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Safety and Tolerability of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease

Primary Purpose

Peripheral Arterial Occlusive Disease

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
XRP0038 (NV1FGF)
Sponsored by
Sanofi
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Arterial Occlusive Disease

Eligibility Criteria

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

Inclusion criteria:

  • Severe PAOD defined as Rutherford's Grade II, category 4 or Grade III, category 5 and 6
  • Pain at rest for at least 2 weeks duration and/or trophic lesions for at least the previous 14 days with no signs of healing (no reduction in ulcer size or depth)
  • Objective evidence of peripheral vascular disease (resting Ankle Brachial Index < 0.4 and/or resting Toe Brachial Index < 0.3 and/or metatarsal Peripheral Vascular Resistance flat or barely pulsatile in the diseased limb on 2 consecutive examinations performed at least 2 weeks apart)
  • Angiographic demonstration of total occlusion of the affected limb of one or more of the iliac, superficial femoral, popliteal and/or one or more infrapopliteal arteries
  • Poor candidate for surgical intervention or revascularization procedures (no tibial artery incontinuity as defined from mid-leg distance from the foot and no autologous tissue available)

Exclusion criteria :

  • Previous or current history of malignant disease. Patients who had successful tumor resection more than 10 years prior to inclusion into the study and had no recurrence and patients who had curatively resected basal/squamous cancer of the skin were allowed for inclusion
  • Abnormal chest X-ray with suspected malignant tumor presence
  • Positive stool hemoccult (expect if due to hemorrhoids)
  • Positive Prostate Specific Antigen for men with suspected malignant tumor presence
  • Abnormal mammography for women with suspected malignant tumor presence
  • Papanicolaou smear (for women) of Class IV or Class V characterization
  • Proliferative retinopathy

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

Outcomes

Primary Outcome Measures

Safety assessment (adverse events, physical examination,vital signs,ECG, laboratory tests...)

Secondary Outcome Measures

hemodynamic parameters (TcPO2, Ankle Brachial Index, Toe Brachial Index, pulse volume recording) and angiography
ulcers healing assessment (length, width, type, depth)
pain assessment (self-administered visual analog scale)

Full Information

First Posted
July 2, 2010
Last Updated
July 2, 2010
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT01157156
Brief Title
Safety and Tolerability of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease
Official Title
A Phase I, Multi-Center, Open Label, Safety and Tolerability Study of Single and Repeated Administrations of Escalating Dose(s) of NV1FGF Administered by Intra-Muscular Injection in Patients With Severe Peripheral Artery Occlusive Disease
Study Type
Interventional

2. Study Status

Record Verification Date
July 2010
Overall Recruitment Status
Completed
Study Start Date
June 1999 (undefined)
Primary Completion Date
September 2001 (Actual)
Study Completion Date
September 2001 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective is to evaluate safety and tolerability of single and repeated administrations of escalating doses of NV1FGF administered intramuscularly in patients with severe Peripheral Artery Occlusive Disease (PAOD), (Rutherford's Grade II, category 4 or Grade III, category 5 and 6). Secondary objectives are: To determine the biological activity of NV1FGF on collateral artery development. To evaluate the activity of NV1FGF on hemodynamic and clinical parameters.
Detailed Description
Screening period of 30 days before dosing. Patients receive a single administration or repeated (2) administrations (with a 2-week interval) of NV1FGF. Patients are then followed for a period of 6 months

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Arterial Occlusive Disease

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
XRP0038 (NV1FGF)
Intervention Description
Pharmaceutical form:solution Route of administration: intramuscular
Primary Outcome Measure Information:
Title
Safety assessment (adverse events, physical examination,vital signs,ECG, laboratory tests...)
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
hemodynamic parameters (TcPO2, Ankle Brachial Index, Toe Brachial Index, pulse volume recording) and angiography
Time Frame
12 weeks
Title
ulcers healing assessment (length, width, type, depth)
Time Frame
12 weeks
Title
pain assessment (self-administered visual analog scale)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Severe PAOD defined as Rutherford's Grade II, category 4 or Grade III, category 5 and 6 Pain at rest for at least 2 weeks duration and/or trophic lesions for at least the previous 14 days with no signs of healing (no reduction in ulcer size or depth) Objective evidence of peripheral vascular disease (resting Ankle Brachial Index < 0.4 and/or resting Toe Brachial Index < 0.3 and/or metatarsal Peripheral Vascular Resistance flat or barely pulsatile in the diseased limb on 2 consecutive examinations performed at least 2 weeks apart) Angiographic demonstration of total occlusion of the affected limb of one or more of the iliac, superficial femoral, popliteal and/or one or more infrapopliteal arteries Poor candidate for surgical intervention or revascularization procedures (no tibial artery incontinuity as defined from mid-leg distance from the foot and no autologous tissue available) Exclusion criteria : Previous or current history of malignant disease. Patients who had successful tumor resection more than 10 years prior to inclusion into the study and had no recurrence and patients who had curatively resected basal/squamous cancer of the skin were allowed for inclusion Abnormal chest X-ray with suspected malignant tumor presence Positive stool hemoccult (expect if due to hemorrhoids) Positive Prostate Specific Antigen for men with suspected malignant tumor presence Abnormal mammography for women with suspected malignant tumor presence Papanicolaou smear (for women) of Class IV or Class V characterization Proliferative retinopathy The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
International Clinical Development Study Director
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
City
Minneapolis
State/Province
Minnesota
Country
United States
City
Tempere
Country
Finland

12. IPD Sharing Statement

Citations:
PubMed Identifier
21716303
Citation
Niebuhr A, Henry T, Goldman J, Baumgartner I, van Belle E, Gerss J, Hirsch AT, Nikol S. Long-term safety of intramuscular gene transfer of non-viral FGF1 for peripheral artery disease. Gene Ther. 2012 Mar;19(3):264-70. doi: 10.1038/gt.2011.85. Epub 2011 Jun 30.
Results Reference
derived

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Safety and Tolerability of NV1FGF in Patients With Severe Peripheral Artery Occlusive Disease

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