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Safety and Efficacy of SC0806 (Fibroblast Growth Factor 1 and a Device) in Traumatic Spinal Cord Injury Subjects

Primary Purpose

Spinal Cord Injury

Status
Unknown status
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
SC0806 and rehabilitation
Rehabilitation only
Sponsored by
BioArctic AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spinal Cord Injury

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Traumatic Spinal Cord Injury.
  2. Male or female subjects aged between 18 and 65 years.
  3. BMI ≤35, body weight ≤125 kg and height ≤ 195 cm at Screening.
  4. Complete SCI (ASIA Impairment Scale level A, no voluntary bladder function, negative motor and sensory evoked potentials).
  5. A single spinal cord lesion injury at the neurologic level between T2-T11.
  6. A Baseline MRI that indicates a pathology consistent with a traumatic SCI
  7. Minimum of 4 months and maximum 10 years post injury with no evidence of neurological improvement prior to implantation surgery unless there is a complete anatomical cut-off of the spinal cord.
  8. Females must not be lactating or pregnant at Screening and Baseline (as documented by pregnancy tests).
  9. All females that are postmenopausal (amenorrheic for at least 12 consecutive months, in the appropriate age group, and without other known or suspected cause) or have been sterilized surgically (i.e., bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy, all with surgery at least 1 month before dosing).
  10. Females of childbearing potential must not have had unprotected sexual intercourse within 30 days before study entry and must agree to use a highly effective method of contraception (e.g., total abstinence, an intrauterine device, a double-barrier method [such as condom plus diaphragm with spermicide], a contraceptive implant, an oral contraceptive, or have a vasectomized partner with confirmed azoospermia) throughout the entire study period. If currently abstinent, the subject must agree to use an effective method as described above if she becomes sexually active during the study period. Females who are using hormonal contraceptives must have been on a stable dose of the same hormonal contraceptive product for at least 4 weeks before dosing and must continue to use the same contraceptive during the study.
  11. Written informed consent obtained prior to any study specific procedures.
  12. Eligible for surgery and specific walking training as judged by the investigator.

Exclusion Criteria:

  1. Other life-threatening injury.
  2. Serious co-existing medical condition or mental disorder.
  3. Results from neurophysiological examination preoperatively are inconsistent with a spinal cord injury of one thoracic segment or less.
  4. Current or prior (within the past 8 weeks or within 5 half-lives of use of such a medication prior to screening) participation in any other investigational medication or device trial.
  5. Known hypersensitivity to FGF1 or heparin.
  6. Subjects unable to tolerate or undergo MRI scanning, including subjects with claustrophobia unless sedation can be used, cardiac pacemaker/defibrillator, ferromagnetic metal implants e.g., in skull, cardiac devices, other than those approved as safe for use in MR scanners.
  7. Ongoing drug or alcohol abuse or dependence.
  8. Positive serology for Hepatitis B or C, or Human Immunodeficiency Virus (HIV) at Screening.
  9. Positive test for Methicillin-resistent Staphylococcus Aureus (MRSA) at screening.
  10. Any disease, concomitant injury, condition or treatment that interferes with the specific walking training, the performance or interpretation of the neurological examination.
  11. Has a condition or has received medical treatment that, in the judgment of the investigator, precludes successful participation in the study.
  12. Previous radiation treatment (e.g. cancer treatment) in the region of the spinal cord injury.

Sites / Locations

  • Karolinska University Hospital and RSS

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Other

Arm Label

SC0806

Controls

Arm Description

Intervention with SC0806 (implantation of device with FGF1 and peripheral nerves) in addition to rehabilitation

Rehabilitation only

Outcomes

Primary Outcome Measures

Proportion of subjects with an Adverse Event
Proportion of subjects with an improvement, in the Motor Evoked Potential (MEP) scores

Secondary Outcome Measures

Full Information

First Posted
June 30, 2015
Last Updated
January 14, 2020
Sponsor
BioArctic AB
Collaborators
European Commission
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1. Study Identification

Unique Protocol Identification Number
NCT02490501
Brief Title
Safety and Efficacy of SC0806 (Fibroblast Growth Factor 1 and a Device) in Traumatic Spinal Cord Injury Subjects
Official Title
An Open, Randomized, Rehabilitation-controlled Study to Assess Safety, Tolerability, and Efficacy of Heparin Activated Recombinant Fibroblast Growth Factor 1 on a Biodegradable Device in Subjects With Traumatic Spinal Cord Injury
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Unknown status
Study Start Date
June 2015 (undefined)
Primary Completion Date
October 2020 (Anticipated)
Study Completion Date
December 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioArctic AB
Collaborators
European Commission

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open, randomized, rehabilitation-controlled study in subjects with complete Traumatic Spinal Cord Injury, where the active treatment consists of a surgical implantation of SC0806 (a biodegradable device with heparin-activated FGF1 and nerve implants).
Detailed Description
The study is a single dose study in up to 3 sequences in subjects with complete Traumatic Spinal Cord Injury. In each sequence, 6 subjects will be randomized to a surgical procedure where SC0806 will be implanted into the spinal cord and receive specific walking training, and 3 subjects will be randomized to specific walking training only. Interim analyses of safety parameters will be performed. If a positive effect and no major safety concerns have been demonstrated after completion of all sequences, the control subjects will be given the opportunity to receive treatment with SC0806 after completion of their rehabilitation periods.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spinal Cord Injury

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
27 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SC0806
Arm Type
Active Comparator
Arm Description
Intervention with SC0806 (implantation of device with FGF1 and peripheral nerves) in addition to rehabilitation
Arm Title
Controls
Arm Type
Other
Arm Description
Rehabilitation only
Intervention Type
Procedure
Intervention Name(s)
SC0806 and rehabilitation
Intervention Type
Other
Intervention Name(s)
Rehabilitation only
Primary Outcome Measure Information:
Title
Proportion of subjects with an Adverse Event
Time Frame
0 - 18 months
Title
Proportion of subjects with an improvement, in the Motor Evoked Potential (MEP) scores
Time Frame
0 - 18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Traumatic Spinal Cord Injury. Male or female subjects aged between 18 and 65 years. BMI ≤35, body weight ≤125 kg and height ≤ 195 cm at Screening. Complete SCI (ASIA Impairment Scale level A, no voluntary bladder function, negative motor and sensory evoked potentials). A single spinal cord lesion injury at the neurologic level between T2-T11. A Baseline MRI that indicates a pathology consistent with a traumatic SCI Minimum of 4 months and maximum 10 years post injury with no evidence of neurological improvement prior to implantation surgery unless there is a complete anatomical cut-off of the spinal cord. Females must not be lactating or pregnant at Screening and Baseline (as documented by pregnancy tests). All females that are postmenopausal (amenorrheic for at least 12 consecutive months, in the appropriate age group, and without other known or suspected cause) or have been sterilized surgically (i.e., bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy, all with surgery at least 1 month before dosing). Females of childbearing potential must not have had unprotected sexual intercourse within 30 days before study entry and must agree to use a highly effective method of contraception (e.g., total abstinence, an intrauterine device, a double-barrier method [such as condom plus diaphragm with spermicide], a contraceptive implant, an oral contraceptive, or have a vasectomized partner with confirmed azoospermia) throughout the entire study period. If currently abstinent, the subject must agree to use an effective method as described above if she becomes sexually active during the study period. Females who are using hormonal contraceptives must have been on a stable dose of the same hormonal contraceptive product for at least 4 weeks before dosing and must continue to use the same contraceptive during the study. Written informed consent obtained prior to any study specific procedures. Eligible for surgery and specific walking training as judged by the investigator. Exclusion Criteria: Other life-threatening injury. Serious co-existing medical condition or mental disorder. Results from neurophysiological examination preoperatively are inconsistent with a spinal cord injury of one thoracic segment or less. Current or prior (within the past 8 weeks or within 5 half-lives of use of such a medication prior to screening) participation in any other investigational medication or device trial. Known hypersensitivity to FGF1 or heparin. Subjects unable to tolerate or undergo MRI scanning, including subjects with claustrophobia unless sedation can be used, cardiac pacemaker/defibrillator, ferromagnetic metal implants e.g., in skull, cardiac devices, other than those approved as safe for use in MR scanners. Ongoing drug or alcohol abuse or dependence. Positive serology for Hepatitis B or C, or Human Immunodeficiency Virus (HIV) at Screening. Positive test for Methicillin-resistent Staphylococcus Aureus (MRSA) at screening. Any disease, concomitant injury, condition or treatment that interferes with the specific walking training, the performance or interpretation of the neurological examination. Has a condition or has received medical treatment that, in the judgment of the investigator, precludes successful participation in the study. Previous radiation treatment (e.g. cancer treatment) in the region of the spinal cord injury.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hans Basun, MD
Organizational Affiliation
BioArctic AB
Official's Role
Study Director
Facility Information:
Facility Name
Karolinska University Hospital and RSS
City
Stockholm
Country
Sweden

12. IPD Sharing Statement

Links:
URL
http://www.bioarctic.se
Description
Homepage of sponsor

Learn more about this trial

Safety and Efficacy of SC0806 (Fibroblast Growth Factor 1 and a Device) in Traumatic Spinal Cord Injury Subjects

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