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Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema Following Large Hemispheric Infarction (CHARM)

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ClinicalTrials.gov Identifier: NCT02864953
Recruitment Status : Terminated (Early completed to operational challenges and other strategic considerations, not for efficacy or safety reasons)
First Posted : August 12, 2016
Results First Posted : January 9, 2024
Last Update Posted : April 30, 2024
Sponsor:
Information provided by (Responsible Party):
Remedy Pharmaceuticals, Inc.

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Conditions Brain Edema
Stroke, Acute
Interventions Drug: BIIB093
Drug: Placebo
Enrollment 535
Recruitment Details Participants were enrolled at investigative sites in the United States, Brazil, China, Spain, Japan, Australia, Portugal, Germany, United Kingdom, Finland, Canada, Israel, France, Taiwan, Hungary, Czech Republic, Italy, Belgium, Lithuania, Russia and South Korea from 29 August 2018 to 18 August 2023.
Pre-assignment Details A total of 535 participants were enrolled and randomised, out of which 518 participants were dosed with BIIB093 or a matching placebo.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description Participants were administered with BIIB093 matching placebo as an intravenous (IV) bolus on Day 1 followed by a continuous IV infusion for over 72 hours. Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Period Title: Overall Study
Started 268 267
Completed 215 213
Not Completed 53 54
Reason Not Completed
Adverse Event             22             19
Withdrawal by Subject             1             0
Physician Decision             4             2
Death             3             13
Reason not specified             14             12
Withdrew Prior to Dosing             9             8
Arm/Group Title Placebo BIIB093 Total
Hide Arm/Group Description Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours. Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours. Total of all reporting groups
Overall Number of Baseline Participants 268 267 535
Hide Baseline Analysis Population Description
The Intent-to-treat (ITT) population included all randomized participants.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 268 participants 267 participants 535 participants
61.6  (10.81) 60.5  (11.17) 61.1  (11)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 268 participants 267 participants 535 participants
Female
104
  38.8%
98
  36.7%
202
  37.8%
Male
164
  61.2%
169
  63.3%
333
  62.2%
Race/Ethnicity, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Ethnicity Number Analyzed 268 participants 267 participants 535 participants
Missing
1
   0.4%
2
   0.7%
3
   0.6%
Hispanic or Latino
36
  13.4%
41
  15.4%
77
  14.4%
Not Hispanic or Latino
228
  85.1%
223
  83.5%
451
  84.3%
Not reported
3
   1.1%
1
   0.4%
4
   0.7%
Race/Ethnicity, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Race Number Analyzed 268 participants 267 participants 535 participants
Missing
3
   1.1%
2
   0.7%
5
   0.9%
American Indian or Alaska Native
1
   0.4%
1
   0.4%
2
   0.4%
Asian
53
  19.8%
51
  19.1%
104
  19.4%
Black or African American
21
   7.8%
19
   7.1%
40
   7.5%
Native Hawaiian or Other Pacific Islander
2
   0.7%
0
   0.0%
2
   0.4%
White
173
  64.6%
177
  66.3%
350
  65.4%
Not reported due to confidentiality regulations
3
   1.1%
1
   0.4%
4
   0.7%
Other
12
   4.5%
16
   6.0%
28
   5.2%
1.Primary Outcome
Title Part 1: Percentage of Participants With Improvement in Functional Outcome at Day 90 Assessed Via the Modified Rankin Scale (mRS)
Hide Description The mRS measures the degree of functional independence following stroke. In this study, 7-category ordinal mRS scale was condensed to the following 5-categories: 0/1, 2, 3, 4, 5/6 where 0 and 1 reflect no disability and near-normal functioning while 5 and 6 represent severe disability and death, respectively.
Time Frame Day 90
Hide Outcome Measure Data
Hide Analysis Population Description
The modified intent to treat (mITT) population included participants aged 18 to 70 years (inclusive) at the time of randomization, who had received any study drug, and who had at least 1 post-baseline mRS before or at Day 90 visit. Here, 'Overall number of participants analyzed' signifies the number of participants with data available for outcome measure analysis.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description:
Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours.
Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Overall Number of Participants Analyzed 214 217
Measure Type: Number
Unit of Measure: percentage of participants
Score: 0/1 1.4 3.2
Score: 2 2.8 5.1
Score: 3 12.6 12.0
Score: 4 25.2 23.5
Score: 5/6 57.9 56.2
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, BIIB093
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =0.4150
Comments P-value was analyzed by ordinal logistic regression adjusting for covariates: region, and IRT stratification factors including rtPA usage (yes/no), thrombectomy usage (yes/no), use of ASPECTS for screening (yes/no), baseline NIHSS (<=20 vs. >20).
Method Regression, Logistic
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.17
Confidence Interval (2-Sided) 95%
0.80 to 1.71
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Part 1: Time to All-Cause Death Through Day 90
Hide Description Time to all-cause death is defined as the time from randomization to the time of death.
Time Frame Randomization up to Day 90
Hide Outcome Measure Data
Hide Analysis Population Description
The mITT population included participants aged 18 to 70 years (inclusive) at the time of randomization, who received any study drug, and who had at least 1 post-baseline mRS before or at the Day 90 visit. Here, 'Overall number of participants analyzed' signifies number of participants with data available for outcome measure analysis.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description:
Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours.
Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Overall Number of Participants Analyzed 214 217
Median (Inter-Quartile Range)
Unit of Measure: days
NA [1] 
(37 to NA)
NA [1] 
(18 to NA)
[1]
Median and upper limit of inter quartile range were not reached due to insufficient number of participants with events.
3.Secondary Outcome
Title Part 1: Percentage of Participants Who Achieved mRS 0-4 at Day 90
Hide Description The mRS measures the degree of functional independence following stroke. In this study, the 7-category ordinal mRS scale was condensed to the following 5-categories: 0/1, 2, 3, 4, 5/6 where 0 and 1 reflect no disability and near-normal functioning while 5 and 6 represent severe disability and death, respectively.
Time Frame Day 90
Hide Outcome Measure Data
Hide Analysis Population Description
The mITT population included participants aged 18 to 70 years (inclusive) at the time of randomization, who received any study drug, and who had at least 1 post-baseline mRS before or at the Day 90 visit. Here, 'Overall number of participants analyzed' signifies number of participants with data available for outcome measure analysis.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description:
Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours.
Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Overall Number of Participants Analyzed 214 217
Measure Type: Number
Unit of Measure: percentage of participants
41.6 42.9
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, BIIB093
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =0.7413
Comments A logistic regression model was used to estimate an odds ratio (and 95% CI) of improvement on the mRS dichotomized as 0-4 vs. 5-6 at Day 90.
Method Regression, Logistic
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.07
Confidence Interval (2-Sided) 95%
0.72 to 1.60
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Part 1: Midline Shift at 72 Hours as Assessed by Non-contrast Computed Tomography (NCCT) or Magnetic Resonance Imaging (MRI)
Hide Description Midline shift is the perpendicular distance between the septum pellucidum and the line drawn between the anterior and posterior attachments of the falx to the inner table of the skull.
Time Frame At 72 hours
Hide Outcome Measure Data
Hide Analysis Population Description
The mITT population included participants aged 18 to 70 years (inclusive) at the time of randomization, who received any study drug, and who had at least 1 post-baseline mRS before or at the Day 90 visit. Here, 'Overall number of participants analyzed' signifies the number of participants with data available for outcome measure analysis.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description:
Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours.
Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Overall Number of Participants Analyzed 150 155
Mean (Standard Deviation)
Unit of Measure: millimeters (mm)
6.32  (4.760) 7.02  (4.565)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, BIIB093
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =0.1242
Comments Analysis of Variance (ANOVA) was used to compare the two study arms to assess the treatment effects on midline shift.
Method ANOVA
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.82
Confidence Interval (2-Sided) 95%
-0.23 to 1.87
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Part 1: Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Hide Description An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A SAE is any untoward medical occurrence that at any dose results in death, life-threatening event, requires inpatient hospitalization, significant disability/incapacity or congenital anomaly.
Time Frame From the signing of informed consent up to the last follow-up visit (up to 4 years 11 months)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety population included all participants who were enrolled and had received any portion of the infusion of study treatment (placebo or BIIB093). Here, 'Overall number of participants analyzed' signifies the number of participants with data available for outcome measure analysis.
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description:
Participants were administered with BIIB093 matching placebo as an IV bolus on Day 1 followed by a continuous IV infusion for over 72 hours.
Participants were administered with BIIB093 as an IV bolus on Day 1 followed by continuous IV infusion for over 72 hours.
Overall Number of Participants Analyzed 259 259
Measure Type: Number
Unit of Measure: percentage of participants
AEs 95.4 97.3
SAEs 68.3 76.8
Time Frame From the signing of informed consent up to the last follow-up visit (up to 4 years 11 months)
Adverse Event Reporting Description The safety population included all participants who were enrolled and had received any portion of the infusion of study treatment (placebo or BIIB093).
 
Arm/Group Title Placebo BIIB093
Hide Arm/Group Description Participants were administered with BIIB093 matching placebo as an IV bolus followed by a continuous IV infusion for over 72 hours. Participants were administered with BIIB093 as an IV bolus followed by continuous IV infusion for over 72 hours.
All-Cause Mortality
Placebo BIIB093
Affected / at Risk (%) Affected / at Risk (%)
Total   97/259 (37.45%)   103/259 (39.77%) 
Hide Serious Adverse Events
Placebo BIIB093
Affected / at Risk (%) Affected / at Risk (%)
Total   177/259 (68.34%)   199/259 (76.83%) 
Blood and lymphatic system disorders     
Anaemia  1  3/259 (1.16%)  2/259 (0.77%) 
Blood loss anaemia  1  1/259 (0.39%)  0/259 (0.00%) 
Disseminated intravascular coagulation  1  0/259 (0.00%)  1/259 (0.39%) 
Neutropenia  1  1/259 (0.39%)  0/259 (0.00%) 
Cardiac disorders     
Acute coronary syndrome  1  1/259 (0.39%)  0/259 (0.00%) 
Acute myocardial infarction  1  2/259 (0.77%)  1/259 (0.39%) 
Atrial fibrillation  1  4/259 (1.54%)  2/259 (0.77%) 
Atrial flutter  1  1/259 (0.39%)  0/259 (0.00%) 
Bradycardia  1  1/259 (0.39%)  1/259 (0.39%) 
Cardiac arrest  1  5/259 (1.93%)  5/259 (1.93%) 
Cardiac failure  1  2/259 (0.77%)  1/259 (0.39%) 
Cardiac failure congestive  1  2/259 (0.77%)  0/259 (0.00%) 
Cardiac ventricular thrombosis  1  0/259 (0.00%)  2/259 (0.77%) 
Cardio-respiratory arrest  1  2/259 (0.77%)  1/259 (0.39%) 
Cardiogenic shock  1  1/259 (0.39%)  1/259 (0.39%) 
Cardiomyopathy  1  1/259 (0.39%)  0/259 (0.00%) 
Cardiopulmonary failure  1  1/259 (0.39%)  2/259 (0.77%) 
Dilated cardiomyopathy  1  1/259 (0.39%)  0/259 (0.00%) 
Myocardial infarction  1  1/259 (0.39%)  1/259 (0.39%) 
Myocardial ischaemia  1  1/259 (0.39%)  0/259 (0.00%) 
Pericardial effusion  1  1/259 (0.39%)  0/259 (0.00%) 
Sinus tachycardia  1  0/259 (0.00%)  1/259 (0.39%) 
Tachycardia paroxysmal  1  0/259 (0.00%)  1/259 (0.39%) 
Ventricular fibrillation  1  1/259 (0.39%)  1/259 (0.39%) 
Ventricular tachycardia  1  2/259 (0.77%)  0/259 (0.00%) 
Congenital, familial and genetic disorders     
Atrial septal defect  1  1/259 (0.39%)  0/259 (0.00%) 
Endocrine disorders     
Diabetes insipidus  1  1/259 (0.39%)  1/259 (0.39%) 
Inappropriate antidiuretic hormone secretion  1  0/259 (0.00%)  1/259 (0.39%) 
Gastrointestinal disorders     
Ascites  1  0/259 (0.00%)  1/259 (0.39%) 
Colitis ulcerative  1  1/259 (0.39%)  0/259 (0.00%) 
Constipation  1  0/259 (0.00%)  1/259 (0.39%) 
Dysphagia  1  1/259 (0.39%)  2/259 (0.77%) 
Gastritis  1  0/259 (0.00%)  1/259 (0.39%) 
Ileus  1  1/259 (0.39%)  1/259 (0.39%) 
Pelvic floor hernia  1  0/259 (0.00%)  1/259 (0.39%) 
Retroperitoneal haematoma  1  0/259 (0.00%)  1/259 (0.39%) 
General disorders     
Cardiac death  1  1/259 (0.39%)  0/259 (0.00%) 
Chest pain  1  2/259 (0.77%)  1/259 (0.39%) 
Death  1  2/259 (0.77%)  3/259 (1.16%) 
Malaise  1  0/259 (0.00%)  1/259 (0.39%) 
Multiple organ dysfunction syndrome  1  1/259 (0.39%)  1/259 (0.39%) 
Pyrexia  1  0/259 (0.00%)  3/259 (1.16%) 
Hepatobiliary disorders     
Bile duct stone  1  1/259 (0.39%)  0/259 (0.00%) 
Infections and infestations     
Abdominal wall abscess  1  0/259 (0.00%)  1/259 (0.39%) 
Acinetobacter infection  1  1/259 (0.39%)  0/259 (0.00%) 
Bacterial infection  1  1/259 (0.39%)  0/259 (0.00%) 
Bacterial sepsis  1  0/259 (0.00%)  1/259 (0.39%) 
Cellulitis  1  0/259 (0.00%)  1/259 (0.39%) 
Clostridium difficile colitis  1  0/259 (0.00%)  3/259 (1.16%) 
Covid-19  1  1/259 (0.39%)  1/259 (0.39%) 
Covid-19 pneumonia  1  1/259 (0.39%)  0/259 (0.00%) 
Cystitis  1  0/259 (0.00%)  1/259 (0.39%) 
Cytomegalovirus enteritis  1  0/259 (0.00%)  1/259 (0.39%) 
Device related infection  1  0/259 (0.00%)  1/259 (0.39%) 
Enterobacter pneumonia  1  0/259 (0.00%)  1/259 (0.39%) 
Enterococcal sepsis  1  1/259 (0.39%)  0/259 (0.00%) 
Escherichia sepsis  1  1/259 (0.39%)  2/259 (0.77%) 
Gas gangrene  1  0/259 (0.00%)  1/259 (0.39%) 
Haematological infection  1  1/259 (0.39%)  1/259 (0.39%) 
Klebsiella sepsis  1  1/259 (0.39%)  0/259 (0.00%) 
Klebsiella urinary tract infection  1  1/259 (0.39%)  0/259 (0.00%) 
Neurosyphilis  1  1/259 (0.39%)  0/259 (0.00%) 
Pneumonia  1  18/259 (6.95%)  13/259 (5.02%) 
Pneumonia aspiration  1  5/259 (1.93%)  5/259 (1.93%) 
Pneumonia bacterial  1  1/259 (0.39%)  5/259 (1.93%) 
Pneumonia haemophilus  1  1/259 (0.39%)  1/259 (0.39%) 
Pneumonia klebsiella  1  1/259 (0.39%)  0/259 (0.00%) 
Pneumonia staphylococcal  1  1/259 (0.39%)  3/259 (1.16%) 
Post procedural infection  1  1/259 (0.39%)  0/259 (0.00%) 
Postoperative wound infection  1  1/259 (0.39%)  0/259 (0.00%) 
Proteus infection  1  1/259 (0.39%)  1/259 (0.39%) 
Pseudomonal sepsis  1  1/259 (0.39%)  0/259 (0.00%) 
Pulmonary sepsis  1  4/259 (1.54%)  0/259 (0.00%) 
Pyelonephritis  1  0/259 (0.00%)  1/259 (0.39%) 
Respiratory tract infection  1  0/259 (0.00%)  1/259 (0.39%) 
Sepsis  1  4/259 (1.54%)  6/259 (2.32%) 
Septic shock  1  4/259 (1.54%)  6/259 (2.32%) 
Staphylococcal bacteraemia  1  2/259 (0.77%)  1/259 (0.39%) 
Streptococcal abscess  1  1/259 (0.39%)  0/259 (0.00%) 
Streptococcal sepsis  1  0/259 (0.00%)  1/259 (0.39%) 
Tracheobronchitis  1  0/259 (0.00%)  3/259 (1.16%) 
Urinary tract infection  1  4/259 (1.54%)  6/259 (2.32%) 
Urinary tract infection pseudomonal  1  0/259 (0.00%)  1/259 (0.39%) 
Urosepsis  1  1/259 (0.39%)  4/259 (1.54%) 
Wound infection staphylococcal  1  2/259 (0.77%)  0/259 (0.00%) 
Injury, poisoning and procedural complications     
Anastomotic ulcer haemorrhage  1  0/259 (0.00%)  1/259 (0.39%) 
Brain herniation  1  16/259 (6.18%)  19/259 (7.34%) 
Fall  1  1/259 (0.39%)  4/259 (1.54%) 
Hip fracture  1  0/259 (0.00%)  1/259 (0.39%) 
Intentional overdose  1  1/259 (0.39%)  1/259 (0.39%) 
Neurological procedural complication  1  12/259 (4.63%)  11/259 (4.25%) 
Post procedural haematoma  1  0/259 (0.00%)  2/259 (0.77%) 
Post procedural haemorrhage  1  0/259 (0.00%)  2/259 (0.77%) 
Subdural haemorrhage  1  0/259 (0.00%)  1/259 (0.39%) 
Toxicity to various agents  1  1/259 (0.39%)  0/259 (0.00%) 
Investigations     
Anticoagulation drug level below therapeutic  1  0/259 (0.00%)  1/259 (0.39%) 
Neurological examination abnormal  1  1/259 (0.39%)  0/259 (0.00%) 
Metabolism and nutrition disorders     
Cachexia  1  0/259 (0.00%)  1/259 (0.39%) 
Decreased appetite  1  0/259 (0.00%)  1/259 (0.39%) 
Dehydration  1  1/259 (0.39%)  0/259 (0.00%) 
Diabetic ketoacidosis  1  1/259 (0.39%)  1/259 (0.39%) 
Failure to thrive  1  1/259 (0.39%)  0/259 (0.00%) 
Hyperkalaemia  1  0/259 (0.00%)  1/259 (0.39%) 
Hypernatraemia  1  1/259 (0.39%)  1/259 (0.39%) 
Hypoalbuminaemia  1  0/259 (0.00%)  1/259 (0.39%) 
Hypoglycaemia  1  4/259 (1.54%)  15/259 (5.79%) 
Hypokalaemia  1  1/259 (0.39%)  1/259 (0.39%) 
Hyponatraemia  1  0/259 (0.00%)  1/259 (0.39%) 
Metabolic acidosis  1  0/259 (0.00%)  1/259 (0.39%) 
Musculoskeletal and connective tissue disorders     
Gouty arthritis  1  0/259 (0.00%)  1/259 (0.39%) 
Neck pain  1  1/259 (0.39%)  0/259 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Adenocarcinoma of colon  1  1/259 (0.39%)  0/259 (0.00%) 
Cardiac myxoma  1  0/259 (0.00%)  1/259 (0.39%) 
Lung cancer metastatic  1  1/259 (0.39%)  1/259 (0.39%) 
Lung neoplasm malignant  1  0/259 (0.00%)  1/259 (0.39%) 
Ovarian clear cell carcinoma  1  1/259 (0.39%)  0/259 (0.00%) 
Ovarian epithelial cancer metastatic  1  0/259 (0.00%)  1/259 (0.39%) 
Pancreatic carcinoma metastatic  1  1/259 (0.39%)  1/259 (0.39%) 
Prostate cancer metastatic  1  1/259 (0.39%)  0/259 (0.00%) 
Renal cell carcinoma  1  0/259 (0.00%)  1/259 (0.39%) 
Uterine leiomyoma  1  1/259 (0.39%)  0/259 (0.00%) 
Nervous system disorders     
Brain compression  1  0/259 (0.00%)  1/259 (0.39%) 
Brain oedema  1  79/259 (30.50%)  72/259 (27.80%) 
Brain stem haemorrhage  1  0/259 (0.00%)  1/259 (0.39%) 
Cerebellar haemorrhage  1  0/259 (0.00%)  1/259 (0.39%) 
Cerebral artery occlusion  1  0/259 (0.00%)  1/259 (0.39%) 
Cerebral haemorrhage  1  1/259 (0.39%)  1/259 (0.39%) 
Cerebral infarction  1  8/259 (3.09%)  10/259 (3.86%) 
Cerebral mass effect  1  2/259 (0.77%)  4/259 (1.54%) 
Cerebrovascular accident  1  5/259 (1.93%)  17/259 (6.56%) 
Cerebrovascular insufficiency  1  0/259 (0.00%)  1/259 (0.39%) 
Embolic cerebral infarction  1  1/259 (0.39%)  0/259 (0.00%) 
Epilepsy  1  2/259 (0.77%)  2/259 (0.77%) 
Facial paralysis  1  1/259 (0.39%)  0/259 (0.00%) 
Haemorrhage intracranial  1  1/259 (0.39%)  1/259 (0.39%) 
Haemorrhagic cerebellar infarction  1  1/259 (0.39%)  0/259 (0.00%) 
Haemorrhagic cerebral infarction  1  2/259 (0.77%)  1/259 (0.39%) 
Haemorrhagic transformation stroke  1  16/259 (6.18%)  14/259 (5.41%) 
Hydrocephalus  1  1/259 (0.39%)  0/259 (0.00%) 
Intensive care unit acquired weakness  1  0/259 (0.00%)  1/259 (0.39%) 
Ischaemic stroke  1  3/259 (1.16%)  8/259 (3.09%) 
Lacunar infarction  1  1/259 (0.39%)  0/259 (0.00%) 
Lacunar stroke  1  1/259 (0.39%)  0/259 (0.00%) 
Malignant middle cerebral artery syndrome  1  1/259 (0.39%)  2/259 (0.77%) 
Migraine  1  0/259 (0.00%)  1/259 (0.39%) 
Neurological decompensation  1  0/259 (0.00%)  3/259 (1.16%) 
Post stroke epilepsy  1  0/259 (0.00%)  4/259 (1.54%) 
Psychogenic seizure  1  0/259 (0.00%)  1/259 (0.39%) 
Seizure  1  10/259 (3.86%)  6/259 (2.32%) 
Status epilepticus  1  4/259 (1.54%)  1/259 (0.39%) 
Stroke in evolution  1  6/259 (2.32%)  14/259 (5.41%) 
Subarachnoid haemorrhage  1  1/259 (0.39%)  0/259 (0.00%) 
Subdural hygroma  1  1/259 (0.39%)  0/259 (0.00%) 
Product Issues     
Device dislocation  1  0/259 (0.00%)  1/259 (0.39%) 
Psychiatric disorders     
Agitation  1  1/259 (0.39%)  0/259 (0.00%) 
Confusional state  1  1/259 (0.39%)  0/259 (0.00%) 
Delirium  1  1/259 (0.39%)  0/259 (0.00%) 
Delirium tremens  1  0/259 (0.00%)  1/259 (0.39%) 
Depression  1  0/259 (0.00%)  1/259 (0.39%) 
Depression suicidal  1  0/259 (0.00%)  2/259 (0.77%) 
Mental status changes  1  2/259 (0.77%)  1/259 (0.39%) 
Suicide attempt  1  1/259 (0.39%)  1/259 (0.39%) 
Renal and urinary disorders     
Acute kidney injury  1  3/259 (1.16%)  7/259 (2.70%) 
Renal failure  1  2/259 (0.77%)  0/259 (0.00%) 
Renal tubular necrosis  1  0/259 (0.00%)  1/259 (0.39%) 
Tubulointerstitial nephritis  1  1/259 (0.39%)  0/259 (0.00%) 
Respiratory, thoracic and mediastinal disorders     
Acute respiratory failure  1  6/259 (2.32%)  6/259 (2.32%) 
Aspiration  1  1/259 (0.39%)  0/259 (0.00%) 
Bronchospasm  1  0/259 (0.00%)  1/259 (0.39%) 
Choking  1  1/259 (0.39%)  0/259 (0.00%) 
Chronic obstructive pulmonary disease  1  0/259 (0.00%)  1/259 (0.39%) 
Chronic respiratory failure  1  0/259 (0.00%)  1/259 (0.39%) 
Hypoxia  1  2/259 (0.77%)  0/259 (0.00%) 
Laryngeal oedema  1  1/259 (0.39%)  0/259 (0.00%) 
Obstructive airways disorder  1  0/259 (0.00%)  1/259 (0.39%) 
Pleural effusion  1  0/259 (0.00%)  1/259 (0.39%) 
Pneumomediastinum  1  0/259 (0.00%)  1/259 (0.39%) 
Pneumothorax  1  0/259 (0.00%)  2/259 (0.77%) 
Pulmonary embolism  1  8/259 (3.09%)  8/259 (3.09%) 
Pulmonary oedema  1  2/259 (0.77%)  1/259 (0.39%) 
Respiratory acidosis  1  0/259 (0.00%)  1/259 (0.39%) 
Respiratory arrest  1  1/259 (0.39%)  0/259 (0.00%) 
Respiratory depression  1  1/259 (0.39%)  0/259 (0.00%) 
Respiratory distress  1  0/259 (0.00%)  2/259 (0.77%) 
Respiratory failure  1  11/259 (4.25%)  10/259 (3.86%) 
Skin and subcutaneous tissue disorders     
Decubitus ulcer  1  0/259 (0.00%)  2/259 (0.77%) 
Vascular disorders     
Arteriosclerosis  1  0/259 (0.00%)  1/259 (0.39%) 
Circulatory collapse  1  1/259 (0.39%)  1/259 (0.39%) 
Deep vein thrombosis  1  2/259 (0.77%)  5/259 (1.93%) 
Haemodynamic instability  1  0/259 (0.00%)  1/259 (0.39%) 
Hypertensive urgency  1  1/259 (0.39%)  0/259 (0.00%) 
Hypotension  1  2/259 (0.77%)  0/259 (0.00%) 
Peripheral artery occlusion  1  1/259 (0.39%)  0/259 (0.00%) 
Peripheral artery thrombosis  1  1/259 (0.39%)  0/259 (0.00%) 
Reperfusion injury  1  0/259 (0.00%)  1/259 (0.39%) 
Shock  1  3/259 (1.16%)  1/259 (0.39%) 
Thrombosis  1  0/259 (0.00%)  1/259 (0.39%) 
Venous thrombosis  1  0/259 (0.00%)  1/259 (0.39%) 
1
Term from vocabulary, MedDRA 26.0
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Placebo BIIB093
Affected / at Risk (%) Affected / at Risk (%)
Total   199/259 (76.83%)   201/259 (77.61%) 
Blood and lymphatic system disorders     
Anaemia  1  28/259 (10.81%)  25/259 (9.65%) 
Leukocytosis  1  21/259 (8.11%)  16/259 (6.18%) 
Cardiac disorders     
Atrial fibrillation  1  22/259 (8.49%)  17/259 (6.56%) 
Bradycardia  1  13/259 (5.02%)  13/259 (5.02%) 
Gastrointestinal disorders     
Constipation  1  54/259 (20.85%)  40/259 (15.44%) 
Diarrhoea  1  24/259 (9.27%)  13/259 (5.02%) 
Dysphagia  1  6/259 (2.32%)  13/259 (5.02%) 
Nausea  1  17/259 (6.56%)  13/259 (5.02%) 
Vomiting  1  26/259 (10.04%)  22/259 (8.49%) 
General disorders     
Pain  1  8/259 (3.09%)  14/259 (5.41%) 
Pyrexia  1  57/259 (22.01%)  66/259 (25.48%) 
Infections and infestations     
Pneumonia  1  40/259 (15.44%)  32/259 (12.36%) 
Pneumonia aspiration  1  14/259 (5.41%)  15/259 (5.79%) 
Urinary tract infection  1  41/259 (15.83%)  29/259 (11.20%) 
Investigations     
Electrocardiogram qt prolonged  1  13/259 (5.02%)  6/259 (2.32%) 
Metabolism and nutrition disorders     
Hyperglycaemia  1  15/259 (5.79%)  14/259 (5.41%) 
Hypernatraemia  1  23/259 (8.88%)  26/259 (10.04%) 
Hypocalcaemia  1  11/259 (4.25%)  13/259 (5.02%) 
Hypoglycaemia  1  8/259 (3.09%)  31/259 (11.97%) 
Hypokalaemia  1  32/259 (12.36%)  35/259 (13.51%) 
Hyponatraemia  1  18/259 (6.95%)  18/259 (6.95%) 
Hypophosphataemia  1  23/259 (8.88%)  14/259 (5.41%) 
Nervous system disorders     
Brain oedema  1  28/259 (10.81%)  28/259 (10.81%) 
Haemorrhagic transformation stroke  1  24/259 (9.27%)  16/259 (6.18%) 
Headache  1  27/259 (10.42%)  22/259 (8.49%) 
Renal and urinary disorders     
Acute kidney injury  1  11/259 (4.25%)  17/259 (6.56%) 
Urinary retention  1  20/259 (7.72%)  10/259 (3.86%) 
Vascular disorders     
Deep vein thrombosis  1  9/259 (3.47%)  16/259 (6.18%) 
Hypertension  1  13/259 (5.02%)  7/259 (2.70%) 
Hypotension  1  18/259 (6.95%)  14/259 (5.41%) 
1
Term from vocabulary, MedDRA 26.0
Indicates events were collected by systematic assessment
Early termination of trial due to operational challenges and other strategic considerations, not for efficacy or safety reasons.
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Our agreement is subject to confidentiality but generally the PI can publish, for noncommercial purposes only, results and methods of the trial, but no other Sponsor Confidential Information. PI must give Sponsor no less than 60 days to review any manuscript for a proposed publication and must delay publication for up to an additional 90 days thereafter if Sponsor needs to file any patent application to protect any of Sponsor's intellectual property contained in the proposed publication.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: US Biogen Clinical Trial Center
Organization: Biogen
Phone: 866-633-4636
EMail: clinicaltrials@biogen.com
Layout table for additonal information
Responsible Party: Remedy Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT02864953    
Obsolete Identifiers: NCT04950972
Other Study ID Numbers: 252LH301
RPI 301 ( Other Identifier: Remedy Pharmaceuticals )
2017-004854-41 ( EudraCT Number )
First Submitted: July 12, 2016
First Posted: August 12, 2016
Results First Submitted: December 19, 2023
Results First Posted: January 9, 2024
Last Update Posted: April 30, 2024