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TruSkin®: Study for Treatment of Chronic Venous Leg Ulcers

Primary Purpose

Chronic Venous Leg Ulcers

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
TruSkin
Wound Cover
Sponsored by
Osiris Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Venous Leg Ulcers

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Between 18 years and 80 years of age inclusive, as of the date of screening
  2. An Index Ulcer that is chronic (defined as present for > 4 weeks, but not present for more than 52 weeks at the Screening Visit)
  3. Index Ulcer is located on the leg, below the knee
  4. The Index Ulcer is a Venous Leg Ulcer (VLU) greater than 10 cm2, inclusive, at the Screening Visit
  5. The longest length and longest width measurements for the Index Ulcer are no less than 1 cm each at the Screening Visit
  6. The Index Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule
  7. Wound is free of necrotic debris
  8. Patient has adequate circulation to the foot as documented by Ankle Brachial Index (ABI) or Toe Brachial Index (TBI)
  9. Confirmed diagnosis of venous insufficiency with duplex ultrasonography to demonstrate reflux of ≥ 0.5 seconds in the superficial lower extremity venous system.

Exclusion Criteria:

  1. Index Ulcer is of non-venous pathophysiology
  2. Gangrene is present on any part of the affected limb
  3. Patient is currently receiving dialysis or planning to go on dialysis
  4. Patient has a glycated hemoglobin A1c (HbA1c) level of >12%
  5. Chronic oral steroid use >7.5 mg daily for longer than 3 months at the time of screening
  6. Patient is receiving IV corticosteroids, immunosuppressive or cytotoxic agents at the time of screening
  7. Requiring intravenous (IV) antibiotics to treat the index wound infection at the time of screening
  8. Patient has an ulcer within 5 cm of the Index Ulcer identified for study consideration
  9. Patient is Human Immunodeficiency Virus (HIV) positive or has Acquired Immune Deficiency Syndrome (AIDS)
  10. Current evidence of cellulitis, or other evidence of infection including fever or pus drainage from the wound site
  11. Current evidence of osteomyelitis or history of osteomyelitis within 30 days of screening
  12. Patient has active malignancy other than non-melanoma skin cancer
  13. Patient's Index Ulcer has decreased by ≥ 20% during 1-week screening period
  14. Patient's random blood sugar is > 450 mg/dl at screening
  15. Patient is unable to receive compression therapy as a part of standard of care
  16. Patient has untreated alcohol or substance abuse at the time of screening
  17. Pregnant women and women who are breastfeeding
  18. Patient is currently enrolled or participated in another investigational device, drug, or biological trial within 30 days of screening
  19. Patient has had within the last 30 days, or is currently undergoing, or is planning for wound treatments with growth factors, living skin, dermal substitutes or other advanced biological therapies
  20. Patient is an employee, or an immediate family member of an employee, of the sponsor company or site research staff conducting the study
  21. Patients who have already been randomized in Protocol 352 at any center may not be considered for screening or for re-entry into the trial at any center, even after the End of Study Visit
  22. Patients with a history of poor compliance, or an unwillingness or inability to adhere to the requirements of the protocol

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

TruSkin®

Wound Cover

Arm Description

Cryopreserved skin allograft

Active Comparator for Venous Leg Ulcers

Outcomes

Primary Outcome Measures

Proportion of patients that achieve a 50% or greater reduction in wound size by 8 weeks

Secondary Outcome Measures

Proportion of patients that achieve complete closure of the index wound by 12 weeks
Proportion of patients that achieve a 50% or greater reduction in wound size by 4 weeks
Time to initial wound closure
Number of product applications
Number of AEs
Number of patients with worsening of index wound defined by ≥ 50% increase in wound size

Full Information

First Posted
September 20, 2016
Last Updated
April 4, 2017
Sponsor
Osiris Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT02936128
Brief Title
TruSkin®: Study for Treatment of Chronic Venous Leg Ulcers
Official Title
A Multicenter, Randomized, Single-Blind Study Comparing the Clinical Outcomes of TruSkin® and an Active Comparator for the Treatment of Chronic Venous Leg Ulcers
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Terminated
Why Stopped
Osiris decision
Study Start Date
July 2016 (undefined)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
April 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Osiris Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the clinical outcomes of TruSkin® and an Active Comparator in patients with chronic venous leg ulcers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Venous Leg Ulcers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TruSkin®
Arm Type
Experimental
Arm Description
Cryopreserved skin allograft
Arm Title
Wound Cover
Arm Type
Active Comparator
Arm Description
Active Comparator for Venous Leg Ulcers
Intervention Type
Other
Intervention Name(s)
TruSkin
Intervention Type
Other
Intervention Name(s)
Wound Cover
Primary Outcome Measure Information:
Title
Proportion of patients that achieve a 50% or greater reduction in wound size by 8 weeks
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Proportion of patients that achieve complete closure of the index wound by 12 weeks
Time Frame
12 weeks
Title
Proportion of patients that achieve a 50% or greater reduction in wound size by 4 weeks
Time Frame
4 weeks
Title
Time to initial wound closure
Time Frame
Up to 84 days
Title
Number of product applications
Time Frame
Up to 84 days
Title
Number of AEs
Time Frame
Up to 84 days
Title
Number of patients with worsening of index wound defined by ≥ 50% increase in wound size
Time Frame
Up to 84 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Between 18 years and 80 years of age inclusive, as of the date of screening An Index Ulcer that is chronic (defined as present for > 4 weeks, but not present for more than 52 weeks at the Screening Visit) Index Ulcer is located on the leg, below the knee The Index Ulcer is a Venous Leg Ulcer (VLU) greater than 10 cm2, inclusive, at the Screening Visit The longest length and longest width measurements for the Index Ulcer are no less than 1 cm each at the Screening Visit The Index Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule Wound is free of necrotic debris Patient has adequate circulation to the foot as documented by Ankle Brachial Index (ABI) or Toe Brachial Index (TBI) Confirmed diagnosis of venous insufficiency with duplex ultrasonography to demonstrate reflux of ≥ 0.5 seconds in the superficial lower extremity venous system. Exclusion Criteria: Index Ulcer is of non-venous pathophysiology Gangrene is present on any part of the affected limb Patient is currently receiving dialysis or planning to go on dialysis Patient has a glycated hemoglobin A1c (HbA1c) level of >12% Chronic oral steroid use >7.5 mg daily for longer than 3 months at the time of screening Patient is receiving IV corticosteroids, immunosuppressive or cytotoxic agents at the time of screening Requiring intravenous (IV) antibiotics to treat the index wound infection at the time of screening Patient has an ulcer within 5 cm of the Index Ulcer identified for study consideration Patient is Human Immunodeficiency Virus (HIV) positive or has Acquired Immune Deficiency Syndrome (AIDS) Current evidence of cellulitis, or other evidence of infection including fever or pus drainage from the wound site Current evidence of osteomyelitis or history of osteomyelitis within 30 days of screening Patient has active malignancy other than non-melanoma skin cancer Patient's Index Ulcer has decreased by ≥ 20% during 1-week screening period Patient's random blood sugar is > 450 mg/dl at screening Patient is unable to receive compression therapy as a part of standard of care Patient has untreated alcohol or substance abuse at the time of screening Pregnant women and women who are breastfeeding Patient is currently enrolled or participated in another investigational device, drug, or biological trial within 30 days of screening Patient has had within the last 30 days, or is currently undergoing, or is planning for wound treatments with growth factors, living skin, dermal substitutes or other advanced biological therapies Patient is an employee, or an immediate family member of an employee, of the sponsor company or site research staff conducting the study Patients who have already been randomized in Protocol 352 at any center may not be considered for screening or for re-entry into the trial at any center, even after the End of Study Visit Patients with a history of poor compliance, or an unwillingness or inability to adhere to the requirements of the protocol
Facility Information:
City
California
State/Province
California
Country
United States
City
Florida
State/Province
Florida
Country
United States
City
Massachusetts
State/Province
Massachusetts
Country
United States
City
Michigan
State/Province
Michigan
Country
United States
City
North Carolina
State/Province
North Carolina
Country
United States
City
Pennsylvania
State/Province
Pennsylvania
Country
United States
City
Virginia
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

TruSkin®: Study for Treatment of Chronic Venous Leg Ulcers

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