Protecting the brain's white matter from stroke damage

Preconditioning brain white matter against ischemia

NIH-funded research Oregon Health & Science University · NIH-11318941

This project is testing a drug (CX-4945) to help shield the brain's white matter from damage during stroke, including in older adults.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionOregon Health & Science University NIH-funded
Lab location1 site (Portland, United States)
Project IDNIH-11318941 on NIH RePORTER

What this research studies

This research is exploring whether a drug called CX-4945 (Silmitasertib) can 'precondition' white matter so it tolerates low blood flow better. The team uses lab-grown tissue and animal models to see if the drug preserves axon function, keeps mitochondria moving, and leads to better behavior after an ischemic injury. Researchers are paying special attention to aging and sex differences because older adults and women may respond differently. The long-term aim is to develop a drug-based approach that could reduce white-matter injury and improve recovery after stroke.

Who could benefit from this research

Good fit: Ideal candidates would be people who have had an ischemic stroke or are at high risk for recurrent ischemic events, particularly older adults.

Not a fit: People with hemorrhagic (bleeding) stroke or unrelated neurological conditions, or those who cannot take CK2-inhibitor drugs, are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, this approach could lessen white-matter injury from stroke and improve neurological recovery and daily functioning for survivors.

How similar studies have performed: Ischemic preconditioning has protected gray matter in prior preclinical work and early data show CX-4945 can precondition white matter in lab and animal models, but pharmacological white-matter preconditioning is still an emerging approach.

Where this research is happening

Portland, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.