Trial Condition(s):

Acute non-cardioembolic ischemic stroke

Study to gather information about proper dosing and safety of the oral FXIa inhibitor BAY 2433334 in patients following a recent non cardioembolic ischemic stroke which occurs when a blood clot has formed somewhere in the human body (but not in the heart) travelled to the brain. (PACIFIC-STROKE)

Bayer Identifier:

19766

ClinicalTrials.gov Identifier:

NCT04304508

EudraCT Number:

2019-003431-33

EU CT Number:

Not Available

Study Completed

Trial Purpose

The purpose of this study is to try to find the best dose of the new drug BAY 2433334 to give to participants and to look at how well BAY 2433334 works on top of antiplatelet therapy in patients following a recent non cardioembolic ischemic stroke which occurs when a blood clot that has not formed in the heart travelled to the brain. BAY 2433334, works by blocking a step of the blood clotting process in our body and thins the blood and is a so called oral FXIa inhibitor.

Inclusion Criteria
- Participant must be 45 years of age and older at the time of signing the informed consent
- Non-cardioembolic ischemic stroke with
-- persistent signs and symptoms of stroke lasting for ≥ 24 hours OR
-- acute brain infarction documented by computed tomography (CT) or MRI AND
-- with the intention to be treated with antiplatelet therapy during the study conduct
- Imaging of brain (CT or MRI) ruling out hemorrhagic stroke or another pathology that could explain symptoms (e.g. brain tumor, abscess, vascular malformation)
- Severity of index event nearest the time of randomization:
-- Part A: minor stroke (defined as National Institutes of Health Stroke Scale (NIHSS) ≤ 7) can be enrolled
-- Part B: participants with minor or moderate stroke and NIHSS ≤ 15 can be enrolled. Participants undergoing thrombolysis or endovascular therapy (mechanical thrombectomy) can be enrolled but at the earliest 24 hours after the intervention
- Randomization within 48 hours after the onset of symptoms of the index event (or after patients were last known to be without symptoms in case of wake-up stroke)
- Ability to conduct an MRI either before randomization or within 72 hours after randomization
Exclusion Criteria
- Prior ischemic stroke within last 30 days of index event
- History of atrial fibrillation or suspicion of cardioembolic source of stroke
- Dysphagia with inability to safely swallow study medication
- Contraindication to perform brain MRI 
- Part A only: thrombolysis or endovascular therapy (mechanical thrombectomy) performed for index event
- Active bleeding; known bleeding disorder, history of major bleeding (intracranial, retroperitoneal, intraocular) or clinically significant gastrointestinal bleeding within last 6 months of randomization.

Trial Summary

Enrollment Goal
1808
Trial Dates
black-arrow
Phase
2
Could I receive a placebo?
Yes
Products
Asundexian (BAY2433334)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
Status
LocationsStatus
Locations

Bispebjerg Hospital

Copenhagen, Denmark, 2400

Status
Completed
Locations

Rigshospitalet Glostrup

Glostrup, Denmark, 2600

Status
Completed
Locations

Herlev Hospital - Neurology Dept.

Herlev, Denmark, 2730

Status
Completed
Locations

Aalborg Universitetshospital -Neurology

Aalborg, Denmark, 9100

Status
Completed
Locations

Universitätsklinikum der Johann Wolfgang Goethe Universität

Frankfurt, Germany, 60528

Status
Completed
Locations

Sygehus Lillebaelt | Kolding Sygehus - Medicinske Sygdomme

Kolding, Denmark, 6000

Status
Completed
Locations

Aarhus Universitetshospital, Skejby

Aarhus N, Denmark, 8200

Status
Completed
Locations

Regionshospitalet Gødstrup

Herning, Denmark, 7400

Status
Completed
Locations

UMHAT "Sveta Anna"-Sofia

Sofia, Bulgaria, 1750

Status
Completed
Locations

Acibadem City Clinic Multiprofile Hospital for Active Treatm

Sofia, Bulgaria, 1407

Status
Completed
Locations

Hospital Ramon y Cajal | Neurologia

Madrid, Spain, 28034

Status
Completed
Locations

Hospital Universitari i Politecnic La Fe | Neurologia

Valencia, Spain, 46026

Status
Completed
Locations

Hospital de la Santa Creu i de Sant Pau | Neurologia

Barcelona, Spain, 08041

Status
Completed
Locations

Hospital del Mar

Barcelona, Spain, 08003

Status
Completed
Locations

Hospital Clinico Universitario San Carlos | Neurologia

Madrid, Spain, 28040

Status
Completed
Locations

Hospital Universitario Virgen del Rocío

Sevilla, Spain, 41013

Status
Completed
Locations

Hospital Universitario de la Princesa

Madrid, Spain, 28006

Status
Completed
Locations

Hospital Clínico Universitario de Santiago de Compostela

Santiago de Compostela, Spain, 15706

Status
Completed
Locations

Complejo Hospitalario Universitario de Albacete

Albacete, Spain, 02006

Status
Completed
Locations

Ciutat Sanitaria i Universitaria de la Vall d'Hebron

Barcelona, Spain, 08023

Status
Completed
Locations

Hospital Clínico Universitario de Valladolid

Valladolid, Spain, 47011

Status
Completed
Locations

Hospital Universitario Arnau de Vilanova de Lleida

Lleida, Spain, 25198

Status
Completed
Locations

Hospital Universitari Germans Trias i Pujol

Badalona, Spain, 08916

Status
Completed
Locations

Fakultni nemocnice u sv. Anny

Brno, Czech Republic, 656 91

Status
Completed
Locations

Hospital Jihlava - Nemocnice Jihlava

Jihlava, Czech Republic, 58633

Status
Completed
Locations

Fakultni Nemocnice Hradec Kralove

Hradec Kralove, Czech Republic, 500 05

Status
Completed
Locations

Vitkovicka nemocnice a.s.

Ostrava Vitkovice, Czech Republic, 70384

Status
Completed
Locations

Fakultni nemocnice Ostrava

Ostrava-Poruba, Czech Republic, 708 52

Status
Completed
Locations

Nemocnice Ceske Budejovice, a.s. Department of kardiologie

Ceske Budejovice, Czech Republic, 370 01

Status
Completed
Locations

Fakultni nemocnice Kralovske Vinohrady

Praha 10, Czech Republic, 10034

Status
Completed
Locations

Nemocnice Pardubickeho kraje, a.s., Pardubicka nemocnice

Pardubice, Czech Republic, 530 03

Status
Completed
Locations

A.O. di Perugia

Perugia, Italy, 06129

Status
Completed
Locations

Ospedale San Raffaele s.r.l.

Milano, Italy, 20132

Status
Completed
Locations

AUSL di Bologna

Bologna, Italy, 40133

Status
Completed
Locations

AUSL-IRCCS di Reggio Emilia

Reggio Emilia, Italy, 42123

Status
Completed
Locations

A.O.U. Ospedali Riuniti "Umberto I - G.M.Lancisi - G.Salesi"

Ancona, Italy, 60126

Status
Completed
Locations

AUSL della Romagna

Forlì Cesena, Italy, 47521

Status
Completed
Locations

Fondazione Istituto Neurologico Nazionale Casimiro Mondino

Pavia, Italy, 27100

Status
Completed
Locations

A.O. San Camillo-Forlanini

Roma, Italy, 00152

Status
Completed
Locations

A.O.U. Senese

Siena, Italy, 53100

Status
Completed
Locations

CHULN - Hospital Santa Maria

Lisboa, Portugal, 1649-035

Status
Completed
Locations

CHUSJ - Hospital Sao Joao

Porto, Portugal, 4200-319

Status
Completed
Locations

CHUC - Hospitais da U. Coimbra - Servico de Neurologia

Coimbra, Portugal, 3004-561

Status
Completed
Locations

Luz Saude | Hospital Beatriz Angelo - Centro de Investigacao Clinica

Loures, Portugal, 2674-514

Status
Completed
Locations

CHLO - Hospital Egas Moniz

Lisboa, Portugal, 1349-019

Status
Completed
Locations

ULSM - Hospital Pedro Hispano

Matosinhos, Portugal, 4464-513

Status
Completed
Locations

Hospital Garcia de Orta

Almada, Portugal, 2801-951

Status
Completed
Locations

Hospital da Luz - Lisboa

Lisboa, Portugal, 1500-650

Status
Completed
Locations

National Hospital Organization Kyushu Medical Center

Fukuoka, Japan, 810-8563

Status
Completed
Locations

Saiseikai Kumamoto Hospital

Kumamoto, Japan, 861-4193

Status
Completed
Locations

Japanese Red Cross Kumamoto Hospital

Kumamoto, Japan, 861-8520

Status
Completed
Locations

Kokura Memorial Hospital

Kitakyushu, Japan, 802-8555

Status
Completed
Locations

St.Mary's Hospital

Kurume, Japan, 830-8543

Status
Completed
Locations

Nozaki Tokushukai Hospital

Daito, Japan, 574-0074

Status
Completed
Locations

Kyoto Okamoto Memorial Hospital

Kusegun, Japan, 613-0034

Status
Completed
Locations

Nagano Municipal Hospital

Nagano, Japan, 381-8551

Status
Completed
Locations

Ijinkai Takeda General Hospital

Kyoto, Japan, 601-1495

Status
Completed
Locations

Uji-Tokushukai Medical Center

Uji, Japan, 611-0041

Status
Completed
Locations

Alfried Krupp Krankenhaus Rüttenscheid /Neurologie

Essen, Germany, 45131

Status
Completed
Locations

Rhön-Klinikum Campus Bad Neustadt

Bad Neustadt, Germany, 97616

Status
Completed
Locations

Universitätsklinikum Leipzig AöR

Leipzig, Germany, 04103

Status
Completed
Locations

Universitätsklinikum Ulm

Ulm, Germany, 89081

Status
Completed
Locations

Medizinische Hochschule Hannover (MHH)

Hannover, Germany, 30625

Status
Completed
Locations

Heinrich-Heine-Universität Düsseldorf

Düsseldorf, Germany, 40225

Status
Completed
Locations

Klinikum Altenburger Land GmbH

Altenburg, Germany, 04600

Status
Completed
Locations

Universitätsklinikum Heidelberg

Heidelberg, Germany, 69120

Status
Completed
Locations

Eberhard-Karls-Universität Tübingen

Tübingen, Germany, 72076

Status
Completed
Locations

Royal Victoria Infirmary

Newcastle Upon Tyne, United Kingdom, NE1 4LP

Status
Completed
Locations

Charing Cross Hospital

London, United Kingdom, W6 8RF

Status
Completed
Locations

St George's Hospital

London, United Kingdom, SW17 0QT

Status
Completed
Locations

Countess of Chester Hospital

Chester, United Kingdom, CH2 1UL

Status
Completed
Locations

Queen Elizabeth University Hospital

Glasgow, United Kingdom, G51 4TF

Status
Completed
Locations

Addenbrookes Hospital

Cambridge, United Kingdom, CB2 0QQ

Status
Completed
Locations

St. Luke's Hospital of Kansas City

Kansas City, United States, 64111

Status
Completed
Locations

Minneapolis Clinic of Neurology, Ltd.

Golden Valley, United States, 55422

Status
Completed
Locations

Univ.of South Florida College of Medicine

Tampa, United States, 33606

Status
Completed
Locations

Guilford Neurologic Associates

Greensboro, United States, 27405

Status
Completed
Locations

University of Pittsburgh Medical Center Hamot

Erie, United States, 16550

Status
Completed
Locations

Centre hospitalier Sainte Anne

PARIS cedex 14, France, 75674

Status
Completed
Locations

Centre Hospitalier Universitaire - Le Kremlin Bicêtre

LE KREMLIN-BICETRE, France, 94275

Status
Completed
Locations

Hôpital Lariboisière - Paris

PARIS, France, 75475

Status
Completed
Locations

Hôpital Pellegrin - Bordeaux

BORDEAUX, France, 33000

Status
Completed
Locations

Hopital Central - Nancy

NANCY, France, 54037

Status
Completed
Locations

Centre Hospitalier - Le Mans

LE MANS, France, 72037

Status
Completed
Locations

Hôpital Purpan - Toulouse

TOULOUSE, France, 31059

Status
Completed
Locations

Hôpital de la Pitié-Salpétrière

PARIS, France, 75634

Status
Completed
Locations

Hôpital B - Lille

LILLE, France, 59037

Status
Completed
Locations

Copernicus PL, M.Kopernik Hospital

Gdansk, Poland, 80-803

Status
Completed
Locations

Wojskowy Instytut Medyczny

Warszawa, Poland, 04-141

Status
Completed
Locations

Samodzielny Publiczny Specjalistyczny Szpital Zachodni

Grodzisk Mazowiecki, Poland, 05-825

Status
Completed
Locations

Szpital Uniwersytecki w Krakowie

Krakow, Poland, 30-688

Status
Completed
Locations

Samodzielny Publiczny Szpital Kliniczny nr 4

Lublin, Poland, 20-090

Status
Completed
Locations

Gornoslaskie CM im. Prof. Leszka Gieca SUM w Katowicach

Katowice, Poland, 40-635

Status
Completed
Locations

Kyorin University Hospital

Mitaka, Japan, 181-8611

Status
Completed
Locations

Southern Tohoku Medical Clinic

Koriyama, Japan, 963-8563

Status
Completed
Locations

Hakodate Shintoshi Hospital

Hakodate, Japan, 041-0802

Status
Completed
Locations

Kobe City Medical Center General Hospital

Kobe, Japan, 650-0047

Status
Completed
Locations

Nagoya Ekisaikai Hospital

Nagoya, Japan, 454-8502

Status
Completed
Locations

Hiroshima City Hiroshima Citizens Hospital

Hiroshima, Japan, 730-8518

Status
Completed
Locations

JA Toride Medical Center

Toride, Japan, 302-0022

Status
Completed
Locations

Gifu Prefectural General Medical Center

Gifu, Japan, 500-8717

Status
Completed
Locations

Saiseikai Fukuoka General Hospital

Fukuoka, Japan, 810-0001

Status
Completed
Locations

Shonan Kamakura General Hospital

Kamakura, Japan, 247-8533

Status
Completed
Locations

Chikamori Hospital

Kochi, Japan, 780-8522

Status
Completed
Locations

Hyogo Prefectural Harima-Himeji General Medical Center

Himeji, Japan, 670-8560

Status
Completed
Locations

UZ Leuven Gasthuisberg

LEUVEN, Belgium, 3000

Status
Completed
Locations

Jessa Ziekenhuis

Hasselt, Belgium, 3500

Status
Completed
Locations

AZ Klina / Neurology

Brasschaat, Belgium, 2930

Status
Completed
Locations

Kust, Ommeland en Meetjesland (KOM) Network | AZ Damiaan - Neurology Department

OOSTENDE, Belgium, 8400

Status
Completed
Locations

Clinique de l'Europe

UCCLE, Belgium, 1180

Status
Completed
Locations

CHC MontLégia

LIEGE, Belgium, 4000

Status
Completed
Locations

AZ Delta / Neurology

Roeselare, Belgium, 8800

Status
Completed
Locations

Academisch Medisch Centrum (AMC)

AMSTERDAM, Netherlands, 1105 AZ

Status
Completed
Locations

St. Antonius Ziekenhuis

Nieuwegein, Netherlands, 3435 CM

Status
Completed
Locations

Isala

ZWOLLE, Netherlands, 8025 AB

Status
Completed
Locations

Zuyderland Medisch Centrum

HEERLEN, Netherlands, 6419 PC

Status
Completed
Locations

Norrlands Universitetssjukhus, Umeå

Umeå, Sweden, 901 85

Status
Completed
Locations

Nordsjælland Hospital Hillerød

Hillerød, Denmark, DK-3400

Status
Completed
Locations

Royal Melbourne Hospital

Parkville, Australia, 3052

Status
Completed
Locations

Royal Adelaide Hospital

Adelaide, Australia, 5000

Status
Completed
Locations

Liverpool Hospital

Liverpool, Australia, 2170

Status
Completed
Locations

John Hunter Hospital

New Lambton, Australia, 2305

Status
Completed
Locations

Gold Coast University Hospital

Southport, Australia, 4215

Status
Completed
Locations

Royal North Shore Hospital

Sydney, Australia, 2065

Status
Completed
Locations

Eastern Clinical Research Unit - Box Hill

Box Hill, Australia, 3128

Status
Completed
Locations

Sunshine Coast University Hospital

Birtinya, Australia, 4575

Status
Completed
Locations

Fiona Stanley Hospital

Murdoch, Australia, 6961

Status
Completed
Locations

The Alfred Hospital

Prahran, Australia, 3004

Status
Completed
Locations

UMHATEM N. I. Pirogov EAD

Sofia, Bulgaria, 1606

Status
Completed
Locations

First Multiprofile Hospital for Active Treatment Sofia EAD

Sofia, Bulgaria, 1000

Status
Completed
Locations

MHAT National Cardiology Hospital EAD

Sofia, Bulgaria, 1309

Status
Completed
Locations

MHAT Sveti Pantaleymon - Plovdiv

Plovdiv, Bulgaria, 4000

Status
Completed
Locations

MHAT Sveta Marina EAD

Varna, Bulgaria, 9010

Status
Completed
Locations

UMHAT Kanev AD

Ruse, Bulgaria, 7002

Status
Completed
Locations

UMHAT Dr. Georgi Stranski

Pleven, Bulgaria, 5809

Status
Completed
Locations

MHAT Haskovo

Haskovo, Bulgaria, 6300

Status
Completed
Locations

Universitätsklinikum AKH Wien

Wien, Austria, 1090

Status
Completed
Locations

Krankenhaus der Barmherzigen Brüder

Wien, Austria, 1020

Status
Completed
Locations

Medizinische Universität Innsbruck

Innsbruck, Austria, 6020

Status
Completed
Locations

Christian-Doppler-Klinik

Salzburg, Austria, 5020

Status
Completed
Locations

Klinik Favoriten - Sozialmedizinisches Zentrum Süd

Wien, Austria, 1100

Status
Completed
Locations

Krankenhaus der Barmherzigen Brüder Eisenstadt

Eisenstadt, Austria, 7000

Status
Completed
Locations

Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz

Budapest, Hungary, 1134

Status
Completed
Locations

Flor Ferenc Korhaz

Kistarcsa, Hungary, 2143

Status
Completed
Locations

SZTE ÁOK Szent Györgyi Albert Klinikai Kozpont

Szeged, Hungary, 6725

Status
Completed
Locations

Pecsi Tudomanyegyetem Klinikai Kozpont

Pecs, Hungary, 7624

Status
Completed
Locations

Zala Megyei Szent Rafael Korhaz

Zalaegerszeg, Hungary, 8900

Status
Completed
Locations

Debreceni Egyetem Klinikai Kozpont

Debrecen, Hungary, 4032

Status
Completed
Locations

City clinical hospital #40 Sestroretsk

Sestroretsk, Russia, 197706

Status
Completed
Locations

City Clinical Hospital #3

Chelyabinsk, Russia, 454021

Status
Completed
Locations

Regional Clinical Hospital #1 n.a. prof. S.V. Ochapovsky

Krasnodar, Russia, 350086

Status
Completed
Locations

Tomsk Regional Clinical Hospital

Tomsk, Russia, 634063

Status
Completed
Locations

Sci-Res. Institute of Complex Cardiovascular Disorders

Kemerovo, Russia, 650002

Status
Completed
Locations

Sverdlovsk Regional Clinical Hospital #1

Yekaterinburg, Russia, 620102

Status
Completed
Locations

Clinical Inter-District Hospital of Vsevolozhsk

Vsevolozhsk, Russia, 188643

Status
Completed
Locations

Railway clinical hospital on the station Novosibirsk-Glavniy

Novosibirsk, Russia, 630003

Status
Completed
Locations

Univerzitna nemocnica Bratislava, Nemocnica Stare Mesto

Bratislava, Slovakia, 813 69

Status
Completed
Locations

Fakultna nemocnica Trnava

Trnava, Slovakia, 917 75

Status
Completed
Locations

Liptovska nemocnica s poliklinikou MUDr. Ivana Stodolu

Liptovsky Mikulas, Slovakia, 031 023

Status
Completed
Locations

Fakultna nemocnica AGEL Skalica, a.s.

Skalica, Slovakia, 909 82

Status
Completed
Locations

Svet zdravia, a. s. Vseobecna nemocnica Rimavska Sobota

Rimavska Sobota, Slovakia, 979 12

Status
Completed
Locations

Dolnooravska nemocnica s poliklinikou L. Nadasi Jegeho

Dolny Kubin, Slovakia, 026 14

Status
Completed
Locations

Vseobecna nemocnica v Ziari nad Hronom

Ziar nad Hronom, Slovakia, 965 37

Status
Completed
Locations

Vseobecna nemocnica s poliklinikou Levoca, a.s.

Levoca, Slovakia, 054 01

Status
Completed
Locations

Svet zdravia, a.s. Nemocnica s poliklinikou Spisska Nova Ves

Spisska Nova Ves, Slovakia, 05201

Status
Completed
Locations

Huashan Hospital, Fudan University

Shanghai, China, 200040

Status
Completed
Locations

The First Hospital of Jilin University

Changchun, China, 130000

Status
Completed
Locations

Tianjin Huanhu Hospital

Tianjin, China, 300350

Status
Completed
Locations

Nanjing First Hospital

Nanjing, China, 210006

Status
Completed
Locations

Baogang hospital

Baotou, China, 014010

Status
Completed
Locations

Zhongda Hospital Southeast University

Nanjing, China, 210009

Status
Completed
Locations

People's Hospital of Deyang City

Deyang, China, 618099

Status
Completed
Locations

Daqing Oilfield General Hospital

Daqing, China, 163000

Status
Completed
Locations

Universitätsspital Basel

Basel, Switzerland, 4031

Status
Completed
Locations

Kantonsspital Baden

Baden, Switzerland, 5404

Status
Completed
Locations

Spitalzentrum Biel

Biel, Switzerland, 2501

Status
Completed
Locations

Inselspital Universitätsspital Bern

Bern, Switzerland, 3010

Status
Completed
Locations

Kantonsspital St. Gallen

St. Gallen, Switzerland, 9007

Status
Completed
Locations

Ospedale regionale di Lugano

Lugano, Switzerland, 6900

Status
Completed
Locations

Turun yliopistollinen keskussairaala

Turku, Finland, FIN-20520

Status
Completed
Locations

HUS, Meilahden sairaala

Helsinki, Finland, 00029

Status
Completed
Locations

Itä-Suomen yliopisto

Kuopio, Finland, 70210

Status
Completed
Locations

Hopital Jean Minjoz

BESANCON, France, 25030

Status
Completed
Locations

Danderyds sjukhus

Stockholm, Sweden, 182 88

Status
Completed
Locations

Skånes Universitetssjukhus

Lund, Sweden, 221 85

Status
Completed
Locations

Nemocnice na Homolce - Neurology Department

Praha 5-Motol, Czech Republic, 150 00

Status
Completed
Locations

Konventhospital Barmherzige Brüder Linz

Linz, Austria, 4021

Status
Completed
Locations

Hôpital Pontchaillou

RENNES CEDEX, France, 35033

Status
Completed
Locations

Glasgow Royal Infirmary | Glasgow Clinical Research Facility

Glasgow, United Kingdom, G4 0SF

Status
Completed
Locations

University Hospitals Coventry and Warwickshire NHS Trust

Coventry, United Kingdom, CV2 2DX

Status
Completed
Locations

Hospital de la Mútua de Terrassa

Terrassa, Spain, 08221

Status
Completed
Locations

Hospital Rey Juan Carlos

Móstoles, Spain, 28933

Status
Completed
Locations

UZ Brussel

Brussel, Belgium, 1090

Status
Completed
Locations

Arrowe Park Hospital

Wirral, United Kingdom, CH49 5PE

Status
Completed
Locations

Klinikum Frankfurt Höchst GmbH

Frankfurt, Germany, 65929

Status
Completed
Locations

Grampians Health Ballarat

Ballarat, Australia, 3350

Status
Completed
Locations

Mazowiecki Szpital Specjalistyczny im. dr. Jozefa Psarskiego

Ostroleka, Poland, 07-410

Status
Completed

Trial Design