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REC-994 for Cerebral Cavernous Malformations (SYCAMORE Trial)

Phase 2
Waitlist Available
Research Sponsored by Recursion Pharmaceuticals Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
18 years of age or older with anatomic CCM lesions demonstrated by brain MRI
Have symptomatic CCM
Must not have
Liver dysfunction or active liver disease as defined by baseline serum transaminases >2x upper limit of normal (ULN)
Be unable or unwilling to participate in MRI assessments (e.g., claustrophobia, metal implant or implanted cardiac pacemaker)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months (part 1)
Awards & highlights

Summary

This trial is testing a medication called REC-994 at two different doses to see if it can help people with a brain condition called cerebral cavernous malformation (CCM). The condition causes abnormal blood vessels in the brain, leading to symptoms like headaches and seizures. The medication might work by making these blood vessels more stable and less likely to cause problems.

Who is the study for?
This trial is for adults with symptomatic cerebral cavernous malformation (CCM) confirmed by MRI. Participants must consent to the study and not have been in another drug trial within the past 28 days or 5 half-lives of any investigational drug. Exclusions include pregnancy, breastfeeding, inability to undergo MRI, liver or severe kidney issues, recent hemorrhage or brain surgery, history of muscle disorders or substance abuse.
What is being tested?
The study tests REC-994 at two doses (200 mg and 400 mg) against a placebo in people with CCM. It's randomized and double-blind, meaning participants are put into groups by chance and neither they nor the researchers know who gets the real treatment versus placebo.
What are the potential side effects?
While specific side effects for REC-994 aren't listed here, common ones in trials may include headaches, nausea, allergic reactions or other symptoms depending on how it affects individuals differently.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am over 18 and have CCM lesions in my brain shown by MRI.
Select...
I have symptoms from cerebral cavernous malformations.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
My liver tests are more than twice the normal limit.
Select...
I cannot or do not want to undergo MRI scans due to claustrophobia or having a metal implant/pacemaker.
Select...
My kidney function is low, I have kidney disease, or I've had a kidney transplant.
Select...
I have had brain radiation or surgery for a primary CCM lesion.
Select...
I have a muscle disorder or my muscle enzyme levels are very high.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months (part 1)
This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 months (part 1) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Incidence and severity of adverse events (AEs)
Secondary study objectives
Change in disease-associated symptoms (number of MRI-confirmed cerebral hemorrhagic events)
Change in disease-associated symptoms (size and number of lesions on MRI)
Change in patient reported outcomes (Cerebral Cavernous Malformation Health Index)
+3 more

Trial Design

3Treatment groups
Active Control
Placebo Group
Group I: REC-994 200 mgActive Control2 Interventions
REC-994 200 mg po once daily (QD) (1 200 mg REC-994 tablet, 1 matching placebo tablet)
Group II: REC-994 400 mgActive Control1 Intervention
REC-994 400 mg po QD (2 200 mg REC-994 tablets)
Group III: PlaceboPlacebo Group1 Intervention
Matching Placebo po QD (2 matching placebo tablets)

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.
Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The most common treatments for Cerebral Cavernous Malformations (CCM) include surgical resection, which physically removes the malformations to prevent hemorrhages, and medications to manage symptoms such as seizures or headaches. Investigational drugs, like REC-994, are being studied for their potential to stabilize or reduce the size of the malformations by targeting the underlying molecular pathways involved in CCM formation and progression. Understanding these mechanisms is crucial for CCM patients as it helps in developing targeted therapies that can effectively manage or potentially cure the condition, reducing the risk of complications and improving quality of life.

Find a Location

Who is running the clinical trial?

Recursion Pharmaceuticals Inc.Lead Sponsor
4 Previous Clinical Trials
305 Total Patients Enrolled

Media Library

Placebo Clinical Trial Eligibility Overview. Trial Name: NCT05085561 — Phase 2
Cerebral Cavernous Malformations Research Study Groups: REC-994 200 mg, REC-994 400 mg, Placebo
Cerebral Cavernous Malformations Clinical Trial 2023: Placebo Highlights & Side Effects. Trial Name: NCT05085561 — Phase 2
Placebo 2023 Treatment Timeline for Medical Study. Trial Name: NCT05085561 — Phase 2
~20 spots leftby Dec 2025