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Enzyme

Tissue Kallikrein for Ischemic Stroke (ReMEDy2 Trial)

Phase 2 & 3
Recruiting
Led By Scott Kasner, MD
Research Sponsored by DiaMedica Therapeutics Inc
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient is ≥18 years of age.
Participant is ≥18 years of age.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at day 1, day 4, day 21, day 30, and day 90
Awards & highlights

ReMEDy2 Trial Summary

This trial is testing a new drug to treat strokes when other treatments are not possible. The trial will be conducted at 75 centers across the United States.

Who is the study for?
Adults over 18, weighing between 50-160 kg, who've had an Acute Ischemic Stroke within the last 24 hours but can't have clot-dissolving drugs or mechanical clot removal. They should have a moderate stroke severity score and be in good health before the stroke. Pregnant women and those on certain blood pressure meds are excluded.Check my eligibility
What is being tested?
The ReMEDy2 Trial is testing DM199 (recombinant human tissue kallikrein) for safety and effectiveness in treating strokes when standard treatments aren't suitable. Participants will either receive DM199 or a placebo at random, without knowing which one they're getting.See study design
What are the potential side effects?
Possible side effects of DM199 may include allergic reactions like angioedema or anaphylaxis, changes in blood pressure levels, and potential issues with infection management due to its mechanism of action.

ReMEDy2 Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am 18 years old or older.
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I am 18 years old or older.
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My weight is between 50 kg and 160 kg.

ReMEDy2 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at day 1, day 4, day 21, day 30, and day 90
This trial's timeline: 3 weeks for screening, Varies for treatment, and at day 1, day 4, day 21, day 30, and day 90 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Causality of adverse events during treatment with DM199 or placebo
Causality of adverse events of special interest (AESI) during treatment with DM199 or placebo
Causality of serious adverse events during treatment with DM199 or placebo
+66 more
Secondary outcome measures
Assessment of effect on disability across the full spectrum of AIS by examining the distribution of Modified Rankin Scores (mRS)
Assessment of patients who experience recurrent stroke
Immunogenicity
+5 more

ReMEDy2 Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: DM199Experimental Treatment1 Intervention
DM199 administered by a single intravenous (IV) dose followed by a subcutaneous (SC) dose within 12 hours and then 2 times a week for three weeks (until Day 21).
Group II: PlaceboPlacebo Group1 Intervention
Placebo administered by a single intravenous (IV) dose followed by a subcutaneous (SC) dose within 12 hours and then 2 times a week for three weeks (until Day 21).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Recombinant human tissue kallikrein
2018
Completed Phase 2
~130

Find a Location

Who is running the clinical trial?

DiaMedica Therapeutics IncLead Sponsor
5 Previous Clinical Trials
338 Total Patients Enrolled
2 Trials studying Stroke
128 Patients Enrolled for Stroke
Harry Alcorn, PharmDStudy DirectorDiaMedica Inc.
1 Previous Clinical Trials
23 Total Patients Enrolled
Scott Kasner, MDPrincipal InvestigatorUni Penn

Media Library

Recombinant human tissue kallikrein (Enzyme) Clinical Trial Eligibility Overview. Trial Name: NCT05065216 — Phase 2 & 3
Stroke Research Study Groups: Placebo, DM199
Stroke Clinical Trial 2023: Recombinant human tissue kallikrein Highlights & Side Effects. Trial Name: NCT05065216 — Phase 2 & 3
Recombinant human tissue kallikrein (Enzyme) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05065216 — Phase 2 & 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this clinical trial more prevalent in North America than in other continents?

"Patients can enrol at any of the 18 different recruitment sites, which include the Parkview Research Center in Fort Wayne, Indiana, McLaren Macomb Hospital in Flint, Michigan, and St. Mary's Hospital and Regional Medical Center - St. Mary's Neurology Clinic in Grand Junction, Colorado."

Answered by AI

What are researchers measuring in this clinical trial?

"The aim of this study is to monitor glucose levels over a period of 90 days. Secondary outcomes include PD as assessed by plasma MMP-9 levels, the proportion of patients achieving an excellent functional independence as measured by the Barthel Index, and the proportion of patients receiving an excellent neurological outcome as measured by the NIHSS."

Answered by AI

Who else is applying?

What state do they live in?
Arkansas
What site did they apply to?
Washington Regional Medical Center
Ascension St. John
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria

Why did patients apply to this trial?

~262 spots leftby Dec 2025