Optimizing Reperfusion to Improve Outcomes and Neurologic Function

NCT ID: NCT06990867

Last Updated: 2025-10-30

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

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

740 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-15

Study Completion Date

2029-12-31

Brief Summary

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The goal of this study is to evaluate the safety and efficacy of JX10 versus placebo in participants with Acute Ischemic Stroke (AIS) who present for care within 4.5 to 24 hours.

The main question the study aims to answer are:

1. JX10 improves functional outcomes as measured by the modified Rankin Scale score when compared with placebo following AIS.
2. Risk of symptomatic intracranial hemorrhage of JX10 in participants with AIS.

During Part 1, participants will be randomized to JX 10 (1mg/kg, 3 mg/kg) or placebo. During Part 2, participants will receive JX10 (optimal dose chosen from Part 1) or placebo.

Detailed Description

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Conditions

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Acute Ischemic Stroke

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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Part 1 - JX10 (1mg/kg)

Group Type EXPERIMENTAL

JX10

Intervention Type DRUG

JX10 is a thrombolytic agent.

Part 1 - JX10 (3mg/kg)

Group Type EXPERIMENTAL

JX10

Intervention Type DRUG

JX10 is a thrombolytic agent.

Part 1 - Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo is being used as the comparator.

JX10 Part 2 - (1 or 3 mg/kg)

Group Type EXPERIMENTAL

JX10

Intervention Type DRUG

JX10 is a thrombolytic agent.

Part 2 - Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo is being used as the comparator.

Interventions

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JX10

JX10 is a thrombolytic agent.

Intervention Type DRUG

Placebo

Placebo is being used as the comparator.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 and ≤ 90 years old.
2. Acute ischemic stroke with compatible clinical presentation and symptomatic high grade or complete occlusion of the intracranial internal carotid, M1, M2 or distal branches of the middle cerebral artery (MCA), anterior cerebral artery (ACA), or posterior cerebral artery (PCA).
3. Radiographic evidence of salvageable tissue.
4. Pre-treatment score of NIHSS ≥ 5.

Exclusion Criteria

1. Radiographic findings pre-randomization of any of the following:

1. Large core infarction, or
2. Occlusion in more than 1 vascular territory, or
3. Significant mass effect or clinically significant cerebral edema, or
4. Evidence of acute intracranial or extracranial hemorrhage, intracranial tumor (except small meningioma), neoplasm, or arteriovenous malformation), or
5. Clinical history, past imaging, or clinical judgement suggests that the intracranial occlusion is chronic.
2. Medical history or active clinically significant bleeding, lesions, or conditions (at the investigator's judgement) considered to be of significant risk for major bleeding.
3. Severe, uncontrolled hypertension (systolic blood pressure ≥ 185 mmHg or diastolic blood pressure ≥ 110 mmHg) that cannot be controlled with antihypertensive therapy.
4. Known bleeding diathesis (hereditary or acquired) or any significant coagulopathy. Specifically, platelet count \< 100,000/μL, international normalized ratio \> 1.7, aPTT \> 40 seconds, or prothrombin time \> 15 seconds.
5. Major trauma, surgery, or invasive procedures.
6. Pre-existing medical, neurological, or psychiatric disease that would confound the neurological or functional evaluations of this study.
7. Pre-treatment blood glucose \> 400 mg/dL (22.20 mmol/L) or Pre-treatment blood glucose \< 50 mg/dL (2.78 mmol/L) unless it is corrected prior to study treatment administration. Participants with subsequently normalized blood glucose levels may be considered for inclusion, per Investigator judgement.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Corxel Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Senior Director, Clinical Operations

Role: STUDY_DIRECTOR

Corxel Pharmaceuticals

Locations

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Corxel Investigational Site

Long Beach, California, United States

Site Status RECRUITING

Corxel Investigational Site

Chicago, Illinois, United States

Site Status RECRUITING

Corxel Investigational Site

Wichita, Kansas, United States

Site Status RECRUITING

Corxel Investigational Site

Baltimore, Maryland, United States

Site Status RECRUITING

Corxel Investigational Site

Kalamazoo, Michigan, United States

Site Status RECRUITING

Corxel Investigational Site

Toledo, Ohio, United States

Site Status RECRUITING

Corxel Investigational Site

Tulsa, Oklahoma, United States

Site Status RECRUITING

Corxel Investigational Site

Dallas, Texas, United States

Site Status RECRUITING

Corxel Investigational Site

Houston, Texas, United States

Site Status RECRUITING

Corxel Investigational Site

Blagoevgrad, , Bulgaria

Site Status RECRUITING

Corxel Investigational Site

Edmonton, , Canada

Site Status RECRUITING

Corxel Investigational Site

Baotou, , China

Site Status RECRUITING

Corxel Investigational Site

Beijing, , China

Site Status RECRUITING

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Beijing, , China

Site Status RECRUITING

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Changchun, , China

Site Status RECRUITING

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Guangzhou, , China

Site Status RECRUITING

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Harbin, , China

Site Status RECRUITING

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Harbin, , China

Site Status RECRUITING

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Kaili, , China

Site Status RECRUITING

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Linfen, , China

Site Status RECRUITING

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Shanghai, , China

Site Status RECRUITING

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Shenyang, , China

Site Status RECRUITING

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Suzhou, , China

Site Status RECRUITING

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Weifang, , China

Site Status RECRUITING

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Xuzhou, , China

Site Status RECRUITING

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Altenburg, , Germany

Site Status RECRUITING

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Pavia, , Italy

Site Status RECRUITING

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Roma, , Italy

Site Status RECRUITING

Corxel Investigational Site

Yamagata, , Japan

Site Status RECRUITING

Corxel Investigational Site

Kuching, , Malaysia

Site Status RECRUITING

Corxel Investigational Site

Belgrade, , Serbia

Site Status RECRUITING

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Kragujevac, , Serbia

Site Status RECRUITING

Corxel Investigational Site

Seoul, , South Korea

Site Status RECRUITING

Corxel Investigational Site

A Coruña, , Spain

Site Status RECRUITING

Corxel Investigational Site

Barcelona, , Spain

Site Status RECRUITING

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Girona, , Spain

Site Status RECRUITING

Corxel Investigational Site

Madrid, , Spain

Site Status RECRUITING

Corxel Investigational Site

Málaga, , Spain

Site Status RECRUITING

Corxel Investigational Site

Valencia, , Spain

Site Status RECRUITING

Corxel Investigational Site

Bangkok, , Thailand

Site Status RECRUITING

Corxel Investigational Site

Khon Kaen, , Thailand

Site Status RECRUITING

Countries

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United States Bulgaria Canada China Germany Italy Japan Malaysia Serbia South Korea Spain Thailand

Central Contacts

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Corxel Pharmaceuticals Study Information Center

Role: CONTACT

201-268-3723

Facility Contacts

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Study Director

Role: primary

201-268-3723

Study Director

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Study Director

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201-268-3723

Study Director

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201-268-3723

Study Director

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201-268-3723

Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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Study Director

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201-268-3723

Study Director

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201-268-3723

Study Director

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201-268-3723

Study director

Role: primary

201-268-3723

Study Director

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201-268-3723

Study Director

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201-268-3723

Study Director

Role: primary

201-268-3723

Study Director

Role: primary

201-268-3723

Study Director

Role: primary

201-268-3723

Other Identifiers

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JX10002

Identifier Type: -

Identifier Source: org_study_id

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