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Clinical Investigation of Galnobax® for the Treatment of Diabetic Foot Ulcers

Primary Purpose

Diabetic Foot Ulcer

Status
Unknown status
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Esmolol hydrochloride
Esmolol hydrochloride
Esmolol hydrochloride
Placebo gel
Sponsored by
Novalead Pharma Private Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Foot Ulcer focused on measuring Diabetic foot ulcer, Diabetic wound, chronic non healing ulcer

Eligibility Criteria

18 Years - 95 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects aged 18 to 95 years, inclusive, with Type 1 or Type 2 diabetes undergoing therapy for glycemic control
  • Subjects having below knee ulcer of at least 4 week and maximum of 52 weeks duration which is a full thickness ulcer without exposure of bone, muscle, ligaments, or tendons
  • Ulcer should be clinically non-infected
  • Ulcer area (length x width) measurement between 1.5 cm2 and 10 cm2, inclusive and post debridement ulcer area less than or equal to 12 cm2.
  • Full-thickness ulcer of Grade 1 or Grade 2 as per Wagner's classification system
  • Recently debrided ulcer (2 weeks prior to screening) and post debridement ulcer free of necrotic debris, foreign bodies, sinus tracts, tunneling, and undermining, comprised of healthy vascularized tissue as determined by the Investigator
  • Inability to perceive 10 grams pressure using Semmes-Weinstein 5.07 monofilament in the peri-ulcer area
  • Ankle Brachial index between 0.7 and 1.2

Exclusion Criteria:

  • Actively infected ulcers with or without purulent discharge, ulcers with exposed bone or associated with osteomyelitis.
  • Subjects having cellulitis, ischemic or gangrenous ulcers in the opinion of the Investigator
  • Glycosylated hemoglobin (HbA1C) >12%
  • Diagnosed and/ currently unstable hypotension, heart block, cardiac failure, and other cardiac complications
  • Subject diagnosed with cancer undergoing chemotherapy
  • Revascularization surgery 4 weeks prior to signing the ICF
  • Renal failure as defined by serum creatinine >3.0 mg/dL or renal insufficiency requiring frequent dialysis
  • Poor nutritional status as measured by serum albumin <3.0 g/dL
  • Active Charcot or other structural deformity that would prevent adequate off-loading of the study foot

Sites / Locations

  • VA New England Health Care Division
  • S.L. Raheja Hospital
  • Deenanath Mangeshkar Hospital & Research Center
  • M V Hospital for Diabetes Pvt. Ltd.
  • Hospital Kuala Lumpur

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

Galnobax 20% QD

Galnobax 20% BID

Galnobax 14% BID

Arm Description

Placebo gel

Esmolol Hydrochloride (Galnobax) 20% gel once daily

Esmolol Hydrochloride (Galnobax) 20% gel twice daily

Esmolol Hydrochloride (Galnobax) 14% gel twice daily

Outcomes

Primary Outcome Measures

Safety outcome
Incidence of adverse events (AEs) till end of follow-up phase

Secondary Outcome Measures

Efficacy outcome
To evaluate the change from baseline in area and volume of ulcers at Week 12 and to compare the time taken for healing and closure of wound in different groups from baseline

Full Information

First Posted
April 28, 2010
Last Updated
April 14, 2015
Sponsor
Novalead Pharma Private Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01113515
Brief Title
Clinical Investigation of Galnobax® for the Treatment of Diabetic Foot Ulcers
Official Title
An Interventional, Placebo-Controlled, Randomized, Double-blinded Dose Comparison, Phase I/II Study to Determine the Safety and Efficacy of a New Gel Formulation of Esmolol Hydrochloride (Galnobax®) for the Treatment of Diabetic Foot Ulcer (DFU)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Unknown status
Study Start Date
February 2014 (undefined)
Primary Completion Date
September 2015 (Anticipated)
Study Completion Date
December 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novalead Pharma Private Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine safety and efficacy of a new gel formulation of Esmolol hydrochloride (Galnobax®) for the treatment of Diabetic Foot Ulcer (DFU). The study will compare number and types of adverse events occured, rates of wound closure and percentage of wounds closed in Galnobax treated groups versus placebo group.
Detailed Description
This is an interventional, placebo-controlled, randomized, double-blinded, dose comparison, phase I/II study of Galnobax® in subjects with diabetic foot ulcers. Additionally the effect of dosage and frequency of application will also be studied . The total trial duration per subject is 25 weeks which comprises of 1 week for screening, 12 weeks of treatment and 12 weeks of follow-up.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcer
Keywords
Diabetic foot ulcer, Diabetic wound, chronic non healing ulcer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo gel
Arm Title
Galnobax 20% QD
Arm Type
Experimental
Arm Description
Esmolol Hydrochloride (Galnobax) 20% gel once daily
Arm Title
Galnobax 20% BID
Arm Type
Experimental
Arm Description
Esmolol Hydrochloride (Galnobax) 20% gel twice daily
Arm Title
Galnobax 14% BID
Arm Type
Experimental
Arm Description
Esmolol Hydrochloride (Galnobax) 14% gel twice daily
Intervention Type
Drug
Intervention Name(s)
Esmolol hydrochloride
Other Intervention Name(s)
Galnobax-14%
Intervention Type
Drug
Intervention Name(s)
Esmolol hydrochloride
Other Intervention Name(s)
Galnobax-20%
Intervention Type
Drug
Intervention Name(s)
Esmolol hydrochloride
Other Intervention Name(s)
Galnobax-QD
Intervention Type
Drug
Intervention Name(s)
Placebo gel
Other Intervention Name(s)
Placebo control
Primary Outcome Measure Information:
Title
Safety outcome
Description
Incidence of adverse events (AEs) till end of follow-up phase
Time Frame
Till end of follow up period (Week 25)
Secondary Outcome Measure Information:
Title
Efficacy outcome
Description
To evaluate the change from baseline in area and volume of ulcers at Week 12 and to compare the time taken for healing and closure of wound in different groups from baseline
Time Frame
Till end of treatment (Week 12)
Other Pre-specified Outcome Measures:
Title
Pharmacokinetics
Description
Pharmacokinetic profile of Galnobax® in subset of patients suffering from DFU
Time Frame
Till end of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
95 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects aged 18 to 95 years, inclusive, with Type 1 or Type 2 diabetes undergoing therapy for glycemic control Subjects having below knee ulcer of at least 4 week and maximum of 52 weeks duration which is a full thickness ulcer without exposure of bone, muscle, ligaments, or tendons Ulcer should be clinically non-infected Ulcer area (length x width) measurement between 1.5 cm2 and 10 cm2, inclusive and post debridement ulcer area less than or equal to 12 cm2. Full-thickness ulcer of Grade 1 or Grade 2 as per Wagner's classification system Recently debrided ulcer (2 weeks prior to screening) and post debridement ulcer free of necrotic debris, foreign bodies, sinus tracts, tunneling, and undermining, comprised of healthy vascularized tissue as determined by the Investigator Inability to perceive 10 grams pressure using Semmes-Weinstein 5.07 monofilament in the peri-ulcer area Ankle Brachial index between 0.7 and 1.2 Exclusion Criteria: Actively infected ulcers with or without purulent discharge, ulcers with exposed bone or associated with osteomyelitis. Subjects having cellulitis, ischemic or gangrenous ulcers in the opinion of the Investigator Glycosylated hemoglobin (HbA1C) >12% Diagnosed and/ currently unstable hypotension, heart block, cardiac failure, and other cardiac complications Subject diagnosed with cancer undergoing chemotherapy Revascularization surgery 4 weeks prior to signing the ICF Renal failure as defined by serum creatinine >3.0 mg/dL or renal insufficiency requiring frequent dialysis Poor nutritional status as measured by serum albumin <3.0 g/dL Active Charcot or other structural deformity that would prevent adequate off-loading of the study foot
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vickie R Driver, DPM FACFAS
Organizational Affiliation
Providence Veteran Affairs Medical Center, RI
Official's Role
Principal Investigator
Facility Information:
Facility Name
VA New England Health Care Division
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02908
Country
United States
Facility Name
S.L. Raheja Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400016
Country
India
Facility Name
Deenanath Mangeshkar Hospital & Research Center
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411004
Country
India
Facility Name
M V Hospital for Diabetes Pvt. Ltd.
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600 013
Country
India
Facility Name
Hospital Kuala Lumpur
City
Kuala Lumpur
Country
Malaysia

12. IPD Sharing Statement

Learn more about this trial

Clinical Investigation of Galnobax® for the Treatment of Diabetic Foot Ulcers

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