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Acute Ischemic StrokePhase 1NCT06447415

Safety, Tolerability, and Preliminary Efficacy of HRS-7450 Injection in the Treatment of Acute Ischemic Stroke: a Multi-center, Randomized, Double-blind, Double-dummy, Placebo-controlled Clinical Trial

A Phase 1 study testing HRS-7450 and 0.9% sodium chloride injection in people with Acute Ischemic Stroke, run by Fujian Shengdi Pharmaceutical Co., Ltd. at 1 site in China.

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

This study is a multi-center, randomized, double-blind, double-dummy, placebo-controlled, single dose escalation study aimed at evaluating the overall safety, tolerability, and preliminary efficacy of HRS-7450 in patients with acute ischemic stroke. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Acute Ischemic Stroke
What is being tested?
HRS-7450 and 0.9% sodium chloride injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteChina
Study dates
6 Aug 2024to 11 Jun 2025
Phase
Phase 1
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

  • Fully understand and voluntarily participate in this study, and sign an informed consent form (the informed consent form can be voluntarily signed by the individual or legal representative);
  • 18 ≤ Age ≤ 80 years old;
  • The onset time is within 4.5 to 24 hours, and medication can be completed within 24 hours of onset (onset time is defined as the patient's last normal time);
  • Clinically diagnosed as acute ischemic stroke (diagnosis follows the Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2023);
  • mRS score ≤ 2 before the first episode;
  • When screening, the National Institutes of Health Stroke Scale (NIHSS) scores from 3 to 25 (including both ends);
  • Female and male participants with fertility must agree to use efficient contraception measures from the signing of the informed consent form until one month after the last administration of the investigational drug, without a birth plan, and without donating sperm/eggs. (See "Contraceptive methods" in the attachment for details).

Who cannot join

  • Treatment with ateplase, teneplase, or other thrombolytic drugs;
  • Proposed endovascular treatment;
  • Intracranial hemorrhagic diseases;
  • Aortic arch dissection;
  • NIHSS awareness score 1a>2 points;
  • Epileptic seizures or neurological dysfunction after seizures, or combined with other neurological/psychiatric disorders leading to uncooperative or non cooperative physical examinations;
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  • Non enhanced CT shows a low-density shadow greater than one-third of the blood supply area of the middle cerebral artery or an ASPECT score of less than 6 points in the anterior circulation;
  • Previous history of intracranial hemorrhage;
  • Intracranial tumors, arteriovenous malformations, and giant aneurysms;
  • Acute occlusion of the internal carotid artery due to carotid artery dissection;
  • Multiple infarcts in areas supplied by multiple large blood vessels;
  • Have a history of ischemic stroke, severe traumatic brain injury, or intracranial or spinal surgery in the past month;
  • Gastrointestinal or urinary system bleeding within the past 2 weeks;
  • Major surgical procedures or severe injuries within the past 2 weeks;
  • Arterial puncture that is difficult to compress and stop bleeding within the past week;
  • Active visceral bleeding;
  • After actively reducing blood pressure, systolic blood pressure ≥ 180mmHg and/or diastolic blood pressure ≥ 100mmHg;
  • Screening period examination: Blood glucose<2.8 or>22.2mmol/L, platelet<100 * 109/L, other findings suggestive of a high risk of bleeding;
  • Within the past 3 months, acute ST segment elevation myocardial infarction (MI) and/or acute decompensated heart failure occurred, and/or QTc>520 milliseconds, and/or due to acute coronary syndrome MI、 Hospitalization or involuntary coronary intervention for cardiac arrest; Or New York Heart Association Grade III/IV heart failure; Or known to have ventricular tachycardia;
  • History of severe liver disease, or aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or glutamyltransferase (GGT) ≥ 3 x ULN and/or total bilirubin (TBIL) ≥ 2 x ULN.
  • Severe kidney disease with clinical significance, or eGFR<45mL/min/1.73 m2;
  • Subjects with known potential bleeding constitution or coagulation dysfunction;
  • Subjects with a known history of glucose-6-phosphate dehydrogenase deficiency or a family history;
  • Known to be allergic to any component of HRS-7450 or its formulations or placebo;
  • Received therapeutic or prophylactic doses of heparin treatment within 24 hours;
  • Oral coumarin anticoagulants with an international standardized ratio INR>2.7;
  • Use thrombin inhibitors, Xa factor inhibitors, or other anticoagulant drugs under study within48 hours;
  • Use platelet IIb/IIIa receptor inhibitors within 48 hours;
  • Pregnant women, or women of childbearing age who test positive for pregnancy, or those who are breastfeeding;
  • Participate in clinical studies of other drugs or devices within the first three months of the screening period (sign an informed consent form and receive treatment with the trial drug/device);
  • The terminal state of the disease, with an expected survival period of no more than 1 year;
  • Other situations where the researcher deems it inappropriate to participate in this experiment.

Trial locations and contacts

1 site in 1 country.

China1 site
  • The First Affiliated Hospital of Sun Yat sen University

    Guangzhou, Guangdong, 510062

Other trials in China

About this study

Official title: Safety, Tolerability, and Preliminary Efficacy of HRS-7450 Injection in the Treatment of Acute Ischemic Stroke: a Multi-center, Randomized, Double-blind, Double-dummy, Placebo-controlled, Single Dose Incremental Phase Ib Clinical Trial

This study is a multi-center, randomized, double-blind, double-dummy, placebo-controlled, single dose escalation study aimed at evaluating the overall safety, tolerability, and preliminary efficacy of HRS-7450 in patients with acute ischemic stroke.

Being tested
HRS-7450, 0.9% sodium chloride injection
Medical subject headings
Ischemic Stroke

What participants receive

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

  • HRS-7450Drug

    HRS-7450 Injection

  • 0.9% sodium chloride injectionDrug

    0.9% sodium chloride injection

Study groups in NCT06447415
Study groupRoleWhat they receive
HRS-7450ExperimentalNot described
Receives: Drug: HRS-7450
0.9% sodium chloride injectionPlacebo comparatorNot described
Receives: Drug: 0.9% sodium chloride injection

What is being measured

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

  1. Symptomatic Intracranial Hemorrhage within 36 hours after the start of administration, The incidence of sICH

    Measured: within 36 hours after the start of administration

Secondary outcomes (11)
  1. 7 day mortality rate after administration

    Measured: within 7days after the start of administration

  2. The incidence of sICH 7 days after administration

    Measured: within 7days after the start of administration

  3. The incidence of ICH 7 days after administration

    Measured: within 7days after the start of administration

  4. The incidence of systemic bleeding 7 days after administration

    Measured: within 7days after the start of administration

  5. Effective reperfusion rate measured by 24-hour PWI or CTP

    Measured: within 24 hours after the start of administration

  6. 24-hour MRA or CTA measurement of vascular reperfusion rate

    Measured: within 24 hours after the start of administration

  7. Infarct core volume measured by CT or MRI at 5-7 days

    Measured: within 5-7days after the start of administration

  8. 24-hour NIHSS score change

    Measured: within 24 hours after the start of administration

  9. 24-hour good response rate (NIHSS score reduction greater than 8 points, or NIHSS score 0-1)

    Measured: within 24 hours after the start of administration

  10. 7 day NIHSS score change

    Measured: within 7days after the start of administration

  11. 7 day good response rate (NIHSS score reduction greater than 8 points, or NIHSS score 0-1)

    Measured: within 7days after the start of administration

Timeline

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

  1. First posted7 Jun 2024
  2. Study start6 Aug 2024
  3. Primary completion18 Mar 2025
  4. Study completion11 Jun 2025

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multi-center, randomized, double-blind and double simulated, placebo controlled, single dose escalation
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06447415
Sponsor's protocol ID
HRS-7450-102
Status last verified
Sep 2025
First submitted
3 Jun 2024
Last updated
29 Sep 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HRS-7450 and 0.9% sodium chloride injection in people with Acute Ischemic Stroke, run by Fujian Shengdi 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 7 inclusion and 32 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 29 Sep 2025. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Symptomatic Intracranial Hemorrhage within 36 hours after the start of administration, The incidence of sICH (time frame: within 36 hours after the start of administration). 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 29 Sep 2025.

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