Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID06359782

Phase II Study of C1 Esterase Inhibitor Cinryze Compared to Placebo for Acute Treatment of Aneurysmal Subarachnoid Hemorrhage

Led by Haaglanden Medical Centre · Updated on 2024-12-27

128

Participants Needed

1

Research Sites

121 weeks

Total Duration

On this page

Sponsors

H

Haaglanden Medical Centre

Lead Sponsor

L

Leiden University Medical Center

Collaborating Sponsor

AI-Summary

What this Trial Is About

Aneurysmal subarachnoid hemorrhage (SAH) is a serious condition that can cause severe outcomes such as cognitive decline. This decline results from early brain injury followed by delayed cerebral ischemia (DCI). Neuroinflammation driven by the complement system plays a key role in this process. Researchers are studying whether blocking the complement system with a drug called C1-inhibitor Cinryze can reduce inflammation and improve outcomes for patients with SAH. The trial compares the safety and effectiveness of C1-inhibitor Cinryze, an approved complement system inhibitor, with a placebo treatment. Patients will receive either the Cinryze injection or an intravenous dose of saline solution. The study focuses on the acute management of SAH during the hospital stay. Participants will be monitored for delayed cerebral ischemia between day 4 and day 14 after admission, and for complications during hospitalization up to one year later. Researchers will assess clinical outcomes and safety throughout this period to understand the potential benefits and risks of the treatment. The study includes adults aged 18 and older with confirmed aneurysmal SAH.

CONDITIONS

Official Title

Complement Inhibition: Attacking the Overshooting Inflammation @Fter Subarachnoid Hemorrhage (CIAO@SAH)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of aneurysmal subarachnoid hemorrhage on CT-scan
  • Age 18 years or older on admission
  • World Federation of Neurosurgical Societies (WFNS) grade 1-5
Not Eligible

You will not qualify if you...

  • Subarachnoid hemorrhage likely of peri mesencephalic origin
  • Subarachnoid hemorrhage likely of post-traumatic origin
  • Participation in another clinical therapeutic study
  • Definite poor prognosis on arrival or expected death within 24 hours of admission
  • Known hereditary complement deficiency, including hereditary angioedema
  • History of sensitivity to blood products or C1-inhibitor
  • History of thrombosis known at time of inclusion
  • Pregnant women

AI-Screening

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Trial Site Locations

Total: 1 location

1

Haaglanden Medical Centre

The Hague, South Holland, Netherlands, 2512HH

Actively Recruiting

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Research Team

D

Daan de Groot, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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