Trial Outcomes & Findings for Subarachnoid Hemorrhage Recovery And Galantamine (NCT NCT02872857)

NCT ID: NCT02872857

Last Updated: 2021-10-08

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

60 participants

Primary outcome timeframe

90 days

Results posted on

2021-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
Galantamine 8mg During Phase 1
8mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo During Phase 1
Placebo: Placebo will match drug capsules.
Galantamine 12mg During Phase 2
12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo During Phase 2
Placebo: Placebo will match drug capsules.
Phase 1
STARTED
15
15
0
0
Phase 1
COMPLETED
15
15
0
0
Phase 1
NOT COMPLETED
0
0
0
0
Phase 2
STARTED
0
0
15
15
Phase 2
COMPLETED
0
0
15
15
Phase 2
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Subarachnoid Hemorrhage Recovery And Galantamine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Galantamine
n=30 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=30 Participants
Placebo: Placebo will match drug capsules.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
48.3 years
STANDARD_DEVIATION 12.6 • n=5 Participants
54.2 years
STANDARD_DEVIATION 10.4 • n=7 Participants
51.25 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
23 Participants
n=7 Participants
42 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
7 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
14 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants
30 participants
n=7 Participants
60 participants
n=5 Participants

PRIMARY outcome

Timeframe: 90 days

Population: Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

Outcome measures

Outcome measures
Measure
Galantamine
n=30 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=30 Participants
Placebo: Placebo will match drug capsules.
Tolerability as Assessed by the Number of Participants Who Stop Study Medication Due to Adverse Event Possibly Associated With Study Drug
1 Participants
1 Participants

PRIMARY outcome

Timeframe: 90 days

Population: Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

Outcome measures

Outcome measures
Measure
Galantamine
n=30 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=30 Participants
Placebo: Placebo will match drug capsules.
Mortality
1 Participants
4 Participants

PRIMARY outcome

Timeframe: 90 days

Population: Data was not collected for 3 in the galantamine arm and 2 in the placebo arm. Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

The Modified Rankin Score (mRS) is scored as follows: 0 - No symptoms. 1. \- No significant disability. Able to carry out all usual activities, despite some symptoms. 2. \- Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3. \- Moderate disability. Requires some help, but able to walk unassisted. 4. \- Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5. \- Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6. \- Dead.

Outcome measures

Outcome measures
Measure
Galantamine
n=27 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=28 Participants
Placebo: Placebo will match drug capsules.
Modified Rankin Score
0
3 Participants
2 Participants
Modified Rankin Score
1
8 Participants
2 Participants
Modified Rankin Score
2
4 Participants
12 Participants
Modified Rankin Score
3
3 Participants
3 Participants
Modified Rankin Score
4
4 Participants
2 Participants
Modified Rankin Score
5
4 Participants
3 Participants
Modified Rankin Score
6
1 Participants
4 Participants

SECONDARY outcome

Timeframe: baseline (in hospital)

Population: Data was not collected for 1 in the galantamine arm and 6 in the placebo arm. Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

MoCA scores range between 0 and 30. Higher scores indicate a better outcome, and a score of 26 or over is considered to be normal.

Outcome measures

Outcome measures
Measure
Galantamine
n=29 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=24 Participants
Placebo: Placebo will match drug capsules.
Montreal Cognitive Assessment (MoCA)
7.5 score on a scale
Standard Deviation 9.2
8.2 score on a scale
Standard Deviation 8.9

SECONDARY outcome

Timeframe: 90 days

Population: Data was not collected for 6 in the galantamine arm and 6 in the placebo arm. Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

MoCA scores range between 0 and 30. Higher scores indicate a better outcome, and a score of 26 or over is considered to be normal.

Outcome measures

Outcome measures
Measure
Galantamine
n=24 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=24 Participants
Placebo: Placebo will match drug capsules.
Montreal Cognitive Assessment (MoCA)
14.0 score on a scale
Standard Deviation 11.5
15.8 score on a scale
Standard Deviation 10.1

SECONDARY outcome

Timeframe: 90 days

Population: Data was not collected for 5 in the galantamine arm and 6 in the placebo arm. Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

In the EuroQOL VAS assessment, health status is marked on a 20 cm vertical scale with end points of 0 and 100. 0 corresponds to " the worst health you can imagine," and 100 corresponds to "the best health you can imagine."

Outcome measures

Outcome measures
Measure
Galantamine
n=25 Participants
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=24 Participants
Placebo: Placebo will match drug capsules.
EuroQOL Score as Assessed by a Visual Analogue Scale (VAS)
76.2 units on a scale
Standard Deviation 19.4
74.0 units on a scale
Standard Deviation 22.6

Adverse Events

Galantamine

Serious events: 17 serious events
Other events: 26 other events
Deaths: 1 deaths

Placebo

Serious events: 17 serious events
Other events: 29 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Galantamine
n=30 participants at risk
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=30 participants at risk
Placebo: Placebo will match drug capsules.
Vascular disorders
Delayed Cerebral Ischemia
33.3%
10/30 • Number of events 12 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
40.0%
12/30 • Number of events 15 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Cardiac disorders
Bradycardia
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Respiratory, thoracic and mediastinal disorders
Pneumonia
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
10.0%
3/30 • Number of events 3 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Renal and urinary disorders
Urinary Tract Infection
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Nervous system disorders
Cerebral Edema
10.0%
3/30 • Number of events 3 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
10.0%
3/30 • Number of events 3 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Nervous system disorders
Clinical Seizure
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Vascular disorders
Pulmonary Embolism
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Vascular disorders
Angio Complication
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Surgical and medical procedures
Surgical Complication
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

Other adverse events

Other adverse events
Measure
Galantamine
n=30 participants at risk
8mg or 12mg galantamine twice daily: Drug will be administered within 36 hours of hospitalization and continued for 90 days.
Placebo
n=30 participants at risk
Placebo: Placebo will match drug capsules.
Blood and lymphatic system disorders
Anemia
43.3%
13/30 • Number of events 13 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
40.0%
12/30 • Number of events 12 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Metabolism and nutrition disorders
Hyponatremia
40.0%
12/30 • Number of events 12 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
36.7%
11/30 • Number of events 12 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Cardiac disorders
Bradycardia
33.3%
10/30 • Number of events 10 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
40.0%
12/30 • Number of events 12 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Respiratory, thoracic and mediastinal disorders
Pneumonia
23.3%
7/30 • Number of events 9 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
20.0%
6/30 • Number of events 6 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Metabolism and nutrition disorders
Hypernatremia
23.3%
7/30 • Number of events 7 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
36.7%
11/30 • Number of events 11 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Renal and urinary disorders
Univary Tract Infections
30.0%
9/30 • Number of events 9 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
16.7%
5/30 • Number of events 5 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Cardiac disorders
Tachycardia
26.7%
8/30 • Number of events 8 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
16.7%
5/30 • Number of events 5 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Renal and urinary disorders
Urinary Retention
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
16.7%
5/30 • Number of events 5 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Vascular disorders
Pulmonary Embolism
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Vascular disorders
Angio Complication
3.3%
1/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Skin and subcutaneous tissue disorders
Skin Rash
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
General disorders
Nausea
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Cardiac disorders
Atrial Fibrillation
0.00%
0/30 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
General disorders
Other
66.7%
20/30 • Number of events 36 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
53.3%
16/30 • Number of events 39 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Nervous system disorders
Clinical Seizure
3.3%
1/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
6.7%
2/30 • Number of events 2 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
Cardiac disorders
Pulmonary Edema
3.3%
1/30 • Number of events 1 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.
16.7%
5/30 • Number of events 5 • 90 days
Because of the small sample size of this study, which is underpowered to detect differences between the 8mg and 12mg galantamine arms, the pre-specified analysis approach was to combine data for the two galantamine arms when comparing to the placebo arm.

Additional Information

HuiMahn Alex Choi, Associate Professor

The University of Texas Health Science Center at Houston

Phone: 713-500-5638

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place