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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04962503




Registration number
NCT04962503
Ethics application status
Date submitted
23/06/2021
Date registered
15/07/2021
Date last updated
11/04/2023

Titles & IDs
Public title
A Proof of Concept Study to Evaluate the Safety of Afamelanotide in Patients With Acute Arterial Ischaemic Stroke (AIS)
Scientific title
A Proof of Concept, Phase IIa, Open Label Study to Evaluate the Safety of Afamelanotide in Patients With Acute Arterial Ischaemic Stroke (AIS) Due to Distal [M2 Segment and Beyond] Arterial Large Vessel Occlusion (LVO) or Perforator Occlusion and Who Are Ineligible for Intravenous Thrombolysis (IVT) or Endovascular Thrombectomy (EVT)
Secondary ID [1] 0 0
CUV801
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Arterial Ischemic Stroke 0 0
Condition category
Condition code
Stroke 0 0 0 0
Haemorrhagic
Stroke 0 0 0 0
Ischaemic
Neurological 0 0 0 0
Other neurological disorders
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Afamelanotide

Experimental: Afamelanotide -


Treatment: Drugs: Afamelanotide
Six adult patients with clots located in the higher segments of the brain and who are ineligible for alternative treatments will be enrolled in the study and evaluated for six weeks. The study will assess patients' brain injury with computed tomography (CT) scans and magnetic resonance imaging (MRI), as well as using recognised methods of clinical evaluation to measure changes in patients' neurological and cognitive function following treatment.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Changes in Volume of Infarct
Timepoint [1] 0 0
From Day 0 to Day 3 and Day 0 to Day 9
Secondary outcome [1] 0 0
Changes of Neurological Function as Measured by the National Institutional Health Stroke Scale (NIHSS).
Timepoint [1] 0 0
From baseline to Day 42
Secondary outcome [2] 0 0
Changes of Daily Activities as Measured by the Modified Rankin Scale (mRS)
Timepoint [2] 0 0
From baseline to Day 42

Eligibility
Key inclusion criteria
- Male or female subjects with a diagnosis of first AIS due to distal [M2 segment and
beyond] occlusion or perforator occlusion

- Perfusion abnormalities observed on Computed Tomography Perfusion (CTP)

- Mild to moderate stroke severity

- Pre-stroke mRS <4

- Written informed consent obtained from patient and/or medical treatment decision maker
prior to study-start (upon admission).
Minimum age
18 Years
Maximum age
85 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Administration of intravenous thrombolytic therapy in distal occlusion as etiology of
AIS

- Intervention by endovascular thrombectomy (EVT)

- Known allergy or anaphylaxis to adrenocorticotropic hormone (ACTH) or melanocortins or
any of the excipients listed in the Investigator's Brochure

- Any evidence of hepatic (defined as three times standard range) or renal impairment
(defined as estimated glomerular filtration rate (eGFR) <50 mL/min/1.73 m²)

- Any other medical condition which may interfere with the study protocol

- Female who is pregnant (confirmed by positive serum beta human chorionic gonadotropin
(ß-HCG) pregnancy test prior to baseline) or lactating

- Females of child-bearing potential (pre-menopausal, not surgically sterile) not using
adequate contraceptive measures (i.e. oral contraceptives, diaphragm plus spermicide,
intrauterine device) or a lifestyle excluding pregnancy

- Unable to undergo MRI brain evaluation

- Not suitable for trial participation according to judgment of the Principal
Investigator (PI)

- Patients starting afamelanotide 24 hours or more from ictus.

Study design
Purpose of the study
Treatment
Allocation to intervention
N/A
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
3/06/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
4/02/2022
Sample size
Target
Accrual to date
Final
6
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
The Alfred - Melbourne
Recruitment postcode(s) [1] 0 0
- Melbourne

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Clinuvel Pharmaceuticals Limited
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary study objective is to assess the safety of afamelanotide while the secondary
objective is to assess whether the therapy affects the size of the penumbra, by increasing
blood flow, restoring oxygen supply to the brain, and reducing the amount of cerebral oedema
(fluid) which is seen as a result of the stroke. Positive findings would indicate that the
drug is able to support brain tissue-at-risk and provide overall neuroprotection and benefit
to stroke patients.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04962503
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04962503