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Stroke SequelaePhase 2OSU6162DB003NCT04127669

Study Evaluating Efficacy and Safety of OSU6162 in the Treatment of Residual Symptoms After Stroke

A Phase 2 study testing OSU 6162 in people with Stroke Sequelae, run by Arvid Carlsson Research AB at 1 site in Sweden.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Following stroke, a recovery process is promptly initiated, which leads to a partial rehabilitation. However, a number of disabling residual symptoms may persist for years and include mental fatigue, depression, cognitive deficits, neurological problems and more. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Stroke Sequelae
What is being tested?
OSU 6162
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
101 participants
Where
1 siteSweden
Study dates
20 Mar 2017to 30 Sep 2020
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed written informed consent
  • Between 18-80 years
  • Stroke >12 months prior to the start of the study. Patients must have had the location of their stroke evaluated through a CT scan, noted in their hospital notes
  • Anamnestic evidence of post stroke residual symptoms at least 3 months prior to the start of the study
  • At least 10.5 points on Mental Fatigue scale at the screening visit 1 (week -2)

Who cannot join

  • Residual symptoms following other pathologies than stroke
  • Active substance abuse (drug screen taken at visit1)
  • Other serious somatic or psychiatric disease
  • Beck Depression Inventory >30 at visit1 and 2
  • Current pregnancy or breast-feeding, or intention to become pregnant within 3 months after the last dose
  • Female patients of childbearing potential not using adequate contraceptives. Female patients of childbearing potential must, for inclusion, use a highly efficient method of contraception, i.e. a method with a failure rate of less than 1% (e.g. sterilisation, hormone implants, hormone injections, some intrauterine devices, or vasectomy in partner). Male patients must agree to use condoms during the study and for 2 weeks after the end of the study/last dose of IMP, unless their partner is using a highly efficient method of contraception, as described above.
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  • Pathologic ECG, as assessed by the investigator. Max QTc time on ECG: 450 ms in men and 460 ms in women
  • Abnormal laboratory values of such severity that participation in the study, in the opinion of the investigator, is questionable
  • Patients who are so debilitated by their disease that they are not assumed to be able to perform the assessments or handle the instruments used for evaluation of effect
  • Current participation in other Clinical trials
  • Previous treatment with OSU6162
  • Clinically significant liver disease which may prevent the patient from completing the study and/or an elevation in either total bilirubin, alkaline phosphatase, AST, ALT of >2 times the laboratory reference
  • Clinically significant renal disease which may prevent the patient from completing the study and/or an elevation in serum creatinine of >1.5 times the laboratory reference.
  • Any surgical or medical condition which, in the opinion of the investigator, might interfere with the absorption, distribution, metabolism or excretion of OSU6162
  • Patients treated with Modiodal, Xyrem, Mirtazapine, Mianserin or metabolic enzyme inhibitors (with the exception of antidepressants other than Mirtazapine and Mianserin) or inducers, or drugs with a narrow treatment window (e.g. warfarin, antiepileptics, cyclosporine) and individually modelled drugs such as lithium.
  • Use of drugs capable of inducing hepatic enzyme metabolism (e.g., barbiturates, rifampicin, carbamazepine, phenytoin, primidone) within 30 days prior to the start of the study (or 5 half-lives of the inducing agent, whichever is longer)
  • Antipsychotic treatment
  • Patients treated with "unstable therapies", i.e., treatments that have not been at the same dose for at least 6 weeks prior to inclusion in this study. The treatment must also remain unchanged during the study period. Insomnia medication and other PRN medications are allowed
  • Use of acute or chronic medications for other medical conditions are allowed based on the investigator's judgement. Occasional use of over-the-counter (OTC) medication is allowed at the investigator's discretion
  • Supplements from health food stores and naturopathic preparations (dietary supplements, natural remedies) are not allowed during the course of the study or 4 weeks before study start.

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Gottfries Clinic AB

    Gothenburg, SE-43137

Other trials in Sweden

About this study

Official title: Double-blind, Randomised, Placebo-controlled Study to Evaluate the Efficacy and Safety of OSU6162 in the Treatment of Residual Symptoms After Stroke

Following stroke, a recovery process is promptly initiated, which leads to a partial rehabilitation. However, a number of disabling residual symptoms may persist for years and include mental fatigue, depression, cognitive deficits, neurological problems and more. In the lack of an effective treatment these symptoms will lead to major consequences for the individual and the surrounding society. OSU6162 has in earlier clinical studies of stroke patients shown evidence of a favorable effect on residual symptoms, especially mental fatigue, together with a mild side effect profile.

In this phase II, randomized, placebo-controlled, two-armed study, a 16 week OSU6162 treatment will be compared to an equally long placebo treatment in patients with residual symptoms following stroke.

Read the detailed description

Main objectives of this study are to evaluate the efficacy and safety of OSU6162 compared to placebo with respect to treatment response in post stroke patients.

Endpoints:

Primary endpoint is Clinical Global Impression of Change (CGI-C) after 16 weeks of treatment.

Secondary endpoints are:

CGI-C score after 4, 8 and 12 weeks of treatment. FAI; MFS; FSS; BDI; SF-36 scores after 4, 8, 12 and 16 weeks of treatment. Correlation between plasma concentration of OSU6162 and therapeutic response after 4 and 16 weeks of treatment.

Safety variables: AE/SAE, physical and neurological examinations, vital signs (blood pressure and puls) and laboratory test.

Study Design:

The treatment period is 16 weeks, during which all patients will make 7 study visits and have 4 telephone interviews.

Study visits include:

Visit 1: screening at week -2, Days -14 to -5 Visit 2: baseline at week 0 Visit 4: week 4 ± 3 days Visit 6: week 8 ± 3 days Visit 8: week 12 ± 3 days Visit 10: week 16 ± 3 days Visit 11: follow up at week 20 ± 7 days

Randomization and start of treatment with OSU6162 or placebo at baseline, visit 2, week 0. Study medication administered during all study visits from baseline at visit 2 to visit 8 at week 12.

Physical and neurological examinations, vital signs and weight recording during all study visits.

ECG recorded during visits 1 (week -2) and 10 (week 16). Blood (and urine) sampling for safety labs during visits 1 (week -2), visit 4 (week 4), visit 10 (week 16). Pregnancy test at visit 1 and 10.

Blood sampling for analysis of plasma OSU6162 concentration at visit 4 and 10.

Primary outcome measures and secondary outcome self-assessment tests performed during all study visits.

Telephone interviews at visit: 3 (week 2 ± 3 days), 5 (week 6 ± 3 days), 7 (week 10 ± 3 days) and 9 (week 14 ± 3 days.

Concomitant medication, adverse events and drug compliance are recorded during all visits and telephone interviews.

Dosing:

All patients in the OSU6162 group start with a dose of 15 mg BID. The dose is increased to a maximum of 30 mg BID after 4 weeks of treatment. Intermediate doses are allowed and the final dose is individually flexible, depending on the therapeutic response and presence of AE. In the placebo group patients receive tablets with identical appearance to active treatment tablets (OSU6162 15 mg), administered according to the same dosing regime as active treatment.

Data analysis and statistics:

Efficacy analyses will be based on Mixed Models for Repeated Measures (MMRM) analyses. The MMRM analyses use all the longitudinal observations at each post-baseline visit for the study period of interest. Significance tests will be based on estimated population marginal means and Type III test of fixed effects, using a two-sided test with the significance level of 0.05. Differences in distributions of categorical variables will be tested using the Chi-square test or Fisher's exact test.

Due to the large number of variables engendered, multivariate statistical evaluations will be performed as a complement to the above-mentioned statistical methods.

Before unblinding of the study data, a separate Statistical Analysis Plan (SAP) will be prepared.

Patient and data safety:

This study is conducted in accordance with the study protocol, the Declaration of Helsinki, ICH E6 GCP, the European Clinical Trials Directive 2001/20/EC and applicable local laws and regulations.

The Investigator is responsible for ensuring the accuracy, completeness, legibility and timeliness of the data recorded in the CRFs. Data recorded in the CRF that are derived from source documents should be consistent with the source documents or the discrepancies should be explained. Signed sections of CRFs are monitored and collected on a regular basis.

An individual secrecy agreement is established for all Sponsor, site personnel, independent auditors, and representatives from Competent Authorities that will have access to the information in the medical records for the participating patients.

Conditions
Stroke Sequelae
Being tested
OSU 6162, Placebo oral tablet
Keywords
residual symptoms, mental fatigue, dopamine stabilizer
Medical subject headings
Mental Fatigue

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OSU 6162Drug

    Also called OSU6162-HCl, PNU-9639 1A

    The active ingredient of OSU6162 is the S-enantiomer with the chemical name (S)-3-[3-(methylsulfonyl)phenyl]-1-propylpiperidine hydrochloride. The substance is a white powder with a melting point of 177-182°C. Solubility in water is > 2000 mg/ml. Current laboratory code used is OSU6162-HCl. In trial protocol, OSU6162-HCl is shortened to OSU6162.

  • Placebo oral tabletDrug

    Circular coated tablet (with identical appearance to active treatment tablets 15 mg).

Study groups in NCT04127669
Study groupRoleWhat they receive
Arm AExperimentalActive substance treatment with OSU6162. Starting dose for all patients in the OSU6162 treatment group is 15 mg BID. The dose is taken orally as one circular coated tablet of 15 mg together with a light meal in the morning and one tablet around lunch unless otherwise agreed upon. In order to aim at optimal dosing of OSU6162, some flexibility is allowed. The investigators are able to modify the dose for individual patients based on how well the treatment is tolerated and how well the patients respond to it. In the case where there is no clear response, the dose can be increased to maximally 30 mg BID (intermediate dosage is allowed) after 4 weeks of treatment; it is also possible to decrease the dose to a lower level (even below 15 mg BID) if a higher dose is not tolerated and/or there is a perceived weakened therapeutic effect with the higher dose. All dose changes will be performed while retaining the blind.
Receives: Drug: OSU 6162
Arm BPlacebo comparatorPlacebo treatment. Starting dose for all patients in the placebo group is one circular coated tablet (with identical appearance to active treatment tablets 15 mg) taken BID, according to the same schedule as active treatment. The dose may be increased or decreased in the same manner as for active treatment.
Receives: Drug: Placebo oral tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical Global Impression of Change (CGI-C)

    The CGI-C is a 7-point scale that requires the clinician to assess how much the patient´s illness has improved or worsened relative to a baseline state at the beginning of the study. CGI-C is rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. Rating is performed by interviewing the patient to assess function and mental status.

    Measured: Assessment at week 16

Secondary outcomes (6)
  1. Clinical Global Impression of Change (CGI-C)

    Measured: Assessment at week 4, 8, and 12.

  2. Change in Frenchay Activity Index (FAI)

    Change in FAI score is studied by comparing baseline value with values at several assessment points throughout the study.

    FAI is a measure of instrumental activities of daily living for use with patients recovering from stroke. The FAI assesses a broad range of activities associated with everyday life. The index consists of 15 questions.

    Measured: Assessment at baseline and at week 4, 8, 12, and 16.

  3. Change in Mental Fatigue Scale (MFS)

    Change in MFS score is studied by comparing baseline value with values at several assessment points throughout the study.

    The MFS is a self-assessment questionnaire to investigate the therapeutic effects of OSU6162 with focus on the mental fatigue and concentration capacity.

    The scale consists of 15 items of which 13 measure mental symptoms. Either reduced or increased sleep is measured. Variations around the clock are also rated.

    Measured: Assessment at baseline and at week 4, 8, 12, and 16.

  4. Change in Fatigue Severity Scale (FSS)

    Change in FSS score is studied by comparing baseline value with values at several assessment points throughout the study.

    The FSS is a 9-item self-report scale that measures the severity of fatigue and its effect on a person's activities. The items are scored on a 7-point scale with 1 = strongly disagree and 7= strongly agree, higher scores reflecting more fatigue.

    Measured: Assessment at baseline and at week 4, 8, 12, and 16.

  5. Change in Becks Depression Inventory (BDI)

    Change in BDI score is studied by comparing baseline value with values at several assessment points throughout the study.

    BDI is a widely used self-report instrument for assessing the degree of depression and changes in depression level. The inventory consists of 21 items about different symptoms and attitudes which are to be valued on a four point scale ranging from 0-3. A total score is calculated by summarizing the scores of the 21 items. Higher total scores indicate more severe depressive symptoms.

    Measured: Assessment at baseline and at week 4, 8, 12, and 16.

  6. Change in SF-36 Health Survey

    Change in SF-36 score and subscores are studied by comparing baseline values with values at several assessment points throughout the study.

    The SF-36 Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in each section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability, the higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

    The eight sections are:

    • vitality
    • physical functioning
    • bodily pain
    • general health perceptions
    • physical role functioning
    • emotional role functioning
    • social role functioning
    • mental health

    Measured: Assessment at baseline and at week 4, 8, 12, and 16.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2019
  2. Study start20 Mar 2017
  3. Primary completion28 Jan 2020
  4. Study completion30 Sep 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is a randomised, placebo-controlled, parallel-group (two-armed) study of 16 weeks' treatment duration, comparing OSU6162 with placebo treatment in patients with residual symptoms after stroke.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04127669
Sponsor's protocol ID
OSU6162DB003
Other IDs
2016-003888-19, 2016
Acronym
OSU6162DB003
Status last verified
Sep 2020
First submitted
9 Oct 2019
Last updated
1 Oct 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing OSU 6162 in people with Stroke Sequelae, run by Arvid Carlsson Research AB at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical Global Impression of Change (CGI-C) (time frame: Assessment at week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2020.

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