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    Summary
    EudraCT Number:2009-012338-56
    Sponsor's Protocol Code Number:VAS203/II/1/03
    National Competent Authority:Austria - BASG
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2011-01-12
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedAustria - BASG
    A.2EudraCT number2009-012338-56
    A.3Full title of the trial
    AN EXPLORATIVE PHASE IIa STUDY TO ASSESS SAFETY, TOLERABILITY,
    PHARMACODYNAMICS AND PHARMACOKINETICS OF VAS203 IN PATIENTS WITH
    MODERATE AND SEVERE TRAUMATIC BRAIN INJURY
    A.3.2Name or abbreviated title of the trial where available
    NOSTRA TRIAL
    A.4.1Sponsor's protocol code numberVAS203/II/1/03
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of Sponsorvasopharm GmbH
    B.1.3.4CountryGermany
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/06/390 //EMEA/OD/035/06
    D.3 Description of the IMP
    D.3.1Product nameVAS203
    D.3.2Product code VAS203
    D.3.4Pharmaceutical form Intravenous infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 206885-38-3
    D.3.9.2Current sponsor codeVAS203
    D.3.9.3Other descriptive name4-Amino-(6R,S)-5,6,7,8-tetrahydro-L-biopterin
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typetetrahydrobiopterin-analogue nitric oxide synthase inhibitor
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for infusion
    D.8.4Route of administration of the placeboIntravenous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Moderate and severe traumatic brain injury
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 9.1
    E.1.2Level LLT
    E.1.2Classification code 10060690
    E.1.2Term Traumatic brain injury
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Assess safety and tolerability of VAS203 in Traumatic Brain Injury patients
    Evaluate plasma concentrations of the first and second metabolites of
    VAS203 in TBI patients.
    Assess pharmacodynamic (PD) effects of VAS203 on surrogate parameters
    E.2.2Secondary objectives of the trial
    Obtain guidance regarding the selection of most sensitive surrogate
    parameter(s) for pivotal clinical studies
    Assess the presences of the 1st and 2nd metabolite of VAS203 in
    microdialysate or cerebrospinal fluid (CSF)
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Written informed consent from patient’s legal guardian or legal representative,
    according to local requirements
    2. 18 - 65 years of age, inclusive
    3. Head trauma within the last 12 hours
    4. TBI with Glasgow Coma Score (GCS) ≥ 3 and that requires Intracranial pressure
    (ICP) monitoring.
    5. Catheter placement (intraventricular or intraparenchymal only) for monitoring and
    management of increased ICP
    6. Microdialysis probe placement in predominantly injured hemisphere ipsilateral to contusion if focal
    (evaluated by computer tomography [CT])
    7. Systolic blood pressure ≥ 100 mmHg
    8. Females of child-bearing potential must have a negative pregnancy test
    E.4Principal exclusion criteria
    1. Penetrating head injury (e.g. missile, stab wound)
    2. Not expected to survive more than 24 hours after admission
    3. Concurrent, but not pre-existing, spinal cord injury
    4. Unilateral and bilateral fixed and dilated pupil (> 4 mm)
    5. Cardiopulmonary resuscitation performed post injury, or extracranial injuries causing continuing bleeding likely to require multiple transfusions (> 4 units red blood cells)
    6. Coma due to a “pure” epidural hematoma (lucid interval and absence of structural
    brain damage on CT scan)
    7. Coma suspected to be primarily due to other causes than head injury (e.g. drug
    overdose, alcohol intoxication, drowning/near drowning)
    8. Known or CT scan evidence of pre-existing major cerebral damage
    9. Decompressive craniectomy, planned prior to randomisation/enrolment
    10. Polytraumatic patients with Injury Severity Score non head > 18
    11. Rhabdomyolysis with CK > 5000 IU/L
    12. Injuries to ascending aorta and/or carotid arteries and/or vertebral arteries.
    13. Serum creatinine values > 1.5 mg/dL (133 μmol/L)
    14. Estimated glomerular filtration rate (eGFR) < 60 ml/min by Modification of Diet in
    Renal Disease (MDRD) formula
    15. Body mass index (BMI) < 19 kg/m2 and > 35 kg/m2, Body weight < 50 kg and > 120 kg.
    16. Any severe concomitant condition (cancer; haematologic, renal, hepatic, coronary
    disease; major psychiatric disorder; alcohol or drug abuse), that can be ascertained at admission
    17. Known to have received an experimental drug within 4 weeks prior to current injury
    18. Administration of > 100 ml of contrast media containing iodine
    E.5 End points
    E.5.1Primary end point(s)
    Safety endpoints
    The safety variables include:
    • incidence and severity of AEs and SAEs
    • laboratory parameter values and abnormalities
    • renal abnormalities leading to treatment premature discontinuation
    • vital signs
    • ECG abnormalities
    Pharmacodynamic endpoints
    The PD variables include ICP, CPP, metabolic and PD parameters, TIL and
    partial brain oxygen pressure.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy No
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    E.8.4.1Number of sites anticipated in Member State concerned1
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA5
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    Last visit of last subject
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception For clinical trials recorded in the database before the 10th March 2011 this question read: "Women of childbearing potential" and did not include the words "not using contraception". An answer of yes could have included women of child bearing potential whether or not they would be using contraception. The answer should therefore be understood in that context. This trial was recorded in the database on 2011-01-12. Yes
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation Yes
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Patients with moderate and severe traumatic brain injury.
    F.3.3.7Others Information not present in EudraCT
    F.4 Planned number of subjects to be included
    F.4.1In the member state3
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 24
    F.4.2.2In the whole clinical trial 32
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Continuation of Standard of Care procedures as per the treating facility.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2011-03-31
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2011-01-27
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2012-04-14
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