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A Study of Modified Stem Cells in Stable Ischemic Stroke

A Phase 1/2A Study of the Safety and Efficacy of Modified Stromal Cells (SB623) in Patients With Stable Ischemic Stroke

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01287936
Enrollment
18
Registered
2011-02-02
Start date
2011-01-31
Completion date
2015-08-31
Last updated
2023-02-03

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

Conditions

Chronic Ischemic Stroke

Keywords

Chronic Stroke, Stable Stroke, Ischemic Stroke, Fixed Motor Deficits

Brief summary

The primary purpose of the clinical study is to determine the safety of a modified stem cell SB623 when administered to chronic, stable ischemic stroke patients. A second purpose is to determine whether SB623 might improve stroke symptoms. Chronic, stable ischemic stroke patients must be between 6 and 60 months after their stroke, and with only this one prior stroke, and with no further improvement from physical therapy.

Detailed description

Chronic, stable stroke patients have no existing alternative treatments after rehabilitation therapy. SB623, a modified stem cell preparation, has been shown to improve motor function when administered in animal models of stable stroke. Safety studies in animals have shown no adverse events attributed to SB623. Patients who meet the entry criteria for this study will have regular examinations, radiological evaluations (CT, MRI, PET), and be followed for two years. Regular neurological evaluations will also be done using standard questionnaires, with occasional video recording if improvements are evident. Key entry criteria for this study, in addition to 6-60 months post-ischemic stroke, include moderately severe symptoms--e.g., difficulty standing or walking, and/or difficulty using arms or hands, and/or speech impediments.

Interventions

BIOLOGICALSB623

SB623, a modified stem-cell product

Sponsors

SanBio, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Documented history of one completed ischemic stroke in subcortical region of MCA or lenticulostriate artery with or without cortical involvement * Between 6 and 60 months post-stroke, and having a motor neurological deficit * No significant further improvement with physical therapy/rehabilitation * Able and willing to undergo computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET) scans of the head

Exclusion criteria

* History of more than 1 symptomatic stroke * History of seizures * History or presence of any other major neurological disease * Myocardial infarction within prior 6 mos. * Known presence of any malignancy except squamous or basal cell carcinoma of the skin * Participation in any other investigational trial within 4 weeks of initial screening and within 7 weeks of study entry * Contraindications to head CT, MRI, or PET * Pregnant or lactating

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With Treatment Emergent Adverse Events (TEAEs)6 monthsNumber of subjects with TEAEs by maximum severity. The severity of all AEs was assessed by the Investigator using the World Health Organization (WHO) Toxicity Scale. For abnormalities not found elsewhere in the WHO table, the following scale was used to assign severity: Mild: Transient mild discomfort; no limitation in activity; no medical intervention/therapy required. Moderate: Mild-to-moderate limitation in activity; some assistance may be need. No or minimal medical intervention/therapy required. Severe: Marked limitation in activity, some assistance usually required; medical intervention/therapy required; hospitalization or prolongation of current hospitalization possible. Life-threatening: Extreme limitation in activity, significant assistance required; significant medial intervention/therapy required; hospitalization or prolongation of current hospitalization or hospice care probable.

Secondary

MeasureTime frameDescription
Change in the European Stroke Scale (ESS) Motor Function Total Score From Baseline at Month 66 monthsThe ESS motor function score is a sum of the selected items: facial movement, arm in outstretched position, arm raising, extension of wrist, fingers, leg maintained in position, leg flexing, dorsiflexion of foot, and gait. A completely normal person will have a score of 66. The maximally affected person will have a score of zero.
Change in the National Institutes of Health Stroke Scale (NIHSS) Total Score From Baseline at Month 66 monthsThe NIHSS is a standardized method used to measure the level of impairment caused by a stroke. The scale consists of 11 items that measure several aspects of brain function, including consciousness, vision, sensation, movement, speech, and language. A certain number of points are given for each impairment uncovered during a focused neurological examination. A maximal score of 42 represents the most severe and devastating stroke with 0=no stroke, 1-4=minor stroke, 5-15=moderate stroke, 15-20=moderate/severe stroke, and 21-42=severe stroke.
Change in the National Institutes of Health Stroke Scale (NIHSS) Motor Function Total Score From Baseline at Month 66 monthsThe NIHSS is a standardized method used to measure the level of impairment caused by a stroke. The NIHSS Motor Function Total Score consists of 3 items: motor arm, motor leg, and limb ataxia, with 0 = no stroke and a maximal score of 18 = most severe impairment for motor function.
Change in the Modified Rankin Scale (mRS) Response From Baseline at Month 66 monthsThe mRS is a commonly used scale for measuring the degree of disability in daily activities for patients who have suffered a stroke. The mRS is an ordinal scale from 0 (no symptoms at all) to 5 (severe disability; requiring constant nursing care and attention, bedridden, incontinent) with a sixth category of death.
Change in the European Stroke Scale (ESS) Total Score From Baseline at Month 66 monthsThe ESS is the sum of 14 items that are used to assess a patient who has recently had a stroke. These 14 items are level of consciousness, comprehension, speech, visual field, gaze, facial movement, arm in outstretched position, arm raising, extension of the wrist, fingers, leg maintained in position, leg flexing, dorsiflexion of the foot, and gait. A certain number of points are given for each parameter. The range of the total score of ESS is 0 - 100, with a completely normal person having a score of 100 and maximally affected person with a score of zero.
Change in the Fugl-Meyer Motor Total Score (FMMS) Total Score From Baseline at Month 66 monthsThe FMMS is used as a clinical measure of body function impairment after stroke that assesses several dimensions of motor impairment, including range of motion in upper and lower limbs, reflex activity, volitional movement, and coordination. The FMMS motor total score ranged from 0 (hemiplegia) to a maximum of 100 points (normal motor performance), and is comprised of a 33-item upper extremity subscale (UE-FMMS) and the 17-item lower extremity subscale (LE-FMMS). Items were scored on a 3-point ordinal scale: 0= cannot perform; 1= partial motion; 2= full motion Individual items are summed to determine scores for the 2 subscale scores, as well as a motor total score (total of the 2 subscales UE-FMMS and LE-FMMS). As a result, the UE-FMMS subscale score ranged from 0 to 66 and the LE-FMMS subscale score ranged from 0 to 34. A maximally affected person will have a score of 0 while a fully functional person will have the highest score (i.e., 34 for LE-FMMS, 66 for UE-FMMS, 100 for FMMS)
Change in the Fugl-Meyer Upper Extremity Motor Function Total Score From Baseline at Month 66 monthsThe Fugl-Meyer Upper Extremity subscale (UE-FMMS) is comprised of 33 items that assess several dimensions of motor impairment, including range of motion in upper limbs, reflex activity, volitional movement, and coordination. Scoring is based on direct observation of performance and is scored using a 3-point ordinal scale, where 0=cannot perform; 1=partial motion; and 2=full motion Individual items are summed to provide ranging from 0 (minimum) to 66 (maximum). A maximally affected person will have a score of 0 while a fully functional person will a score of 66.
Change in the Fugl-Meyer Lower Extremity Motor Function Total Score From Baseline at Month 66 monthsThe Fugl-Meyer Lower Extremity subscale (LE-FMMS) is comprised of 17 items that assess several dimensions of motor impairment, including range of motion in lower limbs, reflex activity, volitional movement, and coordination. Scoring is based on direct observation of performance and is scored using a 3-point ordinal scale, where 0=cannot perform; 1=partial motion; and 2=full motion Individual items are summed to provide ranging from 0 (minimum) to 34 (maximum). A maximally affected person will have a score of 0 while a fully functional person will a score of 34.
Change in the Fugl-Meyer Total Score From Baseline at Month 66 monthsThe Fugl-Meyer Scale is a stroke-specific, performance-based impairment index. The scale is comprised of 5 domains (motor score, sensation, balance, joint range of motion, and joint pain) with 155 items in total. Scoring is based on direct observation of performance. Scale items in all 5 domains are scored on the basis of ability to complete the item using a 3-point Likert-type ordinal scale, where 0=cannot perform, 1=performs partially, and 2=performs fully. Points are divided among the domains: (a) Motor performance \[0 (hemiplegia) - 100 (normal motor performance) points\]; (b) Balance \[0-14 points: 6 for sitting; 8 for standing\]; (c) Sensation \[0-24 points: 8 for light touch; 16 for position sense\]; (d) Joint range of motion \[0-44 points\]; (e) Joint pain \[0-44 points\]. For all domains, a maximally affected person will score 0 while a fully functional person will have the highest score. All items are summed to provide a minimum score of 0 and a maximum score of 226.

Countries

United States

Participant flow

Participants by arm

ArmCount
SB623 Implant (2.5M)
2.5 million SB623 cells SB623: SB623, a modified stem-cell product
6
SB623 Implant (5.0M)
5 million SB623 cells SB623: SB623, a modified stem-cell product
6
SB623 Implant (10.0M)
10 million SB623 cells SB623: SB623, a modified stem-cell product
6
Total18

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up011

Baseline characteristics

CharacteristicSB623 Implant (2.5M)TotalSB623 Implant (10.0M)SB623 Implant (5.0M)
Age, Continuous60.0 years
STANDARD_DEVIATION 7.62
61.3 years
STANDARD_DEVIATION 10.29
56.8 years
STANDARD_DEVIATION 13.3
67.2 years
STANDARD_DEVIATION 7.6
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants18 Participants6 Participants6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants5 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants12 Participants5 Participants4 Participants
Region of Enrollment
United States
6 participants18 participants6 participants6 participants
Sex: Female, Male
Female
3 Participants11 Participants4 Participants4 Participants
Sex: Female, Male
Male
3 Participants7 Participants2 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 60 / 6
other
Total, other adverse events
6 / 66 / 66 / 6
serious
Total, serious adverse events
2 / 63 / 62 / 6

Outcome results

Primary

Number of Subjects With Treatment Emergent Adverse Events (TEAEs)

Number of subjects with TEAEs by maximum severity. The severity of all AEs was assessed by the Investigator using the World Health Organization (WHO) Toxicity Scale. For abnormalities not found elsewhere in the WHO table, the following scale was used to assign severity: Mild: Transient mild discomfort; no limitation in activity; no medical intervention/therapy required. Moderate: Mild-to-moderate limitation in activity; some assistance may be need. No or minimal medical intervention/therapy required. Severe: Marked limitation in activity, some assistance usually required; medical intervention/therapy required; hospitalization or prolongation of current hospitalization possible. Life-threatening: Extreme limitation in activity, significant assistance required; significant medial intervention/therapy required; hospitalization or prolongation of current hospitalization or hospice care probable.

Time frame: 6 months

Population: Safety population includes all enrolled patients who have received study treatment and who have any post-baseline data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
SB623 Implant (2.5M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Severe1 Participants
SB623 Implant (2.5M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Life threatening1 Participants
SB623 Implant (2.5M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Mild1 Participants
SB623 Implant (2.5M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Moderate3 Participants
SB623 Implant (5.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Mild1 Participants
SB623 Implant (5.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Severe3 Participants
SB623 Implant (5.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Life threatening0 Participants
SB623 Implant (5.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Moderate2 Participants
SB623 Implant (10.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Life threatening0 Participants
SB623 Implant (10.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Severe2 Participants
SB623 Implant (10.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Mild0 Participants
SB623 Implant (10.0M)Number of Subjects With Treatment Emergent Adverse Events (TEAEs)Moderate4 Participants
Secondary

Change in the European Stroke Scale (ESS) Motor Function Total Score From Baseline at Month 6

The ESS motor function score is a sum of the selected items: facial movement, arm in outstretched position, arm raising, extension of wrist, fingers, leg maintained in position, leg flexing, dorsiflexion of foot, and gait. A completely normal person will have a score of 66. The maximally affected person will have a score of zero.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the European Stroke Scale (ESS) Motor Function Total Score From Baseline at Month 66.33 Change in score on a scale from baselineStandard Deviation 6.186
SB623 Implant (5.0M)Change in the European Stroke Scale (ESS) Motor Function Total Score From Baseline at Month 63.67 Change in score on a scale from baselineStandard Deviation 3.933
SB623 Implant (10.0M)Change in the European Stroke Scale (ESS) Motor Function Total Score From Baseline at Month 66.25 Change in score on a scale from baselineStandard Deviation 5.56
Secondary

Change in the European Stroke Scale (ESS) Total Score From Baseline at Month 6

The ESS is the sum of 14 items that are used to assess a patient who has recently had a stroke. These 14 items are level of consciousness, comprehension, speech, visual field, gaze, facial movement, arm in outstretched position, arm raising, extension of the wrist, fingers, leg maintained in position, leg flexing, dorsiflexion of the foot, and gait. A certain number of points are given for each parameter. The range of the total score of ESS is 0 - 100, with a completely normal person having a score of 100 and maximally affected person with a score of zero.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the European Stroke Scale (ESS) Total Score From Baseline at Month 67.67 Change in score on a scale from baselineStandard Deviation 8.14
SB623 Implant (5.0M)Change in the European Stroke Scale (ESS) Total Score From Baseline at Month 64.50 Change in score on a scale from baselineStandard Deviation 5.244
SB623 Implant (10.0M)Change in the European Stroke Scale (ESS) Total Score From Baseline at Month 67.75 Change in score on a scale from baselineStandard Deviation 10.012
p-value: <0.001Wilcoxon Signed Rank test
Secondary

Change in the Fugl-Meyer Lower Extremity Motor Function Total Score From Baseline at Month 6

The Fugl-Meyer Lower Extremity subscale (LE-FMMS) is comprised of 17 items that assess several dimensions of motor impairment, including range of motion in lower limbs, reflex activity, volitional movement, and coordination. Scoring is based on direct observation of performance and is scored using a 3-point ordinal scale, where 0=cannot perform; 1=partial motion; and 2=full motion Individual items are summed to provide ranging from 0 (minimum) to 34 (maximum). A maximally affected person will have a score of 0 while a fully functional person will a score of 34.

Time frame: 6 months

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the Fugl-Meyer Lower Extremity Motor Function Total Score From Baseline at Month 64.17 Change in score on a scale from baselineStandard Deviation 4.355
SB623 Implant (5.0M)Change in the Fugl-Meyer Lower Extremity Motor Function Total Score From Baseline at Month 64.17 Change in score on a scale from baselineStandard Deviation 3.061
SB623 Implant (10.0M)Change in the Fugl-Meyer Lower Extremity Motor Function Total Score From Baseline at Month 66.25 Change in score on a scale from baselineStandard Deviation 5.315
Secondary

Change in the Fugl-Meyer Motor Total Score (FMMS) Total Score From Baseline at Month 6

The FMMS is used as a clinical measure of body function impairment after stroke that assesses several dimensions of motor impairment, including range of motion in upper and lower limbs, reflex activity, volitional movement, and coordination. The FMMS motor total score ranged from 0 (hemiplegia) to a maximum of 100 points (normal motor performance), and is comprised of a 33-item upper extremity subscale (UE-FMMS) and the 17-item lower extremity subscale (LE-FMMS). Items were scored on a 3-point ordinal scale: 0= cannot perform; 1= partial motion; 2= full motion Individual items are summed to determine scores for the 2 subscale scores, as well as a motor total score (total of the 2 subscales UE-FMMS and LE-FMMS). As a result, the UE-FMMS subscale score ranged from 0 to 66 and the LE-FMMS subscale score ranged from 0 to 34. A maximally affected person will have a score of 0 while a fully functional person will have the highest score (i.e., 34 for LE-FMMS, 66 for UE-FMMS, 100 for FMMS)

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the Fugl-Meyer Motor Total Score (FMMS) Total Score From Baseline at Month 68.17 Change in score on a scale from baselineStandard Deviation 10.834
SB623 Implant (5.0M)Change in the Fugl-Meyer Motor Total Score (FMMS) Total Score From Baseline at Month 68.67 Change in score on a scale from baselineStandard Deviation 4.633
SB623 Implant (10.0M)Change in the Fugl-Meyer Motor Total Score (FMMS) Total Score From Baseline at Month 617.50 Change in score on a scale from baselineStandard Deviation 20.339
Secondary

Change in the Fugl-Meyer Total Score From Baseline at Month 6

The Fugl-Meyer Scale is a stroke-specific, performance-based impairment index. The scale is comprised of 5 domains (motor score, sensation, balance, joint range of motion, and joint pain) with 155 items in total. Scoring is based on direct observation of performance. Scale items in all 5 domains are scored on the basis of ability to complete the item using a 3-point Likert-type ordinal scale, where 0=cannot perform, 1=performs partially, and 2=performs fully. Points are divided among the domains: (a) Motor performance \[0 (hemiplegia) - 100 (normal motor performance) points\]; (b) Balance \[0-14 points: 6 for sitting; 8 for standing\]; (c) Sensation \[0-24 points: 8 for light touch; 16 for position sense\]; (d) Joint range of motion \[0-44 points\]; (e) Joint pain \[0-44 points\]. For all domains, a maximally affected person will score 0 while a fully functional person will have the highest score. All items are summed to provide a minimum score of 0 and a maximum score of 226.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the Fugl-Meyer Total Score From Baseline at Month 618.33 Change in score on a scale from baselineStandard Deviation 13.721
SB623 Implant (5.0M)Change in the Fugl-Meyer Total Score From Baseline at Month 617.70 Change in score on a scale from baselineStandard Deviation 7.589
SB623 Implant (10.0M)Change in the Fugl-Meyer Total Score From Baseline at Month 623.75 Change in score on a scale from baselineStandard Deviation 21.975
Secondary

Change in the Fugl-Meyer Upper Extremity Motor Function Total Score From Baseline at Month 6

The Fugl-Meyer Upper Extremity subscale (UE-FMMS) is comprised of 33 items that assess several dimensions of motor impairment, including range of motion in upper limbs, reflex activity, volitional movement, and coordination. Scoring is based on direct observation of performance and is scored using a 3-point ordinal scale, where 0=cannot perform; 1=partial motion; and 2=full motion Individual items are summed to provide ranging from 0 (minimum) to 66 (maximum). A maximally affected person will have a score of 0 while a fully functional person will a score of 66.

Time frame: 6 months

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the Fugl-Meyer Upper Extremity Motor Function Total Score From Baseline at Month 64.00 Change in score on a scale from baselineStandard Deviation 7.321
SB623 Implant (5.0M)Change in the Fugl-Meyer Upper Extremity Motor Function Total Score From Baseline at Month 64.50 Change in score on a scale from baselineStandard Deviation 3.017
SB623 Implant (10.0M)Change in the Fugl-Meyer Upper Extremity Motor Function Total Score From Baseline at Month 611.25 Change in score on a scale from baselineStandard Deviation 15.37
Secondary

Change in the Modified Rankin Scale (mRS) Response From Baseline at Month 6

The mRS is a commonly used scale for measuring the degree of disability in daily activities for patients who have suffered a stroke. The mRS is an ordinal scale from 0 (no symptoms at all) to 5 (severe disability; requiring constant nursing care and attention, bedridden, incontinent) with a sixth category of death.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the Modified Rankin Scale (mRS) Response From Baseline at Month 60 Change in score on a scale from baselineStandard Deviation 0
SB623 Implant (5.0M)Change in the Modified Rankin Scale (mRS) Response From Baseline at Month 6-0.17 Change in score on a scale from baselineStandard Deviation 0.408
SB623 Implant (10.0M)Change in the Modified Rankin Scale (mRS) Response From Baseline at Month 6-0.25 Change in score on a scale from baselineStandard Deviation 0.5
Secondary

Change in the National Institutes of Health Stroke Scale (NIHSS) Motor Function Total Score From Baseline at Month 6

The NIHSS is a standardized method used to measure the level of impairment caused by a stroke. The NIHSS Motor Function Total Score consists of 3 items: motor arm, motor leg, and limb ataxia, with 0 = no stroke and a maximal score of 18 = most severe impairment for motor function.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the National Institutes of Health Stroke Scale (NIHSS) Motor Function Total Score From Baseline at Month 6-1.33 change in score on a scale from baselineStandard Deviation 0.816
SB623 Implant (5.0M)Change in the National Institutes of Health Stroke Scale (NIHSS) Motor Function Total Score From Baseline at Month 6-0.83 change in score on a scale from baselineStandard Deviation 1.472
SB623 Implant (10.0M)Change in the National Institutes of Health Stroke Scale (NIHSS) Motor Function Total Score From Baseline at Month 6-1.00 change in score on a scale from baselineStandard Deviation 1.414
Secondary

Change in the National Institutes of Health Stroke Scale (NIHSS) Total Score From Baseline at Month 6

The NIHSS is a standardized method used to measure the level of impairment caused by a stroke. The scale consists of 11 items that measure several aspects of brain function, including consciousness, vision, sensation, movement, speech, and language. A certain number of points are given for each impairment uncovered during a focused neurological examination. A maximal score of 42 represents the most severe and devastating stroke with 0=no stroke, 1-4=minor stroke, 5-15=moderate stroke, 15-20=moderate/severe stroke, and 21-42=severe stroke.

Time frame: 6 months

Population: Intent-to-Treat (ITT) Population: Included all randomized subjects who completed the surgery treatment procedure (18 subjects).

ArmMeasureValue (MEAN)Dispersion
SB623 Implant (2.5M)Change in the National Institutes of Health Stroke Scale (NIHSS) Total Score From Baseline at Month 6-2.00 change in score on a scale from baselineStandard Deviation 1.265
SB623 Implant (5.0M)Change in the National Institutes of Health Stroke Scale (NIHSS) Total Score From Baseline at Month 6-0.83 change in score on a scale from baselineStandard Deviation 1.472
SB623 Implant (10.0M)Change in the National Institutes of Health Stroke Scale (NIHSS) Total Score From Baseline at Month 6-2.50 change in score on a scale from baselineStandard Deviation 3.512
p-value: 0.004Wilcoxon Signed Rank test

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026