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Not yet recruitingNCT06899464CLINCHUpdated Mar 28, 2025

Safety and Feasibility of Using Cerebrolysin in the Treatment of Primary Intracerebral Hemorrhage - a Prospective Randomized Open Blinded End-point Trial

A Phase 4 interventional study of 14-day Cerebrolysin treatment and Standard of Care (SOC) in Intracerebral Hemorrhage, Hemorrhagic Stroke, Intracerebral and Hemorrhagic Stroke, sponsored by Cardinal Stefan Wyszynski University. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-03-28.

Sponsored by Cardinal Stefan Wyszynski University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study is designed to determine the safety and feasibility of using Cerebrolysin in treating primary intracerebral hemorrhage (ICH).

This is a multicenter, prospective, randomized, open-label, blinded end-point, phase IV parallel group study done in specialized stroke treatment centers in Poland. The study objective is to evaluate if a 14-day cerebrolysin treatment initiated within 6 hours of onset of primary lobar hemorrhage in addition to the standard of care that includes early intensive rehabilitation is safe and feasible, affects hematoma growth and improves the outcome.

This study is designed to assess the early effect of using Cerebrolysin in patients after ICH, therefore 3 months of follow-up has been chosen. Patients will receive 50 ml of Cerebrolysin once daily until day 14. Subjects will be evaluated on Day 1 (baseline), Day 2, Day 7, Day 30 and Day 90.

Enrollment to the study is expected to reach 30 subjects in 12 months. The study should be completed within 15 months (the end of study).

The primary outcome measure will be change from baseline in functional independence (mRS 0-2) at Day 90 following stroke onset. The safety outcome will be the number of serious adverse events until Day 30.

02

Conditions studied

  • Intracerebral Hemorrhage
  • Hemorrhagic Stroke, Intracerebral
  • Hemorrhagic Stroke
  • Stroke

Keywords

  • Cerebrolysin in stroke
  • neuroprotection in stroke
  • Cerebrolysin in hemorrhagic stroke
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's planned enrollment of 30 is below the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Cardinal Stefan Wyszynski University is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-80 years
  • NIHSS ≥8 at randomization
  • Stroke onset \<6h
  • Pre-randomization head CT demonstrating an acute, primary lobar ICH
  • ICH volume 30 to 80 mL
  • Glasgow Coma Score (GCS) 5 to 12
  • Pre-stroke independence (modified Rankin Score 0 to 2)
  • Ability to provide informed consent
  • No history of prior stroke

Exclusion criteria

Exclusion Criteria:

  • Hemorrhage caused by head trauma
  • Medical history or neuroimaging findings suggestive of ruptured aneurysm, arteriovenous malformation (AVM), vascular anomaly, Moyamoya disease, venous sinus thrombosis, mass or tumor, hemorrhagic conversion of an ischemic infarct
  • Bilateral fixed dilated pupils
  • Extensor motor posturing
  • Intraventricular extension of the hemorrhage is visually estimated to involve >50% of either of the lateral ventricles
  • Primary Thalamic and basal ganglia ICH
  • Infratentorial intraparenchymal hemorrhage including midbrain, pontine, or cerebellar
  • Current use of low molecular weight heparins in therapeutic dose
  • Evidence of active bleeding
  • Uncorrected coagulopathy or known clotting disorder
  • Platelet count \< 75,000, International Normalized Ratio (INR) > 1.4 after correction
  • End stage renal disease
  • Patients with a mechanical heart valve
  • End-stage liver disease
  • Epilepsy with grand mal seizures
  • History of drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements
  • Positive urine or serum pregnancy test in female subjects without documented history of surgical sterilization or post-menopausal
  • Known life-expectancy of less than 6 months
  • No reasonable expectation of recovery, Do-Not-Resuscitate (DNR), or comfort measures only prior to randomization
  • Participation in a concurrent interventional medical investigation or clinical trial
  • Inability or unwillingness of subject or legal guardian/representative to give written informed consent
  • Any condition that would represent a contraindication for cerebrolysin administration
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Cerebrolysin

    Cerebrolysin infusion (50 ml mixed with 250 mL of saline) will be initiated as soon as possible and within 6 hours of stroke onset. Cerebrolysin treatment will be continued (50 ml/d) once daily until day 14.

    Drug: 14-day Cerebrolysin treatment

  • Placebo comparator
    Placebo

    Standard of care

    Other: Standard of Care (SOC)

Interventions

  • Drug14-day Cerebrolysin treatment

    14-day cerebrolysin treatment initiated within 6 hours of onset of stroke

  • OtherStandard of Care (SOC)

    Standard of care treatment

06

What researchers measure

Primary outcomes

  1. Efficacy Outcome

    Change from baseline in functional independence (mRS 0-2) at Day 90 following stroke onset

    Time frame: 90 days from stroke onset

  2. Safety Outcome

    Number of Serious Adverse Events until Day 30

    Time frame: 30 days from stroke onset

Secondary outcomes

  1. Neurological deficit

    Change from baseline in neurological deficit measured by NIHSS at Day 2, 7, 30, and 90

    Time frame: Day 2, 7, 30, and 90 from stroke onset

  2. Functional independence

    Change from baseline in improving functional independence (mRS 0-2) at Day 30

    Time frame: 30 days from stroke onset

  3. Activities of daily living

    Change from baseline in activities of daily living (by BartheI Index) on Day 30 and 90

    Time frame: 30 and 90 days from stroke onset

  4. Hematoma growth

    Hematoma growth from Day 1 to Day 2

    Time frame: 2 days from stroke onset

  5. Mortality

    Mortality rate on Day 90

    Time frame: 90 days from stroke onset

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Icf, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06899464
Lead sponsor
Cardinal Stefan Wyszynski University
Responsible party
Adam Kobayashi (MD PhD, Cardinal Stefan Wyszynski University) — Principal investigator
First posted
Mar 28, 2025
Start date
Oct 1, 2025 (estimated)
Primary completion
Jan 1, 2027 (estimated)
Completion
Apr 1, 2027 (estimated)
Last update
Mar 28, 2025

Study contacts

Adam Kobayashi, M.D. Ph.D.
Contact
a.kobayashi@uksw.edu.pl
+48602266498
Kinga Rutkowska, M.Sc.Pharm.
Contact
kinga.rutkowska@uksw.edu.pl

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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