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Study of EG-1962 Compared to Standard of Care Oral Nimodipine in Adults With Aneurysmal Subarachnoid Hemorrhage (NEWTON2)

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ClinicalTrials.gov Identifier: NCT02790632
Recruitment Status : Terminated (DMC review concluded study has a low probability of meeting its primary endpoint)
First Posted : June 6, 2016
Last Update Posted : July 26, 2018
Sponsor:
Information provided by (Responsible Party):
Edge Therapeutics Inc

Study Description
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Brief Summary:
This study compares EG-1962 to enteral nimodipine in the treatment of aneurysmal subarachnoid hemorrhage.

Condition or disease Intervention/treatment Phase
Subarachnoid Hemorrhage, Aneurysmal Drug: EG-1962 (nimodipine microparticles) Drug: Enteral Nimodipine Phase 3

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 374 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Study Comparing EG-1962 to Standard of Care Oral Nimodipine in Adults With Aneurysmal Subarachnoid Hemorrhage
Study Start Date : July 2016
Actual Primary Completion Date : June 2018
Actual Study Completion Date : June 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bleeding
Drug Information available for: Nimodipine

Arms and Interventions
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Arm Intervention/treatment
Experimental: EG-1962 Group
  • 1 dose of intraventricular EG-1962 (nimodipine microparticles) 600 mg
  • Up to 21 days of placebo capsules/tablets
 Drug: EG-1962 (nimodipine microparticles)
Single intraventricular administration of EG-1962 via EVD and placebo capsules or tablets administered for up to 21 days
Active Comparator: Enteral Nimodipine Group
  • 1 dose of intraventricular normal saline
  • Up to 21 days of oral nimodipine capsules/tablets
 Drug: Enteral Nimodipine
Enteral Nimodipine capsules or tablets administered for up to 21 days and single intraventricular administration of saline via EVD


Outcome Measures
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Primary Outcome Measures :
  1. Proportion of subjects with a favorable outcome measured on the Extended Glasgow Outcome Scale [Primary Efficacy Endpoint] [ Time Frame: 90 Days ]
    Proportion of subjects with a favorable outcome measured on the Extended Glasgow Outcome Scale (GOSE) at Day 90


Secondary Outcome Measures :
  1. Proportion of subjects with favorable neurocognitive outcome measured by the Montreal Cognitive Assessment [Secondary Efficacy Endpoint] [ Time Frame: 90 Days ]
    Proportion of subjects with favorable neurocognitive outcome measured by the Montreal Cognitive Assessment (MoCA) at Day 90


Other Outcome Measures:
  1. Adverse Events [ Time Frame: 90 Days ]
    Incidence and severity of adverse events in EG-1962 treated subjects compared to subjects treated with standard of care oral nimodipine

  2. Delayed Cerebral Infarction [ Time Frame: 30 Days ]
    Proportion of subjects with delayed cerebral infarction present on CT scan at Day 30


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Ruptured saccular aneurysm confirmed by angiography and repaired by neurosurgical clipping or endovascular coiling
  2. External ventricular drain in place
  3. Subarachnoid hemorrhage on computed tomography (CT) scan of grade 2-4 on the modified Fisher scale
  4. WFNS grade 2, 3, or 4

Exclusion Criteria:

  1. Major complication during aneurysm repair such as, but not limited to, massive intraoperative hemorrhage, brain swelling, arterial occlusion or inability to secure the ruptured aneurysm
  2. Angiographic vasospasm prior to randomization
  3. Evidence of a cerebral infarction with neurological deficit
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02790632


Locations
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Sponsors and Collaborators
Edge Therapeutics Inc
Investigators
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Study Chair: R. Loch Macdonald, MD, PhD Edge Therapeutics Inc
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Edge Therapeutics Inc
ClinicalTrials.gov Identifier: NCT02790632    
Other Study ID Numbers: EG-01-1962-03
First Posted: June 6, 2016    Key Record Dates
Last Update Posted: July 26, 2018
Last Verified: July 2018
Keywords provided by Edge Therapeutics Inc:
Aneurysm, Ruptured
Nimodipine
Subarachnoid Hemorrhage
Additional relevant MeSH terms:
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Subarachnoid Hemorrhage
Hemorrhage
Pathologic Processes
Intracranial Hemorrhages
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
 Cardiovascular Diseases
Nimodipine
Antihypertensive Agents
Calcium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Calcium-Regulating Hormones and Agents
Physiological Effects of Drugs
Vasodilator Agents