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| Name | Class |
|---|---|
| SDM Bio Service Inc. | UNKNOWN |
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Intracerebral hemorrhage (ICH) is a devastating form of cerebrovascular disease for which there are no approved therapeutics that improve outcomes. Apolipoprotein E (apoE) has emerged as a promising therapeutic target given its isoform-specific neuroprotective properties and ability to modulate neuroinflammatory responses. We developed a 5-amino acid peptide, CN-105, that mimics the polar face of the apoE helical domain involved in receptor interactions, readily crosses the blood-brain barrier, and improves outcomes in well-established preclinical ICH models. In the current study, aim to assess the safety and the efficacy of CN-105 after administration for three consecutive days in participants with acute supratentorial ICH at three different dosages.
Inclusion Patients with spontaneous acute supratentorial intracerebral hemorrhage confirmed by CT,age 30 to 80 years,Intravenous infusion with CN-105 peptide for injection every 6 hours, up to a maximum of 13 doses within 72 hours。
Blood samples for protein markers will be collected and detected at screening, 48 h(D3), and 120 h(D6) after the first dose:
The sample size is 240.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo Control: placebo | Placebo Comparator | Intravenous infusion with placebo(same volume of saline) every 6 hours, up to a maximum of 13 doses within 72 hours.Each dose of placebo(same volume of saline) will be administered as a slow IV bolus over 30 minutes. |
|
| Experimental: CN-105 peptide for injection 0.1 mg/kg | Experimental | Intravenous infusion with 0.1 mg/kg CN-105 peptide for injection every 6 hours, up to a maximum of 13 doses within 72 hours.Each dose of CN-105 will be administered as a slow IV bolus over 30 minutes. |
|
| Experimental:CN-105 peptide for injection 0.3 mg/kg | Experimental | Intravenous infusion with 0.3 mg/kg CN-105 peptide for injection every 6 hours, up to a maximum of 13 doses within 72 hours.Each dose of CN-105 will be administered as a slow IV bolus over 30 minutes. |
|
| Experimental: CN-105 peptide for injection 1.0 mg/kg | Experimental | Intravenous infusion with 1.0 mg/kg CN-105 peptide for injection every 6 hours, up to a maximum of 13 doses within 72 hours.Each dose of CN-105 will be administered as a slow IV bolus over 30 minutes. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CN-105 | Drug | Injection every 6 hours, up to a maximum of 13 doses within 72 hours.Each dose of CN-105 will be administered as a slow IV bolus over 30 minutes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| AEs | Number and severity of AEs throughout the duration of the study; | 90±7 days |
| SAEs | Number and severity of SAEs throughout the duration of the study; | 90±7 days |
| Treatment-related mortality; | Treatment-related mortality throughout the duration of the study; | 90±7 days |
| Deaths | Rate of mortality at 14-day, 30-day, and 90-day ; | Day14, Day30,Day90 |
| Incidence of cerebritis, meningitis, ventriculitis; | Incidence of cerebritis, meningitis, ventriculitis throughout the duration of the study; | 90±7 days |
| Incidence of systemic infection associated with intracerebral hemorrhage | Incidence of systemic infection associated with intracerebral hemorrhage throughout the duration of the study; | 90±7 days |
| The incidence of hematoma extension | The incidence of hematoma extension in 24-48 h after the first dose of study drug administration relative to baseline; | 24-48 hour (Day2~Day3) |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Rankin Scale(mRS) | The proportion of patients alive and independent (mRS 0-2) on D90; | Day90 |
| National Institutes of Health Stroke Scale (NIHSS) | During dosing neurological deterioration, defined as an increase of National Institutes of National Institutes of Health Stroke Scale (NIHSS) > 2 from baseline( unrelated to sedation); |
| Measure | Description | Time Frame |
|---|---|---|
| Biomarker Outcome Measures: | Biomarker analysis at screening, 48 h(D3), and 120 h(D6) after the first dose:Cytokines and chemokines: G-CSF, GM-CSF, IFN-γ, IL-1α, IL-1β, IL-1ra, IL-6, IL-17A, IP-10/CXCL10, MCP-1/CCL2, MIP-1α/CCL3, TNF-α, VEGF-A; Molecular markers associated with the nervous system: ApoE, GFAP; | screening, 48 hour(Day3), and 120 hour(Day6) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yongjun Wang, Study Director | Contact | 13911172565 | yongjunwang111@aliyun.com | |
| shuya Li, Study Director | Contact | 13601367028 | shuyali85@163.com |
| Name | Affiliation | Role |
|---|---|---|
| shuya Li, Study Director | IRB of Beijing Tiantan Hospital,Capital Medical University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital | Recruiting | Beijing | China |
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| ID | Term |
|---|---|
| D002543 | Cerebral Hemorrhage |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C000712807 | apolipoprotein E mimetic peptide CN-105 |
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|
| 90±7 days |
| contrast head CT to evaluate progression of perihematomal edema; | At screening, 24h (D2), 48h (D3) and 120h (D6) after the first dose and D14, non-contrast head CT to evaluate progression of perihematomal edema; | screening, 24hour (Day2), 48hour (Day3) and 120hour (Day6),Day14 |
| Modified Rankin Scale(mRS) | At D30 The proportion of patients alive and independent (mRS 0-2) and the distribution of mRS scores(shift analysis)at D30, D90; | Day30 |
| Glasgow Coma Scale (GCS) | Glasgow Coma Scale (GCS) assessment at D3, D14; | Day3, Day14 |
| Barthel Index assessment | Barthel Index assessment at D14, D30, D90; | Day14, Day30, Day90 |
| Montreal Cognitive Assessment (MoCA) | Montreal Cognitive Assessment (MoCA) Score at D2, D30; | Day2, Day30 |
| MRI to evaluate the severity of neuronal injury and determine the progression of perihematomal edema respectively ; | At screening, 48h (D3), 120h (D6) after the first dose of study drug, MRI to evaluate the severity of neuronal injury and determine the progression of perihematomal edema respectively ; | screening, 48hour (Day3), 120hour (Day6) |
| Genetic marker | Genotyping at screening:1ApoE gene polymorphism analysis;2SNP analysis of TOMM40-APOE locus | screening |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |