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Investigation Into the Scar Reduction Potential of Prevascar (Interleukin-10)

Primary Purpose

Cicatrix, Wound Healing

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
Prevascar
Prevascar
Prevascar
Prevascar
Prevascar
Prevascar
Prevascar
Prevascar
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, Prevascar, Interleukin-10 (IL-10), Ilodecakin, RN1003

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female subjects, aged 18-85 years, who have given written informed consent
  • Subjects with a BMI (Quetelet's index) within the permitted weight/height2 range of 15-55kg/m2
  • Subjects with, in the opinion of the Investigator, clinically acceptable results for screening laboratory tests performed within 28 days prior to the first trial administration
  • Female subjects with child-bearing potential who are using a method(s) of contraception deemed acceptable by the Investigator and agree to continue doing so for the first month of the trial

Exclusion Criteria:

  • Subjects who, on direct questioning and by physical examination, reveal a history or evidence of hypertrophic or keloid scarring
  • Subjects with tattoos or previous scars within 3cm of the area to be incised during the trial
  • Subjects of Afro-Caribbean descent, because of their increased susceptibility to hypertrophic or keloid scarring
  • Subjects who have had previous surgery in the area to be incised, conducted within 1 year of the first dosing day
  • Subjects with a history of a bleeding disorder or who are receiving anticoagulant therapy
  • Subjects who, on direct questioning and physical examination, show evidence of any past or present clinically significant disease that may affect the endpoints of the trial, e.g. coagulation disorders, diabetes, immuno- mediated conditions and clinically significant skin diseases or allergies
  • Subjects with a clinically significant skin disorder that is chronic or currently active, and which the Investigator considers will adversely affect the healing of the acute wounds or involves the areas to be examined in this trial
  • Subjects with any clinically significant medical condition or history that would impair wound healing, including significant rheumatoid arthritis, chronic renal impairment (significant for age), significant hepatic impairment (liver function tests >3 times upper limit of normal), congestive heart failure, active malignancy or history of malignancy within last 5 years, immunosuppression or chemotherapy within last 12 months, history of radiotherapy or diabetes mellitus
  • Subjects with a history of hypersensitivity to any of the drugs or dressings used in the trial
  • Subjects who are taking, or who have taken, any investigational product or participated in a clinical trial within 3 months prior to the first trial
  • dose administration
  • Subjects who are taking regular, continuous, oral corticosteroid therapy
  • Subjects undergoing investigations or changes in management for an existing medical condition
  • Subjects with a history of drug abuse, or who test positive for drugs of abuse (cocaine, amphetamines, methamphetamines, opiates or benzodiazepines) during the screening period, which is not explained by the intake of legitimate prescribed or over-the-counter medication for a documented medical condition
  • Subjects who, in the opinion of the Investigator, are unlikely to complete the trial for whatever reason
  • Subjects receiving immunosuppressive treatment
  • Females who are pregnant or lactating
  • Subjects who have any clinically significant neurological impairment or disease
  • Subjects with an active infection (subjects were able to participate in the trial once the infection had passed and they had been re-screened)

Sites / Locations

  • Renovo

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Intradermal Prevascar

Placebo (vehicle)

Arm Description

Outcomes

Primary Outcome Measures

To establish which of eight intradermal doses of RN1003 has the greatest scar-reducing properties, compared with Placebo and Standard Care.

Secondary Outcome Measures

To collect further safety and tolerability data for RN1003
To assess pre- and post-dose systemic levels of RN1003.

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
NCT00984646
Brief Title
Investigation Into the Scar Reduction Potential of Prevascar (Interleukin-10)
Official Title
A Single-centre, Placebo- and Standard-care-controlled, Double-blind, Randomised Trial to Investigate the Efficacy of Eight Doses of RN1003 in the Reduction of Scarring From the Approximated Wound Margins of Incisional Wounds
Study Type
Interventional

2. Study Status

Record Verification Date
September 2009
Overall Recruitment Status
Completed
Study Start Date
April 2005 (undefined)
Primary Completion Date
November 2006 (Actual)
Study Completion Date
November 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 was to investigate the scar-reducing properties of eight doses of intradermal Prevascar (IL-10).
Detailed Description
Subjects were randomised to one of two dose groups, each with four concentrations of intradermal Prevascar. Subjects had four 1cm incisional wounds made on the inner aspect of each upper arm (eight in total), giving four sets of anatomically paired wound sites per subject. Each subject acted as their own control with one site from each wound pair randomly treated with intradermal Prevascar and the other treated with Placebo (vehicle) or Standard Care. Intradermal Prevascar was administered at 100μl per linear cm of wound site prior to wounding on Day 0 and 100μl per linear cm to each wound margin 24 hours later on Day 1. Group 1 subjects received doses of 5, 50, 250 and 1000ng/100μl and group 2 subjects received 25, 125, 500 and 2000ng/100μl. Subjects in each group were also randomised into two control subgroups to receive either 100μl/linear cm intradermal placebo (Subgroup 1) or Standard Care alone (Subgroup 2) at control wound sites. Subjects returned for follow-up at Day 14, Month 1, Month 3, Month 6, Month 9 and Month 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, Prevascar, Interleukin-10 (IL-10), Ilodecakin, RN1003

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Intradermal Prevascar
Arm Type
Experimental
Arm Title
Placebo (vehicle)
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 5ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 50ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 250ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 1000ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 25ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 125ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 500ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Prevascar
Other Intervention Name(s)
IL-10, Ilodecakin, RN1003
Intervention Description
Intradermal Prevascar, 2000ng/100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intradermal Placebo, 100μl/linear cm of wound site or margin administered once just prior to wounding and once 24 h later
Primary Outcome Measure Information:
Title
To establish which of eight intradermal doses of RN1003 has the greatest scar-reducing properties, compared with Placebo and Standard Care.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
To collect further safety and tolerability data for RN1003
Time Frame
12 months
Title
To assess pre- and post-dose systemic levels of RN1003.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects, aged 18-85 years, who have given written informed consent Subjects with a BMI (Quetelet's index) within the permitted weight/height2 range of 15-55kg/m2 Subjects with, in the opinion of the Investigator, clinically acceptable results for screening laboratory tests performed within 28 days prior to the first trial administration Female subjects with child-bearing potential who are using a method(s) of contraception deemed acceptable by the Investigator and agree to continue doing so for the first month of the trial Exclusion Criteria: Subjects who, on direct questioning and by physical examination, reveal a history or evidence of hypertrophic or keloid scarring Subjects with tattoos or previous scars within 3cm of the area to be incised during the trial Subjects of Afro-Caribbean descent, because of their increased susceptibility to hypertrophic or keloid scarring Subjects who have had previous surgery in the area to be incised, conducted within 1 year of the first dosing day Subjects with a history of a bleeding disorder or who are receiving anticoagulant therapy Subjects who, on direct questioning and physical examination, show evidence of any past or present clinically significant disease that may affect the endpoints of the trial, e.g. coagulation disorders, diabetes, immuno- mediated conditions and clinically significant skin diseases or allergies Subjects with a clinically significant skin disorder that is chronic or currently active, and which the Investigator considers will adversely affect the healing of the acute wounds or involves the areas to be examined in this trial Subjects with any clinically significant medical condition or history that would impair wound healing, including significant rheumatoid arthritis, chronic renal impairment (significant for age), significant hepatic impairment (liver function tests >3 times upper limit of normal), congestive heart failure, active malignancy or history of malignancy within last 5 years, immunosuppression or chemotherapy within last 12 months, history of radiotherapy or diabetes mellitus Subjects with a history of hypersensitivity to any of the drugs or dressings used in the trial Subjects who are taking, or who have taken, any investigational product or participated in a clinical trial within 3 months prior to the first trial dose administration Subjects who are taking regular, continuous, oral corticosteroid therapy Subjects undergoing investigations or changes in management for an existing medical condition Subjects with a history of drug abuse, or who test positive for drugs of abuse (cocaine, amphetamines, methamphetamines, opiates or benzodiazepines) during the screening period, which is not explained by the intake of legitimate prescribed or over-the-counter medication for a documented medical condition Subjects who, in the opinion of the Investigator, are unlikely to complete the trial for whatever reason Subjects receiving immunosuppressive treatment Females who are pregnant or lactating Subjects who have any clinically significant neurological impairment or disease Subjects with an active infection (subjects were able to participate in the trial once the infection had passed and they had been re-screened)
Overall Study Officials:
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

Citations:
PubMed Identifier
29898959
Citation
Do NN, Willenborg S, Eckes B, Jungst C, Sengle G, Zaucke F, Eming SA. Myeloid Cell-Restricted STAT3 Signaling Controls a Cell-Autonomous Antifibrotic Repair Program. J Immunol. 2018 Jul 15;201(2):663-674. doi: 10.4049/jimmunol.1701791. Epub 2018 Jun 13.
Results Reference
derived

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Investigation Into the Scar Reduction Potential of Prevascar (Interleukin-10)

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