Evaluating Safety and Biological Effect on Wound Healing of ILP100-Topical in Subjects With Diabetic Foot Ulcers
Wound Heal, Wound Healing Disturbance of, Wound Healing Disorder
About this trial
This is an interventional treatment trial for Wound Heal focused on measuring emilimogene sigulactibac, ILP100, ILP100-Topical, Lactobacillus reuteri, Limosilactobacillus reuteri, CXCL12, diabetic foot ulcer, wound healing, Ilya Pharma, live biopharmaceutical product, lactic acid bacteria
Eligibility Criteria
Inclusion Criteria: Signed written informed consent Males and females aged ≥18 years Diagnosis of diabetes mellitus type 1 or 2 HbA1c ≤ 86 mmol/mol (≤ 10%) at Screening Subjects with at least one first time or recurrent full thickness ulcer (below the ankle) that fulfils all of the following criteria at Screening and at the time of Baseline: A non-interdigital wound Accessible for administration of IMP, wound study assessments and procedures Persistence of the wound for at least 6 weeks at Baseline Minimum full skin ulcer without undermining, with no exposed muscle, tendon or bone A wound area of 1.0 - 5.0 cm^2 after sharp or mechanical debridement at Screening During the 2-weeks between start of Run-in Phase and Baseline the wound size must not decrease by more than 30% or increase by more than 25%, which correspond to wound areas of 0.7 - 6.3 cm^2 Toe pressure ≥30 mm Hg Expected to comply with the study procedures Exclusion Criteria: Has any clinically infected diabetic foot ulcer at Screening and Baseline, confirmed by bacterial wound culture, or ongoing antibiotic treatment The index wound determined as heavily exuding defined as requiring more than 1 dressing change per day or requiring use of super absorbent dressing Wound duration longer than 1 year Active Charcot deformity of the study foot Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2 Hemoglobin concentration <100 g/L at Baseline Planned or ongoing treatment with corticosteroids to an equivalent dose of prednisolone >10 mg per day or other immunosuppressive therapy, or such treatment within 4 weeks prior to Baseline Has any major surgery or hospitalization planned up to Week 26 Has changed a treatment for diabetes during the last 3 weeks before Baseline. Dose change is allowed Ongoing treatment with dipeptidyl peptidase 4 (DPP-4) inhibitors Revascularization procedure in the index wound leg planned or undertaken within 8 weeks before Screening, or under investigation Current smokers Participation in other clinical studies or having received any investigational treatment within 1 month or at the earliest five times the half-life prior to Screening Has any disease conditions, including ulcerative dermatological disorders and vasculitis, or comorbidities which is expected to prevent the subject from participating in the study or confounding the evaluation of the safety profile and effect on wound healing of ILP100 Pregnant or lactating woman Male subjects not willing to use a condom and refrain from donating sperm Female subjects of childbearing potential unless they use a contraceptive method with a failure rate of < 1% to prevent pregnancy
Sites / Locations
- Cordinator Medical Service ABRecruiting
- Department of Endocrinology, Skåne University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
ILP100Lo
ILP100Hi
Placebo
During the Treatment Phase, subjects will continue on standard of care according to the protocol and ILP100Lo (ILP100-Topical, 5x10^7 colony forming units (CFU)/cm^2) will be topically administered at two occasions on Day 1 (Baseline and Hour 2), Days 2, 3, and thereafter every second to third day until Day 31.
During the Treatment Phase, subjects will continue on standard of care according to the protocol and ILP100Hi (ILP100-Topical, 1x10^9 CFU/cm^2) will be topically administered at two occasions on Day 1 (Baseline and Hour 2), Days 2, 3, and thereafter every second to third day until Day 31.
During the Treatment Phase, subjects will continue on standard of care according to the protocol and Placebo (ILP100 dilution buffer mixed with the activation peptide SppIP) will be topically administered at two occasions on Day 1 (Baseline and Hour 2), Days 2, 3, and thereafter every second to third day until Day 31.