A Phase 2 interventional study of BIIB093 and Placebo in Brain Contusion, sponsored by Remedy Pharmaceuticals, Inc.. Terminated at 63 sites in 7 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-11-27.
Sponsored by Remedy Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment
The primary objective is to determine if BIIB093 reduces brain contusion expansion by Hour 96 when compared to placebo.
The secondary objectives are to evaluate the effects of BIIB093 on acute neurologic status, functional outcomes, and treatment requirements, to further differentiate the mechanism of action of BIIB093 on contusion expansion by examining differential effects on hematoma and edema expansion, and to determine if BIIB093 improves survival at Day 90 when compared to placebo.
Remedy Pharmaceuticals, Inc. is the lead sponsor of 5 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Participants will be administered BIIB093 3 milligrams per day (mg/day) as a IV bolus followed by rapid and slow intravenous (IV) infusions for 96 hours.
Drug: BIIB093
Participants will be administered BIIB093 5 mg/day as a IV bolus followed by rapid and slow IV infusions for 96 hours.
Drug: BIIB093
Participants will be administered BIIB093 matching placebo as a IV bolus followed by rapid and slow IV infusions for 96 hours.
Drug: Placebo
Administered as specified in the treatment arm.
Also known as: Glibenclamide, CIRARA, RP 1127
Administered as specified in the treatment arm.
Change From Baseline in Mean Total Contusion Volume (Hematoma Plus Perihematomal Edema) at 96 Hours as Measured by Brain Imaging
Total contusion volume including hematoma and perihematomal edema volumes reported in milliliters (mL) was assessed by the central imaging core laboratory on baseline non-contrast computed tomography (NCCT), 24-hour NCCT, and the 96-hour scan (Magnetic resonance imaging \[MRI\] and/or NCCT) and the scans obtained prior to decompressive craniectomy (DC), intraparenchymal hematoma (IPH) evacuation, or comfort measures only (CMO).
Time frame: Baseline up to 96 hours (Day 4)
Percentage of Participants With Glasgow Outcome Scale - Extended (GOS-E) Score at Day 180
The GOS-E is a global disability scale used to assess recovery after traumatic brain injury. For this study, the 8 point ordinal scale was condensed to the following 7-categories: 1 and 2 combined: Dead and Vegetative State, 3: Lower Severe disability, 4: Upper Severe disability, 5: Lower Moderate disability, 6: Upper Moderate disability, 7 : Lower Good recovery, and 8: Upper Good Recovery. Lower scores indicate death and higher scores indicate recovery.
Time frame: Day 180
Percentage of Participants With Modified Rankin Scale (mRS) Score at Day 90
The mRS measures the degree of functional independence following stroke. In this study, the 7-category ordinal mRS scale was condensed to the following 5-categories: 0/1, 2, 3, 4, 5/6 where 0 and 1 reflect no disability and near-normal functioning while 5 and 6 represent severe disability and death, respectively.
Time frame: Day 90
Percentage of Participants Requiring Delayed Intubation
Delayed intubation is defined as participants requiring intubation (for neurologic deterioration only) at any time between 24 hours and 96 hours post-injury.
Time frame: Day 1 (24 hours) up to Day 4 (96 hours) post-injury
Change From Baseline in Mean Total Contusion Volume (Hematoma Plus Perihematomal Edema) at 24 Hours as Measured by Brain Imaging
Total contusion volume including hematoma and perihematomal edema volumes reported in mL was assessed by the central imaging core laboratory on baseline NCCT and 24-hour NCCT.
Time frame: Baseline up to 24 hours (Day 1)
Change From Baseline in Absolute Hematoma Volume at 24 Hours
Hematoma volume reported in mL was assessed by the central imaging core laboratory on baseline NCCT, 24-hour NCCT, and the scans obtained prior to DC, IPH evacuation, or CMO.
Time frame: Baseline up to 24 hours (Day 1)
Change From Baseline in Absolute Edema Volume at 96 Hours
Edema volume reported in mL was assessed by the central imaging core laboratory on baseline NCCT, 24-hour NCCT, and the 96-hour scan (MRI and/or NCCT) and the scans obtained prior to DC, IPH evacuation, or CMO.
Time frame: Baseline up to 96 hours (Day 4)
Time to All-Cause Death Through Day 90
Time to all-cause death is defined as the time from randomization to the time of death and includes all-cause death along with neurological death.
Time frame: Randomization up to Day 90
Participants were enrolled at study centers in Israel, France, Japan, Italy, Spain, and the United States.
| Milestone | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Started | 48 | 23 | 21 |
| Completed | 30 | 14 | 11 |
| Not completed | 18 | 9 | 10 |
| Withdrew: Lost to follow-up | 3 | 3 | 6 |
| Withdrew: Death | 4 | 0 | 1 |
| Withdrew: Death by neurologic criteria | 0 | 0 | 1 |
| Withdrew: Reason not specified | 7 | 4 | 2 |
| Withdrew: Withdrew prior to dosing | 4 | 2 | 0 |
Total contusion volume including hematoma and perihematomal edema volumes reported in milliliters (mL) was assessed by the central imaging core laboratory on baseline non-contrast computed tomography (NCCT), 24-hour NCCT, and the 96-hour scan (Magnetic resonance imaging \[MRI\] and/or NCCT) and the scans obtained prior to decompressive craniectomy (DC), intraparenchymal hematoma (IPH) evacuation, or comfort measures only (CMO).
| mL | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Baseline | 29.45 ± 29.688 | 21.21 ± 26.659 | 21.33 ± 26.637 |
| Change From Baseline at 96 Hours | 18.91 ± 23.804 | 30.07 ± 29.418 | 18.78 ± 12.771 |
The GOS-E is a global disability scale used to assess recovery after traumatic brain injury. For this study, the 8 point ordinal scale was condensed to the following 7-categories: 1 and 2 combined: Dead and Vegetative State, 3: Lower Severe disability, 4: Upper Severe disability, 5: Lower Moderate disability, 6: Upper Moderate disability, 7 : Lower Good recovery, and 8: Upper Good Recovery. Lower scores indicate death and higher scores indicate recovery.
| Percentage of participants | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Score: 1/2 | 0 | 0 | 0 |
| Score: 3 | 13.3 | 13.3 | 27.3 |
| Score: 4 | 0 | 26.7 | 9.1 |
| Score: 5 | 13.3 | 6.7 | 0 |
| Score: 6 | 26.7 | 0 | 0 |
| Score: 7 | 6.7 | 13.3 | 27.3 |
| Score: 8 | 40.0 | 40.0 | 36.4 |
The mRS measures the degree of functional independence following stroke. In this study, the 7-category ordinal mRS scale was condensed to the following 5-categories: 0/1, 2, 3, 4, 5/6 where 0 and 1 reflect no disability and near-normal functioning while 5 and 6 represent severe disability and death, respectively.
| Percentage of participants | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Score: 0/1 | 38.5 | 31.6 | 57.1 |
| Score: 2 | 25.6 | 26.3 | 7.1 |
| Score: 3 | 12.8 | 21.1 | 0 |
| Score: 4 | 10.3 | 15.8 | 21.4 |
| Score: 5/6 | 12.8 | 5.3 | 14.3 |
Delayed intubation is defined as participants requiring intubation (for neurologic deterioration only) at any time between 24 hours and 96 hours post-injury.
| Percentage of participants | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Percentage of Participants Requiring Delayed Intubation | 2.3 | 4.8 | 0 |
Total contusion volume including hematoma and perihematomal edema volumes reported in mL was assessed by the central imaging core laboratory on baseline NCCT and 24-hour NCCT.
| mL | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Baseline | 29.45 ± 29.688 | 21.21 ± 26.659 | 21.33 ± 26.637 |
| Change From Baseline at 24 Hours | 8.16 ± 18.824 | 11.24 ± 13.909 | 6.67 ± 13.483 |
Hematoma volume reported in mL was assessed by the central imaging core laboratory on baseline NCCT, 24-hour NCCT, and the scans obtained prior to DC, IPH evacuation, or CMO.
| mL | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Baseline | 6.72 ± 10.012 | 6.11 ± 12.086 | 3.62 ± 3.737 |
| Change From Baseline at 24 Hours | 2.07 ± 5.920 | 2.13 ± 3.667 | 2.23 ± 3.537 |
Edema volume reported in mL was assessed by the central imaging core laboratory on baseline NCCT, 24-hour NCCT, and the 96-hour scan (MRI and/or NCCT) and the scans obtained prior to DC, IPH evacuation, or CMO.
| mL | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Baseline | 22.41 ± 23.234 | 15.10 ± 16.366 | 17.52 ± 24.103 |
| Change From Baseline at 96 Hours | 16.13 ± 20.872 | 25.87 ± 27.772 | 14.98 ± 10.459 |
Time to all-cause death is defined as the time from randomization to the time of death and includes all-cause death along with neurological death.
| days | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day |
|---|---|---|---|
| Time to All-Cause Death Through Day 90 | NA (NA to NA) | — | NA (NA to NA) |
Collected over From signing of informed consent up to last follow-up visit (approximately 1360 days). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 4/44 (9.1%) | 12/44 (27.3%) | 36/44 (81.8%) |
| BIIB093 3mg/Day | 0/23 (0%) | 7/23 (30.4%) | 20/23 (87%) |
| BIIB093 5mg/Day | 2/19 (10.5%) | 8/19 (42.1%) | 18/19 (94.7%) |
| Event | Placebo | BIIB093 3mg/Day | BIIB093 5mg/Day |
|---|---|---|---|
| HypoglycaemiaMetabolism and nutrition disorders | 0/44 | 4/23 | 4/19 |
| Intracranial pressure increasedNervous system disorders | 2/44 | 0/23 | 3/19 |
| AnaemiaBlood and lymphatic system disorders | 0/44 | 0/23 | 1/19 |
| Cardiac arrestCardiac disorders | 1/44 | 0/23 | 1/19 |
| Multiple organ dysfunction syndromeGeneral disorders | 0/44 | 0/23 | 1/19 |
| Subdural haematomaInjury, poisoning and procedural complications | 2/44 | 1/23 | 1/19 |
| Pneumonia staphylococcalInfections and infestations | 1/44 | 1/23 | 0/19 |
| UrosepsisInfections and infestations | 0/44 | 1/23 | 0/19 |
| Brain contusionInjury, poisoning and procedural complications | 1/44 | 1/23 | 0/19 |
| Clavicle fractureInjury, poisoning and procedural complications | 0/44 | 1/23 | 0/19 |
| Event | Placebo | BIIB093 3mg/Day | BIIB093 5mg/Day |
|---|---|---|---|
| HypoglycaemiaMetabolism and nutrition disorders | 1/44 | 7/23 | 3/19 |
| ConstipationGastrointestinal disorders | 10/44 | 6/23 | 2/19 |
| PyrexiaGeneral disorders | 9/44 | 6/23 | 3/19 |
| HypokalaemiaMetabolism and nutrition disorders | 10/44 | 6/23 | 2/19 |
| HyponatraemiaMetabolism and nutrition disorders | 6/44 | 6/23 | 1/19 |
| HypertensionVascular disorders | 9/44 | 6/23 | 4/19 |
| VomitingGastrointestinal disorders | 4/44 | 5/23 | 1/19 |
| PneumoniaInfections and infestations | 9/44 | 3/23 | 3/19 |
| BradycardiaCardiac disorders | 5/44 | 4/23 | 2/19 |
| HeadacheNervous system disorders | 7/44 | 4/23 | 2/19 |
All dosed population included all the randomized participants who received any study drug (BIIB093 or a placebo).
| Age, Continuous(years) | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day | Total |
|---|---|---|---|---|
| Mean | 59.3 ± 14.18 | 55.7 ± 19.87 | 55.0 ± 21.02 | 57.4 ± 17.39 |
| Sex: Female, Male(Participants) | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day | Total |
|---|---|---|---|---|
| Female | 8 | 3 | 3 | 14 |
| Male | 36 | 18 | 18 | 72 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day | Total |
|---|---|---|---|---|
| Hispanic or Latino | 2 | 2 | 4 | 8 |
| Not Hispanic or Latino | 39 | 15 | 14 | 68 |
| Unknown or Not Reported | 3 | 4 | 3 | 10 |
| Race/Ethnicity, Customized(Participants) | Placebo | BIIB093 3 mg/Day | BIIB093 5 mg/Day | Total |
|---|---|---|---|---|
| Race — American Indian or Alaska Native | 1 | 0 | 0 | 1 |
| Race — Asian | 12 | 5 | 5 | 22 |
| Race — Black or African American | 1 | 0 | 0 | 1 |
| Race — White | 26 | 12 | 13 | 51 |
| Race — Not Reported | 2 | 4 | 3 | 9 |
| Race — Other | 2 | 0 | 0 | 2 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Oct 2019 to primary completion in Jun 2023, 44 months.
Results were first posted in Dec 2023, 5 months after primary completion.
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Studies of the drug tested here: Glyburide
Brain Contusion
Remedy Pharmaceuticals, Inc.