A Pilot Study of Minocycline in Intracerebral Hemorrhage Patients (MACH)

This study is currently recruiting participants. (see Contacts and Locations)
Verified March 2013 by Georgia Regents University
American Heart Association
Information provided by (Responsible Party):
Georgia Regents University
ClinicalTrials.gov Identifier:
First received: March 5, 2013
Last updated: NA
Last verified: March 2013
History: No changes posted

March 5, 2013
March 5, 2013
February 2013
August 2015   (final data collection date for primary outcome measure)
  • modified Rankin Scale [ Time Frame: 90 days ] [ Designated as safety issue: No ]
    A blinded assessor will perform the modified Rankin Scale after 90 days to determine functional outcome. This will serve as our efficacy endpoint.
  • Safety assessment [ Time Frame: 90 days ] [ Designated as safety issue: Yes ]
    Adverse events will be assessed for 90 days. This will serve as our safety endpoint.
Same as current
No Changes Posted
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A Pilot Study of Minocycline in Intracerebral Hemorrhage Patients
Minocycline in Acute Cerebral Hemorrhage (MACH) Trial

The MACH Trial is a pilot study of 400mg minocycline over five days in acute intracerebral hemorrhage patients. The study will evaluation the safety and efficacy of minocycline in intracerebral hemorrhage patients.

MACH is a randomized trial of minocycline in intracerebral hemorrhage. 24 total subjects will be randomly assigned to minocycline or control (1:1). The first dose will be given intravenously. Subsequent doses will be given orally every 24 hours for a total of five doses. The study will test to see if the medication is safe in intracerebral hemorrhage. The pharmacokinetics of minocycline in intracerebral hemorrhage will be determined and the impact of minocycline on blood biomarkers.

Phase 1
Phase 2
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Intracerebral Hemorrhage
Drug: Minocyline
  • Experimental: Minocycline
    This arm will receive a total of 5 doses of minocycline. There will be 1 dose of intravenous minocycline followed by 4 doses of oral (pill) minocycline. Each dose is 24 hours apart.
    Intervention: Drug: Minocyline
  • No Intervention: Control
    This arm will not receive any minocycline
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
August 2015
August 2015   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 18 years of age or older.
  • Intracerebral hemorrhage documented by CT scan
  • The first dose of the drug can be administered within 6 hours of time last known to be at baseline

Exclusion Criteria:

  • Allergy to tetracycline antibiotics
  • Pregnancy or suspected pregnancy (pregnancy test will be done on women of child-bearing potential)
  • Hepatic and/or renal insufficiency (LFT's >3x upper limit of normal; Creatinine >2mg/dL)
  • History of intolerance to minocycline
  • National Institutes of Health Stroke Scale score of 4 or less
  • Glasgow Coma Scale score of 5 or less
  • Surgical evacuation of hematoma planned within 24 hours
  • Secondary intracerebral hemorrhage resulting from trauma, arteriovenous malformation, aneurysm, tumor or other causes
  • Thrombocytopenia (platelet count <75,000/mm3) or coagulopathy (INR >1.4)
  • Previously not independent (prestroke modified Rankin scale score >2)
  • Suspected of not being able to comply with the study protocol
  • Unlikely to be available for 90 day follow-up
  • Pre-existing Do Not Resuscitate (DNR) order or indication that a new DNR order will be implemented within the first 48 hours of hospitalization
18 Years and older
Contact: Jeffrey Switzer, DO 706-721-1691 jswitzer@gru.edu
Contact: Mary Anne Park, RN 706-721-0193 mpark@gru.edu
United States
Georgia Regents University
Georgia Regents University
American Heart Association
Principal Investigator: Jeffrey Switzer, DO Georgia Regents University
Georgia Regents University
March 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP