Modulation of the Extent of Ischemic Brain Damage by Protecting the Endothelial Glycocalyx with Low-Dose Albumin Administration (MOZEG)

2023-509261-20-00 Protocol MOZEG Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 9 Feb 2026 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol MOZEG

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 1

Ischemic stroke

Evaluation of the efficacy of albumin as a protection for the glycocalyx and endothelial functions.

Key facts

Sponsor
Fakultni Nemocnice Hradec Kralove
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14], Diseases [C] - Nervous System Diseases [C10]
Trial duration
9 Feb 2026 → ongoing
Decision date (initial)
2025-03-26
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
University hospital Hradec Králové

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

Evaluation of the efficacy of albumin as a protection for the glycocalyx and endothelial functions.

Secondary objectives 5

  1. Monitoring the safety of low-dose albumin administration as protection for the endothelial glycocalyx in patients with ischemic stroke (iCMP).
  2. Assessment of mortality in enrolled patients on Day 90.
  3. Monitoring the size of the ischemic brain lesion in patients with iCMP after low-dose albumin administration on control CT (MRI in exceptional cases).
  4. Comparison of the modified Rankin Scale (mRS) before the onset of iCMP and before discharge/transfer from the Hospital.
  5. Comparison of the results of the initial neurological examination with the examination before discharge/transfer from the hospital

Conditions and MedDRA coding

Ischemic stroke

VersionLevelCodeTermSystem organ class
22.1 LLT 10055221 Ischemic stroke 10029205

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Age ≥ 18 years.
  2. Provision of consent to participate in the clinical study by the patient or an independent physician, depending on the patient’s medical condition.
  3. Diagnosis of ischemic stroke (iCMP) in the anterior circulation, with or without thrombolysis
  4. Indication for a vasographic intervention – mechanical recanalization at a stroke center
  5. For women of childbearing potential: Willingness to use highly effective methods of contraception throughout the clinical trial and until Day 21 (inclusive) after administration of the investigational medicinal product. Given the medical condition of the enrolled patients, complete sexual abstinence appears to be the most appropriate option.

Exclusion criteria 6

  1. Known hypersensitivity to albumin preparations or their excipients.
  2. Signs of hypervolemia and hyperhydration or risk of their development (e.g., symptoms of acute heart failure or decompensated chronic heart failure, such as anasarca or pulmonary edema).
  3. Signs of other conditions listed as contraindications in the SmPC for Alburex (e.g., bleeding from esophageal varices or other life-threatening hemorrhage associated with anemia, renal failure /renal or post-renal/).
  4. Hypernatremia > 150 mmol/L.
  5. Participation in another clinical trial involving an investigational medicinal product within 30 days prior to screening.
  6. Pregnancy or breastfeeding.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Concentration of syndecan-1 in blood serum
  2. Concentration of GAG in urine.

Secondary endpoints 4

  1. Mortality of enrolled patients on Day 90
  2. Size of the ischemic brain lesion in patients with iCMP after low-dose albumin administration on control CT (MRI in exceptional cases).
  3. Modified Rankin Scale (mRS) scores before the onset of iCMP and on Day 90.
  4. Neurological examination scores at screening and on Day 7/before discharge/transfer from the hospital

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Human Albumin Solution

SUB12026MIG · Substance

Active substance
Human Albumin Solution
Pharmaceutical form
INFUSION
Route of administration
INFUSION
Max daily dose
100 ml millilitre(s)
Max total dose
100 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Sodium chloride Fresenius Kabi 0,9% infuzní roztok

PRD2128237 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INFUSION
Max daily dose
100 ml millilitre(s)
Max total dose
100 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
B05XA03 — SODIUM CHLORIDE
Marketing authorisation
76/365/96-C
MA holder
FRESENIUS KABI S.R.O.
MA country
Czech Republic
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fakultni Nemocnice Hradec Kralove

3 Total trials 3 Recruiting
Academic / Non-commercial
Sponsor organisation
Fakultni Nemocnice Hradec Kralove
Address
Sokolska 581
City
Novy Hradec Kralove
Postcode
500 03
Country
Czechia

Scientific contact point

Organisation
Fakultni Nemocnice Hradec Kralove
Contact name
Astapenko David, doc.MUDr., Ph.D., MBA

Public contact point

Organisation
Fakultni Nemocnice Hradec Kralove
Contact name
Krempová Johana, Mgr.

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ongoing, recruiting 100 1
Rest of world 0

Investigational sites

Czechia

1 site · Ongoing, recruiting
Fakultni Nemocnice Hradec Kralove
Neurologická klinika, Sokolska 581, Novy Hradec Kralove, Hradec Kralove

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2026-02-09 2026-02-09

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) MOZEG_Protokol 1.1
Recruitment arrangements (for publication) MOZEG_sablona 1_nabor 1
Subject information and informed consent form (for publication) MOZEG Souhlas nezavisleho lekare_verze 1_02DEC2024 1
Subject information and informed consent form (for publication) MOZEG_Informace pro pacienty a IS s pokracovanim_verze 1_02JAN2025 1
Subject information and informed consent form (for publication) MOZEG_Zkracene informace pro pacienty a IS_verze 1_02JAN2025 1
Summary of Product Characteristics (SmPC) (for publication) Alburex_SmPC_2020 1
Synopsis of the protocol (for publication) MOZEG Synopse k protokolu 1.1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-03 Czechia Acceptable
2025-03-25
2025-03-26