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Safety of Intramuscular Injections (IM) of Allogeneic PLX-PAD Cells for the Treatment of Critical Limb Ischemia (CLI)

Primary Purpose

Peripheral Artery Disease, Peripheral Vascular Disease, Critical Limb Ischemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PLX-PAD
Sponsored by
Pluristem Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Artery Disease focused on measuring Peripheral Artery Disease, Peripheral Vascular Disease, Critical limb ischemia, PAD, CLI

Eligibility Criteria

40 Years - 81 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Diagnosis of critical limb ischemia defined as persistent, recurring ischemic rest pain for at least two (2) weeks, and/or ulceration or gangrene of the foot or toe, with ABI < 0.6 or/and TBI < 0.4
  2. Rutherford category 4-5
  3. Non candidate for revascularization or endovascular intervention based on unfavorable vascular anatomy or significant co-morbid medical conditions as confirmed by vascular study (e.g., angiogram, MRA) obtained within 3 months prior screening visit and signed approval of vascular surgeon. The decision to classify the subject as a non-candidate will be made by the investigator and confirmed by an independent third party vascular surgeon who is not participating in the study.
  4. In the opinion of the investigator, major amputation is not anticipated over a period of three (3) months.
  5. Those diabetic subjects who are on optimal diabetes medication, with an HbA1c < 8%

Exclusion Criteria:

  1. Uncontrolled hypertension (defined as diastolic blood pressure > 110 mmHg or systolic blood pressure > 180 mmHg during screening).
  2. Wounds with severity greater than Grade 2 on the Wagner Scale
  3. Life-threatening ventricular arrhythmia - except if an ICD is implanted - or unstable angina - characterized by increasingly frequent episodes with modest exertion or at rest, worsening severity, and prolonged.
  4. ST segment elevation myocardial infarction and/or TIA/CVA within six (6) months prior to enrollment.Patients with severe congestive heart failure (i.e. NYHA Stage IV)
  5. In the opinion of the investigator, the patient is unsuitable for cellular therapy.

Sites / Locations

  • Cardiology PC
  • Duke University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

PLX-PAD low dose

PLX-PAD high dose

Arm Description

IM injection Single treatment; multiple injections

IM injection Double treatment; multiple injections

Outcomes

Primary Outcome Measures

Adverse events; Amputation incidence, Death incidence & Rehospitalization incidence
Immunological reaction

Secondary Outcome Measures

Full Information

First Posted
August 3, 2009
Last Updated
May 24, 2015
Sponsor
Pluristem Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00951210
Brief Title
Safety of Intramuscular Injections (IM) of Allogeneic PLX-PAD Cells for the Treatment of Critical Limb Ischemia (CLI)
Official Title
Phase I Study of Intramuscular (IM) Injections of Allogeneic PLX-PAD Cells for the Treatment of Critical Limb Ischemia. PLX-PAD Are Mesenchymal-Like Stromal Cells Derived From a Full Term Placenta.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2011
Overall Recruitment Status
Completed
Study Start Date
August 2009 (undefined)
Primary Completion Date
January 2011 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pluristem Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety of PLX-PAD, Intra-muscular injections for the treatment of CLI patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Artery Disease, Peripheral Vascular Disease, Critical Limb Ischemia
Keywords
Peripheral Artery Disease, Peripheral Vascular Disease, Critical limb ischemia, PAD, CLI

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PLX-PAD low dose
Arm Type
Experimental
Arm Description
IM injection Single treatment; multiple injections
Arm Title
PLX-PAD high dose
Arm Type
Experimental
Arm Description
IM injection Double treatment; multiple injections
Intervention Type
Biological
Intervention Name(s)
PLX-PAD
Intervention Description
IM injection
Primary Outcome Measure Information:
Title
Adverse events; Amputation incidence, Death incidence & Rehospitalization incidence
Time Frame
3 months
Title
Immunological reaction
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
81 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of critical limb ischemia defined as persistent, recurring ischemic rest pain for at least two (2) weeks, and/or ulceration or gangrene of the foot or toe, with ABI < 0.6 or/and TBI < 0.4 Rutherford category 4-5 Non candidate for revascularization or endovascular intervention based on unfavorable vascular anatomy or significant co-morbid medical conditions as confirmed by vascular study (e.g., angiogram, MRA) obtained within 3 months prior screening visit and signed approval of vascular surgeon. The decision to classify the subject as a non-candidate will be made by the investigator and confirmed by an independent third party vascular surgeon who is not participating in the study. In the opinion of the investigator, major amputation is not anticipated over a period of three (3) months. Those diabetic subjects who are on optimal diabetes medication, with an HbA1c < 8% Exclusion Criteria: Uncontrolled hypertension (defined as diastolic blood pressure > 110 mmHg or systolic blood pressure > 180 mmHg during screening). Wounds with severity greater than Grade 2 on the Wagner Scale Life-threatening ventricular arrhythmia - except if an ICD is implanted - or unstable angina - characterized by increasingly frequent episodes with modest exertion or at rest, worsening severity, and prolonged. ST segment elevation myocardial infarction and/or TIA/CVA within six (6) months prior to enrollment.Patients with severe congestive heart failure (i.e. NYHA Stage IV) In the opinion of the investigator, the patient is unsuitable for cellular therapy.
Facility Information:
Facility Name
Cardiology PC
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35211
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety of Intramuscular Injections (IM) of Allogeneic PLX-PAD Cells for the Treatment of Critical Limb Ischemia (CLI)

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