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Allogeneic Micronized Amniotic Membrane Product for the Treatment of Hidradenitis Suppurativa

Primary Purpose

Hidradenitis Suppurativa

Status
Withdrawn
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AMP-001 Low Dose
AMP-001 Medium Dose
AMP-001 High Dose
Sponsored by
IntegoGen, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hidradenitis Suppurativa

Eligibility Criteria

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

Inclusion Criteria:

  • Age ≥18 years
  • Can understand the nature of the procedure, and provide, or have a legal representative provide, a written informed consent.
  • Clinically diagnosed with Hidradenitis Suppurativa characterized as Hurley Score, Stage II or Stage III.
  • History of standard-of-care supportive treatment failure with corticosteroids and/or antibiotics within 30 days before the baseline visit.
  • Must have a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at the baseline visit.
  • No prior history of a biologic product or Humira for the treatment of Hidradenitis Suppurativa.

Exclusion Criteria:

  • Intolerance or unwillingness to participate in all procedure(s) or medication(s) required of this protocol.
  • Diagnosis or reported history of any of the folding conditions:

    1. Uncontrolled Diabetes Mellitus (HbA1c ≥9);
    2. Severe Morbid Obesity (BMI≥40);
    3. Chronic heart, renal, or hepatic disease;
    4. Neurodegenerative debilitating conditions, and
    5. Cancer.
  • The participant is currently receiving or has received within 3 months before enrollment, medications or treatments that are known to affect the wound healing process, including but not limited to: chronic systemic steroid intake, history of recent changes in the participant's tissue integrity (i.e., thin, fragile skin with multiple hematomas or previous lacerations), current use of immune-suppressive drugs, radiation therapy, immunomodulating medications, and chemotherapy.
  • The participant has received HS micronized amnion therapy in the last 90 days.
  • Systolic blood pressure greater than 190 or less than 90 mmHg.
  • Diastolic blood pressure greater than 105 or less than 50 mmHg.
  • Early, symptomatic autonomic dysfunction.
  • Abuse of prescription drugs, illegal substances, and/or alcohol.
  • Females who are pregnant, nursing, or of childbearing potential and not using a reliable birth control method (such as, female use of a diaphragm, intrauterine device (IUD), or contraceptive sponge or gels, in addition to male use of a condom) or the female should be using prescribed "birth control" pills, injections, or implants. or who intend to become pregnant during their participation in the study.
  • Clinically significant abnormal laboratory values at the time of the screening or baseline visit.
  • Exposure to the investigational product within 3 months prior to enrollment or anticipate participation in any other investigational drug study or other interventional studies while enrolled in the study.
  • In the opinion of the Principal Investigator, the participant should not be enrolled in the study.

Sites / Locations

  • West Houston Dermatology Laser and Skin Care Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Low Dose AMP-001

Medium Dose AMP-001

High Dose AMP-001

Arm Description

12.5 mg AMP-001 in 3 ml Saline

25 mg AMP-001in 3 ml Saline

50 mg AMP-001 in 3 ml Saline

Outcomes

Primary Outcome Measures

Total number of Adverse Events

Secondary Outcome Measures

Full Information

First Posted
September 1, 2020
Last Updated
September 1, 2021
Sponsor
IntegoGen, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04541550
Brief Title
Allogeneic Micronized Amniotic Membrane Product for the Treatment of Hidradenitis Suppurativa
Official Title
An Open-label, Dose-escalation Study to Evaluate the Use of Allogeneic Micronized Amniotic Membrane Product for the Treatment of Hidradenitis Suppurativa
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Study didn't proceed to FDA submission
Study Start Date
April 1, 2021 (Anticipated)
Primary Completion Date
July 1, 2021 (Anticipated)
Study Completion Date
July 1, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IntegoGen, LLC

4. Oversight

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

5. Study Description

Brief Summary
This study is an open-label, dose-escalation study enrolling 15 participants. There are 3 cohorts: Cohort I: 5 subjects each receiving 1 injection of IGN-AMP001 (12.5mg AMP-001 in 3ml Saline) Cohort II: 5 subjects each receiving 1 injection of IGN-AMP001 (25 mg AMP-001 in 3 ml Saline) Cohort III: 5 subjects each receiving 1 injection of IGN-AMP001 (50 mg AMP-001 in 3 ml Saline).
Detailed Description
Hidradenitis Suppurativa (HS) is a chronic inflammatory skin disease characterized by recurrent deep-seated boil-like abscesses and tracts under the skin. The most severe HS lesions are characterized by chronic non-healing sinuses, which form a wound-like environment as the abscesses heal; they produce significant skin scarring. Transcriptomic analysis of lesioned skin from HS patients suggests that it has similar pathology to other chronic wounds. IntegoGen's investigational product, IGN-AMP001, is manufactured from the amniotic membrane of the human placenta. The amnion membrane contains various cytokines and growth factors that promote wound healing. Local application of micronized dehydrated amnion membrane has been shown effective in treating chronic refractory non-healing dermal wounds of various etiologies in randomized clinical trials and case studies, which suggests it might be effective in treating HS wounds as well. Patients treated with IGN-AMP001 within IntegoGen associated clinics and other regenerative clinics have indicated positive responses. This study is designed to evaluate the safety, tolerability, and potential efficacy of IGN-AMP001 for HS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hidradenitis Suppurativa

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low Dose AMP-001
Arm Type
Experimental
Arm Description
12.5 mg AMP-001 in 3 ml Saline
Arm Title
Medium Dose AMP-001
Arm Type
Experimental
Arm Description
25 mg AMP-001in 3 ml Saline
Arm Title
High Dose AMP-001
Arm Type
Experimental
Arm Description
50 mg AMP-001 in 3 ml Saline
Intervention Type
Drug
Intervention Name(s)
AMP-001 Low Dose
Other Intervention Name(s)
12.5 mg AMP-001
Intervention Description
AMP-001, is manufactured from the amniotic membrane of the placenta and does not contain living cells.
Intervention Type
Drug
Intervention Name(s)
AMP-001 Medium Dose
Other Intervention Name(s)
25 mg AMP-001
Intervention Description
AMP-001, is manufactured from the amniotic membrane of the placenta and does not contain living cells.
Intervention Type
Drug
Intervention Name(s)
AMP-001 High Dose
Other Intervention Name(s)
50 mg AMP-001
Intervention Description
AMP-001, is manufactured from the amniotic membrane of the placenta and does not contain living cells.
Primary Outcome Measure Information:
Title
Total number of Adverse Events
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 years Can understand the nature of the procedure, and provide, or have a legal representative provide, a written informed consent. Clinically diagnosed with Hidradenitis Suppurativa characterized as Hurley Score, Stage II or Stage III. History of standard-of-care supportive treatment failure with corticosteroids and/or antibiotics within 30 days before the baseline visit. Must have a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at the baseline visit. No prior history of a biologic product or Humira for the treatment of Hidradenitis Suppurativa. Exclusion Criteria: Intolerance or unwillingness to participate in all procedure(s) or medication(s) required of this protocol. Diagnosis or reported history of any of the folding conditions: Uncontrolled Diabetes Mellitus (HbA1c ≥9); Severe Morbid Obesity (BMI≥40); Chronic heart, renal, or hepatic disease; Neurodegenerative debilitating conditions, and Cancer. The participant is currently receiving or has received within 3 months before enrollment, medications or treatments that are known to affect the wound healing process, including but not limited to: chronic systemic steroid intake, history of recent changes in the participant's tissue integrity (i.e., thin, fragile skin with multiple hematomas or previous lacerations), current use of immune-suppressive drugs, radiation therapy, immunomodulating medications, and chemotherapy. The participant has received HS micronized amnion therapy in the last 90 days. Systolic blood pressure greater than 190 or less than 90 mmHg. Diastolic blood pressure greater than 105 or less than 50 mmHg. Early, symptomatic autonomic dysfunction. Abuse of prescription drugs, illegal substances, and/or alcohol. Females who are pregnant, nursing, or of childbearing potential and not using a reliable birth control method (such as, female use of a diaphragm, intrauterine device (IUD), or contraceptive sponge or gels, in addition to male use of a condom) or the female should be using prescribed "birth control" pills, injections, or implants. or who intend to become pregnant during their participation in the study. Clinically significant abnormal laboratory values at the time of the screening or baseline visit. Exposure to the investigational product within 3 months prior to enrollment or anticipate participation in any other investigational drug study or other interventional studies while enrolled in the study. In the opinion of the Principal Investigator, the participant should not be enrolled in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen Mahoney, MD
Organizational Affiliation
West Houston Dermatology Laser and Skin Care Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
West Houston Dermatology Laser and Skin Care Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77082
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Allogeneic Micronized Amniotic Membrane Product for the Treatment of Hidradenitis Suppurativa

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