A Safety Study for Cethrin (BA-210) in the Treatment of Acute Thoracic and Cervical Spinal Cord Injuries

NCT ID: NCT00500812

Last Updated: 2016-04-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-02-28

Study Completion Date

2009-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This trial is a multi-center, open-label, dose-escalation study designed to evaluate the safety, tolerability and pharmacokinetics of Cethrin in two types of spinal cord injury patients: those with a complete cervical injury or a complete thoracic injury. Dose levels from 0.3 mg - 9 mg of Cethrin will be administered.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Spinal Cord Injury

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

0.3 mg

Subjects Receiving 0.3 mg Cethrin

Group Type EXPERIMENTAL

Cethrin

Intervention Type DRUG

1 mg

Subjects receiving 1 mg Cethrin

Group Type EXPERIMENTAL

Cethrin

Intervention Type DRUG

3 mg

Subjects receiving 3 mg Cethrin

Group Type EXPERIMENTAL

Cethrin

Intervention Type DRUG

6 mg

Subjects receiving 6 mg Cethrin

Group Type EXPERIMENTAL

Cethrin

Intervention Type DRUG

9 mg

Subjects receiving 9 mg Cethrin

Group Type EXPERIMENTAL

Cethrin

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Cethrin

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

(BA-210)

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Patients will be enrolled in this study only if they meet all of the following criteria:

* Informed Consent Form signed by the patient or patient's legal representative.
* Male or female, aged 16-70 years, inclusive.
* For Group 1, patients with acute thoracic (T2-T12) spinal cord injury; for Group 2, patients with acute cervical (C4-T1) spinal cord injury. The site of surgery should be able to accommodate a minimum volume of 2 mL of fibrin sealant.
* Scheduled to undergo spinal decompression surgery or other interventional spinal surgery (e.g., fixation) within 7 days of injury.
* ASIA Impairment Scale grade of A (complete, no motor or sensory function present in the sacral segment) as assessed within 12 hours before surgery.
* Able to communicate effectively to obtain informed consent and to ensure neurological examination.

Exclusion Criteria

Patients will not be enrolled in this study if they meet one of the following criteria:

* Use of any experimental drug, or participation in any clinical trial, within 30 days prior to surgery.
* History of adverse reaction to fibrin sealant.
* History of hypersensitivity to bovine products.
* Any medical condition that may interfere with the ASIA assessments.
* Clinically significant neurological, cardiac, respiratory, hepatic, or renal disease or malignancy.
* Hemophilia or other bleeding abnormality as defined by:

* Platelet level lower than 100 X 109/L
* Activated partial thromboplastin time or international normalized ratio higher than the upper limit of normal
* Baseline hematocrit lower than 0.25
* Gunshot wound as the presenting injury, or any evidence of transecting injury to the spinal cord (e.g., by stab wound).
* Cognitive impairment which may preclude accurate neurological assessments (e.g. traumatic head injury with GCS of less than or equal to 14).
* Ankylosing Spondylitis.
* Diabetes mellitus requiring insulin therapy.
* Known immunodeficiency, including Acquired Immune Deficiency Syndrome or use of immunosuppressive or cancer chemotherapeutic drugs.
* Pregnancy or breastfeeding during the study. A serum pregnancy test will be performed at Screening for female patients of childbearing potential. In addition, patients who are considered likely to be pregnant may be excluded at th Investigator's discretion.
* Any condition or situation likely to cause the patient to be unable or unwilling to participate in study procedures or participate in all scheduled study assessments, including follow up through Month 6.
* Any condition likely to result in the patient's death within the next 6 Months.
* Any other condition that, in the opinion of the Investigator, would preclude the patient's participation in the study.
* Previous participation in this study.
* Use of intravenous heparin in previous 48 hours, thrombolytics and/or aspirin containing products in the previous 10 days.
* Non-traumatic causes of spinal cord injury (e.g. transverse myelitis, acute disc herniation, etc…).
Minimum Eligible Age

16 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Vertex Pharmaceuticals Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Michael J. Fehlings, MD, PhD, FRCSC, FACS

Role: PRINCIPAL_INVESTIGATOR

Univestity Health Network, Toronto Western

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

St. Joseph's Hospital & Medical Center

Phoenix, Arizona, United States

Site Status

University of Cincinnati Mayfield Clinic and Spine Institute

Cincinnati, Ohio, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Univ.of Virginia Health System

Charlottesville, Virginia, United States

Site Status

University of Washington Harborview Medical Center

Seattle, Washington, United States

Site Status

Sunnybrooke Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Hopital du Sacre-Coeur de Montreal

Montreal, Quebec, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada

References

Explore related publications, articles, or registry entries linked to this study.

McKerracher L, Anderson KD. Analysis of recruitment and outcomes in the phase I/IIa Cethrin clinical trial for acute spinal cord injury. J Neurotrauma. 2013 Nov 1;30(21):1795-804. doi: 10.1089/neu.2013.2909. Epub 2013 Oct 1.

Reference Type RESULT
PMID: 23844986 (View on PubMed)

Fehlings MG, Theodore N, Harrop J, Maurais G, Kuntz C, Shaffrey CI, Kwon BK, Chapman J, Yee A, Tighe A, McKerracher L. A phase I/IIa clinical trial of a recombinant Rho protein antagonist in acute spinal cord injury. J Neurotrauma. 2011 May;28(5):787-96. doi: 10.1089/neu.2011.1765.

Reference Type RESULT
PMID: 21381984 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

BA-210-101

Identifier Type: -

Identifier Source: org_study_id

NCT00104221

Identifier Type: -

Identifier Source: nct_alias

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.