BXOS110 injection for treating acute ischemic stroke

A Multicentre, Randomised, Double-blind, Placebo-parallel Controlled Phase II Clinical Trial Evaluating the Efficacy and Safety of BXOS110 Injection in the Treatment of Acute Ischaemic Stroke Within 3 Hours of Onset

This study is testing if an early injection of BXOS110 can help reduce disability in people who have just had an acute ischemic stroke.

Quick facts

• Phase: PHASE2
• Study type: Interventional
• Enrollment: 300 (estimated)
• Ages: 18 Years to 85 Years
• Sex: All
• Sponsor: Biocells (Beijing) Biotech Co.,Ltd (industry)
• Locations: 24 sites (Shaoguan, Guangdong and 23 other locations)
• Trial ID: NCT06322394 on ClinicalTrials.gov

What this trial studies

This trial evaluates the effectiveness of BXOS110, administered early, in reducing disability in patients suffering from acute ischemic stroke. It employs a multicenter, randomized, double-blind, placebo-controlled design with three groups: a high-dose BXOS110 group, a low-dose BXOS110 group, and a placebo group, each consisting of 100 subjects. Patients are screened and randomly assigned to one of the groups within three hours of stroke onset, followed by treatment and subsequent evaluations for efficacy and safety at various intervals.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 85 diagnosed with acute ischemic stroke within three hours of symptom onset.

Not a fit: Patients who have had multiple strokes or those with severe pre-existing disabilities may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce disability in patients who experience acute ischemic strokes.

How similar studies have performed: While this approach is novel, similar studies have shown promise in acute stroke interventions, indicating potential for success.

Eligibility criteria

Inclusion Criteria:

1. Age18\~85 (including 18 and 85 years)，no gender limitation;
2. Subjects diagnosed with acute ischaemic stroke according to the Chinese Guidelines for Clinical Management of Cerebrovascular Disease (2nd edition);
3. 6 ≤ NIHSS score ≤ 20 before randomisation;
4. Within 3h of stroke onset and expected to be able to start receiving the investigational product within 3 h of stroke onset (note: stroke onset time was calculated from the onset time of stroke symptoms; if stroke onset occurs during sleep, the stroke onset time should be taken as the latest normal appearance time);
5. First stroke onset, or have a history of stroke but good prognosis (mRS score ≤1);
6. Subjects who are able to understand and comply with the study procedures, and who agree to sign the study informed consent form in writing to indicate that they are willing to participate in the trial (the informed consent form can be signed by subjects or their legal representatives).

Exclusion Criteria:

1. Imaging confirmed intracranial hemorrhagic disease (hemorrhagic stroke, epidural hematoma, intracranial hematoma, subarachnoid hemorrhage, ventricular hemorrhage, traumatic cerebral hemorrhage, etc.);
2. Severe disturbance of consciousness: NIHSS 1a score ≥2 points;
3. After aggressive antihypertensive therapy, hypertension still not under control: systolic blood pressure ≥180 mmHg, or diastolic blood pressure ≥110 mmHg;
4. Severe hyperglycemia/hypoglycemia: blood glucose≥400 mg/dL (22.2 mmol/L), or ≤50 mg/dL (2.8 mmol/L);
5. Heart rate \< 50 beats /min or heart rate \> 120 beats /min; Heart failure, unstable angina pectoris, acute myocardial infarction, and severe arrhythmias within the previous 6 months, as determined by the investigators to be severe heart disease, affected participants;
6. Previously diagnosed severe hepatic and renal dysfunction and determined by the investigators as affect the subjects;
7. Patients who have been treated with neuroprotective agents after current stoke onset;
8. Have a epilepsy history or have epilepsy symptoms after current stoke onset;
9. Combined with other mental illnesses, resulting in inability or unwillingness to cooperate;
10. Combined with claudication, osteoarthropathy, etc., resulting in limb movement dysfunction, which is determined by investigators to affect neurological function test;
11. History of severe head trauma or stroke within 3 months before screening;
12. History of severe food or drug allergy, or known allergy to the investigational drug and its excipients;
13. Expected survival period is less than 3 months;
14. Pregnant, planning pregnancy or breastfeeding patients;
15. Suspected or confirmed history of alcohol or drug abuse;
16. Participated in other drug or device clinical trial within the 3 months prior to screening or are participating in a other clinical trial;
17. Other conditions, and the investigator assessed that participation in the study might increase the patient's risk or that participation in the study was deemed inappropriate by the investigator.

Where this trial is running

Shaoguan, Guangdong and 23 other locations

• Yuebei People's Hospital — Shaoguan, Guangdong, China (NOT_YET_RECRUITING)
• Harrison International Peace Hospital — Hengshui, Hebei, China (NOT_YET_RECRUITING)
• The First Hospital of Hebei Medical University — Shijiazhuang, Hebei, China (NOT_YET_RECRUITING)
• Daqing Oilfield General Hospital — Daqing, Heilongjiang, China (NOT_YET_RECRUITING)
• Anyang People's Hospital — Anyang, Henan, China (NOT_YET_RECRUITING)
• Nanshi Hospital of Nanyang — Nanyang, Henan, China (NOT_YET_RECRUITING)
• Nanyang Second General Hospital — Nanyang, Henan, China (NOT_YET_RECRUITING)
• The First Affiliated Hospital of Nanyang Medicinal College — Nanyang, Henan, China (NOT_YET_RECRUITING)
• MeiHekou Central Hospital — Meihekou, Jilin, China (NOT_YET_RECRUITING)
• Beipiao Central Hospital — Chaoyang, Liaoning, China (RECRUITING)
• Ceneral Hospital of Mining Industry Group Fuxin — Fuxin, Liaoning, China (NOT_YET_RECRUITING)
• The Affiliated Hospital of Shenyang Medical College — Shenyang, Liaoning, China (NOT_YET_RECRUITING)
• The First People's Hospital of Shenyang — Shenyang, Liaoning, China (NOT_YET_RECRUITING)
• The People's Hospital of Liaoning Province — Shenyang, Liaoning, China (NOT_YET_RECRUITING)
• Iron Coal General Hospital of Liaoning Health Industry Group — Tieling, Liaoning, China (NOT_YET_RECRUITING)
• Keshketengqi Hospital of Traditional Chinese Medicine and Mongolian Medicine — Chifeng, Neimenggu, China (RECRUITING)
• Xianyang Hospital of Yan'an University — Xianyang, Shaanxi, China (NOT_YET_RECRUITING)
• Liaocheng People's Hospital — Liaocheng, Shandong, China (NOT_YET_RECRUITING)
• Linyi People's Hospital — Linyi, Shandong, China (NOT_YET_RECRUITING)
• Tengzhou Central People's Hospital — Tengzhou, Shandong, China (NOT_YET_RECRUITING)
• Sinopharm Tongmei General Hospital — Datong, Shanxi, China (NOT_YET_RECRUITING)
• Linfen Central Hospital — Linfen, Shanxi, China (RECRUITING)
• Linfen People's Hospital — Linfen, Shanxi, China (NOT_YET_RECRUITING)
• Beijing Tiantan Hospital , Capital Medical University — Beijing, China (NOT_YET_RECRUITING)

Study contacts

• Study coordinator: Yongjun Wang

Conditions: Acute Ischemic Stroke