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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT02586233




Registration number
NCT02586233
Ethics application status
Date submitted
21/10/2015
Date registered
26/10/2015
Date last updated
18/06/2019

Titles & IDs
Public title
Study to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of DS-1040b in Subjects With Acute Ischemic Stroke
Scientific title
A Phase 1b/2, Multi-Center, Double-Blind (Principal Investigators and Study Subjects Blinded, Sponsor Unblinded), Placebo-Controlled, Randomized, Single-Ascending Dose Study to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of DS-1040b in Subjects With Acute Ischemic Stroke
Secondary ID [1] 0 0
2015-001824-43
Secondary ID [2] 0 0
DS1040-A-U103
Universal Trial Number (UTN)
Trial acronym
ASSENT
Linked study record

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

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - DS-1040b
Treatment: Drugs - Placebo

Experimental: DS-1040b - Intravenous (IV) infusion of DS-1040b ranging from 0.6 mg to 9.6 mg of DS-1040b

Placebo Comparator: Placebo - IV infusion of placebo


Treatment: Drugs: DS-1040b
DS-1040b for IV administration

Treatment: Drugs: Placebo
Matching placebo for IV administration

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of participants with treatment emergent adverse events
Timepoint [1] 0 0
from first dose to 90 days post-dose
Secondary outcome [1] 0 0
Area under the plasma concentration-time curve from time zero to 24 hours (AUC24) for DS-1040b
Timepoint [1] 0 0
within 24 hours post-dose
Secondary outcome [2] 0 0
Maximum concentration (Cmax) of DS-1040b in plasma
Timepoint [2] 0 0
within 24 hours post-dose
Secondary outcome [3] 0 0
Time to Cmax (Tmax) for DS-1040b in plasma
Timepoint [3] 0 0
within 24 hours post-dose
Secondary outcome [4] 0 0
Urinary excretion within 24 hours (Ae0-24) of DS-1040b
Timepoint [4] 0 0
within 24 hours post-dose
Secondary outcome [5] 0 0
Thrombin-activatable fibrinolysis inhibitor (TAFI) antigen in plasma
Timepoint [5] 0 0
24 hours post-dose
Secondary outcome [6] 0 0
D-dimer level in plasma
Timepoint [6] 0 0
24 hours post-dose
Secondary outcome [7] 0 0
Total activated thrombin-activatable fibrinolysis inhibitor in plasma
Timepoint [7] 0 0
24 hours post-dose
Secondary outcome [8] 0 0
Number of participants with recanalization of occlusion at 24 hours
Timepoint [8] 0 0
24 hours post-dose
Secondary outcome [9] 0 0
Change from baseline in National Institute of Health Stroke Scale (NIHSS) score from predose to 30 days post-dose - The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS) is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4.
Timepoint [9] 0 0
Baseline, Day 30
Secondary outcome [10] 0 0
Change from baseline in modified Rankin Scale (mRS) score at Day 90 - The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The mRS is a scale of 0-6, where 0=perfect health and 6=death.
Timepoint [10] 0 0
Baseline, Day 90

Eligibility
Key inclusion criteria
- Has a clinical diagnosis of acute ischemic stroke (including lacunar stroke/infarct)
supported by computed topography or magnetic resonance imaging to rule out alternative
cause for presenting symptoms

- Has onset of stroke symptoms within 4.5 to 12 hours before initiation of study drug
administration - for subjects with a stroke upon waking, time of symptom onset is the
last time the subject was known to be well

- Has a NIHSS score of = 2 (for Cohorts 1-5) and = 5 (for Cohort 6)

- Has Low dose heparin or low molecular weight heparin at a preventive dose are allowed
from 24 hours after treatment start completion and after confirmation of no
intracranial bleeding on the 24-hours repeat brain imaging.

- Is a Cohort 6 participant who is treated or anticipated to be treated with
intra-arterial therapy (IAT) for ischemic stroke at the time of randomization (for
enrollment in the IAT subgroup)

- Has given written informed consent to participate in the study prior to participating
in any study-related procedures - depending on country-specific practice, written
informed consent may be acceptable from legally authorized representative

- Has given a separate written informed consent for collecting a blood sample for
genotyping
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Is a Cohort 1-5 participant who has been treated or is going to be treated with tissue
plasminogen activator (tPA) and/or endovascular thrombectomy during current stroke

- Is a Cohort 6 participant treated or anticipated to be treated with tPA during current
stroke

- Has evidence of intracranial hemorrhage on non-contrast computed tomography (CT/CAT)
scan or magnetic resonance imaging (MRI)

- Has symptoms of subarachnoid hemorrhage, even with normal imaging

- Has an Alberta Stroke Program Early CT Score (ASPECTS) <6

- Has prior non-traumatic intracranial hemorrhage (excluding microhemorrhages observed
in imaging)

- Has known arteriovenous malformation or aneurysm

- Has evidence of active bleeding

- Has platelet count less than 100,000

- Has International Normalized Ratio greater than 1.7

- Has used unfractionated heparin within 24 hours prior to treatment and has an elevated
partial thromboplastin time

- Has used a non-vitamin K antagonist oral anticoagulant such as dabigatran,
rivaroxaban, apixaban, or other factor Xa inhibitors within 24 hours before treatment

- Has used fondaparinux or low molecular weight heparin at an anticoagulation dose
within 24 hours prior to treatment

- Has anticipated use of an anticoagulation dose of heparin, or fondaparinux or low
molecular weight heparin, or nonvitamin K antagonist oral anticoagulant such as
dabigatran, rivaroxaban, apixaban, or other factor Xa inhibitors within 48 hours after
completion of study drug treatment (low dose heparin or low molecular weight heparin
at a preventive dose are allowed from 24 hours after treatment completion and after
confirmation of no intracranial bleeding on the 24 hours repeat brain imaging. In
Cohort 6, heparin treatment associated with IAT is allowed.)

- Has blood pressure > 185/110 mmHg, or requires aggressive medication to maintain blood
pressure below this limit (routine medical treatment including IV drug treatment is
allowed to lower the blood pressure below this limit)

- Has had intracranial surgery, clinically significant head trauma (in the opinion of
Principal Investigator), Alteplase treatment, or a previous stroke within 1 month

- Has had major surgery within 14 days

- Has had gastrointestinal or genitourinary bleeding in the last 21 days

- Has had a lumbar puncture (or epidural steroid injection) within 14 days

- Has had a preexisting disability classified by mRS > 2

- Has an estimated glomerular filtration rate < 60 mL/min/1.73 m^2

- Has baseline hemoglobin < 10.5 g/dL

- Has a positive pregnancy test

- Is currently participating in another investigational study or has participated in an
investigational drug study within 30 days or 5 half-lives of that investigational drug
prior to administration of the study drug

- Is an employee or an immediate family member of an employee of the Sponsor, the
Contract Research Organization (CRO), or the Site

- Has any other condition the investigator determines would preclude participation in
the study

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
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
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s

The people analysing the results/data
Intervention assignment
Single group
Other design features
Phase
Phase 1/Phase 2
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
Royal North Shore Hospital - Sydney
Recruitment hospital [2] 0 0
Royal Adelaide Hospital Neurology Dept. - Adelaide
Recruitment hospital [3] 0 0
Monash Health - Clayton
Recruitment hospital [4] 0 0
Royal Melbourne Hospital - Parkville
Recruitment postcode(s) [1] 0 0
2065 - Sydney
Recruitment postcode(s) [2] 0 0
5000 - Adelaide
Recruitment postcode(s) [3] 0 0
3168 - Clayton
Recruitment postcode(s) [4] 0 0
3050 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
California
Country [3] 0 0
United States of America
State/province [3] 0 0
Colorado
Country [4] 0 0
United States of America
State/province [4] 0 0
Illinois
Country [5] 0 0
United States of America
State/province [5] 0 0
Kentucky
Country [6] 0 0
United States of America
State/province [6] 0 0
Michigan
Country [7] 0 0
United States of America
State/province [7] 0 0
New Jersey
Country [8] 0 0
United States of America
State/province [8] 0 0
New York
Country [9] 0 0
United States of America
State/province [9] 0 0
North Carolina
Country [10] 0 0
United States of America
State/province [10] 0 0
Ohio
Country [11] 0 0
United States of America
State/province [11] 0 0
Oregon
Country [12] 0 0
United States of America
State/province [12] 0 0
Pennsylvania
Country [13] 0 0
United States of America
State/province [13] 0 0
South Carolina
Country [14] 0 0
United States of America
State/province [14] 0 0
Tennessee
Country [15] 0 0
United States of America
State/province [15] 0 0
Texas
Country [16] 0 0
Czechia
State/province [16] 0 0
Brno
Country [17] 0 0
Czechia
State/province [17] 0 0
Ostrava Vitkovice
Country [18] 0 0
France
State/province [18] 0 0
Besançon
Country [19] 0 0
France
State/province [19] 0 0
Bordeaux
Country [20] 0 0
France
State/province [20] 0 0
Lille
Country [21] 0 0
Germany
State/province [21] 0 0
Altenburg
Country [22] 0 0
Germany
State/province [22] 0 0
Essen
Country [23] 0 0
Germany
State/province [23] 0 0
Frankfurt am Main
Country [24] 0 0
Italy
State/province [24] 0 0
Città di Castello
Country [25] 0 0
Italy
State/province [25] 0 0
Gubbio
Country [26] 0 0
Italy
State/province [26] 0 0
Piacenza
Country [27] 0 0
Italy
State/province [27] 0 0
Pietra Ligure
Country [28] 0 0
Italy
State/province [28] 0 0
Pisa
Country [29] 0 0
Italy
State/province [29] 0 0
Verona
Country [30] 0 0
Korea, Republic of
State/province [30] 0 0
Busan
Country [31] 0 0
Korea, Republic of
State/province [31] 0 0
Seongnam-si
Country [32] 0 0
Korea, Republic of
State/province [32] 0 0
Seoul
Country [33] 0 0
Slovakia
State/province [33] 0 0
Rimavská Sobota
Country [34] 0 0
Slovakia
State/province [34] 0 0
Spi┼íská Nová Ves
Country [35] 0 0
Spain
State/province [35] 0 0
Barcelona
Country [36] 0 0
Spain
State/province [36] 0 0
Madrid
Country [37] 0 0
Spain
State/province [37] 0 0
Santiago de Compostela
Country [38] 0 0
Spain
State/province [38] 0 0
Sevilla
Country [39] 0 0
Spain
State/province [39] 0 0
Valladolid
Country [40] 0 0
Spain
State/province [40] 0 0
Zaragoza
Country [41] 0 0
Taiwan
State/province [41] 0 0
Hsien
Country [42] 0 0
Taiwan
State/province [42] 0 0
Taichung
Country [43] 0 0
Taiwan
State/province [43] 0 0
Tainan
Country [44] 0 0
Taiwan
State/province [44] 0 0
Taipei
Country [45] 0 0
United Kingdom
State/province [45] 0 0
England
Country [46] 0 0
United Kingdom
State/province [46] 0 0
Scotland
Country [47] 0 0
United Kingdom
State/province [47] 0 0
Salford
Country [48] 0 0
United Kingdom
State/province [48] 0 0
Stoke-on-Trent

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Daiichi Sankyo, Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This is a Phase 1b/2, double-blind (Principal Investigators and study subjects blinded,
Sponsor unblinded), placebo-controlled, randomized, single-ascending dose, multi-center study
to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of
DS-1040b in subjects with Acute Ischemic Stroke (AIS).
Trial website
https://clinicaltrials.gov/show/NCT02586233
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Global Clinical Leader
Address 0 0
Daiichi Sankyo, Inc.
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
Other publications