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Recombinant human tissue kallikrein

Phase 2

Acute Stroke | Small molecule | Neurology |DiaMedica Therapeutics Inc.|Last Updated: Apr 28, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment728
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05065216Treatment of Acute Ischemic Stroke (ReMEDy2 Trial)PHASE2 RECRUITING 728Nov 7, 2021Dec 1, 2026Apr 28, 202666 United States, Belgium +7
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Study Endpoints
Primary Endpoints
Stroke Recovery
Day 90

Stroke recovery as defined by participants with excellent functional outcomes at Day 90 as assessed via the Modified Rankin Score (mRS \[dichotomized\]), mRS scores of 0 or 1 represent responders, scale range of 0-6. The mRS (Modified Rankin Scale) is a single-item, clinician-reported measure of functional disability in participants with AIS. Scores range in grade from 0 (no symptoms at all) to 6 (participant death).

Secondary Endpoints
Effect on Disability
Day 90
Independent Function
Day 90
Mortality Rate
Day 90
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DM199EXPERIMENTALDM199 administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.
Placebo for DM199 Solution for InjectionPLACEBO_COMPARATORPlacebo administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.
Interventions
NameTypeDescription
Recombinant human tissue kallikreinDRUGDM199 administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21
Placebo for DM199 Solution for InjectionOTHERPlacebo administered by a single intravenous (IV) dose followed by subcutaneous (SC) doses at 2 hours (+10 hours) of the IV dose completion and then 2 times per week up to Day 21.
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Eligibility Criteria
Age Range18 Years — 90 Years
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: 1. Participant is between 18 and 90 years of age inclusive. 2. Participant weight is 40 kg to 166 kg inclusive. 3. Participant to be randomized and treatment initiated within 24 hours of last known normal/AIS stroke onset. 4. Participant has NIHSS ≥5 and ≤15 at approximately the...

Countries:United StatesBelgiumCanadaFranceGeorgiaHungaryRomaniaSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05065216primaryCompletionDate: changed
LOWMay 24, 2026NCT05065216studyFirstPostDate: changed