Xenon gas was studied at the Intensive Care Unit (ICU) of Turku University Hospital, Finland in 2009–2014 as a treatment for minimising the damage of cardiac arrest, and now it enters drug development in spring 2018.

NeuroproteXeon is advancing the study of xenon in a pivotal phase 3 trial. An earlier study discovered that xenon protects the white matter in the brain from damage and the latest research showed that xenon can also protect the heart. The studies conducted at the Intensive Care Units of Turku University Hospital and Helsinki University Hospital showed that xenon protects the brain when patients are treated for cardiac arrest. The results of the study, led by researchers of Turku University Hospital in Finland, were published in the JAMA journal in the spring of 2016. In November 2017, a further study was published in the Journal of American College of Cardiology and it demonstrated that xenon can also protect the heart during the intensive care of cardiac arrest patients.

“According to the original publication, patients who inhaled xenon gas, when administered for 24 hours following a cardiac arrest, had notably less damage in their cerebral white matter than the patients in the control group. In addition, the latest results show that xenon reduces the size of infarct in cardiac arrest and thus protects the heart,” summarised the leader of the research group, docent of the University of Turku Timo Laitio, who is a Specialist in anaesthesiology and intensive care at the ICU of Turku University Hospital.

The research results received a great deal of attention after the publication on the use of xenon gas for neuroprotection following a cardiac arrest. The drug development now moves to phase 3 where the results are tested on a larger group of patients. With positive results from a pivotal phase 3 study, marketing authorization from regulatory bodies may be pursued. The phase 3 trial will be conducted in 30 unique sites in North America, Europe, and Australia.

“The earlier research was pioneering work and started from my original idea. The results we received on the promising protective characteristics of xenon can now be verified in a considerably larger trial with 1,500 patients. The trial will begin in spring 2018 and it investigates whether xenon can be used as a novel treatment in intensive care for the syndrome caused by cardiac arrest, particularly for brain damage and heart injury caused by oxygen deficiency,” said Dr. Laitio.

Dr. Laitio is one of the five members of the Trial Executive Committee (TEC) sponsored by NeuroproteXeon.

“We will conduct the observation protocol of the phase 3 trial according to our own research model. The TEC is responsible for the realisation of and reporting on the project. In addition to the clinical trial, approximately 200 patients will undergo head MRI in approximately ten facilities. Together with the research group lead by professor Louis Puybasset, we are responsible for the neuroradiology section of the study.”

Professor Puybasset works at Hôpital La Pitié Salpêtrière in Paris. Experts of the research group at Turku University Hospital include professor of Radiology Riitta Parkkola and MRI Physicist Jani Saunavaara.

Bill Stoll, Vice President of Regulatory & Quality at NeuroproteXeon added, “The cytoprotective properties of Xenon gas have been well received by regulatory scientist at both FDA and EMA. As such, we have an approved phase 3 protocol to study Xenon in Out of Hospital Cardiac Arrest (OHCA) patients in the US and the EU. We believe that Xenon gas combined with the Targeted Temperature Management (TTM) can significantly improve OHCA patients survival and neurofunctional outcomes. NeuroproteXeon will continue to develop Xenon gas—XENEX™ for a multitude of neurologic insult events such as stroke and traumatic brain injuries.”