Deferoxamine in Aneurysmal Subarachnoid Hemorrhage trial

2024-514615-10-01 Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 14 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 2

Subarachnoid hemorrhage

This study investigates the effects of deferoxamine use in patients with aneurysmal subarachnoid hemorrhage. The primary outcome measure is the presence of new ischemia at control imaging (2 weeks and 6 months). Secondary outcome measures are serum ferritine and various neurological and functional outcomes scales (mRS,…

Key facts

Sponsor
Stichting Radboud universitair medisch centrum
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10], Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
14 Jan 2025 → ongoing
Decision date (initial)
2025-01-14
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514615-10-01
EudraCT number
2016-002784-34
ClinicalTrials.gov
NCT02875262

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

This study investigates the effects of deferoxamine use in patients with aneurysmal subarachnoid hemorrhage. The primary outcome measure is the presence of new ischemia at control imaging (2 weeks and 6 months). Secondary outcome measures are serum ferritine and various neurological and functional outcomes scales (mRS, GOS-E, EQ-5D) at 6 months.

Conditions and MedDRA coding

Subarachnoid hemorrhage

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-514615-10-00 Deferoxamine in Aneurysmal Subarachnoid Hemorrhage trial (DASH) Stichting Radboud universitair medisch centrum

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. 18-85 years old inclusive
  2. Subarachnoid hemorrhage diagnosed by CT on admission
  3. No history of possible traumatic origin of subarachnoid hemorrhage,
  4. Eligible for inclusion within 72 hours of subarachnoid hemorrhage
  5. Saccular intracranial aneurysm proven by cerebral angiography or CTA
  6. Surgical or endovascular obliteration is successfully performed
  7. Able to obtain written informed consent from patient
  8. Patients in good clinical grade (WFNS 1-3) (GCS 13-15) at time of randomization

Exclusion criteria 10

  1. Patients not able to give informed consent
  2. Pregnancy, as confirmed by routine urine test on admission
  3. Abnormal renal function at time of inclusion (eGFR <60 mL/min/1.73m2)
  4. Elevated liver function test at time of inclusion (AST > 35 U/L and ALT > 45 U/L.)
  5. History of liver disease or active liver or renal disease
  6. Patients with low ferritine (< 20 µg/L)
  7. Hypersensitivity to deferoxamine
  8. Patient taking medication not recommended for concomitant use with deferoxamine as per the product label (e.g. high dose vit. C medication)
  9. Patients not able to undergo MRI (due to contraindications such as having ferromagnetic or electrical metal implants or not being able to lie still for the duration of the scan)
  10. The presence of 4 or more of the following risk modifiers for ARDS prior to enrollment: Tachypnea (respiratory rate >30), SpO2 <95%, Obesity (BMI >30), Acidosis (pH <7.35), Hypoalbuminemia (albumin <3.5 g/dL), Concurrent use of chemotherapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The presence of new ischemia at control imaging (2 weeks and 6 months)

Secondary endpoints 4

  1. Serum Ferritin
  2. GOS-E
  3. EQ-5D
  4. mRS

Investigational products

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

Test 1

Deferoxamine Noridem 500mg Κόνις για ενέσιμο διάλυμα ή διάλυμα για έγχυση

PRD349139 · Product

Active substance
Deferoxamine Mesilate
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Authorised
ATC code
V03AC01 — DEFEROXAMINE
Marketing authorisation
21179
MA holder
NORIDEM ENTERPRISES LTD
MA country
Cyprus
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

NaCl 0,9%

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Stichting Radboud universitair medisch centrum

Sponsor organisation
Stichting Radboud universitair medisch centrum
Address
Geert Grooteplein Zuid 10
City
Nijmegen
Postcode
6525 GA
Country
Netherlands

Scientific contact point

Organisation
Stichting Radboud universitair medisch centrum
Contact name
Boogaarts

Public contact point

Organisation
Stichting Radboud universitair medisch centrum
Contact name
Boogaarts

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 40 2
Rest of world 0

Investigational sites

Netherlands

2 sites · Ongoing, recruiting
Universitair Medisch Centrum Groningen
Neurosurgery, Hanzeplein 1, 9713 GZ, Groningen
Radboud universitair medisch centrum / RADBOUDUMC
Neurosurgery, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-01-14 2025-01-14

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol EU CT 2024-514615-10-00 1.4
Recruitment arrangements (for publication) K1_blank_document_Recruitment_arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF 1.4
Subject information and informed consent form (for publication) L1_SIS and ICF 1.3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Deferoxamine 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-31 Netherlands Acceptable
2025-01-14
2025-01-14
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-02-16 Netherlands Acceptable
2025-01-14
2026-02-16