A Phase 2b, Randomized, Double-blind Study of Redasemtide (S-005151) in Adult Participants With Acute Ischemic Stroke (REvive)

Overview

About this study

The purpose of the study is to determine the effectiveness and safety of redasemtide for the treatment of adult participants with acute ischemic stroke. 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

- Able to initiate study intervention within 25 hours of stroke onset

- Determined by the investigator to not be eligible for recanalization thrombolysis or
endovascular recanalization therapy (that is, mechanical thrombectomy, local
fibrinolytic therapy) for the current stroke.

- Baseline NIHSS score of 8 to 22 (inclusive) and stable, defined as absence of an
increase or decrease of ≥ 4 points within ≥ 1 hour to ≤ 3 hours between screening and
baseline assessment of NIHSS score.

- Medically stable at the time of enrollment except for primary disease and
complications associated with it, according to the judgment of the investigator. In
addition, hospitalization during the Follow-up Period is not anticipated, and the
participant appears likely to be able to complete the study. Medically stable is
defined as disease not requiring significant change in therapy for 3 months following
enrollment.

Exclusion Criteria:

- Any disease or neurological disorder that, in the opinion of the investigator, would
interfere with the conduct of the study

- A severe decrease in consciousness level (defined as NIHSS item 1a score 3: Not alert,
responds only with reflex motor or autonomic effects, or totally unresponsive,
flaccid, and areflexic)

- Disability corresponding to a mRS score of ≥ 2 before the onset of stroke

- A history of stroke (excluding transient ischemic attack), history of or current
intracranial hemorrhage, or head trauma that caused neurological effects within 90
days prior to obtaining informed consent

- Participants with an ischemic stroke in cerebellum and/or brain stem as the main
infarction site

- Diagnosis of a current transient ischemic attack

- Unable to undergo either CT or MRI

- Considered by the investigator to be inappropriate to participate due to a history or
complication of serious cardiovascular disease within 1 month of screening (for
example, history of acute myocardial infarction, current acute myocardial infarction,
uncontrollable heart failure, infective endocarditis requiring treatment, or acute
aortic dissection, or requiring or likely to require hospitalization for severe
arrhythmia during the study)

- Blood glucose level < 50 or > 400 milligrams/deciliter after glycemic control

- Systolic blood pressure ≥ 220 millimeters of mercury (mmHg) or diastolic blood
pressure ≥ 120 mmHg after antihypertensive treatment

- Sensitivity to any of the study interventions, or components thereof, or clinically
significant drug or other severe allergy that, in the opinion of the investigator,
contraindicates participation in the study

- Use of prohibited concomitant medications or therapies listed in the protocol for the
treatment of current AIS

- Participants who have previously received redasemtide

- Participants who have received any investigational product within 90 days of screening

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 1/11/24. Questions regarding updates should be directed to the study team contact.

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Alejandro Rabinstein, M.D.

Open for enrollment

Contact information:

Bridget Neja C.N.A.

(507) 266-9150

Neja.Bridget@mayo.edu

More information

Publications

Publications are currently not available