Safety and Effectiveness of OCL 503 in the Treatment of Women With Leiomyomata
Primary Purpose
Leiomyomata
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
OCL 503 (uterine artery embolization)
Sponsored by
About this trial
This is an interventional treatment trial for Leiomyomata
Eligibility Criteria
Inclusion Criteria:
- presence of one or more of the following symptoms: abnormal menstrual bleeding, prolonged menstrual period, pelvic pain, or bulk-related symptoms that are attributed to uterine fibroids (bulk-related symptoms include pelvic pressure, abdominal distension, abdominal bloating, constipation, backache, urinary frequency, urinary retention, ureteral dilation, and rectal pressure), and the intensity of uterine fibroid-related symptoms, which are sufficiently sever to warrant hysterectomy, and the patient's medical history, physical examination, and the results of imaging by ultrasound or MRI;
- are between the ages of 30 and 55 years, inclusive;
- have had a pelvic examination by a gynaecologist within the previous 6 months;
- have had a normal Pap smear within the last 12 months;
- have had an endometrial biopsy within the previous three to six months, as appropriate to patient history;
- are premenopausal with menstrual cycles lasting between 22 and 35 days. A follicle stimulating hormone (FSH) value obtained within three months prior to the procedure must be < 40 IU/L;
- are scheduled for total abdominal hysterectomy;
- are willing and able to provide written, informed consent.
Exclusion Criteria:
- have been treated with gonadotropin-releasing hormone (GnRH) agonists within the previous 12 weeks;
- have a American Society of Anesthesiologists (ASA) score ≥ 3;
- have abnormally large ovarian arteries, as assessed by MRA and determined by the Investigator;
- have an undiagnosed pelvic mass outside the uterus;
- have claustrophobia or other contraindications to the performance of the pre- and post-procedure MRI studies including the presence of metal implants, metal plates, bone pins, bone screws, neurostimulators, cardiac pacemakers, aneurysm clips, cochlear or retinal implants, permanent hearing aids, or permanent eye-liner;
- have pedunculated subserosal fibroids with an attachment to the uterus less than one third of the greatest diameter of the fibroid;
- who do not agree to use contraceptives from Visit 1 until undergoing total abdominal hysterectomy;
- have compromised hematopoietic function;
- have hepatic dysfunction defined as liver function tests 30% above the upper limit of normal;
- have an active gynecologic or systemic infection;
- have renal dysfunction as defined by a serum creatinine > 1.5 mg/dL
- have a history of gynecologic malignancy;
- have had a documented anaphylactic reaction to a drug or anesthetic, or an allergic reaction to iodine contrast media not controlled by antihistamines or steroids;
- have received other investigational drugs or who have had experimental therapy within the past four weeks or are participating in any other concurrent experimental therapy;
- have a uterine volume < 250 mL or approximately > 24 weeks gestation;
- have known endometrial hyperplasia, adenomyosis, or pelvic inflammatory disease;
- have abnormal coagulation profiles;
- are allergic to bovine collagen;
Sites / Locations
- Albany Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Cohort 1 - Uterine Artery Embolization
Cohort 2 - Uterine Artery Embolization
Arm Description
Women treated with OCL 503 proceeding to hysterectomy 1 week post embolization. OCL 503 will be administered by catheter to the uterine artery(ies) to achieve blood flow stasis.
Women treated with OCL 503 proceeding to hysterectomy 1 month post embolization. OCL 503 will be administered by catheter to the uterine artery(ies) to achieve blood flow stasis.
Outcomes
Primary Outcome Measures
Number of Participants With Serious Adverse Events
Short-term safety of OCL 503 at 7 days post treatment of women with leiomyomata by UAE, as measured by Adverse Events reporting - Serious Adverse Events
Change in Fibroid Perfusion From Baseline at 7 Days Post Treatment
Number of participants with decreased fibroid perfusion from baseline at 7 days post treatment of women with leiomyomata by UAE - Decreased Fibroid Perfusion Fibroid perfusion indicative of blood flowing to the fibroid at baseline and 7 days after embolization was determined using MRI.
Number of Participants With Serious Adverse Events
Short-term safety of OCL 503 at 28 days post treatment of women with leiomyomata by UAE, as measured by Adverse Events reporting - Serious Adverse Events
Change in Fibroid Perfusion From Baseline at 28 Days Post Treatment of Women With Leiomyomata by UAE
Number of participants with decreased fibroid perfusion from baseline at 28 days post treatment of women with leiomyomata by UAE.
Secondary Outcome Measures
Tissue Necrosis Assessed by Histology Graded Scale at 7 Days Post Treatment of Women With Leiomyomata by UAE
Tissue necrosis assessed by histology at 7 days post treatment of women with leiomyomata by UAE - Fibroid necrosis observed
Inflammatory Response Assessed by Histology at 7 Days Post Treatment of Women With Leiomyomata by UAE
Inflammatory response assessed by histology at 7 days post treatment of women with leiomyomata by UAE - Perivascular inflammation - Low Grade
Tissue Necrosis Assessed by Histology Graded Scale at 28 Days Post Treatment of Women With Leiomyomata by UAE
Tissue necrosis assessed by histology graded scale at 28 days post treatment of women with leiomyomata by UAE - Fibroid Necrosis
Inflammatory Response Assessed by Histology at 28 Days Post Treatment of Women With Leiomyomata by UAE
Inflammatory response assessed by histology at 28 days post treatment of women with leiomyomata by UAE - Perivascular Low Grade
Full Information
NCT ID
NCT02410018
First Posted
March 6, 2015
Last Updated
November 14, 2018
Sponsor
IMBiotechnologies Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT02410018
Brief Title
Safety and Effectiveness of OCL 503 in the Treatment of Women With Leiomyomata
Official Title
An Open Label, Single Center, Pilot Study to Evaluate the Safety and Effectiveness of OCL 503 in the Treatment of Women With Leiomyomata Scheduled for Hysterectomy
Study Type
Interventional
2. Study Status
Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
June 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IMBiotechnologies Ltd.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a prospective, pilot, open-label, uncontrolled, safety and effectiveness study of uterine artery embolization with OCL 503 in women with leiomyomata who are scheduled for hysterectomy.
Detailed Description
Patients will be allocated to Cohort 1 or Cohort 2. Following pelvic angiogram to delineate the uterine vasculature, embolization procedures of the left and right uterine arteries (as required) will be performed on each patient, using OCL 503 as the embolic agent. Patients in Cohort 1 will proceed to hysterectomy 1 week after embolization, and patients in Cohort 2 will undergo hysterectomy 1 month after embolization. Tumor response, as measured by changes in leiomyomata size and perfusion, will be determined by Magnetic Resonance Imaging or Magnetic Resonance Angiography. Histology of the resected uterus will be conducted to evaluate inflammatory response and viable tumour tissue.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leiomyomata
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
3 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1 - Uterine Artery Embolization
Arm Type
Experimental
Arm Description
Women treated with OCL 503 proceeding to hysterectomy 1 week post embolization.
OCL 503 will be administered by catheter to the uterine artery(ies) to achieve blood flow stasis.
Arm Title
Cohort 2 - Uterine Artery Embolization
Arm Type
Experimental
Arm Description
Women treated with OCL 503 proceeding to hysterectomy 1 month post embolization.
OCL 503 will be administered by catheter to the uterine artery(ies) to achieve blood flow stasis.
Intervention Type
Device
Intervention Name(s)
OCL 503 (uterine artery embolization)
Intervention Description
Transcatheter embolization of the uterine artery(ies) using an embolic agent.
Primary Outcome Measure Information:
Title
Number of Participants With Serious Adverse Events
Description
Short-term safety of OCL 503 at 7 days post treatment of women with leiomyomata by UAE, as measured by Adverse Events reporting - Serious Adverse Events
Time Frame
7 days
Title
Change in Fibroid Perfusion From Baseline at 7 Days Post Treatment
Description
Number of participants with decreased fibroid perfusion from baseline at 7 days post treatment of women with leiomyomata by UAE - Decreased Fibroid Perfusion Fibroid perfusion indicative of blood flowing to the fibroid at baseline and 7 days after embolization was determined using MRI.
Time Frame
Baseline and 7 days
Title
Number of Participants With Serious Adverse Events
Description
Short-term safety of OCL 503 at 28 days post treatment of women with leiomyomata by UAE, as measured by Adverse Events reporting - Serious Adverse Events
Time Frame
28 days
Title
Change in Fibroid Perfusion From Baseline at 28 Days Post Treatment of Women With Leiomyomata by UAE
Description
Number of participants with decreased fibroid perfusion from baseline at 28 days post treatment of women with leiomyomata by UAE.
Time Frame
Baseline and 28 days
Secondary Outcome Measure Information:
Title
Tissue Necrosis Assessed by Histology Graded Scale at 7 Days Post Treatment of Women With Leiomyomata by UAE
Description
Tissue necrosis assessed by histology at 7 days post treatment of women with leiomyomata by UAE - Fibroid necrosis observed
Time Frame
7 days
Title
Inflammatory Response Assessed by Histology at 7 Days Post Treatment of Women With Leiomyomata by UAE
Description
Inflammatory response assessed by histology at 7 days post treatment of women with leiomyomata by UAE - Perivascular inflammation - Low Grade
Time Frame
7 days
Title
Tissue Necrosis Assessed by Histology Graded Scale at 28 Days Post Treatment of Women With Leiomyomata by UAE
Description
Tissue necrosis assessed by histology graded scale at 28 days post treatment of women with leiomyomata by UAE - Fibroid Necrosis
Time Frame
28 days
Title
Inflammatory Response Assessed by Histology at 28 Days Post Treatment of Women With Leiomyomata by UAE
Description
Inflammatory response assessed by histology at 28 days post treatment of women with leiomyomata by UAE - Perivascular Low Grade
Time Frame
28 days
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
presence of one or more of the following symptoms: abnormal menstrual bleeding, prolonged menstrual period, pelvic pain, or bulk-related symptoms that are attributed to uterine fibroids (bulk-related symptoms include pelvic pressure, abdominal distension, abdominal bloating, constipation, backache, urinary frequency, urinary retention, ureteral dilation, and rectal pressure), and the intensity of uterine fibroid-related symptoms, which are sufficiently sever to warrant hysterectomy, and the patient's medical history, physical examination, and the results of imaging by ultrasound or MRI;
are between the ages of 30 and 55 years, inclusive;
have had a pelvic examination by a gynaecologist within the previous 6 months;
have had a normal Pap smear within the last 12 months;
have had an endometrial biopsy within the previous three to six months, as appropriate to patient history;
are premenopausal with menstrual cycles lasting between 22 and 35 days. A follicle stimulating hormone (FSH) value obtained within three months prior to the procedure must be < 40 IU/L;
are scheduled for total abdominal hysterectomy;
are willing and able to provide written, informed consent.
Exclusion Criteria:
have been treated with gonadotropin-releasing hormone (GnRH) agonists within the previous 12 weeks;
have a American Society of Anesthesiologists (ASA) score ≥ 3;
have abnormally large ovarian arteries, as assessed by MRA and determined by the Investigator;
have an undiagnosed pelvic mass outside the uterus;
have claustrophobia or other contraindications to the performance of the pre- and post-procedure MRI studies including the presence of metal implants, metal plates, bone pins, bone screws, neurostimulators, cardiac pacemakers, aneurysm clips, cochlear or retinal implants, permanent hearing aids, or permanent eye-liner;
have pedunculated subserosal fibroids with an attachment to the uterus less than one third of the greatest diameter of the fibroid;
who do not agree to use contraceptives from Visit 1 until undergoing total abdominal hysterectomy;
have compromised hematopoietic function;
have hepatic dysfunction defined as liver function tests 30% above the upper limit of normal;
have an active gynecologic or systemic infection;
have renal dysfunction as defined by a serum creatinine > 1.5 mg/dL
have a history of gynecologic malignancy;
have had a documented anaphylactic reaction to a drug or anesthetic, or an allergic reaction to iodine contrast media not controlled by antihistamines or steroids;
have received other investigational drugs or who have had experimental therapy within the past four weeks or are participating in any other concurrent experimental therapy;
have a uterine volume < 250 mL or approximately > 24 weeks gestation;
have known endometrial hyperplasia, adenomyosis, or pelvic inflammatory disease;
have abnormal coagulation profiles;
are allergic to bovine collagen;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gary Siskin, MD
Organizational Affiliation
Albany Medical College
Official's Role
Principal Investigator
Facility Information:
Facility Name
Albany Medical Center
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety and Effectiveness of OCL 503 in the Treatment of Women With Leiomyomata
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