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Investigation of the Accelerated Healing and Anti-scarring Potential of Avotermin (Juvista) in Split Skin Graft Donor Sites

Primary Purpose

Cicatrix, Wound Healing

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
Avotermin
Placebo
Avotermin
Placebo
Sponsored by
Renovo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cicatrix focused on measuring Cicatrix, Scar, Wound healing, Avotermin, TGF beta 3, Juvista, RN1001

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Clinically healthy, male subjects aged 18-85 years
  • Weight between 40 and 150kg or a BMI within the permitted range for their height using Quetelet's index, 15-55 kg/m2. Weight (kg)/height (m)2.

Exclusion Criteria:

  • Subjects who had a history or evidence of hypertrophic or keloid scarring or had tattoos or previous scars in the area of the prospective SSG donor sites
  • Subjects who had received surgery to the area of the lower back/buttocks in the previous 12 months
  • Afro-Caribbean subjects were excluded because of their increased susceptibility to hypertrophic and keloid scarring
  • Subjects who had evidence of any past or present clinically significant disease, particularly coagulation disorders, diabetes, immunomediated conditions, skin diseases and allergies (such as clinically significant eczema
  • Subjects with a history of clinically significant allergies, especially drug hypersensitivity to lignocaine, allergy to surgical dressings used in this trial or to any excipients or vehicle in the formulation or delivery vehicle
  • Subjects with any clinically significant abnormality following review of pre-trial laboratory data and physical examination
  • Subjects who were receiving or had received certain prescribed drugs in the 4 weeks prior to Day 0, particularly topical or systemic steroids, anti- inflammatory, anti-coagulants, antiproliferative drugs and antibiotics. Certain drugs not excluded in this trial included over-the-counter analgesics, including paracetamol and codeine, vitamin and mineral supplements, and cold remedies. If antibiotics were required after Day 0 (e.g., for cases of wound infection), this did not result in the exclusion of affected subjects from the study
  • Subjects who had taken part in a clinical trial within 3 months prior to admission to this trial or who are currently participating in a clinical trial, whether an investigational drug was used or not.
  • Subjects who had any clinical evidence of severe ongoing or prolonged depression or mental illness
  • Subjects who smoked more than 20 cigarettes a day
  • Subjects who drank more than 28 units of alcohol per week (1 unit = ½ pint of beer [285ml], 25ml of spirits or 1 glass of wine)
  • Subjects who demonstrated evidence of drug abuse
  • Subjects who were known to have or have had serum hepatitis and those who are carriers of the hepatitis B surface antigen or hepatitis C antibody (Subjects with previous vaccination against hepatitis B were not excluded per se)
  • Subjects who were known to have, or have had, serum hepatitis and those who were carriers of the hepatitis B core antibody with less than 10 units per litre of anti-hepatitis B (unless deemed NOT to be a carrier of hepatitis B after testing by the Public Health Laboratory)
  • Subjects who had previously tested positive for HIV antibodies or who admitted to belonging to a high-risk group
  • A subject who, in the opinion of the Investigator, was unlikely to complete the trial for whatever reason

Sites / Locations

  • Renovo

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Intradermal Juvista

Placebo

Intradermal and topical Juvista

Intradermal and topical placebo

Arm Description

Outcomes

Primary Outcome Measures

To assess the accelerated-healing potential of injection or injection plus topical application of Juvista in a male population undergoing minor split skin grafts (SSG)

Secondary Outcome Measures

To assess the local safety and toleration of injection of Juvista or injection and topical application of Juvista at the SSG donor site in a healthy male population
To assess systemic exposure following injection of Juvista or injection plus topical application of Juvista after SSG
To assess the anti-scarring potential of injection or injection and topical application of Juvista in a male population

Full Information

First Posted
September 24, 2009
Last Updated
September 24, 2009
Sponsor
Renovo
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1. Study Identification

Unique Protocol Identification Number
NCT00984503
Brief Title
Investigation of the Accelerated Healing and Anti-scarring Potential of Avotermin (Juvista) in Split Skin Graft Donor Sites
Official Title
A Single-site, Randomised, Double-blind, Phase II Trial to Investigate the Safety, Toleration, Systemic Exposure, Accelerated Healing and Anti-scarring Potential of Juvista in Split Skin Graft Donor Sites in Male Subjects Aged 18-85 Years
Study Type
Interventional

2. Study Status

Record Verification Date
September 2009
Overall Recruitment Status
Completed
Study Start Date
October 2003 (undefined)
Primary Completion Date
January 2006 (Actual)
Study Completion Date
January 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Renovo

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the accelerated-healing potential of injection or injection plus topical application of Juvista to minor split skin grafts (SSG).
Detailed Description
Subjects were allocated into three groups (Group 1, Group 2 and Group 3) with all subjects receiving two 3cm2 SSG donor sites, one to each side of the lower back. Before wounding on Day 0, each site was randomised to receive either an intradermal injection of Juvista (50ng/100μl/cm2), an intradermal injection of Placebo (100μl/cm2) or no injection (Standard Care). After wounding, subjects allocated to Group 2 and Group 3 also received topical Juvista (100ng/200μl/cm2), topical Placebo (200μl/cm2) or Standard Care (Tegaderm dressing only). Topical Juvista and Placebo were held within a Granuflex ring dressing and sealed with a sterile Tegaderm dressing. On Day 1, subjects in Group 2 and Group 3 received a further topical application of Juvista, Placebo or Standard Care according to the same treatment randomisation as Day 0. Punch biopsy samples of healing SSG donor sites were harvested from Group 3 subjects on Day 3, 5, 7 or 10, and preserved for histological analysis. The final study visit for Group 3 subjects was the day of the biopsy visit. Subjects in Group 1 and Group 2 underwent scar assessments at the first follow-up at Month 1 and at Months 2, 3, 4, 5, 6, 9 and 12.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cicatrix, Wound Healing
Keywords
Cicatrix, Scar, Wound healing, Avotermin, TGF beta 3, Juvista, RN1001

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
102 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intradermal Juvista
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Intradermal and topical Juvista
Arm Type
Experimental
Arm Title
Intradermal and topical placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Avotermin
Other Intervention Name(s)
Juvista, TGF beta 3, RN1001
Intervention Description
Intradermal Juvista at 50ng/100μl/cm2 of SSG donor sites (3cm2) once just prior to wounding
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intradermal injection of Placebo at 100μl/cm2 of SSG donor site (3cm2) once just prior to wounding
Intervention Type
Drug
Intervention Name(s)
Avotermin
Other Intervention Name(s)
Juvista, TGF beta 3, RN1001
Intervention Description
Intradermal Juvista at 50ng/100μl/cm2 of SSG donor site once just prior to wounding, followed by topical Juvista at 100ng/200μl/cm2 after wounding and again at Day 1
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intradermal placebo at 100μl/cm2 of SSG donor site once just prior to wounding, followed by topical placebo at 200μl/cm2 after wounding and again at Day 1
Primary Outcome Measure Information:
Title
To assess the accelerated-healing potential of injection or injection plus topical application of Juvista in a male population undergoing minor split skin grafts (SSG)
Time Frame
Up to 12 months
Secondary Outcome Measure Information:
Title
To assess the local safety and toleration of injection of Juvista or injection and topical application of Juvista at the SSG donor site in a healthy male population
Time Frame
Up to 12 months
Title
To assess systemic exposure following injection of Juvista or injection plus topical application of Juvista after SSG
Time Frame
Up to 12 months
Title
To assess the anti-scarring potential of injection or injection and topical application of Juvista in a male population
Time Frame
Up to 12 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Clinically healthy, male subjects aged 18-85 years Weight between 40 and 150kg or a BMI within the permitted range for their height using Quetelet's index, 15-55 kg/m2. Weight (kg)/height (m)2. Exclusion Criteria: Subjects who had a history or evidence of hypertrophic or keloid scarring or had tattoos or previous scars in the area of the prospective SSG donor sites Subjects who had received surgery to the area of the lower back/buttocks in the previous 12 months Afro-Caribbean subjects were excluded because of their increased susceptibility to hypertrophic and keloid scarring Subjects who had evidence of any past or present clinically significant disease, particularly coagulation disorders, diabetes, immunomediated conditions, skin diseases and allergies (such as clinically significant eczema Subjects with a history of clinically significant allergies, especially drug hypersensitivity to lignocaine, allergy to surgical dressings used in this trial or to any excipients or vehicle in the formulation or delivery vehicle Subjects with any clinically significant abnormality following review of pre-trial laboratory data and physical examination Subjects who were receiving or had received certain prescribed drugs in the 4 weeks prior to Day 0, particularly topical or systemic steroids, anti- inflammatory, anti-coagulants, antiproliferative drugs and antibiotics. Certain drugs not excluded in this trial included over-the-counter analgesics, including paracetamol and codeine, vitamin and mineral supplements, and cold remedies. If antibiotics were required after Day 0 (e.g., for cases of wound infection), this did not result in the exclusion of affected subjects from the study Subjects who had taken part in a clinical trial within 3 months prior to admission to this trial or who are currently participating in a clinical trial, whether an investigational drug was used or not. Subjects who had any clinical evidence of severe ongoing or prolonged depression or mental illness Subjects who smoked more than 20 cigarettes a day Subjects who drank more than 28 units of alcohol per week (1 unit = ½ pint of beer [285ml], 25ml of spirits or 1 glass of wine) Subjects who demonstrated evidence of drug abuse Subjects who were known to have or have had serum hepatitis and those who are carriers of the hepatitis B surface antigen or hepatitis C antibody (Subjects with previous vaccination against hepatitis B were not excluded per se) Subjects who were known to have, or have had, serum hepatitis and those who were carriers of the hepatitis B core antibody with less than 10 units per litre of anti-hepatitis B (unless deemed NOT to be a carrier of hepatitis B after testing by the Public Health Laboratory) Subjects who had previously tested positive for HIV antibodies or who admitted to belonging to a high-risk group A subject who, in the opinion of the Investigator, was unlikely to complete the trial for whatever reason
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jonathan Duncan
Organizational Affiliation
Renovo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jeremy Bond
Organizational Affiliation
Renovo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
James Bush
Organizational Affiliation
Renovo
Official's Role
Principal Investigator
Facility Information:
Facility Name
Renovo
City
Manchester
ZIP/Postal Code
M13 9XX
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Investigation of the Accelerated Healing and Anti-scarring Potential of Avotermin (Juvista) in Split Skin Graft Donor Sites

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