Acute Ischemic StrokePhase 2/3ACTISAVENCT05070260
ACTISAVE: ACuTe Ischemic Stroke Study Evaluating Glenzocimab Used as Add-on Therapy Versus placEbo
A Phase 2/3 study testing Intravenous glenzocimab (ACT017) 1000 mg in people with Acute Ischemic Stroke, run by Acticor Biotech at 10 sites in 2 countries.
Trial summary
A randomized, double blind, multicenter, multinational, placebo controlled, parallel group, single dose, adaptive phase II/III study. The study evaluates the efficacy and safety of a fixed dose of glenzocimab (1000 mg IV over 6 hrs including initial bolus of 15 minutes) on top of the best standard of care. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Ischemic Stroke
- What is being tested?
- Intravenous glenzocimab (ACT017) 1000 mg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 438 participants
- Where
- 10 sitesin 2 countries
- Study dates
- 23 Sep 2021to 30 Apr 2024
- Phase
- Phase 2/3
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult male or female patients ≥ 18 years (i.e., at least 18 years old at time of randomization)
- Having given their own written consent, or legal representative consent, and in any case, in strict accordance with country-specific legal requirements,
- Presenting with an acute disabling ischemic stroke either in the anterior or in posterior circulation, with or without visible occlusion, with a known time of onset, that is ≤ 4.5 hrs
- Presenting with a pre-IVT NIHSS ≥ 6
- In whom IVT is or has been initiated, whether or not patients are additionally eligible to mechanical thrombectomy (MT+ IVT), according to the recommendation of the last guidelines (ASA and ESO recommandations),
- Women of childbearing potential (WOCBP) must have a negative serum/urine pregnancy test at baseline. Women of childbearing potential, i.e., fertile, are defined as women following menarche and until becoming post-menopausal unless permanently sterile, i.e., having undergone hysterectomy, bilateral salpingectomy and bilateral oophorectomy
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- Post-menopausal women defined as not having menses for 12 months without an alternative medical cause. For WOCBP, a highly effective birth control method should be in place that can achieve a failure rate of less than 1% per year that should last for at least 2 months after IMP administration.
- Birth control methods which may be considered as highly effective in WOCBP include:
- combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (intravaginal, transdermal),
- progestogen-only hormonal contraception associated with inhibition of ovulation (injectable, implantable)
- intrauterine device (IUD),
- intrauterine hormone-releasing system (IUS),
- bilateral tubal occlusion,
- vasectomized partner,
- Birth control methods which may be considered as highly effective for men and that should last for 4 months after IMP administration include:
- vasectomy,
- use of condom combined with a highly effective birth control method for their WOCBP partner.
- Please note that hormonal contraception is a risk factor for thromboembolic events and attention should be called to reconsider it passed the acute stroke phase.
- Patients affiliated to a health insurance - modality depending on country legal requirement
Who cannot join
- Coma, or NIHSS >25,
- Patients < 18 years,
- Protected adults under guardianship or curatorship,
- Prior ischemic stroke within the past 3 months,
- mRS pre-stroke known to be ≥ 2,
- Large (more than 1/3 of the middle cerebral artery) regions of clear hypodensity on Baseline Computed Tomography Angiography (CTA) or Magnetic Resonance Imaging (MRI) or with vascular injection (MRA),
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- Significant mass effect with midline shift,
- Stroke of hemorrhagic origin,
- Patients likely to require dual antiplatelet therapy (DAPT) within the first 24 hrs after cessation of glenzocimab or placebo infusion for e.g., carotid stenting,
- Known renal insufficiency (Grades 4-5 - severe or terminal with a creatinine clearance < 30 mL/min using Cockroft formula),
- Known allergic reaction to contrast agents,
- Patients under anti-coagulant therapy, except preventative doses of injectable low molecular weight heparin (LMWH),
- Known ongoing treatment with a mAb,
- Prior cardiopulmonary resuscitation < 10 days,
- Childbirth within < 10 days,
- Seizures at stroke onset if it precludes obtaining an accurate baseline (pre-IVT) NIHSS,
- Life expectancy (except for stroke) < 3 months,
- Pregnancy or breastfeeding,
- Females of childbearing potential not using effective birth control methods,
- Known current participation in another clinical investigation with experimental drug.
Trial locations and contacts
10 sites in 2 countries.
10 sites in 2 countries
United States9 sites
Black Medical center
Bradenton, Florida, 34209
Nova Clinical Research
Bradenton, Florida, 34209
Chattanooga center for neurological research
Chattanooga, Tennessee, 37403
University of Chicago
Chicago, Illinois, 60637
Miami Valley hospital
Dayton, Ohio, 45409
Houston Methodist hospital
Houston, Texas, 77030
Memorial Hermann Hospital
Houston, Texas, 77030
Washington university
St Louis, Missouri, 63130
Northside hospital
St. Petersburg, Florida, 30342
About this study
Official title: A Randomized, Double Blind, Multicenter, Multinational, Placebo Controlled, Parallel Group, Single Dose, Adaptive Efficacy and Safety Study of Glenzocimab Used as an add-on Therapy on Top of Standard of Care un the 4.5 Hours Following an Acute Ischemic Stroke
A randomized, double blind, multicenter, multinational, placebo controlled, parallel group, single dose, adaptive phase II/III study.
The study evaluates the efficacy and safety of a fixed dose of glenzocimab (1000 mg IV over 6 hrs including initial bolus of 15 minutes) on top of the best standard of care.
Read the detailed description
The study evaluates the efficacy and safety of a fixed dose of glenzocimab (1000 mg IV over 6 hrs including initial bolus of 15 minutes) on top of the best standard of care.
In all patients, the IVT should have been initiated prior to/at randomization, and in any case within 4.5 hrs post onset of acute ischemic stroke symptoms. IVT should mandatorily be used according to the approved dosing regimen as described in the product information/SmPC/USPI.
Eligible patients will be randomized and the infusion of glenzocimab or of its matching placebo should be administered as soon as possible but no later than two hours from the start of the thrombolytic agent administration. Transferring the patient to the catheterization room should not delay the Investigational Medicinal Product (IMP) administration.
Patients will be randomized in a 1:1 ratio allocation either to glenzocimab or placebo. Randomization will be minimized for factors as follows: (NIHSS <10 vs. ≥ 10), age group (<65, 65-79, ≥80 years), and type of thrombolytic agent (alteplase vs. tenecteplase) in order to balance each treatment group composition.
The allocation of each patient in all centers to an active treatment or placebo will strictly follow the central randomization scheme. Clinical supplies allocation to centers should provide the necessary material so that any eligible patient can receive the assigned treatment. A central randomization system (IRT - Interactive Response Technology) will be used to manage randomization/stratification and drug shipment. The whole process will be handled in a manner that it is blinded for the treatment received to all involved study personnel.
The IDMC will be composed of 5 independent members (at least 2 clinicians and 1 statistician).
IDMC members will process the information and will issue their recommendations as per the IDMC Charter.
One interim analysis after 100 patients recruited and treated is planned for safety evaluation only.
In case of any urgent safety concern, ad-hoc meetings will be triggered.
- Conditions
- Acute Ischemic Stroke
- Being tested
- Intravenous glenzocimab (ACT017) 1000 mg, Intravenous Placebo
- Keywords
- Haemorrhages GPVI, Thrombolysis, Thrombectomy, Anti-platelet, glenzocimab, ACT017, stroke, GPVI
- Medical subject headings
- Ischemic Stroke, Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intravenous glenzocimab (ACT017) 1000 mgDrug
Also called Thrombolysis +/- thrombectomy
Add-on therapy to the standard of Care in the treatment of the acute ischemic stroke symptoms
Intravenous PlaceboDrug
Also called Thrombolysis +/- thrombectomy
Add-on therapy to the standard of Care in the treatment of the acute ischemic stroke symptoms
| Study group | Role | What they receive |
|---|---|---|
| Intravenous glenzocimab (ACT017) 1000 mg | Experimental | Intravenous glenzocimab (ACT017) 1000 mg to be added to thrombolysis +/- mechanical thrombectomy Receives: Drug: Intravenous glenzocimab (ACT017) 1000 mg |
| Intravenous Placebo | Placebo comparator | Intravenous Placebo to be added to thrombolysis +/- mechanical thrombectomy Receives: Drug: Intravenous Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Binary Poor Outcome on the mRS defined by a score of 4-6 (versions 0-3)
To show the efficacy of glenzocimab vs. placebo, on the "poor outcome" defined as a mRS score of 4-6 (vs 0-3) assessed at Day 90
Measured: Day 90
Secondary outcomes (74)
Key Secondary Efficacy Endpoint - mRS
Binary "Favorable Outcome" on the mRS defined by a score of 0-2 (versus 3-6)
Measured: Day 90
Mortality
All cause mortality
Measured: Day 90
mRS
To assess the favorable responses defined as mRS score of 0-1
Measured: Day 90
mRS
To assess the favorable responses defined as mRS score of 5-6
Measured: Day 90
Ordinal mRS
To assess the shift analysis
Measured: Day 90
Utility Weighted mRS
To assess the utility weighted mRS (UW-mRS)
Measured: Day 90
All cause mortality
To assess all cause mortality
Measured: 72 hours
ICHs
Symptomatic and non-symptomatic ICHs
Measured: 72 hours
Neurological Status Change as assessed by NIHSS value compared to pre-IVT value
Response defined by a relative decrease (%) in NIHSS value at 24 hours compared to pre-IVT value higher than 30%.
Relative change (%) in NIHSS value at 24 hrs compared to pre-IVT value
Measured: 24 hours
Recanalization rate
To assess recanalization in patients undergoing thrombectomy by eTICI score
Measured: Day 90
Cerebral tissue reperfusion
To assess Cerebral tissue reperfusion
Measured: Day 90
Infarct volume progression and hemorrhagic transformation
To assess the impact on follow up imaging (follow up infarct volume, infarct growth and volume of hemorrhagic transformation)
Measured: 24 hrs
Measure of Quality of Life by EuroQol-5 Dimension-5 Level (EQ-5D-5L)
Quality of Life as assessed by the EuroQol-5 Dimension-5 Level. A Quality-of-Life Scale (EQ-5D-5L)
Measured: Day 90
Incidence of Deaths
Deaths within the first 24 hours and over the whole study period until Day 90 (Kaplan-Meier curve)
Measured: Day 90
Incidence of Symptomatic intracranial hemorrhages
Symptomatic intracranial hemorrhages, defined by both anatomical imaging (according to Heidelberg's classification) at the time of its occurrence associated with an increase in NIHSS score by 4 points or greater, or death that is not explained otherwise (according to ECASS III study definition (14))
Measured: 24 hours
Incidence of Non-symptomatic hemorrhages
Non-symptomatic hemorrhages, seen on 24-hours plain CT-Scan, not present at baseline assessment, once other diagnoses are excluded
Measured: 24 hours
Incidence of Adverse Events, SAEs, bleeding-related events, and Treatment-Emergent Adverse Events (TEAEs)
Incidence, nature and severity of Adverse Events, SAEs, bleeding-related events, and Treatment-Emergent Adverse Events (TEAEs)
Measured: Day 90
Change in vital signs (Blood Pressure) at any visit or discharge as compared to Baseline
Blood Pressure will be assessed every 30 minutes during the 6 hours (infusion) then every 3 hours up to 24 hours.
Measured: 24 hours
Change in vital signs (Heart Rate) at any visit or discharge as compared to Baseline
Heart Rate will be assessed every 30 minutes during the 6 hours (infusion) then every 3 hours up to 24 hours
Measured: 24 hours
Change in hematology assessments: RBC (Red Blood Cell Count) at 24 hours as compared to Baseline
% of patient with change in RBC (Red Blood Cell Count) in million/mm3
Measured: 24 hours
Change in hematology assessments: RBC (Red Blood Cell Count) at Day 7 or discharge as compared to Baseline
% of patient with change in RBC (Red Blood Cell Count) in million/mm3
Measured: Day 7
Change in hematology assessments: Hemoglobin at 24 hours as compared to Baseline
% of patient with change in Hemoglobin in g/100ml
Measured: 24 hours
Change in hematology assessments: Hemoglobin at Day 7 or discharge as compared to Baseline
% of patient with change in Hemoglobin in g/100ml
Measured: Day 7
Change in hematology assessments: Hematocrit at 24 hours as compared to Baseline
% of patient with change in Hematocrit in %
Measured: 24 hours
Change in hematology assessments: Hematocrit at 24 hours at Day 7 or discharge as compared to Baseline
% of patient with change in Hematocrit in %
Measured: Day 7
Change in hematology assessments: Mean Corpuscular Hemoglobin Volume (MCV) at 24 hours as compared to Baseline
% of patient with change in Mean Corpuscular Hemoglobin Volume (MCV) in µ3
Measured: 24 hours
Change in hematology assessments: Mean Corpuscular Hemoglobin Volume (MCV) at Day 7 or discharge as compared to Baseline
% of patient with change in Mean Corpuscular Hemoglobin Volume (MCV) in µ3
Measured: Day 7
Change in hematology assessments: Mean corpuscular hemoglobin content (MCHC) at 24 hours as compared to Baseline
% of patient with change in Mean corpuscular hemoglobin content (MCHC) in pg
Measured: 24 hours
Change in hematology assessments: Mean corpuscular hemoglobin content (MCHC) at Day 7 or discharge as compared to Baseline
% of patient with change in Mean corpuscular hemoglobin content (MCHC) in pg
Measured: Day 7
Change in hematology assessments: Corpuscular hemoglobin concentration (CHC) at 24 hours as compared to Baseline
% of patient with change in Corpuscular hemoglobin concentration (CHC) in %
Measured: 24 hours
Change in hematology assessments: Corpuscular hemoglobin concentration (CHC) at Day 7 or discharge as compared to Baseline
% of patient with change in Corpuscular hemoglobin concentration (CHC) in %
Measured: Day 7
Change in hematology assessments: Leucocytes(/mm3) at 24 hours as compared to Baseline
% of patient with change in Leucocytes in /mm3
Measured: 24 hours
Change in hematology assessments: Leucocytes(/mm3) at Day 7 or discharge as compared to Baseline
% of patient with change in Leucocytes in /mm3
Measured: Day 7
Change in hematology assessments: Platelets x 10^9 /L at 24 hours as compared to Baseline
% of patient with change in Platelets x 10^9 /L
Measured: 24 hours
Change in hematology assessments: Platelets x 10^9 /L at 24 hours at Day 7 or discharge as compared to Baseline
% of patient with change in Platelets x 10^9 /L
Measured: Day 7
Change biochemistry assessments : SGPT (Sérum Glutamate Pyruvate Transaminase) at 24 hours as compared to Baseline
% of patient with change in SGPT in UI/L
Measured: 24 hours
Change biochemistry assessments : SGPT at Day 7 or discharge as compared to Baseline
% of patient with change in SGPT in UI/L
Measured: Day 7
Change biochemistry assessments : SGOT at 24 hours as compared to Baseline
% of patient with change in SGOT in UI/L
Measured: 24 hours
Change biochemistry assessments : SGOT at Day 7 or discharge as compared to Baseline
% of patient with change in SGOT in UI/L
Measured: Day 7
Change biochemistry assessments: LDH at 24 hours as compared to Baseline
% of patient with change in LDH in UI/l
Measured: 24 hours
Change biochemistry assessments : LDH at Day 7 or discharge as compared to Baseline
% of patient with change in LDH in UI/l
Measured: Day 7
Change biochemistry assessments : Cholesterol at 24 hours as compared to Baseline
% of patient with change in Cholesterol in g/L or mmol/L
Measured: 24 hours
Change biochemistry assessments : Cholesterol at Day 7 or discharge as compared to Baseline
% of patient with change in Cholesterol in g/L or mmol/L
Measured: Day 7
Change biochemistry assessments : Triglycerid at 24 hours as compared to Baseline
% of patient with change in Triglycerid in g/L or mmol/L
Measured: 24 hours
Change biochemistry assessments : Triglycerid at Day 7 or discharge as compared to Baseline
% of patient with change in Triglycerid in g/L or mmol/L
Measured: Day 7
Change biochemistry assessments : Urea at 24 hours as compared to Baseline
% of patient with change in Urea in g/L or mmol/L
Measured: 24 hours
Change biochemistry assessments : Urea at Day 7 or discharge as compared to Baseline
% of patient with change in Urea in g/L or mmol/L
Measured: Day 7
Change biochemistry assessments : Creatinin at 24 hours as compared to Baseline
% of patient with change in Creatinin in mg/L or µM/L
Measured: 24 hours
Change biochemistry assessments : Creatinin at Day 7 or discharge as compared to Baseline
% of patient with change in Creatinin in mg/L or µM/L
Measured: Day 7
Change biochemistry assessments : GFR at 24 hours as compared to Baseline
% of patient with change in GFR in mL/min/1,73 m²
Measured: 24 hours
Change biochemistry assessments : GFR at Day 7 or discharge as compared to Baseline
% of patient with change inGFR in mL/min/1,73 m²
Measured: Day 7
Change biochemistry assessments : Serum Glucose at 24 hours as compared to Baseline
% of patient with change in Serum Glucose in g/L
Measured: 24 hours
Change biochemistry assessments : Serum Glucose at Day 7 or discharge as compared to Baseline
% of patient with change in Serum Glucose in g/L
Measured: Day 7
Change biochemistry assessments : D-Dimer at 24 hours as compared to Baseline
% of patient with change in D-Dimer in µg/L
Measured: 24 hours
Change biochemistry assessments : D-Dimer at Day 7 or discharge as compared to Baseline
% of patient with change in D-Dimer in µg/L
Measured: Day 7
Change biochemistry assessments : Fibrinogen at 24 hours as compared to Baseline
% of patient with change in Fibrinogen in g/L
Measured: 24 hours
Change biochemistry assessments : Fibrinogen at Day 7 or discharge as compared to Baseline
% of patient with change in Fibrinogen in g/L
Measured: Day 7
Change biochemistry assessments : INR score at 24 hours as compared to Baseline
% of patient with change in INR Score
Measured: 24 hours
Change biochemistry assessments : INR score at Day 7 or discharge as compared to Baseline
% of patient with change in INR Score
Measured: Day 7
Change biochemistry assessments : PT score at 24 hours as compared to Baseline
% of patient with change in PT in sec
Measured: 24 hours
Change biochemistry assessments : PT score at Day 7 or discharge as compared to Baseline
% of patient with change in PT in sec
Measured: Day 7
Change biochemistry assessments : aPTT score at 24 hours as compared to Baseline
% of patient with change in aPTT in sec
Measured: 24 hours
Change biochemistry assessments : aPTT score at Day 7 or discharge as compared to Baseline
% of patient with change in aPTT in sec
Measured: Day 7
Change in dipstick urinalysis assessments: Turbidity at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick urinalysis assessments: pH at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick urinalysis assessments: Glucose at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick urinalysis assessments: Proteins at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick urinalysis assessments: Blood at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick urinalysis assessments: Leucocytes at 24 hours as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: 24 hours
Change in dipstick clinical laboratory assessments (urinalysis) at Day 7 or discharge as compared to Baseline
% of patient with change in Change in urinalysis assessments
Measured: Day 7
Change in coagulation parameters (INR, PT, a PTT)
Change in coagulation parameters (INR, PT, aPTT) at 24 hrs
Measured: 24 hours
ECG changes
ECG change from baseline on QT, QTc, PR, ST and QRS intervals at 24 hours as compared to Baseline
Measured: 24 hours
ECG changes
ECG change from baseline on QT, QTc, PR, ST and QRS intervals at Day 7 as compared to Baseline
Measured: Day 7
ECG changes
ECG change from baseline on QT, QTc, PR, ST and QRS intervals at discharge as compared to Baseline
Measured: Day 90
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Oct 2021
- Study start23 Sep 2021
- Primary completion30 Apr 2024
- Study completion30 Apr 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Acute Ischemic StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A randomized, double blind, multicenter, multinational, placebo controlled, parallel group, single dose, adaptive phase II/III study (respectively Part 1 and 2).
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 438 participants (actual)
Sponsor and investigators
- Lead sponsor
- Acticor Biotech
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Andrea Comenducci, MD, Study director, Acticor Biotech
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05070260
- Sponsor's protocol ID
- ACT-CS-005
- Acronym
- ACTISAVE
- Status last verified
- Aug 2023
- First submitted
- 30 Jul 2021
- Last updated
- 3 Jul 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Voors-Pette C, Lebozec K, Dogterom P, Jullien L, Billiald P, Ferlan P, Renaud L, Favre-Bulle O, Avenard G, Machacek M, Pletan Y, Jandrot-Perrus M. Safety and Tolerability, Pharmacokinetics, and Pharmacodynamics of ACT017, an Antiplatelet GPVI (Glycoprotein VI) Fab. Arterioscler Thromb Vasc Biol. 2019 May;39(5):956-964. doi: 10.1161/ATVBAHA.118.312314.
PubMed 31017822Renaud L, Lebozec K, Voors-Pette C, Dogterom P, Billiald P, Jandrot Perrus M, Pletan Y, Machacek M. Population Pharmacokinetic/Pharmacodynamic Modeling of Glenzocimab (ACT017) a Glycoprotein VI Inhibitor of Collagen-Induced Platelet Aggregation. J Clin Pharmacol. 2020 Sep;60(9):1198-1208. doi: 10.1002/jcph.1616. Epub 2020 Jun 4.
PubMed 32500636Kohrmann M, Berrouschot J, Serena J, Bornstein NM, Iversen HK, Kalladka D, Krastev G, Molina CA, Peeters A, Sanak D, Sibon IP, Della Schiava L, Tembl JI, Masjuan J, Soda H, Richard S, Eichlova Z, Czap AL, Avenard G, Binay S, Bougamra S, Comenducci A, Drumez E, Meilhoc A, Pletan Y, Sari A, Toledano E, Grouin JM, Grotta JC; ACTISAVE Study Group. Glenzocimab Efficacy and Safety Added to Intravenous Thrombolysis With or Without Mechanical Thrombectomy in Patients With Acute Ischemic Stroke-ACTISAVE: A Prospective, Randomized, Double-Blind Study. Stroke. 2026 May;57(5):1116-1125. doi: 10.1161/STROKEAHA.125.052935. Epub 2026 Mar 16.
PubMed 42044230Pottecher J, Raffi F, Jandrot-Perrus M, Binay S, Comenducci A, Desort-Henin V, Francois D, Gharakhanian S, Labart M, Meilhoc A, Toledano E, Pletan Y, Avenard G, Sato VH; GARDEN Investigators. Targeting GPVI with glenzocimab in COVID-19 patients: Results from a randomized clinical trial. PLoS One. 2024 Jun 17;19(6):e0302897. doi: 10.1371/journal.pone.0302897. eCollection 2024.
PubMed 38885234
Study at a glance
From the registry record, last updated by the sponsor on 3 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double Blind, Multicenter, Multinational, Placebo Controlled, Parallel Group, Single Dose, Adaptive Efficacy and Safety Study of Glenzocimab Used as an add-on Therapy on Top of Standard of Care un the 4.5 Hours Following an Acute Ischemic Stroke
- ClinicalTrials.gov ID
- NCT05070260
- Acronym / sponsor ID
- ACTISAVE / ACT-CS-005
- Conditions
- Acute Ischemic Stroke
- Keywords
- Haemorrhages GPVI, Thrombolysis, Thrombectomy, Anti-platelet, glenzocimab, ACT017, stroke, GPVI
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 438 participants (actual)
- Lead sponsor
- Acticor BiotechIndustry (pharma, biotech, devices)
- Study start
- 23 Sep 2021 (actual)
- Primary completion
- 30 Apr 2024 (actual)
- Study completion
- 30 Apr 2024 (actual)
- First posted
- 7 Oct 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomized, double blind, multicenter, multinational, placebo controlled, parallel group, single dose, adaptive phase II/III study.
The study evaluates the efficacy and safety of a fixed dose of glenzocimab (1000 mg IV over 6 hrs including initial bolus of 15 minutes) on top of the best standard of care.
Detailed description
The study evaluates the efficacy and safety of a fixed dose of glenzocimab (1000 mg IV over 6 hrs including initial bolus of 15 minutes) on top of the best standard of care.
In all patients, the IVT should have been initiated prior to/at randomization, and in any case within 4.5 hrs post onset of acute ischemic stroke symptoms. IVT should mandatorily be used according to the approved dosing regimen as described in the product information/SmPC/USPI.
Eligible patients will be randomized and the infusion of glenzocimab or of its matching placebo should be administered as soon as possible but no later than two hours from the start of the thrombolytic agent administration. Transferring the patient to the catheterization room should not delay the Investigational Medicinal Product (IMP) administration.
Patients will be randomized in a 1:1 ratio allocation either to glenzocimab or placebo. Randomization will be minimized for factors as follows: (NIHSS <10 vs. ≥ 10), age group (<65, 65-79, ≥80 years), and type of thrombolytic agent (alteplase vs. tenecteplase) in order to balance each treatment group composition.
The allocation of each patient in all centers to an active treatment or placebo will strictly follow the central randomization scheme. Clinical supplies allocation to centers should provide the necessary material so that any eligible patient can receive the assigned treatment. A central randomization system (IRT - Interactive Response Technology) will be used to manage randomization/stratification and drug shipment. The whole process will be handled in a manner that it is blinded for the treatment received to all involved study personnel.
The IDMC will be composed of 5 independent members (at least 2 clinicians and 1 statistician).
IDMC members will process the information and will issue their recommendations as per the IDMC Charter.
One interim analysis after 100 patients recruited and treated is planned for safety evaluation only.
In case of any urgent safety concern, ad-hoc meetings will be triggered.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- A randomized, double blind, multicenter, multinational, placebo controlled, parallel group, single dose, adaptive phase II/III study (respectively Part 1 and 2).
| Arm | Type | Receives |
|---|---|---|
| Intravenous glenzocimab (ACT017) 1000 mg | Experimental | Drug: Intravenous glenzocimab (ACT017) 1000 mgIntravenous glenzocimab (ACT017) 1000 mg to be added to thrombolysis +/- mechanical thrombectomy |
| Intravenous Placebo | Placebo comparator | Drug: Intravenous PlaceboIntravenous Placebo to be added to thrombolysis +/- mechanical thrombectomy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Adult male or female patients ≥ 18 years (i.e., at least 18 years old at time of randomization)
- Having given their own written consent, or legal representative consent, and in any case, in strict accordance with country-specific legal requirements,
- Presenting with an acute disabling ischemic stroke either in the anterior or in posterior circulation, with or without visible occlusion, with a known time of onset, that is ≤ 4.5 hrs
- Presenting with a pre-IVT NIHSS ≥ 6
- In whom IVT is or has been initiated, whether or not patients are additionally eligible to mechanical thrombectomy (MT+ IVT), according to the recommendation of the last guidelines (ASA and ESO recommandations),
Key exclusion criteria (20 listed)
- Coma, or NIHSS >25,
- Patients < 18 years,
- Protected adults under guardianship or curatorship,
- Prior ischemic stroke within the past 3 months,
- mRS pre-stroke known to be ≥ 2,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intravenous glenzocimab (ACT017) 1000 mgAlso: Thrombolysis +/- thrombectomyAdd-on therapy to the standard of Care in the treatment of the acute ischemic stroke symptoms | Drug | Intravenous glenzocimab (ACT017) 1000 mg |
| Intravenous PlaceboAlso: Thrombolysis +/- thrombectomyAdd-on therapy to the standard of Care in the treatment of the acute ischemic stroke symptoms | Drug | Intravenous Placebo |
Primary outcome
Binary Poor Outcome on the mRS defined by a score of 4-6 (versions 0-3)
Time frame: Day 90
To show the efficacy of glenzocimab vs. placebo, on the "poor outcome" defined as a mRS score of 4-6 (vs 0-3) assessed at Day 90
74 secondary outcomes
Key Secondary Efficacy Endpoint - mRS
Time frame: Day 90
Mortality
Time frame: Day 90
mRS
Time frame: Day 90
mRS
Time frame: Day 90
Ordinal mRS
Time frame: Day 90
Utility Weighted mRS
Time frame: Day 90
All cause mortality
Time frame: 72 hours
ICHs
Time frame: 72 hours
Neurological Status Change as assessed by NIHSS value compared to pre-IVT value
Time frame: 24 hours
Recanalization rate
Time frame: Day 90
Cerebral tissue reperfusion
Time frame: Day 90
Infarct volume progression and hemorrhagic transformation
Time frame: 24 hrs
Measure of Quality of Life by EuroQol-5 Dimension-5 Level (EQ-5D-5L)
Time frame: Day 90
Incidence of Deaths
Time frame: Day 90
Incidence of Symptomatic intracranial hemorrhages
Time frame: 24 hours
Incidence of Non-symptomatic hemorrhages
Time frame: 24 hours
Incidence of Adverse Events, SAEs, bleeding-related events, and Treatment-Emergent Adverse Events (TEAEs)
Time frame: Day 90
Change in vital signs (Blood Pressure) at any visit or discharge as compared to Baseline
Time frame: 24 hours
Change in vital signs (Heart Rate) at any visit or discharge as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: RBC (Red Blood Cell Count) at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: RBC (Red Blood Cell Count) at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Hemoglobin at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Hemoglobin at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Hematocrit at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Hematocrit at 24 hours at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Mean Corpuscular Hemoglobin Volume (MCV) at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Mean Corpuscular Hemoglobin Volume (MCV) at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Mean corpuscular hemoglobin content (MCHC) at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Mean corpuscular hemoglobin content (MCHC) at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Corpuscular hemoglobin concentration (CHC) at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Corpuscular hemoglobin concentration (CHC) at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Leucocytes(/mm3) at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Leucocytes(/mm3) at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change in hematology assessments: Platelets x 10^9 /L at 24 hours as compared to Baseline
Time frame: 24 hours
Change in hematology assessments: Platelets x 10^9 /L at 24 hours at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change biochemistry assessments : SGPT (Sérum Glutamate Pyruvate Transaminase) at 24 hours as compared to Baseline
Time frame: 24 hours
Change biochemistry assessments : SGPT at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change biochemistry assessments : SGOT at 24 hours as compared to Baseline
Time frame: 24 hours
Change biochemistry assessments : SGOT at Day 7 or discharge as compared to Baseline
Time frame: Day 7
Change biochemistry assessments: LDH at 24 hours as compared to Baseline
Time frame: 24 hours
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jul 2024.
- Background: PubMed 31017822Voors-Pette C, Lebozec K, Dogterom P, Jullien L, Billiald P, Ferlan P, Renaud L, Favre-Bulle O, Avenard G, Machacek M, Pletan Y, Jandrot-Perrus M. Safety and Tolerability, Pharmacokinetics, and Pharmacodynamics of ACT017, an Antiplatelet GPVI (Glycoprotein VI) Fab. Arterioscler Thromb Vasc Biol. 2019 May;39(5):956-964. doi: 10.1161/ATVBAHA.118.312314.
- Background: PubMed 32500636Renaud L, Lebozec K, Voors-Pette C, Dogterom P, Billiald P, Jandrot Perrus M, Pletan Y, Machacek M. Population Pharmacokinetic/Pharmacodynamic Modeling of Glenzocimab (ACT017) a Glycoprotein VI Inhibitor of Collagen-Induced Platelet Aggregation. J Clin Pharmacol. 2020 Sep;60(9):1198-1208. doi: 10.1002/jcph.1616. Epub 2020 Jun 4.
- Derived from this study: PubMed 42044230Kohrmann M, Berrouschot J, Serena J, Bornstein NM, Iversen HK, Kalladka D, Krastev G, Molina CA, Peeters A, Sanak D, Sibon IP, Della Schiava L, Tembl JI, Masjuan J, Soda H, Richard S, Eichlova Z, Czap AL, Avenard G, Binay S, Bougamra S, Comenducci A, Drumez E, Meilhoc A, Pletan Y, Sari A, Toledano E, Grouin JM, Grotta JC; ACTISAVE Study Group. Glenzocimab Efficacy and Safety Added to Intravenous Thrombolysis With or Without Mechanical Thrombectomy in Patients With Acute Ischemic Stroke-ACTISAVE: A Prospective, Randomized, Double-Blind Study. Stroke. 2026 May;57(5):1116-1125. doi: 10.1161/STROKEAHA.125.052935. Epub 2026 Mar 16.
- Derived from this study: PubMed 38885234Pottecher J, Raffi F, Jandrot-Perrus M, Binay S, Comenducci A, Desort-Henin V, Francois D, Gharakhanian S, Labart M, Meilhoc A, Toledano E, Pletan Y, Avenard G, Sato VH; GARDEN Investigators. Targeting GPVI with glenzocimab in COVID-19 patients: Results from a randomized clinical trial. PLoS One. 2024 Jun 17;19(6):e0302897. doi: 10.1371/journal.pone.0302897. eCollection 2024.
- Quality and cost assessment of a recombinant antibody fragment produced from mammalian, yeast and prokaryotic host cells: A case study prior to pharmaceutical developmentLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andrea Comenducci, MD study director
Acticor Biotech
10 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Intravenous glenzocimab (ACT017) 1000 mg in people with Acute Ischemic Stroke, run by Acticor Biotech at 10 sites in 2 countries.
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 19 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 3 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in United States, Germany. 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 combined 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.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Binary Poor Outcome on the mRS defined by a score of 4-6 (versions 0-3) (time frame: Day 90). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05070260, which also lists 4 linked publications.
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 3 Jul 2024.