Evidence map›Paper›PMID 42333641›Full record

Trial reportJournal of the American Heart Association2026

Safety and Efficacy of Nerinetide at Year 1 in Participants Enrolled in ESCAPE-NEXT: A Multicenter, Double-Blind, Randomized Controlled Trial.

Corey Adams, Kathy Heard, Yatika Kohli, Shabnam Vatanpour, Jorg Berrouschot, Brian Buck, Andrew Demchuk, Diederik Dippel, Franziska Dorn, Thalia Field and 10 more

Erratum issued Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04462536 (A Multicentre, Randomized, Double-blinded, Placebo-controlled, Parallel Group, Single-dose Design to Determine the Efficacy and Safety of Nerinetide in Participants With Acute Ischemic Stroke Undergoing Endovascular Thrombectomy Excluding Thrombolysis), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04462536 phase3completednot on this map

A Multicentre, Randomized, Double-blinded, Placebo-controlled, Parallel Group, Single-dose Design to Determine the Efficacy and Safety of Nerinetide in Participants With Acute Ischemic Stroke Undergoing Endovascular Thrombectomy Excluding Thrombolysis

TypeinterventionalSponsorNoNO Inc.Ran2020 to 2023Enrolled850ConditionsStroke, AcuteArmsPlacebo, Nerinetide
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Corey AdamsNoNO Inc. Toronto ON Canada.ORCID 0009-0001-3645-3154
Kathy HeardNoNO Inc. Toronto ON Canada.ORCID 0009-0002-4807-2217
Yatika KohliNoNO Inc. Toronto ON Canada.
Shabnam VatanpourCumming School of Medicine University of Calgary AB Canada.ORCID 0000-0002-2398-5039
Jorg BerrouschotKlinikum Altenburger Land, Neurology Altenburg Germany.ORCID 0000-0002-6297-3153
Brian BuckUniversity of Alberta Hospital Edmonton AB Canada.ORCID 0000-0002-7984-6062
Andrew DemchukCumming School of Medicine University of Calgary AB Canada.ORCID 0000-0002-4930-7789
Diederik DippelErasmus MC University Medical Center Rotterdam Netherlands.ORCID 0000-0002-9234-3515
Franziska DornFaculty of Medicine University of Bonn Germany.ORCID 0000-0001-9093-8307
Thalia FieldFaculty of Medicine University of British Columbia Vancouver BC Canada.ORCID 0000-0002-1176-0633
Mario MutoAntonio Cardarelli Hospital Naples Italy.
Mirko PhamWürzburg University Hospital Würzburg Germany.ORCID 0000-0003-1295-2685
Karla J RyckborstCumming School of Medicine University of Calgary AB Canada.
Richard H SwartzSunnybrook Health Sciences Centre North York ON Canada.ORCID 0000-0001-6571-5531
Brian A van AdelFaculty of Health Sciences McMaster University Hamilton ON Canada.ORCID 0000-0003-2675-6116
Bijoy MenonCumming School of Medicine University of Calgary AB Canada.ORCID 0000-0002-3466-496X
Mayank GoyalCumming School of Medicine University of Calgary AB Canada.ORCID 0000-0001-9060-2109
Michael D HillCumming School of Medicine University of Calgary AB Canada.ORCID 0000-0002-6269-1543
Michael TymianskiNoNO Inc. Toronto ON Canada.ORCID 0000-0002-6311-9565
ESCAPE‐NEXT Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNerinetide is a neuroprotective agent recently evaluated in the ESCAPE-NEXT (Efficacy and Safety of Nerinetide in Participants With Acute Ischemic Stroke Undergoing Endovascular Thrombectomy Excluding Thrombolysis) trial (NCT04462536), which was terminated after failing to meet its Day 90 primary end point; however, by that time, Year 1 follow-up outcomes were already available for 513 participants.

methodsThe primary end point at Year 1 was functional independence, defined as modified Rankin Scale score 0 to 2, analyzed by logistic regression adjusted for treatment and baseline covariates. In a post hoc analysis, the interaction between early (<3 hours) versus late (3-12 hours) enrollment window and treatment effect was also tested and the results reported separately by enrollment window.

resultsA total of 513 of 850 participants had documented Year 1 outcomes before study termination, of whom 442 reached their scheduled Year 1 visit. In the nerinetide group, 110 (48.0%) of 229 participants achieved functional independence at Year 1 compared with 102 (47.9%) of 213 in the placebo group (adjusted odds ratio [aOR], 1.12 [95% CI, 0.74-1.71];

conclusionsLong-term benefits of early administration of neuroprotection may emerge up to 1 year after stroke.

Indexed as

Ischemic StrokeNeuroprotective AgentsStrokeAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPeptide FragmentsTime FactorsTreatment OutcomenerinetideNeuroprotective AgentsPeptide Fragmentsacute ischemic strokenerinetideneuroprotectionPSD‐95 inhibitorrandomized controlled trial

Identifiers

PMID42333641
PMCPMC13477396

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.