Of Participants
35

Sites

Site Name
University Clinical Hospital Virgen De La Arrixaca
Department Name
Neurology
Principal Investigator Name
Ana Morales Ortiz
Principal Investigator Email
amoralesortiz@gmail.com
Contact Person Name
Ana Morales Ortiz
Contact Person Email
amoralesortiz@gmail.com
Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Neurology
Principal Investigator Name
Francisco Moniche Álvarez
Principal Investigator Email
pmoniche@gmail.com
Contact Person Name
Francisco Moniche Álvarez
Contact Person Email
pmoniche@gmail.com
Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Neurology
Principal Investigator Name
Miguel Ángel Gamero García
Principal Investigator Email
gamero.ma@gmail.com
Contact Person Name
Miguel Ángel Gamero García
Contact Person Email
gamero.ma@gmail.com
Site Name
Hospital Germans Trias I Pujol
Department Name
Neurology
Principal Investigator Name
María Hernández Pérez
Principal Investigator Email
mhernandez@igtp.cat
Contact Person Name
María Hernández Pérez
Contact Person Email
mhernandez@igtp.cat
Site Name
Hospital Alvaro Cunqueiro
Department Name
Neurology
Principal Investigator Name
Pablo Vicente Alba
Principal Investigator Email
pablo.vicente.alba@sergas.es
Contact Person Name
Pablo Vicente Alba
Contact Person Email
pablo.vicente.alba@sergas.es

Germany

Earliest CTIS Part Ii Submission Date
11-09-2025
Latest Decision Or Authorization Date
13-05-2026
Processing Time Days
244
Number Of Sites
8
Number Of Participants
20

Sites

Site Name
Universitaetsklinikum Bonn AöR
Department Name
Neurologie
Principal Investigator Name
Johannes Weller
Principal Investigator Email
Johannes.Weller@ukbonn.de
Contact Person Name
Johannes Weller
Contact Person Email
Johannes.Weller@ukbonn.de
Site Name
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Department Name
Neurologie
Principal Investigator Name
Patrick Schramm
Principal Investigator Email
patrick.schramm@ukdd.de
Contact Person Name
Patrick Schramm
Contact Person Email
patrick.schramm@ukdd.de
Site Name
University Medical Center Hamburg-Eppendorf
Department Name
Klinik und Poliklinikfür Neurologie
Principal Investigator Name
Thomalla Götz
Principal Investigator Email
thomalla@uke.de
Contact Person Name
Thomalla Götz
Contact Person Email
thomalla@uke.de
Site Name
Klinikum Altenburger Land GmbH
Department Name
Neurologie
Principal Investigator Name
Jörg Berroushot
Contact Person Name
Jörg Berroushot
Site Name
Klinikum Ernst von Bergmann gGmbH
Department Name
Neurologie
Principal Investigator Name
Andrea Rocco
Principal Investigator Email
andrea.rocco@klinikumevb.de
Contact Person Name
Andrea Rocco
Contact Person Email
andrea.rocco@klinikumevb.de
Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
Neurologie
Principal Investigator Name
Jan Purrucker
Principal Investigator Email
Jan.Purrucker@med.uni-heidelberg.de
Contact Person Name
Jan Purrucker
Site Name
Asklepios Kliniken Hamburg GmbH
Department Name
Neurologie
Principal Investigator Name
Lars Marquardt
Principal Investigator Email
l.marquardt@asklepios.com
Contact Person Name
Lars Marquardt
Contact Person Email
l.marquardt@asklepios.com
Site Name
Universitätsklinikum Tübingen
Department Name
Neurologie
Principal Investigator Name
Annerose Mengel
Principal Investigator Email
annerose.mengel@uni-tuebingen.de
Contact Person Name
Annerose Mengel

Sponsor

Primary sponsor

Full Name
TargED Biopharmaceuticals B.V.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Netherlands

Contract research organisations

Name
SCIRENT Clinical Research and Science GmbH
Responsibilities
sponsorDuties codes: 1,10,12,2,5,8; regulatory and sponsor support (contact scirent_regulatoryaffairs@scirent.com)

Third parties

  • {"country":"Germany","full_name":"SCIRENT Clinical Research and Science GmbH","duties_or_roles":"sponsorDuties codes: 1,10,12,2,5,8; contact: scirent_regulatoryaffairs@scirent.com","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
TGD001
Active Substance
UROKINASE, CATALYTIC DOMAIN, FUSED WITH A SINGLE-CHAIN ANTIBODY AGAINST VON WILLEBRAND FACTOR
Modality
Peptide/protein/enzyme
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Orphan Designation
Yes
Investigational Product Name
SODIUM CHLORIDE SOLUTION 0.9%
Active Substance
SODIUM CHLORIDE SOLUTION 0.9%
Modality
Small molecule
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS

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