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Recombinant SeV-hFGF2/dF Injection for PAOD

Primary Purpose

PAOD - Peripheral Arterial Occlusive Disease, PAD, Critical Limb Ischemia

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Recombinant SeV-hFGF2/dF Injection
Sponsored by
Shenzhen Salubris Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for PAOD - Peripheral Arterial Occlusive Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female, aged 18-80 years old, weighing > 50kg, with an expected survival of more than 1 year;
  • diagnosed as Lower extremity arterial occlusive disease (ASO , DAO , TAO) , and Rutherford grade 2 to 5 (moderate intermittent claudication - mild tissue defect), if both of the subject's limbs have lower extremity arterial ischemic disease, the limb that could not be revascularized or more severe one to study by the investigator;
  • Patients are not eligible for revascularization (eg, interventional endovascular treatment or surgery); or patients who have failed previous revascularization treatment;
  • For patients who are taking cilostazol, prostaglandins or sarpogrelate for the treatment of lower limb ischemia, a stable dose should be used for at least 1 month before the test drug is injected ;
  • Before enrollment, confirmed by DSA or CTA as the superficial femoral artery ( ie, the femoral artery below the branch of the deep femoral artery), one or more stenosis of the radial artery and its lower artery ≥ 75% or occlusion;
  • The intended to treat lower extremity ABI ≤ 0.9 ;
  • Volunteer to participate in the trial and sign the informed consent form.

Exclusion Criteria:

  • Patients with malignant tumors or clinically significant history of a hematological disease, or clinically significant results of tumor screening tests;
  • Patients with a history of alcohol or drug abuse in the last 12 months;
  • The affected limb may need an amputation in 4 weeks;
  • Acute lower extremity arterial ischemic disease or acute progressive disease of lower extremity arterial ischemic disease;
  • The index limb has serious infections ( such as cellulitis, osteomyelitis, etc.), distal fascia or bone exposure;
  • Cardiac function is classified as grade III or IV heart failure according to the New York Heart Association (NYHA) ;
  • Patients with cerebral infarction, cerebral hemorrhage, myocardial infarction, and unstable angina in the past 3 months;
  • Type I diabetes patients;
  • Poorly controlled hypertension up to three antihypertensive drugs combined, defined as those at screening or baseline testing: systolic blood pressure > 160 mmHg or diastolic blood pressure > 110 mmHg ;
  • Patients with grade 3 and above proliferative retinopathy history;
  • Currently receiving immunosuppressive agents or radiotherapy and chemotherapy;
  • Antiviral drugs, drugs for inhibiting u-PA activity, such as diuretics, amiloride, and suramin, were used within 2 weeks before administration ;
  • Subjects included: HIV, hepatitis B, hepatitis C, routine hematology laboratory tests found that patients with significant clinical significance ( hepatitis B virus carriers can be selected); or blood routine, blood biochemistry, liver function, etc. Any of the following abnormalities (if the investigator judges that the abnormality may be caused by the inspection operation, still exists after one retest):

    • TBIL exceeds 1.5 times the normal upper limit or ALT/AST exceeds 2.5 times the upper limit of normal
    • Serum creatinine or urea nitrogen > 1.2 times the upper limit of normal
    • Hemoglobin (Hb) < 8.5 g/dL
    • White blood cell count < 3 × 10 9 /L
    • Platelet count < 75 × 10 9 / L
    • Fasting blood glucose > 13.9 mmol/L
    • HbA1c > 10%
  • Donate blood in last 1 month or participate in other intervention clinical trials;
  • Childbearing age (male/female) do not agree to adopt recognized effective contraceptives during study treatment and at least 6 months after completion of the study , and / or women of childbearing age who are unwilling or unable to undergo pregnancy tests; pregnancy, Lactating women ( where pregnancy is defined as a positive blood test ) ;
  • Other clinically uncontrollable diseases, including but not limited to: a severe liver disease with decompensated cirrhosis, jaundice, ascites or hemorrhagic varices;
  • Patients undergoing dialysis;
  • a history of allergic to lidocaine, or patients whose may be allergic to the study drug or its components determined by the investigator;
  • Other factors that may affect drug safety, effectiveness, and drug metabolism evaluation determined by the investigator.

Sites / Locations

  • Peking Union Medical College HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

treatment 1

treatment 2

treatment 3

treatment 4

Arm Description

Recombinant SeV-hFGF2/dF Injection 2×10 8CIU

Recombinant SeV-hFGF2/dF Injection 1×10 9CIU

Recombinant SeV-hFGF2/dF Injection 5×10 9CIU

Recombinant SeV-hFGF2/dF Injection 1×10 10CIU

Outcomes

Primary Outcome Measures

Incidence of Treatment- Emergent Adverse Events [Safety and Tolerability]
AE incidence, inject site reactions

Secondary Outcome Measures

Maximum Plasma Concentration [Cmax]
serum concentration of total RNA
Area Under the Curve [AUC]
serum concentration of total RNA
antibody of the SeV
Immunogenecity
walking distance
walking function
pain scale
using VAS scale
Ruthorford staging
improvements after study drug use.

Full Information

First Posted
September 8, 2018
Last Updated
October 23, 2018
Sponsor
Shenzhen Salubris Pharmaceuticals Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03668353
Brief Title
Recombinant SeV-hFGF2/dF Injection for PAOD
Official Title
Recombinant SeV-hFGF2 / dF Injection (BF30) Single-dose Therapy in Patients With Peripheral Arterial Occlusive Disease, a Dose Escalation, Safety, Tolerability Phase I Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Unknown status
Study Start Date
September 5, 2018 (Actual)
Primary Completion Date
March 5, 2020 (Anticipated)
Study Completion Date
September 1, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenzhen Salubris Pharmaceuticals Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Lower extremity arteriosclerosis obliterans is due to the formation of atherosclerotic plaque in the lower extremities, resulting in the stenosis and occlusion of the artery, leading to chronic ischemia of the limbs. Although bypass surgery and angioplasty ( or interventional therapy ) are effective methods for vascular treatment in patients with PAD to revascularize, a significant proportion of patients with the arterial disease are not eligible for direct arterial surgery. Meanwhile, there are many patients who suffer from diffuse arterial disease or severe peripheral disease not suitable for interventional therapy. Stimulation of arteriogenesis( blood bypassing the occluded arteries through a large number of collateral vessels ) and angiogenesis ( generating new small blood vessels ) have become the focus of research. Our recombinant SeV-hFGF2/dF injection (R&D code BF30 ) uses the human basic fibroblast growth factor ( FGF2 ) gene to express the target protein FGF2 locally by intramuscular injection. The preparation can efficiently express FGF2 in infected cells and secrete it to the periphery and be fixed in the intercellular substance. Since FGF2 is in the upstream regulatory pathway of VEGF, HGF and other factors, it can regulate the coordinated expression of these cytokines related to the growth and function of new blood vessels, and finally, produce mature blood vessels. To evaluate the safety ( tolerance), pharmacokinetics (PK), biological activity, and immunogenicity of BF30 in patients with lower extremity arterial occlusive disease, and to explore clinical benefits. MAIN OBJECTIVE: To evaluate the safety ( tolerability ) of single-dose BF30 in patients with lower extremity arterial occlusive disease, and to provide evidence for the dose of subsequent clinical trials. Secondary objective: To explore the pharmacokinetics (PK), biological activity, the immunogenicity of BF30, and to initially explore clinical benefits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
PAOD - Peripheral Arterial Occlusive Disease, PAD, Critical Limb Ischemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
dose escalation
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
treatment 1
Arm Type
Experimental
Arm Description
Recombinant SeV-hFGF2/dF Injection 2×10 8CIU
Arm Title
treatment 2
Arm Type
Experimental
Arm Description
Recombinant SeV-hFGF2/dF Injection 1×10 9CIU
Arm Title
treatment 3
Arm Type
Experimental
Arm Description
Recombinant SeV-hFGF2/dF Injection 5×10 9CIU
Arm Title
treatment 4
Arm Type
Experimental
Arm Description
Recombinant SeV-hFGF2/dF Injection 1×10 10CIU
Intervention Type
Biological
Intervention Name(s)
Recombinant SeV-hFGF2/dF Injection
Other Intervention Name(s)
BF30
Intervention Description
intramuscular injection of investigator drugs
Primary Outcome Measure Information:
Title
Incidence of Treatment- Emergent Adverse Events [Safety and Tolerability]
Description
AE incidence, inject site reactions
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration [Cmax]
Description
serum concentration of total RNA
Time Frame
6 months after drug administration
Title
Area Under the Curve [AUC]
Description
serum concentration of total RNA
Time Frame
6 months after drug administration
Title
antibody of the SeV
Description
Immunogenecity
Time Frame
6 months after drug administration
Title
walking distance
Description
walking function
Time Frame
6 months after drug administration
Title
pain scale
Description
using VAS scale
Time Frame
6 months after drug administration
Title
Ruthorford staging
Description
improvements after study drug use.
Time Frame
6 months after drug administration

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: Male or female, aged 18-80 years old, weighing > 50kg, with an expected survival of more than 1 year; diagnosed as Lower extremity arterial occlusive disease (ASO , DAO , TAO) , and Rutherford grade 2 to 5 (moderate intermittent claudication - mild tissue defect), if both of the subject's limbs have lower extremity arterial ischemic disease, the limb that could not be revascularized or more severe one to study by the investigator; Patients are not eligible for revascularization (eg, interventional endovascular treatment or surgery); or patients who have failed previous revascularization treatment; For patients who are taking cilostazol, prostaglandins or sarpogrelate for the treatment of lower limb ischemia, a stable dose should be used for at least 1 month before the test drug is injected ; Before enrollment, confirmed by DSA or CTA as the superficial femoral artery ( ie, the femoral artery below the branch of the deep femoral artery), one or more stenosis of the radial artery and its lower artery ≥ 75% or occlusion; The intended to treat lower extremity ABI ≤ 0.9 ; Volunteer to participate in the trial and sign the informed consent form. Exclusion Criteria: Patients with malignant tumors or clinically significant history of a hematological disease, or clinically significant results of tumor screening tests; Patients with a history of alcohol or drug abuse in the last 12 months; The affected limb may need an amputation in 4 weeks; Acute lower extremity arterial ischemic disease or acute progressive disease of lower extremity arterial ischemic disease; The index limb has serious infections ( such as cellulitis, osteomyelitis, etc.), distal fascia or bone exposure; Cardiac function is classified as grade III or IV heart failure according to the New York Heart Association (NYHA) ; Patients with cerebral infarction, cerebral hemorrhage, myocardial infarction, and unstable angina in the past 3 months; Type I diabetes patients; Poorly controlled hypertension up to three antihypertensive drugs combined, defined as those at screening or baseline testing: systolic blood pressure > 160 mmHg or diastolic blood pressure > 110 mmHg ; Patients with grade 3 and above proliferative retinopathy history; Currently receiving immunosuppressive agents or radiotherapy and chemotherapy; Antiviral drugs, drugs for inhibiting u-PA activity, such as diuretics, amiloride, and suramin, were used within 2 weeks before administration ; Subjects included: HIV, hepatitis B, hepatitis C, routine hematology laboratory tests found that patients with significant clinical significance ( hepatitis B virus carriers can be selected); or blood routine, blood biochemistry, liver function, etc. Any of the following abnormalities (if the investigator judges that the abnormality may be caused by the inspection operation, still exists after one retest): TBIL exceeds 1.5 times the normal upper limit or ALT/AST exceeds 2.5 times the upper limit of normal Serum creatinine or urea nitrogen > 1.2 times the upper limit of normal Hemoglobin (Hb) < 8.5 g/dL White blood cell count < 3 × 10 9 /L Platelet count < 75 × 10 9 / L Fasting blood glucose > 13.9 mmol/L HbA1c > 10% Donate blood in last 1 month or participate in other intervention clinical trials; Childbearing age (male/female) do not agree to adopt recognized effective contraceptives during study treatment and at least 6 months after completion of the study , and / or women of childbearing age who are unwilling or unable to undergo pregnancy tests; pregnancy, Lactating women ( where pregnancy is defined as a positive blood test ) ; Other clinically uncontrollable diseases, including but not limited to: a severe liver disease with decompensated cirrhosis, jaundice, ascites or hemorrhagic varices; Patients undergoing dialysis; a history of allergic to lidocaine, or patients whose may be allergic to the study drug or its components determined by the investigator; Other factors that may affect drug safety, effectiveness, and drug metabolism evaluation determined by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wei Ye
Phone
86-13601158377
Email
yewill18@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
Guoqiang Ai, Dr.
Phone
86-18482022722
Email
aiguoqiang@salubris.com
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100006
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Weibo Xia, Dr.
Phone
010-65296114

12. IPD Sharing Statement

Plan to Share IPD
No

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Recombinant SeV-hFGF2/dF Injection for PAOD

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