Treatment of Acute Ischemic Stroke (ReMEDy2 Trial)

Part of paid clinical trials in Fairhope, Alabama.

Sponsor
DiaMedica Therapeutics Inc
Study ID
NCT05065216
Phase
PHASE2/PHASE3
Status
Recruiting

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - 90 Years
Healthy Volunteers
Not accepted

Interventions

  • Recombinant human tissue kallikrein — DRUG
    DM199 administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21
  • Placebo for DM199 Solution for Injection — OTHER
    Placebo administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.

Study Details

This is a Phase 2/3 study evaluating the safety and efficacy of DM199 (rinvecalinase alfa) in treating participants with moderate stroke severity, who present within 24 hours of Acute Ischemic Stroke (AIS) onset due to small and medium vessel occlusions. This study focuses on participants with limited treatment options. Participants who have or will receive mechanical thrombectomy (MT) are not eligible for participation. Additionally, participants who have received fibrinolytics are excluded unless they experience a persistent neurological deficit of moderate severity six or more hours after fibrinolytic treatment. Participants considered for this trial should not be denied the use of standard of care (SoC) AIS therapies, such as fibrinolytics or MT, when appropriate. The double-blinded study will be randomized and placebo-controlled at up to approximately 100 sites.

Key Dates

Start date
Nov 7, 2021
Status verified
Apr 2026
Primary completion
Dec 31, 2026
Completion
Dec 31, 2026

Study Design

Enrollment
728 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: DM199
    DM199 administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.
  • Placebo Comparator: Placebo for DM199 Solution for Injection
    Placebo administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.

Primary Outcome Measure

Stroke Recovery [ Time Frame: Day 90 ]

Central Contacts

Locations (35)

FacilityCityStateZIPSite coordinators
Gulf Health Hospitals d/b/a Thomas HospitalFairhopeAlabama36532
Richard Friedman, M.D.
251-435-2400
Richard Friedman, M.D. (PRINCIPAL_INVESTIGATOR)
USC Arcadia HospitalArcadiaCalifornia91007
Rosalina Mayorga
626-898-8322
Matthew Tenser (PRINCIPAL_INVESTIGATOR)
Glendale Adventist Medical Center d/b/a Adventist Health GlendaleGlendaleCalifornia91206-4152
Lance J Lee, MD
+1 818-243-1501
Lance J Lee, MD (PRINCIPAL_INVESTIGATOR)
Kaiser Permanente Los Angeles Medical CenterLos AngelesCalifornia90027-5209
Shayandokht Taleb, M.D.
(323) 783-7387
Shayandokht Taleb, M.D. (PRINCIPAL_INVESTIGATOR)
Ronald Reagan UCLA Medical CenterLos AngelesCalifornia90095
Ileana Grunberg
(888) 888-8888
Jeffery Saver, M.D. (PRINCIPAL_INVESTIGATOR)
Stanford Health CareStanfordCalifornia94305
Nhi Nguyen
(650) 723-6469
Christina Mijalski, M.D. (PRINCIPAL_INVESTIGATOR)
Memorialcare Long Beach Medical CenterTorranceCalifornia90806
Nima Ramezan-Arab, MD
(562) 430-4513
The Lundquist Institute at Harbor UCLA Medical CenterTorranceCalifornia90502
Aljohn Cabuang
(424) 571-7755
Bijal Mehta, M.D. (PRINCIPAL_INVESTIGATOR)
HCA Florida - JFK Medical CenterAtlantisFlorida33462-1149
Mailer Fonseca
(561) 358-9998
Teresita Casanova (PRINCIPAL_INVESTIGATOR)
Boca Raton Regional Hospital Marcus Neuroscience InstituteBoca RatonFlorida33486
Margaret Scott Scott
5619555784
Thomas Hammond, M.D. (PRINCIPAL_INVESTIGATOR)
Holy Cross HealthFort LauderdaleFlorida33308
Ashley Jean-Joseph
954-542-8554
Andrey Lima, M.D. (PRINCIPAL_INVESTIGATOR)
University of Florida JacksonvilleJacksonvilleFlorida32209
Yasmeen Shabbir
9042449856
Benjamin Alwood, M.D. (PRINCIPAL_INVESTIGATOR)
Sarasota Memorial HospitalSarasotaFlorida34239-2617
Mauricio Concha, M.D.
(941) 330-1864
Mauricio Concha, M.D. (PRINCIPAL_INVESTIGATOR)
Tampa General Hospital (TGH) - The Stroke CenterTampaFlorida33606-3603
David Rose, MD
David Rose, MD (PRINCIPAL_INVESTIGATOR)
OSF HealthCare Saint Francis Medical CenterPeoriaIllinois61637
Arun Talkad, M.D.
(309) 624-7552
Arun Talkad, M.D. (PRINCIPAL_INVESTIGATOR)
Ascension Via Christi Hospitals Wichita Inc.WichitaKansas67214
Toni Sadler
316-268-5932
James Walker, M.D. (PRINCIPAL_INVESTIGATOR)
Ochsner Clinic FoundationNew OrleansLouisiana70121
Jessica Henry
(504) 842-8627
Lauren Dunn, M.D. (PRINCIPAL_INVESTIGATOR)
UMASS Chan Medical SchoolWorcesterMassachusetts01655
Nimmy Francis
508-856-4677
Brian Silver, M.D. (PRINCIPAL_INVESTIGATOR)
Trinity Health Grand Rapids HospitalGrand RapidsMichigan49503
Muhammad Farooq, MD
(616) 916-6151
Abbott Northwestern HospitalMinneapolisMinnesota55407
Ganesh Asaithambi, M.D.
612-863-0376
Ganesh Asaithambi, M.D. (PRINCIPAL_INVESTIGATOR)
University Medical Center of Southern NevadaLas VegasNevada89102
Robert Panganiban
17023837336
Albert Cook, M.D. (PRINCIPAL_INVESTIGATOR)
The University of New Mexico - School of MedicineAlbuquerqueNew Mexico87131
Maryam Hosseini, MD
Northwell Health Physician Partners - Neurology at Lenox HillNew YorkNew York10075
Salman Azhar, MD
Summa Health Clinical Research CenterAkronOhio44304
Jeremy Kick
(330) 375-3244
Madihah Hepburn (PRINCIPAL_INVESTIGATOR)
The Clinical Neuroscience InstituteDaytonOhio45431-
Mercy Health - St. Vincent Medical CenterToledoOhio43608
Osama Zaidat, MD
(419) 251-3232
The University of Oklahoma Health Sciences CenterOklahoma CityOklahoma73104
Jorge Ortiz Garcia, M.D.
(405) 271-4113
Jorge Ortiz Garcia, M.D. (PRINCIPAL_INVESTIGATOR)
Ascension St. JohnTulsaOklahoma74104-
Oregon Health & Science UniversityPortlandOregon97239
Rachel Laursen, M.D.
(503) 494-7225
Rachel Laursen, M.D. (PRINCIPAL_INVESTIGATOR)
The Hospital of the University of PennsylvaniaPhiladelphiaPennsylvania19104
Nichole Gallatti
+1 215-349-8651
Steven Messe, MD (PRINCIPAL_INVESTIGATOR)
Prisma Health-Greenville Memorial HospitalGreenvilleSouth Carolina29605
Reilly Leonard
8646089207
Sanjeev Sivakumar, M.D. (PRINCIPAL_INVESTIGATOR)
Chattanooga Center for Neurologic ResearchChattanoogaTennessee37404-1163
Thomas Devlin, M.D.
(423) 648-0304
Thomas Devlin, M.D. (PRINCIPAL_INVESTIGATOR)
Erlanger HospitalChattanoogaTennessee37403
Mounzer Yassin-Kassab, MD
Houston Methodist Neurological InstituteHoustonTexas77030
Rajan Gadhia, M.D
(713) 363-9065
David McCane
(713) 441-5801
Memorial Hermann Hospital, Texas Medical CenterHoustonTexas77030
Andrew Barretto, M.D.
(713) 500-7066
Prasen Marella
(713) 500-5719
Andrew Barretto, M.D. (PRINCIPAL_INVESTIGATOR)

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