Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema Following Large Hemispheric Infarction



Status:Recruiting
Conditions:Cardiology, Neurology
Therapuetic Areas:Cardiology / Vascular Diseases, Neurology
Healthy:No
Age Range:18 - 85
Updated:3/6/2019
Start Date:August 29, 2018
End Date:December 30, 2021
Contact:US Biogen Clinical Trial Center
Email:clinicaltrials@biogen.com
Phone:866-633-4636

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Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema Following Large Hemispheric Infarction

The primary objective is to determine if BIIB093 improves functional outcome at Day 90 as
measured by the modified Rankin Scale (mRS) when compared with placebo in participants with
Large Hemispheric Infarction (LHI). The secondary objectives are to determine if BIIB093
improves overall survival at Day 90 when compared with placebo, if BIIB093 improves
functional outcome at Day 90 on the mRS dichotomized 0-4 vs. 5-6 when compared with placebo,
if BIIB093 reduces midline shift at 72 hours (or at time of decompressive craniectomy [DC] or
comfort measures only [CMO], if earlier) when compared with placebo, and to evaluate the
safety and tolerability of BIIB093 in participants with LHI.

This study, previously posted by Remedy Pharmaceuticals, Inc., has transitioned to Biogen.

Inclusion Criteria:

1. A clinical diagnosis of acute ischemic stroke in the middle cerebral artery (MCA)
territory

2. A large hemispheric infarction defined as; lesion volume of 80 to 300 centimeters
cubed (cm^3) on magnetic resonance imaging (MRI) diffusion-weighted imaging (DWI), or
computed tomography perfusion (CTP), or an Alberta Stroke Program Early CT Score
(ASPECTS) of 1 to 5 with involvement of at least 2 defined cortical regions

3. Screening National Institutes of Health Stroke Scale (NIHSS) >=10

4. Study treatment infusion within 10 hours after time of symptom onset, if known, or the
time last known normal

5. For participants who receive thrombectomy, inclusion into the study must be based on
post-thrombectomy MRI-DWI

Exclusion Criteria:

1. Participant is likely to have supportive care withdrawn on the first day

2. Commitment to decompressive craniectomy (DC) prior to enrollment

3. Evidence of concurrent infarction in the contralateral hemisphere sufficiently serious
so as to affect functional outcome

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
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