Efficacy and Safety Study of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease. (TALISMAN202)
Primary Purpose
Severe Peripheral Artery Occlusive Disease
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
XRP0038 (NV1FGF)
Sponsored by
About this trial
This is an interventional treatment trial for Severe Peripheral Artery Occlusive Disease focused on measuring NV1FGF, PAOD, CLI
Eligibility Criteria
Inclusion Criteria:
- Informed consent was to be signed before proceeding with any study procedure.
- Patients with severe PAD.
- Trophic lesions with no signs of healing (no reduction in ulcer size or depth) for at least 2 weeks prior to first study treatment administration (Day 1).
- Patients with objective evidence of peripheral vascular disease in the diseased limb on 2 consecutive examinations performed at least 1 week apart.
- Demonstration or documentation of total occlusion of the affected limb of one or more of the iliac, superficial femoral, popliteal and/or one or more infrapopliteal arteries as assessed by angiography or magnetic resonance angiography (MRA)
- Transcutaneous oxygen pressure (TcPO2): mean resting supine TcPO2 of the foot of ≤40 mmHg based on 2 separate measures performed at least 1 week apart
- Poor/not candidates for revascularization
Exclusion criteria
- Previous or current history of malignant disease.
- Positive cancer screening (liver, prostate, colon, cervix, breast, lung)
- Successful lower extremity surgery (bypass/angioplasty of the leg to be treated) within 3 months prior to the first administration of study treatment [Day 1]).
- Patients planned to undergo amputation of target limb within 1 month following the first administration of study treatment.
- Patients with a history of severe renal failure.
- Creatinine >2.0 mg/dL (176 µmol/L) or estimated creatinine clearance <30 mL.
- Serious concomitant medical conditions not adequately controlled (other than severe PAD),
- Buerger's disease.
- Patients in dialysis.
- Active proliferative retinopathy
- Patients who had a stroke or neurologic deficit presumed to be due to stroke within 3 months prior to the first administration of study treatment.
- Previous treatment with any angiogenic growth factor.
- Positive serology for HIV 1 or 2.
- Participation in clinical trials of non-approved experimental agents within 4 weeks before study entry.
Sites / Locations
- Sanofi-Aventis Administrative Office
Outcomes
Primary Outcome Measures
evaluate the efficacy and the safety of NV1FGF compared to placebo in patients with severe PAOD.
Secondary Outcome Measures
evaluate the biodistribution of NV1FGF and to measure serum levels of antibodies against FGF-1
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00798005
Brief Title
Efficacy and Safety Study of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease.
Acronym
TALISMAN202
Official Title
A Phase II, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Efficacy and Safety Study of Different Doses and Schedules of Administration of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease.
Study Type
Interventional
2. Study Status
Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
June 2002 (undefined)
Primary Completion Date
July 2005 (Actual)
Study Completion Date
July 2005 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Sanofi
4. Oversight
5. Study Description
Brief Summary
Peripheral Arterial Occlusive Disease (PAOD) is a condition caused by ischemia in the legs due to atherosclerotic disease affecting the larger arteries of the legs. Chronic PAOD can be regarded as a marker of generalized atherosclerosis. PAOD threatens the survival of an extremity and often causes lifelong disablement from a painful leg. The clinical consequences of PAOD include pain on walking (claudication), pain at rest and loss of tissue integrity in the distal limbs.A variety of medical therapies have been investigated for patients with PAOD. There is currently no evidence to suggest that any medical therapy is effective for patients with rest pain and/or ischemic ulcers.
Also, the use of intramuscular angiogenic VEGF-A gene transfer has recently demonstrated a improvement in clinical and hemodynamic status in patients with severe PAOD
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Severe Peripheral Artery Occlusive Disease
Keywords
NV1FGF, PAOD, CLI
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
71 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
XRP0038 (NV1FGF)
Primary Outcome Measure Information:
Title
evaluate the efficacy and the safety of NV1FGF compared to placebo in patients with severe PAOD.
Secondary Outcome Measure Information:
Title
evaluate the biodistribution of NV1FGF and to measure serum levels of antibodies against FGF-1
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Informed consent was to be signed before proceeding with any study procedure.
Patients with severe PAD.
Trophic lesions with no signs of healing (no reduction in ulcer size or depth) for at least 2 weeks prior to first study treatment administration (Day 1).
Patients with objective evidence of peripheral vascular disease in the diseased limb on 2 consecutive examinations performed at least 1 week apart.
Demonstration or documentation of total occlusion of the affected limb of one or more of the iliac, superficial femoral, popliteal and/or one or more infrapopliteal arteries as assessed by angiography or magnetic resonance angiography (MRA)
Transcutaneous oxygen pressure (TcPO2): mean resting supine TcPO2 of the foot of ≤40 mmHg based on 2 separate measures performed at least 1 week apart
Poor/not candidates for revascularization
Exclusion criteria
Previous or current history of malignant disease.
Positive cancer screening (liver, prostate, colon, cervix, breast, lung)
Successful lower extremity surgery (bypass/angioplasty of the leg to be treated) within 3 months prior to the first administration of study treatment [Day 1]).
Patients planned to undergo amputation of target limb within 1 month following the first administration of study treatment.
Patients with a history of severe renal failure.
Creatinine >2.0 mg/dL (176 µmol/L) or estimated creatinine clearance <30 mL.
Serious concomitant medical conditions not adequately controlled (other than severe PAD),
Buerger's disease.
Patients in dialysis.
Active proliferative retinopathy
Patients who had a stroke or neurologic deficit presumed to be due to stroke within 3 months prior to the first administration of study treatment.
Previous treatment with any angiogenic growth factor.
Positive serology for HIV 1 or 2.
Participation in clinical trials of non-approved experimental agents within 4 weeks before study entry.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ICD CSD
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Sanofi-Aventis Administrative Office
City
Bridgewater
State/Province
New Jersey
Country
United States
12. IPD Sharing Statement
Citations:
Citation
Henry TD, Mendelsohn F, Comerota A, Pham E, Grek V, Coleman M, Meyer F, Annex B Dose and regimen effects of intramuscular NV1FGF in patients with critical limb ischemia: A randomized, double-blind, placebo controlled study. Eur H J 2006, 27 Suppl 1 Abs P1497
Results Reference
result
PubMed Identifier
21716303
Citation
Niebuhr A, Henry T, Goldman J, Baumgartner I, van Belle E, Gerss J, Hirsch AT, Nikol S. Long-term safety of intramuscular gene transfer of non-viral FGF1 for peripheral artery disease. Gene Ther. 2012 Mar;19(3):264-70. doi: 10.1038/gt.2011.85. Epub 2011 Jun 30.
Results Reference
derived
Links:
URL
http://www.sanofi-aventis.com
Description
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Efficacy and Safety Study of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease.
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