Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of SUN13837 Injection in Adult Subjects With Acute Spinal Cord Injury (ASCI)

NCT ID: NCT01502631

Last Updated: 2021-01-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-08

Study Completion Date

2014-09-21

Brief Summary

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The purpose of this research study is to gather scientific information about the effectiveness of the study drug, SUN13837 Injection, when compared with the placebo (inactive substance) in participants with acute spinal cord injury.

Detailed Description

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Conditions

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Acute Spinal Cord Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SUN13837

Group Type ACTIVE_COMPARATOR

SUN13837 injection

Intervention Type DRUG

SUN13837 injection, injection 1 x daily for 28 doses

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo, volume equivalent to injection 1 x daily for 28 doses

Interventions

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SUN13837 injection

SUN13837 injection, injection 1 x daily for 28 doses

Intervention Type DRUG

Placebo

Matching placebo, volume equivalent to injection 1 x daily for 28 doses

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Acute traumatic injury to the cervical neurological spinal cord as follows:

1. American Spinal Injury Association Impairment Scale A (AIS A) with a level of injury at either cervical level C4, C5, C6, C7 (for C4, the participant must have at least 1 point of motor activity within the zone of partial preservation (ZPP) inclusive of C5 to thoracic level 1 \[T1\]). In addition, the AIS A participant may be included if ALL of the following are present 1) the most caudal intact sensory segment (both pinprick and light touch) is C3, 2) at least one side (right or left) has both intact pinprick and light touch sensation in the C4 dermatome, AND 3) at least 1 point of motor activity within the ZPP inclusive of C5 to T1
2. American Spinal Injury Association Impairment Scale B or C (AIS B or C) with a neurological level of injury at either C3, C4, C5, C6, C7, or C8 AND a total LEMS of 5 or fewer motor points
2. Closed single traumatic spinal cord injury occurring within 12 hours of first dosing
3. Male or female cervical AIS A participants ≥ 16 to ≤ 80 years and male or female cervical AIS B or C participants ≥16 to ≤70 years
4. Females of childbearing potential and males must agree to maintain adequate contraception for the first 35 days of the study

Exclusion Criteria

1. Unable to obtain informed consent (either from the participant or from the participant's legally authorized representative \[LAR\])
2. Women who are breastfeeding (if unwilling to stop for the first 35 days of the study) or who are pregnant
3. Coma or significant impairment in the level of consciousness that interferes with the performance or interpretation of protocol specified assessments
4. Any disease, concomitant injury, or condition that interferes with the performance or interpretation of the protocol specified assessments
5. Unable, as determined by the investigator, or unwilling to discontinue use of potent P-glycoprotein (P-gp) inhibitors for the first 35 days of the study
6. Unable, as determined by the investigator, or unwilling to discontinue use of potent cytochrome P450 (CYP) 3A4/5 inducers for the first 35 days of the study
7. Renal compromise (serum creatinine greater than 1.5 times the age- and sex-appropriate upper limit of normal \[ULN\]) at screening before the first dose of study drug
8. Severe Hepatic dysfunction (serum alanine transaminase \[ALT\], aspartate transaminase \[AST\], and/or gamma-glutamyltransferase \[GGT\] ALL greater than 2.5 times the age- and sex-appropriate ULN) or hepatic impairment (detectable ascites, serum bilirubin greater than 2 mg/dL, serum albumin less than 3.5 g/dL, and prothrombin time prolonged by more than 6 seconds above the ULN for the local laboratory in the absence of anticoagulant therapy) at screening before the first dose of study drug
9. Concomitant spinal cord injury or abnormality as determined by routine imaging:

1. Conclusive radiological evidence of complete spinal cord transection
2. Multiple injuries to the neurological spinal cord at different levels
10. History of symptomatic cervical spinal stenosis with myelopathy as a factor confounding participant assessment
11. Unlikely to be available for follow-up as specified in the protocol
12. Participated in a previous clinical study and received an investigational product within 30 days of screening
13. Previous exposure to SUN13837
14. Allergy to SUN13837 or any of its excipients
15. Any other issue which, in the opinion of the investigator, made the participant unsuitable for study participation.
Minimum Eligible Age

16 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Leader

Role: STUDY_DIRECTOR

Daiichi Sankyo

Locations

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Tucson, Arizona, United States

Site Status

Downey, California, United States

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Los Angeles, California, United States

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Sacramento, California, United States

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San Jose, California, United States

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Denver, Colorado, United States

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Englewood, Colorado, United States

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Newark, Delaware, United States

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Hollywood, Florida, United States

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Atlanta, Georgia, United States

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Atlanta, Georgia, United States

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Honolulu, Hawaii, United States

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Indianapolis, Indiana, United States

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Davenport, Iowa, United States

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Iowa City, Iowa, United States

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Kansas City, Kansas, United States

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Lexington, Kentucky, United States

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Lexington, Kentucky, United States

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Columbia, Missouri, United States

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Columbia, Missouri, United States

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Kansas City, Missouri, United States

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Springfield, Missouri, United States

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Lincoln, Nebraska, United States

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Omaha, Nebraska, United States

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Omaha, Nebraska, United States

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Camden, New Jersey, United States

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Newark, New Jersey, United States

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West Orange, New Jersey, United States

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Great Neck, New York, United States

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Stony Brook, New York, United States

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Valhalla, New York, United States

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White Plains, New York, United States

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Charlotte, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cleveland, Ohio, United States

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Dayton, Ohio, United States

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Malvern, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Milwaukee, Wisconsin, United States

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Halifax, Nova Scotia, Canada

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Hamilton, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Saskatoon, Saskatchewan, Canada

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Brno, , Czechia

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Liberec, , Czechia

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Ostrava, , Czechia

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Prague, , Czechia

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Amiens, , France

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Berck, , France

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Bordeaux, , France

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Bordeaux, , France

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Lille, , France

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Montpellier, , France

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Montpellier, , France

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Lodz, , Poland

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Sosnowiec, , Poland

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A Coruña, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Seville, , Spain

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Edgbaston, Birmingham, United Kingdom

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Glasgow, Scotland, United Kingdom

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Middlesbrough, , United Kingdom

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Countries

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United States Canada Czechia France Poland Spain United Kingdom

Other Identifiers

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ASBI 603

Identifier Type: -

Identifier Source: org_study_id

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