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Subjects With Cerebral HemorrhagePhase 2NCT05953103

Evaluate the Efficacy and Safety of Different Doses of Edaravone Dexborneol Concentrated Solution for Injection Combined With Conventional Medical Therapy in the Treatment of Patients With Cerebral Hemorrhage

A Phase 2 study of Subjects With Cerebral Hemorrhage, run by Simcere Pharmaceutical Co., Ltd at 1 site in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The SIM0355-201 trial is a multicenter, randomized, double-blind, placebo-controlled exploratory clinical trial with the main study objective of evaluating the safety and tolerability of different doses of Edaravone Dexborneol concentrate injection (Sanbexin IV) combined with conventional medical therapy in patients… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Subjects With Cerebral Hemorrhage
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteChina
Study dates
3 Jul 2023to 2 Apr 2025
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

  • the subject himself or her legal representative has signed the informed consent form;
  • aged ≥ 18 years and ≤ 80 years, male or female;
  • clinical diagnosis of cerebral hemorrhage, in line with the Chinese Medical Association Neurology Score issued by the "Key Points in the Diagnosis of Various Major Cerebrovascular Diseases in China 2019" cerebral hemorrhage diagnostic criteria [1];
  • the bleeding center site is located in the basal ganglia;
  • intracranial hematoma volume ≤ 30 ml;
  • NIHSS score at enrollment total score ≥ 6 points and ≤ 20 points, and the sum of items 5 and 6 ≥ 2 points;
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  • coma degree is mild to moderate, Glasgow Coma Scale (GCS) ≥ 9 points;
  • the time from the onset of this stroke to the start of study treatment is 6 to 24 hours (subjects who sign the informed consent form should receive study treatment as soon as possible, some subjects meet the criteria during the screening period, more than 24 hours when starting study treatment, this patient should terminate the study treatment);
  • mRS score of 0 or 1 before onset.

Who cannot join

  • allergic to edaravone, dextromethorphan or contained excipients;
  • stroke within the past 3 months;
  • other concomitant sites of hematoma volume > 5ml, or the need for external ventricular drainage of patients with intraventricular hemorrhage;
  • patients with obstructive hydrocephalus;
  • drugs, vascular structural damage or coagulation disorders caused by cerebral hemorrhage;
  • vital signs unstable, suspected cerebral hernia, deep coma or anisocoria and other critical manifestations;
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  • after this onset has been applied edaravone or dextromethorphan components (such as edaravone injection, Angong Niuhuang pills, Xingnaojing, etc.) of drugs, or has applied a total of more than 2 times the daily recommended dose of the instructions of the following drugs: citicoline, oxiracetam, piracetam, ulinastatin;
  • planned surgical evacuation of hematoma, including: craniotomy hematoma evacuation, minimally invasive surgery and decompressive craniectomy;
  • ALT or AST > 2.0 × ULN or previously known liver disease, such as acute hepatitis, chronic active hepatitis, cirrhosis, etc., previously known kidney disease, renal insufficiency, serum creatinine > 1.5 × ULN or creatinine clearance < 50 mL/min;
  • Suffering from other bleeding disorders, such as thrombocytopenic purpura, bleeding tendency caused by vascular injury, hemophilia and other coagulation disorders, gastrointestinal ulcers, urinary tract bleeding, hemoptysis, etc.;
  • Presence of severe, progressive, or uncontrolled symptoms of renal, hepatic, hematological, gastrointestinal, pulmonary, cardiovascular, neurological, or cerebral disease that, in the opinion of the investigator, place the subject at unacceptable risk by participating in this study;
  • With severe active bacterial or viral infection;
  • Concurrent malignancy or ongoing anti-tumor therapy;
  • With severe systemic disease, expected survival < 90 days;
  • Patients with severe mental disorders and dementia;
  • Patients who are pregnant, lactating and planning pregnancy;
  • Reasons for other investigators' unsuitability to participate in this trial.

Trial locations and contacts

1 site in 1 country.

China1 site
  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou, Guangdong, 510080

Other trials in China

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial to Evaluate the Efficacy and Safety of Different Doses of Edaravone Dexborneol Concentrated Solution for Injection Combined With Conventional Medical Therapy in the Treatment of Patients With Cerebral Hemorrhage

The SIM0355-201 trial is a multicenter, randomized, double-blind, placebo-controlled exploratory clinical trial with the main study objective of evaluating the safety and tolerability of different doses of Edaravone Dexborneol concentrate injection (Sanbexin IV) combined with conventional medical therapy in patients with intracerebral hemorrhage (ICH). The subject had a clinical diagnosis of ICH, within 6-24 hours from stroke onset to start of study treatment, with the bleeding site in basal ganglia and a hematoma volume ≤ 30 ml at the bleeding site. The trial was divided into two periods (Period A and Period B), with Period A being a dose escalation period divided into two dose levels: the first dose level group (Dose 1 group: Sanbexin IV 37.5 mg; placebo group) and the second dose level group (Dose 2 group: Sanbexin IV 62.5 mg; placebo group). Period B is the expansion phase, where the sample size is increased based on the optimal dose selected in Phase A to observe efficacy and safety.

Read the detailed description

The SIM0355-201 trial is a multicenter, randomized, double-blind, placebo-controlled exploratory clinical trial with the main study objective of evaluating the safety and tolerability of different doses of Edaravone Dexborneol concentrate injection (Sanbexin IV) combined with conventional medical therapy in patients with intracerebral hemorrhage (ICH). The subject had a clinical diagnosis of ICH, within 6-24 hours from stroke onset to start of study treatment, with the bleeding site in basal ganglia and a hematoma volume ≤ 30 ml at the bleeding site. The trial was divided into two periods (Period A and Period B), with Period A being a dose escalation period divided into two dose levels: the first dose level group (Dose 1 group: Sanbexin IV 37.5 mg; placebo group) and the second dose level group (Dose 2 group: Sanbexin IV 62.5 mg; placebo group). Safety was assessed unblinding after the end of study treatment for all subjects in the first dose level group and escalated to the second dose level if the "safe dose" criterion was met, otherwise the trial was terminated; safety was assessed unblinding after the end of study treatment for all subjects in the second dose level group and the 62.5 mg dose level was selected to enter Stage B if the "safe dose" criterion was met, otherwise the 37.5 mg dose level was selected to enter Stage B. Period B is the expansion phase, where the sample size is increased based on the optimal dose selected in Phase A to observe efficacy and safety.

Being tested
Sanbexin IV/Placebo

What participants receive

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

  • Sanbexin IV/PlaceboDrug

    Sanbexin/Placebo

Study groups in NCT05953103
Study groupRoleWhat they receive
Sanbexin IVExperimentalSanbexin IV 37.5 mg (edaravone 30 mg + dexborneol 7.5 mg), intravenous, twice daily, for 14 consecutive days
Receives: Drug: Sanbexin IV/Placebo
PlaceboPlacebo comparatorSanbexin mimetic agent, intravenous, twice daily, for 14 consecutive days
Receives: Drug: Sanbexin IV/Placebo

What is being measured

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

  1. Incidence of serious adverse events (SAEs) up to 90 days after the first dose of treatment

    Measured: up to 90 days after the first dose of treatment

Secondary outcomes (16)
  1. Incidence of deaths up to 90 days after the first dose of treatment

    Measured: up to 90 days after the first dose of treatment

  2. Proportion of subjects with AEs, AEs leading to dose interruption or discontinuation, AEs related to study drug, AEs of special interest (AESls), and with abnormal vital signs, abnormal physical examination findings and abnormal laboratory tests results

    Measured: up to 90 days after the first dose of treatment

  3. Proportion of subjects with modified Rankin Score (mRS) 0-2, which assesses the degree of disability or dependence in daily activities, with scores ranging from 0 (no symptoms) to 6 (death), at 90 days after the first dose of treatment

    Measured: at 90 days after the first dose of treatment

  4. Proportion of subjects with modified Rankin Score (mRS) 0-1, which assesses the degree of disability or dependence in daily activities, with scores ranging from 0 (no symptoms) to 6 (death), at 90 days after the first dose of treatment

    Measured: at 90 days after the first dose of treatment

  5. Distribution of subjects with modified Rankin Score (mRS), which assesses the degree of disability or dependence in daily activities, with scores ranging from 0 (no symptoms) to 6 (death), at 14, 30, 90 days after the first dose of treatment

    Measured: at 14, 30, 90 days after the first dose of treatment

  6. Distribution of subjects with Glasgow Outcome Score (GOS), which measures functional outcome, with scores ranging from I (Dead) to V (Good Recovery), at 14, 30, 90 days after the first dose of treatment

    Measured: at 14, 30, 90 days after the first dose of treatment

  7. Change from baseline in National Institutes of Health Stroke Scale (NIHSS), which quantifies the impairment caused by a stroke, with scores ranging from 0 (no stroke symptoms) to 42 (the most severe stroke)

    Measured: at 14, 30, 90 days after the first dose of treatment

  8. Proportion of subjects with National Institutes of Health Stroke Scale (NIHSS) 0-2, which quantifies the impairment caused by a stroke, with scores ranging from 0 (no stroke symptoms) to 42 (the most severe stroke)

    Measured: at 14, 30, 90 days after the first dose of treatment

  9. Proportion of subjects with Barthel index (BI), which measures a person's ability to complete activities of daily, with scores ranging from 0 (fully dependent) to 20 (fully independent), at 90 days after the first dose of treatment

    Measured: at 90 days after the first dose of treatment

  10. Imaging endpoints:Change from baseline in perihematomal edema volume (PHEv) and hematoma volume (HV) in milliliters

    Measured: at 3, 7, 14 days after the first dose of treatment

  11. Imaging endpoints:Change from baseline in edema extension distance (EED) in millimetres c) Change from baseline in relative perihematomal edema (PHEv/Hv) in odds ratio

    Measured: at 3, 7, 14 days after the first dose of treatment

  12. Imaging endpoints: Change from baseline in relative perihematomal edema (PHEv/Hv) in odds ratio

    Measured: at 3, 7, 14 days after the first dose of treatment

  13. Plasma pharmacokinetic endpoints: Cmax: maximum observed plasma concentration for edaravone and dexborneol

    Measured: 1 hour pre-dose and 1, 2 hour post-dose at 3, 14 days after the first dose of treatment

  14. Plasma pharmacokinetic endpoints: Tmax: time to reach the maximum plasma concentration (Cmax) for edaravone and dexborneol

    Measured: 1 hour pre-dose and 1, 2 hour post-dose at 3, 14 days after the first dose of treatment

  15. Plasma pharmacokinetic endpoints: AUC(0-inf): area under the plasma concentration-time curve from time 0 to infinity for edaravone and dexborneol

    Measured: 1 hour pre-dose and 1, 2 hour post-dose at 3, 14 days after the first dose of treatment

  16. Plasma biomarker endpoints: a) Change from baseline in white blood cell count (WBC) in 109/L; b) Change from baseline in C-reactive protein (CRP), Thioredoxin (TRX) and matrix metalloproteinases (MMP) in mg/L

    Measured: at 3, 7, 14 days after the first dose of treatment

Timeline

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

  1. First posted19 Jul 2023
  2. Study start3 Jul 2023
  3. Primary completion2 Apr 2025
  4. Study completion2 Apr 2025

Why it stopped: This study was terminated after completing the first dose level of Sanbenxin 37.5 mg due to the decision made by the sponsor that a new clinical development program for the new form of sublingual tablets would replace the existing plan.

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
Initially, 40 participants were enrolled with a 3:1 randomization ratio (30 to the Sanbexin IV group; 10 to the Placebo group). However, the sponsor considered that the placebo group size was insufficient for accurate safety assessment of the investigational drug. Consequently, 20 additional participants were added, revising the randomization ratio to 1:1. Ultimately, the study included 50 participants in the Sanbexin IV group and 30 in the Placebo group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05953103
Sponsor's protocol ID
SIM0355-201
Status last verified
Mar 2026
First submitted
24 Jun 2023
Last updated
6 Apr 2026
Results posted
No
Data monitoring committee
No
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 of Subjects With Cerebral Hemorrhage, run by Simcere Pharmaceutical Co., Ltd at 1 site in China.

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 9 inclusion and 17 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: stopped early, as of the sponsor's last update on 6 Apr 2026. 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 China. 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 was stopped early (reason given: This study was terminated after completing the first dose level of Sanbenxin 37.5 mg due to the decision made by the sponsor that a new clinical development program for the new form of sublingual tablets would replace the existing plan.). Results are not available in the source record.

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?

Incidence of serious adverse events (SAEs) up to 90 days after the first dose of treatment (time frame: up to 90 days after the first dose of treatment). 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 6 Apr 2026.

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