Status:

COMPLETED

Beta-hCG + Erythropoietin in Acute Stroke

Lead Sponsor:

University of California, Irvine

Collaborating Sponsors:

Stem Cell Therapeutics Corp.

Hoag Memorial Hospital Presbyterian

Conditions:

Acute Stroke

Eligibility:

All Genders

21-85 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to assess the safety of Beta-hCG + Erythropoietin in patients with acute ischemic stroke.

Detailed Description

Patients with a new stroke will be evaluated at the University of California Irvine Medical Center (UCIMC), a JCAHO-certified Stroke Center, and at Hoag Memorial Hospital Presbyterian. Standard stroke...

Eligibility Criteria

Inclusion

  • Age 21-85
  • NIHSS score 6-24 at time of enrollment, ensuring that stroke is neither mild nor devastating
  • Stroke is ischemic in origin, supratentorial, and radiologically confirmed
  • Patient is 24-48 hours from time of stroke onset at time that first dose of B-E therapy is administered. Time of onset is when symptoms began, and stroke occurred during sleep, time of onset is when patient was last seen to be normal.
  • Reasonable expectation of availability to receive the full 9 day B-E therapy course
  • Reasonable expectation that patient will receive standard post-stroke physical, occupational, speech, and cognitive therapy as indicated

Exclusion

  • Pre-existing and active major psychiatric or other neurological disease
  • History of significant alcohol or drug abuse in the prior 3 years
  • Serum hemoglobin \> 16 g/dL in a male patient or \> 14 g/dL in a female patient; or a platelet count \> 400,000/mm3 in either a male or female patient
  • Advanced liver, kidney, cardiac, or pulmonary disease; the former will be operationally defined as a serum bilirubin \> 4 mg/dL, alkaline phosphatase \> 250 U/L, SGOT \> 150 U/L, SGPT \>150 U/L, or creatinine \> 3.5 mg/dL
  • Pregnancy or lactating; note that a negative pregnancy test will be required if the patient is a female in reproductive years, using a test that reliably detects beta-hCG levels \> 25 with normal levels being \< 8 IU/L.
  • Contraindication to study participation on the basis of any of the following:
  • Allergy or other contraindication to initiating either beta-hCG or Erythropoietin
  • Known hypersensitivity to mammalian cell-derived products or hypersensitivity to albumin
  • A known diagnosis of prostatic cancer; note that prostate specific antigen will be collected for retrospective assessment of safety, but will not be used to ascertain study eligibility
  • Dysuria of unexplained origin
  • Uncontrolled hypertension, defined in the context of acute stroke as blood pressure persistently above 220 mm Hg systolic or 120 diastolic despite antihypertensive therapy
  • Current use of either beta-hCG or Erythropoietin
  • Other condition known to elevate beta-hCG, active in the prior 24 months, e.g., choriocarcinoma or germ cell tumor
  • Terminal medical diagnosis consistent with survival \< 1 year
  • Known hypercoagulable state, which for the purposes of this study will deficiency of proteins C, S, or antithrombin III; activated protein C resistance; prothrombin gene mutation; or an anti-phospholipid antibody syndrome as based on clinical and laboratory measures.

Key Trial Info

Start Date :

August 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2008

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT00362414

Start Date

August 1 2006

End Date

March 1 2008

Last Update

August 29 2016

Active Locations (1)

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1

University of California, Irvine Medical Center

Orange, California, United States, 92868-4280