NCT02562183

Brief Summary

In order to reevaluate safety and efficacy of human urinary kallikrein in treating acute cerebral infarction ,a multi-center, open label , single group study was designed. Expect to enroll 60 sites and 2186 subjects. Subjects will receive kallikrein treatment according to real clinical practice (suggest above 14days treatment) and 90 days follow up

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,186

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Aug 2015

Typical duration for phase_4

Geographic Reach
1 country

7 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2015

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

September 10, 2015

Completed
19 days until next milestone

First Posted

Study publicly available on registry

September 29, 2015

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2018

Completed
Last Updated

January 17, 2018

Status Verified

January 1, 2018

Enrollment Period

3.3 years

First QC Date

September 10, 2015

Last Update Submit

January 16, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of Participants with Adverse Events

    From enrolled to the day 90

Secondary Outcomes (6)

  • Cerebral infarction on the National Institute of Health stroke scale

    The day 8,15 and 22 after enrolled

  • Recurrence rate of acute cerebral infarction

    From enrolled to the day 90

  • Activities of daily living on the Barthel Index

    The day 15,22 and 90 after enrolled

  • Patients body status on the Modified Rankin Scale

    The day 15, 22 and 90 after enrolled

  • EQ-5D-3L score

    The day 15, 22 and 90 after enrolled

  • +1 more secondary outcomes

Study Arms (1)

kallikrein group

EXPERIMENTAL

Subjects receive kallikrein treatment according to real clinical practice (suggest above 14days treatment),0.15 peptide nucleic acids(PNA), once a day.

Drug: kallikrein

Interventions

Using kallikrein

Also known as: KLK, Human urinary kallikrein
kallikrein group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Acute anterior circulation cerebral infarction diagnosed ≤ 48h;
  • First time diagnosed or have history of acute anterior circulation cerebral infarction without serious sequelae(mRS=0-2);
  • Age from 18 to 80 years old;
  • National Institute of Health stroke scale(NIHSS) from 6 to 25;
  • Have provided signed written informed consent from the patient or the patient's legal representative.

You may not qualify if:

  • Brain CT shows cerebral hemorrhage disease: cerebral hemorrhage, subarachnoid hemorrhage, etc.
  • Transient ischemic attack(TIA);
  • Serious disturbance of consciousness: Glasgow Coma ScaleGCS(GCS)≤8;
  • Combined angiotensin-converting enzyme inhibitor(ACEI) less than 5 half-time(according to its instruction), or need to be treated with ACEI;
  • Cases treated with thrombolysis / stent surgery or expected to be treated with thrombolysis / interventional therapy / stent surgery.
  • subjects with bleeding disorders at Past or present, laboratory tests: INR \> 1.5 or APTT \> 2 times;
  • subjects with abnormal liver function (ALT/AST \> 1.5 \* ULN) and abnormal renal function (Cr\> normal upper limit);
  • subjects with history of epilepsy or other serious systemic disease before onset of AIS refused by PI to enroll ;
  • subjects with cardiogenic stroke or cardiogenic stroke related high-risk factors identified by PI, such as atrial fibrillation, echocardiography or Mural thrombus etc;
  • subjects diagnosised any malignancy (except basal cell carcinoma) within 5 years prior to the start of the study;
  • subjects with severe dementia or can't cooperate to evaluate identified by PI;
  • suffering from severe hypertension and failed to control :systolic blood pressure ≥200mmHg (26.6kPa) or diastolic blood pressure ≥110mmHg (14.6kPa); hypotension: systolic blood pressure\< 90mmHg and/or diastolic blood pressure\< 60mmHg
  • subjects be allergic or intolerant to kallikrein at past;
  • subjects be pregnant/lactating or possibly and planned pregnant;
  • subjects be unsuitable for this clinical study identified by PI.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

Location

NO.2 Hospital XiaMen

Xiamen, Fujian, 361000, China

Location

HanDan Central Hospital

Handan, Hebei, 056001, China

Location

Harrison International Peace Hospital

Hengshui, Hebei, 053000, China

Location

Chenzhou NO.1 People's Hospital

Chenzhou, Hunan, 423000, China

Location

Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, 212000, China

Location

The Fourth Affiliated hospital of Zhejiang University School of Medicine

Yiwu, Zhejiang, 322000, China

Location

Related Publications (1)

  • Ni J, Qu J, Yao M, Zhang Z, Zhong X, Cui L; RESK investigators. Re-evaluate the Efficacy and Safety of Human Urinary Kallidinogenase (RESK): Protocol for an Open-Label, Single-Arm, Multicenter Phase IV Trial for the Treatment of Acute Ischemic Stroke in Chinese Patients. Transl Stroke Res. 2017 Aug;8(4):341-346. doi: 10.1007/s12975-017-0527-5. Epub 2017 Mar 6.

MeSH Terms

Conditions

Cerebral Infarction

Interventions

KallikreinsTissue Kallikreins

Condition Hierarchy (Ancestors)

Brain InfarctionBrain IschemiaCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesStrokeVascular DiseasesCardiovascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

Serine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesBlood Coagulation FactorsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsBiological FactorsBiomarkers, TumorBiomarkers

Study Officials

  • Liying Cui, Doctor

    Peking Union Medical College Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 10, 2015

First Posted

September 29, 2015

Study Start

August 1, 2015

Primary Completion

November 30, 2018

Study Completion

November 30, 2018

Last Updated

January 17, 2018

Record last verified: 2018-01

Locations