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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 12 March 2024
Main ID:  EUCTR2017-004854-41-DE
Date of registration: 08/06/2018
Prospective Registration: Yes
Primary sponsor: Biogen Idec Research Limited
Public title: Study to evaluate the use of the investigational drug BIIB093 versus placebo in patients with a large hemispheric infarction.
Scientific title: Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema following Large Hemispheric Infarction - CHARM
Date of first enrolment: 18/12/2018
Target sample size: 768
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2017-004854-41
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: yes Randomised: yes Open: no Single blind: no Double blind: yes Parallel group: yes Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: yes Other: no Number of treatment arms in the trial: 2  
Phase:  Human pharmacology (Phase I): no Therapeutic exploratory (Phase II): no Therapeutic confirmatory - (Phase III): yes Therapeutic use (Phase IV): no
Countries of recruitment
Australia Belgium Brazil Canada China Croatia Czech Republic Czechia
Denmark Finland France Germany Hungary Israel Italy Japan
Korea, Republic of Lithuania Portugal Russian Federation Spain Switzerland Taiwan United Kingdom
United States
Contacts
Name: Medical Director/Monitor   
Address:  Innovation House, 70 Norden Road SL6 4AY Maidenhead United Kingdom
Telephone:
Email: ClinicialTrials@biogen.com
Affiliation:  Biogen
Name: Medical Director/Monitor   
Address:  Innovation House, 70 Norden Road SL6 4AY Maidenhead United Kingdom
Telephone:
Email: ClinicialTrials@biogen.com
Affiliation:  Biogen
Key inclusion & exclusion criteria
Inclusion criteria:
1. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use confidential health information in accordance with national and local subject privacy regulations or consent provided by an independent physician where local regulation allows, and/or provision of informed consent by the subject’s legally authorized representative (LAR) in accordance with all local and national regulations or according to the local ethics committee’s guidelines or by another process compliant with applicable national laws and regulations and ethics committee requirements.
2. A clinical diagnosis of acute ischemic stroke in the MCA territory (PCA and/or ACA territory involvement in addition to primary MCA territory stroke is acceptable).
3. Aged 18 to 85 years old, inclusive, at the time of informed consent.
4. Screening NIHSS =10.
5. Prior to the current stroke, no significant disability in the opinion of the Investigator (able to independently perform all duties and activities of daily living without assistance from a caregiver, spouse, or another person).
6. A large hemispheric infarction defined, in order of preference, as either:
a)a magnetic resonance imaging (MRI) diffusion-weighted imaging (DWI) lesion volume of 80 to 300 cm3, or
b)a computed tomography perfusion (CTP) core lesion volume of 80 to 300 cm3, or
c)an Alberta Stroke Program Early computed tomography (CT) Score (ASPECTS) on non-contrast computed tomography (NCCT) of 1 to 5 with involvement of at least 2 defined cortical regions, if lesion volume from MRI DWI or CTP is not available.
In the event that more than one scan is available for a particular subject resulting in disagreement, the investigator should make the determination about eligibility considering all patient information including but not limited to: 1) scan timing and 2) scan modality that in the opinion of the investigator best represents the infarct size. The scan used for eligibility will be documented
7. For subjects who receive thrombectomy prior to randomization, inclusion into the study must be based on an infarct volume of 80 to 300 cm3 measured by post-thrombectomy MRI-DWI.
8. At the time of randomization and in the Investigator’s judgment, it must be feasible for study drug treatment infusion to be initiated no later than 10 hours after time of symptom onset, if known, or the time last known normal (if time to symptom onset is unknown). Investigators should refer to Section 11.1.
• Subjects who wake with stroke may be included if neurological and other exclusion criteria are satisfied. These “wake up” strokes are defined as having no symptoms at sleep onset and a known sleep onset time, but stroke symptoms on waking. The time of stroke onset is to be taken as the midpoint between sleep onset and time of waking. The maximum time window for initiation of study drug treatment infusion is then 10 hours from the midpoint as described. If sleep onset time is unknown, then last known normal time must be used and the midpoint does not apply.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 500
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 268

Exclusion criteria:
1.Participant is likely to have supportive care withdrawn on the first day
2.Commitment to decompressive craniectomy (DC) prior to enrollment
3.Evidence of concurrent infarction in the contralateral hemisphere sufficiently serious so as to affect functional outcome

NOTE: Other protocol defined Exclusion criteria may apply



Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
Cerebral edema following Large Hemispheric Infarction
MedDRA version: 20.0 Level: LLT Classification code 10008107 Term: Cerebral edema System Organ Class: 100000004852
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
Intervention(s)

Product Name: BIIB093(Glibenclamide)
Product Code: BIIB093
Pharmaceutical Form: Powder for concentrate for solution for infusion
INN or Proposed INN: GLIBENCLAMIDE
CAS Number: 10238-21-8
Current Sponsor code: BIIB093
Other descriptive name: Glyburide
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 4-
Pharmaceutical form of the placebo: Powder for concentrate for solution for infusion
Route of administration of the placebo: Intravenous use

Primary Outcome(s)
Secondary Objective: The secondary objectives are to determine if BIIB093 improves overall survival at Day 90 when compared with placebo, if BIIB093 improves functional outcome at Day 90 on the mRS dichotomized 0-4 vs. 5-6 when compared with placebo, if BIIB093 reduces midline shift at 72 hours (or at time of decompressive craniectomy [DC] or comfort measures only [CMO], if earlier) when compared with placebo, and to evaluate the safety and tolerability of BIIB093 in participants with LHI.
Primary end point(s): PART 1:
Proportion of Participants with Improvement in Functional Outcome at Day 90 Assessed via the Modified Rankin Scale (mRS)

PART 2:
1. mRS score at Month 6 and Month 12 as a 5-category ordinal scale (the 5-category mRS combines mRS categories 0 and 1 and mRS categories 5 and 6)
2.:
• EQ-5D-5L at Months 6 and 12
• BI score at Months 6 and 12
• SIS-16 at Months 6 and 12
•Zarit Buden Interview at Month12
• HealthCare Resource Utilization Questionnaire at Month 12
3. Incidence of SAEs

Main Objective: PART 1:
The primary objective is to determine if BIIB093 improves functional outcome at Day 90 as measured by the modified Rankin Scale (mRS) when compared with placebo in participants with Large Hemispheric Infarction (LHI).

PART 2:
1. To evaluate long-term disability following LHI.
2. To evaluate long-term outcome measures of clinical function, quality of life, and healthcare utilization
3. To assess the safety of BIIB093 in subjects with LHI during the follow-up period.
Timepoint(s) of evaluation of this end point: Baseline up to Day 90
Secondary Outcome(s)
Timepoint(s) of evaluation of this end point: #’s 1, 2 & 4 (Baseline up to Day 90)
#3 (Baseline up to 72 hours)
Secondary end point(s): 1.Time to All-Cause Death [ Time Frame: Baseline up to Day 90 ]
2.Proportion of Participants who achieved mRS 0-4 at Day 90 [Time Frame: Baseline up to Day 90]
3.Reduction in Midline Shift at 72 Hours [ Time Frame: Baseline up to 72 Hours]
4.Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) [ Time Frame: Baseline up to Day 90]
Secondary ID(s)
2017-004854-41-GB
NCT02864953
252LH301
Source(s) of Monetary Support
Biogen Idec Reseach Limited
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date: 18/12/2018
Contact:
Results
Results available: Yes
Date Posted: 04/01/2024
Date Completed: 18/08/2023
URL: https://www.clinicaltrialsregister.eu/ctr-search/trial/2017-004854-41/results
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