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NCT01268683: GAMES-PILOT

Glyburide Advantage in Malignant Edema and Stroke Pilot

Completed Phase 1, PHASE2 Results posted Last updated 22 November 2024
What this trial tests

Phase 1, PHASE2 trial testing Glyburide for Injection in Ischemic Stroke in 10 participants. Completed in 7 June 2012.

Timeline
26 May 2011
Primary endpoint
7 June 2012
7 June 2012

Quick facts

Lead sponsorRemedy Pharmaceuticals, Inc.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date26 May 2011
Primary completion7 June 2012
Estimated completion7 June 2012
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Remedy Pharmaceuticals, Inc. — full company profile →

Who can join

Adults 18 to 80, any sex, with Ischemic Stroke. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Rate of Enrollment Primary · Day 1

The number of months to enroll 10 participants.

GroupValue95% CI
RP-1127 (Glyburide for Injection)9.6
Percentage of Enrolled Participants to Screened Participants Primary · Day 1
GroupValue95% CI
RP-1127 (Glyburide for Injection)5.7
Percentage of Participants Completing 90-Day Follow-Up Primary · Day 90
GroupValue95% CI
RP-1127 (Glyburide for Injection)80
Percentage of Dose Reductions/ Dose Suspensions Primary · Up to Day 3
GroupValue95% CI
RP-1127 (Glyburide for Injection)0
Percentage of Participants With All Four MRI Assessments Per Protocol Primary · Up to Day 3
GroupValue95% CI
RP-1127 (Glyburide for Injection)90
Number of MRI Assessments Per Participant Primary · Up to Day 3
GroupValue95% CI
RP-1127 (Glyburide for Injection)3.93 – 4
Percentage of Participants Requiring One or More Hypoglycemia Treatments Primary · Up to Day 4
GroupValue95% CI
RP-1127 (Glyburide for Injection)0
Percentage of Participants With Pre-specified Adverse Events Associated With Glyburide According to Protocol Primary · Up to Day 4
GroupValue95% CI
RP-1127 (Glyburide for Injection)0
Number of Participants With Adverse Events and Serious Adverse Events Secondary · Up to Day 90

Adverse Events (AE's) of special interest (cardiac events, difficulty controlling blood sugar, liver problems, and blood disorders, including anemia) will be followed for 30 days and all Severe Adverse Events (SAE's) will be followed for 90 days. SAE's and AE's were reviewed, and the number of participants with unanticipated adverse events, or drug-related SAE's were assessed.

Adverse Events
GroupValue95% CI
RP-1127 (Glyburide for Injection)10
Serious Adverse Events
GroupValue95% CI
RP-1127 (Glyburide for Injection)3
Infarcted Hemisphere Volume Secondary · Baseline, Day 1, Day 2, and Day 3
Baseline
GroupValue95% CI
RP-1127 (Glyburide for Injection)135.20± 27.19
Day 1
GroupValue95% CI
RP-1127 (Glyburide for Injection)156.78± 35.09
Day 2
GroupValue95% CI
RP-1127 (Glyburide for Injection)165.38± 34.17
Day 3
GroupValue95% CI
RP-1127 (Glyburide for Injection)181.71± 33.90
Absolute Diffusion Weighted Imaging (DWI) Lesion Volume Secondary · Baseline, Day 1, Day 2, and Day 3
Baseline
GroupValue95% CI
RP-1127 (Glyburide for Injection)101.76± 22.57
Day 1
GroupValue95% CI
RP-1127 (Glyburide for Injection)141.62± 44.05
Day 2
GroupValue95% CI
RP-1127 (Glyburide for Injection)152.31± 49.26
Day 3
GroupValue95% CI
RP-1127 (Glyburide for Injection)169.73± 54.28
Change From Baseline in DWI Lesion Volume Secondary · Baseline, Day 1, Day 2, and Day 3 (Day 3 reported)
GroupValue95% CI
RP-1127 (Glyburide for Injection)60.30± 41.37

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 90 Days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RP-1127 (Glyburide for Injection)
Serious: 3/10 (30%)
Deaths: 1/10

Serious adverse events (5 terms)

ReactionSystemRP-1127 (Glyburide for Inj…
Brain herniationNervous system disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Cerebrovascular accidentNervous system disorders
DehydrationMetabolism and nutrition disorders
HypotensionVascular disorders
Other adverse events (44 terms — click to expand)

ReactionSystemRP-1127 (Glyburide for Inj…
HypomagnesemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
PainGeneral disorders
AnxietyPsychiatric disorders
HypophosphatemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
AgitationNervous system disorders
HyponatremiaMetabolism and nutrition disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
BronchospasmRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
HypertensionVascular disorders
Fluid overloadMetabolism and nutrition disorders
Cerebral haemorrhageNervous system disorders
Brain herniationNervous system disorders
Alcohol withdrawal syndromePsychiatric disorders
Staphylococcal bacteraemiaInfections and infestations
DepressionPsychiatric disorders
Blood glucose decreasedInvestigations
Dry eyesEye disorders
Dry mouthGastrointestinal disorders
DysphagiaGastrointestinal disorders
HeadacheNervous system disorders
HyperkalemiaMetabolism and nutrition disorders
HypercalcaemiaEndocrine disorders
InsomniaNervous system disorders
MalnutritionMetabolism and nutrition disorders
Acute pulmonary oedemaRespiratory, thoracic and mediastinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Transaminase increasedInvestigations
HypovitaminosisMetabolism and nutrition disorders
AgitationPsychiatric disorders
Acute myocardial infarctionCardiac disorders
Vision blurredNervous system disorders
Renal failure chronicRenal and urinary disorders
Open woundInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders

Most-reported serious reactions: Brain herniation, Respiratory failure, Cerebrovascular accident, Dehydration, Hypotension.

Data from ClinicalTrials.gov NCT01268683 adverse events section.

Sponsor's own description

The primary objective of this study is to assess the feasibility of enrolling, evaluating, and treating with glyburide for injection severe anterior circulation ischemic stroke participants, whether or not treated with standard of care intravenous (IV) recombinant tissue plasminogen activator (rtPA). Participants must be between 18-80 years of age, must have a baseline diffusion weighted image (DWI) lesion volume 82 -210 centimeters cubed (cm3), and time from symptom onset to start of study infusion must be ≤10 hour(hr). The secondary objectives are to assess the initial safety and tolerability, and pharmacokinetics (PK) /pharmacodynamics (PD) of glyburide in severe stroke participants, as well as to compare the clinical and magnetic resonance imaging (MRI) outcome data to benchmark data derived from published literature.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Inflammasomes in neuroinflammatory and neurodegenerative diseases.
    Voet S, Srinivasan S, Lamkanfi M, van Loo G. · · 2019 · cited 548× · PMID 31015277 · DOI 10.15252/emmm.201810248
  2. Pharmacotherapy of traumatic brain injury: state of the science and the road forward: report of the Department of Defense Neurotrauma Pharmacology Workgroup.
    Diaz-Arrastia R, Kochanek PM, Bergold P, Kenney K, et al · · 2014 · cited 205× · PMID 23968241 · DOI 10.1089/neu.2013.3019
  3. Sulfonylurea receptor 1 in central nervous system injury: a focused review.
    Simard JM, Woo SK, Schwartzbauer GT, Gerzanich V. · · 2012 · cited 146× · PMID 22714048 · DOI 10.1038/jcbfm.2012.91
  4. Novel treatment targets for cerebral edema.
    Walcott BP, Kahle KT, Simard JM. · · 2012 · cited 100× · PMID 22125096 · DOI 10.1007/s13311-011-0087-4
  5. Pilot study of intravenous glyburide in patients with a large ischemic stroke.
    Sheth KN, Kimberly WT, Elm JJ, Kent TA, et al · · 2014 · cited 77× · PMID 24193798 · DOI 10.1161/strokeaha.113.003352
  6. Glyburide is associated with attenuated vasogenic edema in stroke patients.
    Kimberly WT, Battey TW, Pham L, Wu O, et al · · 2014 · cited 76× · PMID 24072459 · DOI 10.1007/s12028-013-9917-z
  7. Cerebral edema after ischemic stroke: Pathophysiology and underlying mechanisms.
    Gu Y, Zhou C, Piao Z, Yuan H, et al · · 2022 · cited 69× · PMID 36061592 · DOI 10.3389/fnins.2022.988283
  8. Disruption of ion homeostasis in the neurogliovascular unit underlies the pathogenesis of ischemic cerebral edema.
    Khanna A, Kahle KT, Walcott BP, Gerzanich V, et al · · 2014 · cited 69× · PMID 24323726 · DOI 10.1007/s12975-013-0307-9

Verify or expand the search:

Other trials of Glyburide for Injection

Trials testing the same drug.

Other recruiting trials for Ischemic Stroke

Currently open trials in the same condition.

Other Remedy Pharmaceuticals, Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01268683.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing