Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-80
SponsorJoseph Broderick, MD

About this trial

The objective of the rFVIIa for Acute Hemorrhagic Stroke Administered at Earliest Time (FASTEST) Trial is to establish the first treatment for acute spontaneous intracerebral hemorrhage (ICH) within a time window and subgroup of patients that is most likely to benefit. The central hypothesis is that rFVIIa, administered within 120 minutes from stroke onset with an identified subgroup of patients most likely to benefit, will improve outcomes at 90 days as measured by the Modified Rankin Score (mRS) and decrease ongoing bleeding as compared to standard therapy. FASTEST Part 2 is an extension of the FASTEST Trial where the subgroups include those treated within 2 hours with a positive spot sign on a baseline CT angiogram or patients treated within 90 minutes of stroke onset, with or without a positive spot sign.

Eligibility criteria

Qualifiers

Patients aged 18-80 years, inclusive

Patients with spontaneous ICH

Able to treat with study medication (rFVIIa/placebo) within 120 minutes of stroke onset or last known well with a positive spot sign on pretreatment CT angiography or treatment within 90 minutes with or without spot sign.

Efforts to obtain informed consent per EFIC guidelines (U.S.) or adherence to country-specific emergency research informed consent regulations (Canada, Germany, Spain, Finland, U.K., Japan, Australia)

Disqualifiers

Score of 3 to 7 on the Glasgow Coma Scale

Secondary ICH related to known causes (e.g., trauma, aneurysm, arteriovenous malformation (AVM), oral anticoagulant use (vitamin K antagonists or novel oral anticoagulants) within the past 7 days, coagulopathy, etc.)

ICH volume < 2 cc or ≥ 60 cc

Blood filling 2/3 or more of one lateral ventricle of the brain, OR, blood filling at least 1/3 of both lateral ventricles.

Trial design

Treatments tested in this trial

  • Recombinant Factor VIIa
  • Biological/Vaccine: Placebo

Treatment groups

350 Participants
are divided into 2 treatment groups

Locations

89
Canada
University of Calgary - Foothills Medical Centre CalgaryAlberta, Canada
University of Alberta HospitalAB T6G 2B7, EdmontonAlberta, Canada
Vancouver General HospitalV5Z 1M9, VancouverBritish Columbia, Canada
Health Sciences Centre WinnipegR3A 1R9, WinnipegManitoba, Canada

Sponsors and collaborators

Joseph Broderick, MD

Lead sponsor

University of Cincinnati

Sponsor institution

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator

Japan Agency for Medical Research and Development

Collaborator

Novo Nordisk A/S

Collaborator