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A Study Evaluating Topical Recombinant Human Vascular Endothelial Growth Factor (Telbermin) for Induction of Healing of Chronic, Diabetic Foot Ulcers

Primary Purpose

Foot Ulcer

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
rhuMAb VEGF (telbermin)
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Foot Ulcer focused on measuring Diabetes, Diabetic, Diabetic Foot Ulcer

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Signed Informed Consent 18-80 years old For females of childbearing potential, use of an effective method of contraception: abstinence; surgical sterilization; oral contraceptives; barrier contraception with either a condom, sponge, or diaphragm in conjunction with spermicidal gel; an intrauterine device (IUD); or contraceptive hormone implant or patch Type 1 or 2 diabetes mellitus Single, full-thickness (i.e., extending into the subcutaneous tissue or beyond) ulcer of the foot below the malleolus that does not involve bone, tendons, ligaments, or muscle Chronic ulcer with a duration of ≥ 4 weeks but < 6 months Ulcer area with sharp debridement of ≥ 1.0 cm^2 and ≤ 4.0 cm^2 Ankle-brachial index (ABI) of ≥ 0.6 and ≤ 1.2 on the study foot Glycosylated hemoglobin A1c (HbA1c) of ≤ 12% Exclusion Criteria: History of neoplasia or current neoplasia (with the exception of non-melanoma skin cancer) Proliferative diabetic retinopathy or wet age-related macular degeneration Active ulcer infection or cellulitis of any ulcer Ulcers with an etiology not related to diabetes (e.g., thermal, chemical, radiation insult) Connective tissue disease Active osteomyelitis of the study foot Subjects with ulcers related to an incompletely healed amputation wound Subjects with Charcot or other deformity of the study foot involving the study ulcer Immunosuppressive treatment, including radiation therapy, non-inhaled corticosteroids (inhaled corticosteroid ≤ 1000 ug daily dose is acceptable), and chemotherapy Pregnancy or lactation Multiple ulcers in the study foot Renal failure (serum creatinine of >3.0 mg/dL) Poor nutritional status (albumin of <3.0 g/dL) Known hypersensitivity to any ingredients of telbermin, placebo, or vehicle, including excipients in the formulation of telbermin or placebo gel (trehalose dihydrate, polysorbate 20, succinic acetic acid, succinic acetic acid disodium, and hexahydrate) Known prior inability to complete required study visits during treatment period Use of any other investigational drug or therapy on the study foot within the past month Previous use of a platelet-derived or other growth factors on the study ulcer within the past 3 months

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Incidence of clinically significant hypotension.

    Secondary Outcome Measures

    Incidence of clinically significant ulcer infection defined by increased discharge and malodorous exudates from the ulcer, fever, and a white blood cell (WBC) count of >10,000/uL
    Development of anti telbermin antibodies
    Incidence of adverse events
    Percent reduction in total ulcer surface area.

    Full Information

    First Posted
    September 25, 2003
    Last Updated
    May 9, 2017
    Sponsor
    Genentech, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00069446
    Brief Title
    A Study Evaluating Topical Recombinant Human Vascular Endothelial Growth Factor (Telbermin) for Induction of Healing of Chronic, Diabetic Foot Ulcers
    Official Title
    An Exploratory, Double-Blind, Randomized, Placebo Controlled Study Evaluating Topical Recombinant Human Vascular Endothelial Growth Factor (Telbermin) for Induction of Healing of Chronic, Diabetic Foot Ulcers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2003 (Actual)
    Primary Completion Date
    October 2004 (Actual)
    Study Completion Date
    October 2004 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Genentech, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This is a Phase I, double blind, randomized, placebo-controlled study that will enroll approximately 50 adult subjects with Type 1 or Type 2 diabetes mellitus and chronic, diabetic foot ulcers. The study will be conducted at approximately 12 investigational sites in the United States.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Foot Ulcer
    Keywords
    Diabetes, Diabetic, Diabetic Foot Ulcer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Enrollment
    50 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    rhuMAb VEGF (telbermin)
    Primary Outcome Measure Information:
    Title
    Incidence of clinically significant hypotension.
    Secondary Outcome Measure Information:
    Title
    Incidence of clinically significant ulcer infection defined by increased discharge and malodorous exudates from the ulcer, fever, and a white blood cell (WBC) count of >10,000/uL
    Title
    Development of anti telbermin antibodies
    Title
    Incidence of adverse events
    Title
    Percent reduction in total ulcer surface area.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed Informed Consent 18-80 years old For females of childbearing potential, use of an effective method of contraception: abstinence; surgical sterilization; oral contraceptives; barrier contraception with either a condom, sponge, or diaphragm in conjunction with spermicidal gel; an intrauterine device (IUD); or contraceptive hormone implant or patch Type 1 or 2 diabetes mellitus Single, full-thickness (i.e., extending into the subcutaneous tissue or beyond) ulcer of the foot below the malleolus that does not involve bone, tendons, ligaments, or muscle Chronic ulcer with a duration of ≥ 4 weeks but < 6 months Ulcer area with sharp debridement of ≥ 1.0 cm^2 and ≤ 4.0 cm^2 Ankle-brachial index (ABI) of ≥ 0.6 and ≤ 1.2 on the study foot Glycosylated hemoglobin A1c (HbA1c) of ≤ 12% Exclusion Criteria: History of neoplasia or current neoplasia (with the exception of non-melanoma skin cancer) Proliferative diabetic retinopathy or wet age-related macular degeneration Active ulcer infection or cellulitis of any ulcer Ulcers with an etiology not related to diabetes (e.g., thermal, chemical, radiation insult) Connective tissue disease Active osteomyelitis of the study foot Subjects with ulcers related to an incompletely healed amputation wound Subjects with Charcot or other deformity of the study foot involving the study ulcer Immunosuppressive treatment, including radiation therapy, non-inhaled corticosteroids (inhaled corticosteroid ≤ 1000 ug daily dose is acceptable), and chemotherapy Pregnancy or lactation Multiple ulcers in the study foot Renal failure (serum creatinine of >3.0 mg/dL) Poor nutritional status (albumin of <3.0 g/dL) Known hypersensitivity to any ingredients of telbermin, placebo, or vehicle, including excipients in the formulation of telbermin or placebo gel (trehalose dihydrate, polysorbate 20, succinic acetic acid, succinic acetic acid disodium, and hexahydrate) Known prior inability to complete required study visits during treatment period Use of any other investigational drug or therapy on the study foot within the past month Previous use of a platelet-derived or other growth factors on the study ulcer within the past 3 months
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Tim Breen, Ph.D.
    Organizational Affiliation
    Genentech, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study Evaluating Topical Recombinant Human Vascular Endothelial Growth Factor (Telbermin) for Induction of Healing of Chronic, Diabetic Foot Ulcers

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