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Cosmos Trial: Cerebroprotection Of AST-004 in Mild Complicated Traumatic Brain Injuries

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2026-525554-11-00
Enrollment
48
Registered
2026-06-04
Start date
Unknown
Completion date
Unknown
Last updated
2026-06-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Traumatic brain injury

Brief summary

Primary safety endpoint: Safety of different doses of AST-004 as determined by the incidence, frequency, and severity of treatment-emergent adverse events (TEAEs) occurring through Day 7., Primary pharmacodynamic endpoint: Physiologic effect of AST-004 as determined by the change in plasma GFAP from baseline/pre-dose through the dose-completion, 24 hours, Day 7, Day 14 and Day 30 timepoints. The effect at 24 hours will be of primary interest.

Detailed description

Clinical effect of AST-004 as determined by change in Rivermead symptom scores from baseline/pre-dose through Day 14., Cerebroprotective effect of AST-004 as determined by differences in neuronal integrity, membrane turnover, glial activation, and neuroinflammation, measured as changes in N-acetylaspartate, choline-containing compounds, and myo-inositol on conventional MR spectroscopy at 24 hours and Day 14, and by the difference between these timepoints

Interventions

Sponsors

Astrocyte Pharmaceuticals Inc.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Primary safety endpoint: Safety of different doses of AST-004 as determined by the incidence, frequency, and severity of treatment-emergent adverse events (TEAEs) occurring through Day 7., Primary pharmacodynamic endpoint: Physiologic effect of AST-004 as determined by the change in plasma GFAP from baseline/pre-dose through the dose-completion, 24 hours, Day 7, Day 14 and Day 30 timepoints. The effect at 24 hours will be of primary interest.

Secondary

MeasureTime frame
Clinical effect of AST-004 as determined by change in Rivermead symptom scores from baseline/pre-dose through Day 14., Cerebroprotective effect of AST-004 as determined by differences in neuronal integrity, membrane turnover, glial activation, and neuroinflammation, measured as changes in N-acetylaspartate, choline-containing compounds, and myo-inositol on conventional MR spectroscopy at 24 hours and Day 14, and by the difference between these timepoints

Outcome results

None listed

Source: EU CTIS · Data processed: Jun 5, 2026