Healing Chronic Venous Stasis Wounds With Autologous Cell Therapy
Primary Purpose
Wound, Nonpenetrating
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Transpose ® RT System
debridement/dressing of wound
Sponsored by
About this trial
This is an interventional treatment trial for Wound, Nonpenetrating
Eligibility Criteria
Inclusion Criteria:
- Males and females 18 years of age or older
- venous leg ulcers present for at least six months and not responding to
- standard wound therapy for at least one month prior to study treatment
- one wound size 10-25centimeters squared
- inpatient or outpatient treatment of chronic venous ulcers
- the ability of subjects to give appropriate consent or have an appropriate representative available
Exclusion Criteria:
- Age < 18 years of age
- Patients who are pregnant or currently breast feeding
- for a female subject of childbearing potential, a pregnancy test must be performed with negative results known within 7 days prior to the procedure
- Patient with a BMI less than or equal to 18.5 or an insufficient amount of subcutaneous tissue to allow recovery of up to 100ml of lipoaspirate
- Patients with poor glucose metabolic control (HgbA1c > 9)
- history of local neoplasm and any history of local neoplasm and any history of local neoplasm at site of administration
- History of systemic malignant neoplasms within last 5 years
- Patients who require Negative Pressure Wound Therapy (NPWT) or limb amputation at the target wound at the time of screening
- Wounds which are unable to be staged or classified. For example, full thickness tissue loss in which actual depth of the ulcer is completely obscured by slough and/or eschar in the wound bed
- Wounds that have evidence of necrosis after debridement
- Severe vascular disease in the pathogenesis of the ulcer (ABI<0.6)
- Clinical signs of critical colonization or local infection
- Prolonged(>6 months) of use of steroids
- Patients on an active regimen of chemotherapy
- Patients who have received radiation in proximity of the wound
- Patients with a documented history of liver disease or an ALT value>400
- Allergy to sodium citrate of any "caine" type of local anesthetic
- Subject is in the opinion of the Investigator or designee, unable to comply with the requirements of the study protocol or is unsuitable for the study for any reason. This includes completion of the Patient Reported Outcome instruments.
- Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
- Subject is part of a vulnerable population who, in the judgement of the investigator, is unable to give Informed Consent for reasons of incapacity, immaturity, adverse personal circumstances or lack of autonomy. This may include: Individuals with mental disability, person in nursing homes, children, impoverished persons, persons in emergency situations, homeless person, nomads, refugees, and those incapable of giving informed consent. Vulnerable populations also may include members of a group with a hierarchical structure such as university students, subordinate hospital and laboratory personnel, employees of the Sponsor, members of the armed forces, and persons kept in detention.
Sites / Locations
- Sanford USD Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Transpose ® RT System
debridement/dressing of wound
Arm Description
Adipose-derived stem cells (also known as stromal vascular fraction or SVF) will be injected subcutaneously around the rim of the wound bed following standard would debridement. The standard collagen dressing material will also be saturated with SVF after placement within the would itself. Normal (standard) dressing of wound will be placed over wound.
Wound will be debrided and collagen dressing placed within wound bed as per standard of care. Standard dressing will cover wound. No adipose-derived stem cells (SVF) will be applied to control subject wounds.
Outcomes
Primary Outcome Measures
Safety: as indicated through adverse event rate between control versus experimental group
adverse event rate
Time to complete wound closure as evidenced by complete epithelialization over a one-year time period (efficacy)
time it takes for complete wound closure following procedure
Secondary Outcome Measures
Change in wound area over time (wound healing velocity)
size of wound will become smaller as measured during follow-up visits
Percent decrease in wound size (length X width X depth)
wound size will decrease when measured at follow-up visits
Patient-reported outcomes are informational endpoints to assess Health-Related Quality of Life
patient will report better health outcomes using quality of life questionnaires
Assessment of overall health status (questionnaire 36-Item Short Form/SF-36)
patient will report better health outcomes using quality of life questionnaires
assessment of disease specific quality of life (questionnaire: CIVIQ-20)
quality of life as it relates to lower extremity wound will improve following treatment as noted in patient's CIVIQ-20 scores
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02961699
Brief Title
Healing Chronic Venous Stasis Wounds With Autologous Cell Therapy
Official Title
Healing Chronic Venous Stasis Wounds With Autologous Cell Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
July 2020
Overall Recruitment Status
Unknown status
Study Start Date
June 1, 2017 (Actual)
Primary Completion Date
October 2021 (Anticipated)
Study Completion Date
January 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
InGeneron, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a prospective, randomized, single-site, safety and efficacy study of subjects with chronic venous stasis ulcers. Patients will fall into two categories: treatment arm (24 subjects) and non-treatment or control arm (12 subjects). The treatment group will undergo a small liposuction procedure and receive placement of autologous cell therapy (stromal vascular fraction or SVF) injected around the rim of venous stasis wound (subcutaneously)following standard wound debridement, with saturation of collagen dressing material with standard over-dressing. Control (non-treatment) subjects will receive debridement and dressing changes as per standard of care without SVF.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wound, Nonpenetrating
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
this study utilizes a medical device
Masking
None (Open Label)
Allocation
Randomized
Enrollment
36 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Transpose ® RT System
Arm Type
Experimental
Arm Description
Adipose-derived stem cells (also known as stromal vascular fraction or SVF) will be injected subcutaneously around the rim of the wound bed following standard would debridement. The standard collagen dressing material will also be saturated with SVF after placement within the would itself. Normal (standard) dressing of wound will be placed over wound.
Arm Title
debridement/dressing of wound
Arm Type
Active Comparator
Arm Description
Wound will be debrided and collagen dressing placed within wound bed as per standard of care. Standard dressing will cover wound. No adipose-derived stem cells (SVF) will be applied to control subject wounds.
Intervention Type
Device
Intervention Name(s)
Transpose ® RT System
Intervention Description
adipose-derived stem cell therapy
Intervention Type
Other
Intervention Name(s)
debridement/dressing of wound
Intervention Description
standard of care debridement and wound dressing
Primary Outcome Measure Information:
Title
Safety: as indicated through adverse event rate between control versus experimental group
Description
adverse event rate
Time Frame
enrollment through 12 months of follow-up
Title
Time to complete wound closure as evidenced by complete epithelialization over a one-year time period (efficacy)
Description
time it takes for complete wound closure following procedure
Time Frame
enrollment through 12 months of follow-up
Secondary Outcome Measure Information:
Title
Change in wound area over time (wound healing velocity)
Description
size of wound will become smaller as measured during follow-up visits
Time Frame
enrollment through 12 months of follow-up
Title
Percent decrease in wound size (length X width X depth)
Description
wound size will decrease when measured at follow-up visits
Time Frame
enrollment through 12 months of follow-up
Title
Patient-reported outcomes are informational endpoints to assess Health-Related Quality of Life
Description
patient will report better health outcomes using quality of life questionnaires
Time Frame
enrollment through 12 months of follow-up
Title
Assessment of overall health status (questionnaire 36-Item Short Form/SF-36)
Description
patient will report better health outcomes using quality of life questionnaires
Time Frame
enrollment through 12 months of follow-up
Title
assessment of disease specific quality of life (questionnaire: CIVIQ-20)
Description
quality of life as it relates to lower extremity wound will improve following treatment as noted in patient's CIVIQ-20 scores
Time Frame
enrollment through 12 months of follow-up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males and females 18 years of age or older
venous leg ulcers present for at least six months and not responding to
standard wound therapy for at least one month prior to study treatment
one wound size 10-25centimeters squared
inpatient or outpatient treatment of chronic venous ulcers
the ability of subjects to give appropriate consent or have an appropriate representative available
Exclusion Criteria:
Age < 18 years of age
Patients who are pregnant or currently breast feeding
for a female subject of childbearing potential, a pregnancy test must be performed with negative results known within 7 days prior to the procedure
Patient with a BMI less than or equal to 18.5 or an insufficient amount of subcutaneous tissue to allow recovery of up to 100ml of lipoaspirate
Patients with poor glucose metabolic control (HgbA1c > 9)
history of local neoplasm and any history of local neoplasm and any history of local neoplasm at site of administration
History of systemic malignant neoplasms within last 5 years
Patients who require Negative Pressure Wound Therapy (NPWT) or limb amputation at the target wound at the time of screening
Wounds which are unable to be staged or classified. For example, full thickness tissue loss in which actual depth of the ulcer is completely obscured by slough and/or eschar in the wound bed
Wounds that have evidence of necrosis after debridement
Severe vascular disease in the pathogenesis of the ulcer (ABI<0.6)
Clinical signs of critical colonization or local infection
Prolonged(>6 months) of use of steroids
Patients on an active regimen of chemotherapy
Patients who have received radiation in proximity of the wound
Patients with a documented history of liver disease or an ALT value>400
Allergy to sodium citrate of any "caine" type of local anesthetic
Subject is in the opinion of the Investigator or designee, unable to comply with the requirements of the study protocol or is unsuitable for the study for any reason. This includes completion of the Patient Reported Outcome instruments.
Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
Subject is part of a vulnerable population who, in the judgement of the investigator, is unable to give Informed Consent for reasons of incapacity, immaturity, adverse personal circumstances or lack of autonomy. This may include: Individuals with mental disability, person in nursing homes, children, impoverished persons, persons in emergency situations, homeless person, nomads, refugees, and those incapable of giving informed consent. Vulnerable populations also may include members of a group with a hierarchical structure such as university students, subordinate hospital and laboratory personnel, employees of the Sponsor, members of the armed forces, and persons kept in detention.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bradley K Coots, M.D.
Organizational Affiliation
Sanford Plastic and Reconstructive Surgery- Sioux Falls, SD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sanford USD Medical Center
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57105
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Healing Chronic Venous Stasis Wounds With Autologous Cell Therapy
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