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A Phase 3 Clinical Trial to Assess the Effectiveness of BioChaperone PDGF-BB In the Treatment of Chronic Diabetic Foot Ulcer

Primary Purpose

Diabetic Foot Ulcer

Status
Completed
Phase
Phase 3
Locations
India
Study Type
Interventional
Intervention
BioChaperone PDGF-BB
Standard of Care
Sponsored by
Adocia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Foot Ulcer

Eligibility Criteria

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

Inclusion Criteria:

  • Men or women aged 18 years old or older, with type 1 or 2 diabetes mellitus
  • Patient with a single ulcer on the treated feet
  • Patient able and willing to provide informed consent
  • Patient able and willing to comply with protocol visits and procedure
  • Patient willing to use an off-loading method during the whole duration of the study
  • Full-thickness plantar, lateral or dorsal ulcer of the extremity (below the malleolus), excluding inter-digits ulcer (web spaces), extending through the epidermis and dermis, but not involving bone, tendons, ligaments or muscles (grade IA as defined by University of Texas Diabetic Wound Classification or Grade 1 according to Wagner classification)
  • Chronic ulcer of at least six weeks despite appropriate wound care
  • Ulcer area measured with the formula Length x Width x 0.8 following sharp debridement, of 1 to 10 cm², both inclusive
  • Well controlled infection or cellulitis (systemic antibiotherapy) before Baseline Visit
  • Peripheral neuropathy as assessed by Semmes- Weinstein monofilament test or by the bio esthesimeter (vibration perception threshold).
  • Ankle brachial pressure index > 0.60 and <1.3
  • Women surgically sterile, post-menopausal, or agree to practice adequate contraception and have a negative pregnancy test at screening. Non-nursing

Exclusion Criteria:

  • Inter digit ulcers
  • Ulcer of other cause or origin: electrical, chemical or radiation insult, bedsores, vascular ulcer or Charcot deformities ulcers
  • Charcot foot.
  • Wound originated from amputation bed
  • Active ulcer infection assessed by clinical examination and radiography if necessary. Presence of necrosis, purulence or sinus tracts that cannot be removed by debridement and controlled by standard wound care.
  • Active osteomyelitis affecting the area of the target ulcer
  • Poorly controlled diabetes (uncontrolled glycemia: HbA1c% >= 10%), renal failure (serum creatinine > 3.0 mg/dL), poor nutritional status (albumin < 3.0 g/dL or total protein < 6.5 g/dL)
  • Known connective tissue or malignant disease
  • Concomitant treatment with corticosteroids, immunosuppressive agents, radiation therapy, or anticancer chemotherapy
  • Use of investigational drug/device or growth factor within 30 days
  • Topical application of any advance wound care on this wound (antiseptics, antibiotics, debriders, enzyme) within 7 days
  • Vascular reconstruction within 8 weeks
  • Patients expected to be noncompliant with the protocol (not available for the duration of the trial, treatment or wound care compliance), or felt to be unsuitable by the Investigator for any other reason.
  • A history of severe cerebrovascular events

Sites / Locations

  • Mediciti Hospital
  • SL Raheja Hospital
  • M.V. Hospital for Diabetes (P) Ltd
  • Dr V. Seshiah Diabetes Research Institute, Dr Balaji Diabetes Care centre
  • B.J. Medical College and Civil Hospital
  • Dr Jivraj Mehta Smarak Health Foundation
  • Sangini Hospital
  • V.S. General Hospital & Sml NHL Municipal Medical College Sheth
  • Rajiv Gandhi Centre for Diabetes and Endocrinology
  • Govt Medical College and Hospital
  • Sri Ramachandra Medial Centre
  • The Madras Diabetes Research Foundation
  • The Madras Medical Mission
  • Gandhi Medical College & Hospital
  • Nizam's Institute of Medical Sciences
  • Sumana Hospital
  • Surakshaka diabetic Centre(P) Ltd
  • SMS Medical College & Attached Hospital
  • ILS Hospital
  • IPGME & R and SSKM Hospital
  • Nightingale Hospital
  • Rabindranath Tagore International Insitute of cardiac Sciences
  • Fortis Hospital Phase
  • Seth G.S. Medical College and K.E.M Hospital
  • Mysore Medical College & Research Institute
  • Govt Medical college & Hospital Medical Square
  • Indira Gandhi Govt Medical College and Hospital
  • B.J. Govt. Medical College and Sassoon Hospital
  • Inamdar Multispeciality Hospital
  • Poona Hospital & Research Centre
  • Shree Giriraj Multispeciality Hospital
  • King Georges Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

BioChaperone PDGF-BB

Standard of Care

Arm Description

BioChaperone PDGF-BB administered every other day at the dose of 4µg/cm² for 20 weeks or until wound closure, associated with Standard of Care

Normal saline solution applied every other day at the same volume for up to 20 weeks, associated with standard wound care

Outcomes

Primary Outcome Measures

Incidence of complete wound closure.

Secondary Outcome Measures

Time to achieve complete wound closure.
Percentage reduction in total ulcer surface area at each visit.
Incidence of complete wound healing
Number of ulcer recurrence observed 12 weeks after wound healing.
Treatment emergent adverse events.

Full Information

First Posted
September 9, 2014
Last Updated
June 28, 2017
Sponsor
Adocia
Collaborators
Virchow Group
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1. Study Identification

Unique Protocol Identification Number
NCT02236793
Brief Title
A Phase 3 Clinical Trial to Assess the Effectiveness of BioChaperone PDGF-BB In the Treatment of Chronic Diabetic Foot Ulcer
Official Title
Phase III, Multicentre, Randomized, Parallel Group, Double Blinded and Control Group Clinical Trial to Assess the Effectiveness of BioChaperone PDGF-BB In the Treatment of Chronic Diabetic Foot Ulcer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
December 2014 (Actual)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
August 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adocia
Collaborators
Virchow Group

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The present clinical trial is designed to assess the effectiveness of BioChaperone PDGF-BB applied at 4 µg/cm² every other day for up to 20 weeks and associated to Standard of Care as compared to Standard of Care alone for the treatment of neuropathic and neurovascular diabetic foot ulcers.(In order to ensure the double-blinding of the treatments, a sterile normal saline solution presented in the same multi-dose spray vials than BioChaperone PDGF-BB will be applied on patients of the control group).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
252 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BioChaperone PDGF-BB
Arm Type
Experimental
Arm Description
BioChaperone PDGF-BB administered every other day at the dose of 4µg/cm² for 20 weeks or until wound closure, associated with Standard of Care
Arm Title
Standard of Care
Arm Type
Placebo Comparator
Arm Description
Normal saline solution applied every other day at the same volume for up to 20 weeks, associated with standard wound care
Intervention Type
Drug
Intervention Name(s)
BioChaperone PDGF-BB
Intervention Type
Other
Intervention Name(s)
Standard of Care
Primary Outcome Measure Information:
Title
Incidence of complete wound closure.
Time Frame
20 weeks
Secondary Outcome Measure Information:
Title
Time to achieve complete wound closure.
Time Frame
20 weeks
Title
Percentage reduction in total ulcer surface area at each visit.
Time Frame
20 weeks
Title
Incidence of complete wound healing
Time Frame
10 weeks
Title
Number of ulcer recurrence observed 12 weeks after wound healing.
Time Frame
32 weeks
Title
Treatment emergent adverse events.
Time Frame
52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women aged 18 years old or older, with type 1 or 2 diabetes mellitus Patient with a single ulcer on the treated feet Patient able and willing to provide informed consent Patient able and willing to comply with protocol visits and procedure Patient willing to use an off-loading method during the whole duration of the study Full-thickness plantar, lateral or dorsal ulcer of the extremity (below the malleolus), excluding inter-digits ulcer (web spaces), extending through the epidermis and dermis, but not involving bone, tendons, ligaments or muscles (grade IA as defined by University of Texas Diabetic Wound Classification or Grade 1 according to Wagner classification) Chronic ulcer of at least six weeks despite appropriate wound care Ulcer area measured with the formula Length x Width x 0.8 following sharp debridement, of 1 to 10 cm², both inclusive Well controlled infection or cellulitis (systemic antibiotherapy) before Baseline Visit Peripheral neuropathy as assessed by Semmes- Weinstein monofilament test or by the bio esthesimeter (vibration perception threshold). Ankle brachial pressure index > 0.60 and <1.3 Women surgically sterile, post-menopausal, or agree to practice adequate contraception and have a negative pregnancy test at screening. Non-nursing Exclusion Criteria: Inter digit ulcers Ulcer of other cause or origin: electrical, chemical or radiation insult, bedsores, vascular ulcer or Charcot deformities ulcers Charcot foot. Wound originated from amputation bed Active ulcer infection assessed by clinical examination and radiography if necessary. Presence of necrosis, purulence or sinus tracts that cannot be removed by debridement and controlled by standard wound care. Active osteomyelitis affecting the area of the target ulcer Poorly controlled diabetes (uncontrolled glycemia: HbA1c% >= 10%), renal failure (serum creatinine > 3.0 mg/dL), poor nutritional status (albumin < 3.0 g/dL or total protein < 6.5 g/dL) Known connective tissue or malignant disease Concomitant treatment with corticosteroids, immunosuppressive agents, radiation therapy, or anticancer chemotherapy Use of investigational drug/device or growth factor within 30 days Topical application of any advance wound care on this wound (antiseptics, antibiotics, debriders, enzyme) within 7 days Vascular reconstruction within 8 weeks Patients expected to be noncompliant with the protocol (not available for the duration of the trial, treatment or wound care compliance), or felt to be unsuitable by the Investigator for any other reason. A history of severe cerebrovascular events
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Arun Bal, MD
Organizational Affiliation
SL Raheja Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mediciti Hospital
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500 063
Country
India
Facility Name
SL Raheja Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400 016
Country
India
Facility Name
M.V. Hospital for Diabetes (P) Ltd
City
Chennai
State/Province
Tamilnadu
Country
India
Facility Name
Dr V. Seshiah Diabetes Research Institute, Dr Balaji Diabetes Care centre
City
Chennai
State/Province
Taminadu
ZIP/Postal Code
600 029
Country
India
Facility Name
B.J. Medical College and Civil Hospital
City
Ahmedabad
Country
India
Facility Name
Dr Jivraj Mehta Smarak Health Foundation
City
Ahmedabad
Country
India
Facility Name
Sangini Hospital
City
Ahmedabad
Country
India
Facility Name
V.S. General Hospital & Sml NHL Municipal Medical College Sheth
City
Ahmedabad
Country
India
Facility Name
Rajiv Gandhi Centre for Diabetes and Endocrinology
City
Aligarh
Country
India
Facility Name
Govt Medical College and Hospital
City
Chandigarh
Country
India
Facility Name
Sri Ramachandra Medial Centre
City
Chennai
Country
India
Facility Name
The Madras Diabetes Research Foundation
City
Chennai
Country
India
Facility Name
The Madras Medical Mission
City
Chennai
Country
India
Facility Name
Gandhi Medical College & Hospital
City
Hyderabad
Country
India
Facility Name
Nizam's Institute of Medical Sciences
City
Hyderabad
Country
India
Facility Name
Sumana Hospital
City
Hyderabad
Country
India
Facility Name
Surakshaka diabetic Centre(P) Ltd
City
Hyderabad
Country
India
Facility Name
SMS Medical College & Attached Hospital
City
Jaipur
Country
India
Facility Name
ILS Hospital
City
Kolkata
Country
India
Facility Name
IPGME & R and SSKM Hospital
City
Kolkata
Country
India
Facility Name
Nightingale Hospital
City
Kolkata
Country
India
Facility Name
Rabindranath Tagore International Insitute of cardiac Sciences
City
Kolkata
Country
India
Facility Name
Fortis Hospital Phase
City
Mohali
Country
India
Facility Name
Seth G.S. Medical College and K.E.M Hospital
City
Mumbai
Country
India
Facility Name
Mysore Medical College & Research Institute
City
Mysore
Country
India
Facility Name
Govt Medical college & Hospital Medical Square
City
Nagpur
Country
India
Facility Name
Indira Gandhi Govt Medical College and Hospital
City
Nagpur
Country
India
Facility Name
B.J. Govt. Medical College and Sassoon Hospital
City
Pune
Country
India
Facility Name
Inamdar Multispeciality Hospital
City
Pune
Country
India
Facility Name
Poona Hospital & Research Centre
City
Pune
Country
India
Facility Name
Shree Giriraj Multispeciality Hospital
City
Rajkot
Country
India
Facility Name
King Georges Hospital
City
Vishakapatnam
Country
India

12. IPD Sharing Statement

Learn more about this trial

A Phase 3 Clinical Trial to Assess the Effectiveness of BioChaperone PDGF-BB In the Treatment of Chronic Diabetic Foot Ulcer

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