Safety of ALLO-ASC-DFU in the Patients With Diabetic Foot Ulcers
Primary Purpose
Diabetic Foot Ulcer
Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
ALLO-ASC-DFU
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Foot Ulcer
Eligibility Criteria
Inclusion Criteria:
- Subject is between 18 and 80 years of age.
- Subject is diagnosed with Type I or Type II diabetes.
- Subjects who have a wound defined as diabetic foot ulcer presence for more than 4 weeks, but not present for more than 54 weeks at the screening visit.
- Foot ulcer located below the malleoli on plantar or dorsal surface of the foot and ulcer size is between 1 cm^2 and 25 cm^2.
- Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule.
- Ulcer is free of necrotic debris, exhibits no signs of clinical infection, and appears to be made of primarily vascularized tissue.
- 0.7 < Ankle Brachial Index (ABI) < 1.3.
- Subject is able to give written informed consent prior to study start and to comply with the study requirements.
Exclusion Criteria:
- Ulcer is of non-diabetic pathophysiology.
- Gangrene is present on any part of the affected foot.
- Ulcer is over an active Charcot deformity.
- The ulcer has increased or decreased in size by 30% or more during one week after the screening visit.
- The longest dimension of the Index Ulcer exceeds 5 cm at the screening visit.
- Subject is Human Immunodeficiency Virus (HIV) positive.
- Subjects with severe hepatic deficiencies.
- Subjects with a glycated hemoglobin A1c (HbA1c) level of > 12%.
- Subject who are allergic or have a hypersensitive reaction to bovine-derived proteins or fibrin glue.
- Subjects requiring intravenous (IV) antibiotics to treat the index wound infection.
- Subjects who are currently receiving dialysis.
- Subjects who are pregnant or breast-feeding.
- Subjects who are unwilling to use an "effective" method of contraception during the study.
- Current evidence of osteomyelitis, cellulitis, or other evidence of infection including pus drainage from the wound site.
- Subjects who have a clinically relevant history of alcohol or drugs abuse.
- Subject's blood sugar is > 450 mg/dL at postprandial.
- Subjects who are not able to understand the objective of this study or to comply with the study requirements.
- Subjects who are considered to have a significant disease which can impact the study by the investigator.
- Subjects who are considered not suitable for the study by the investigator.
- Subjects who have a history of surgery for malignant tumor within the last five years (except carcinoma site).
- Subjects who are currently or were enrolled in another clinical study within 60 days of screening.
- Subjects who have undergone wound treatments with growth factors, dermal substitutes, or other biological therapies within the last 30 days.
- Subjects who are receiving oral or parenteral corticosteroids, immunosuppressive, or cytotoxic agents.
Sites / Locations
- Asan Medical Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
ALLO-ASC-DFU
Arm Description
ALLO-ASC-DFU treatment with conventional care
Outcomes
Primary Outcome Measures
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Secondary Outcome Measures
Wound size and depth measurement
Evaluation of the improvement of wound measured by size and depth, and examines the change for 4 weeks period.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02394886
Brief Title
Safety of ALLO-ASC-DFU in the Patients With Diabetic Foot Ulcers
Official Title
A Phase I Clinical Study to Evaluate the Safety of ALLO-ASC-DFU in the Patients With Diabetic Foot Ulcers
Study Type
Interventional
2. Study Status
Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
November 2014 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
July 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Anterogen Co., Ltd.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a phase I open-label study to evaluate the safety of ALLO-ASC-DFU in diabetic foot ulcers patients. ALLO-ASC-DFU is a hydrogel sheet containing allogenic adipose-derived mesenchymal stem cells. Adipose-derived stem cells have anti-inflammatory effect and release growth factors such as vascular endothelial growth factor (VEGF) and hepatocyte growth factor (HGF), which can enhance wound healing and regeneration of new tissue, finally may provide an new option in treating a diabetic foot ulcer.
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 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ALLO-ASC-DFU
Arm Type
Experimental
Arm Description
ALLO-ASC-DFU treatment with conventional care
Intervention Type
Biological
Intervention Name(s)
ALLO-ASC-DFU
Primary Outcome Measure Information:
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame
up to 4 weeks
Secondary Outcome Measure Information:
Title
Wound size and depth measurement
Description
Evaluation of the improvement of wound measured by size and depth, and examines the change for 4 weeks period.
Time Frame
baseline and 1, 2, 4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject is between 18 and 80 years of age.
Subject is diagnosed with Type I or Type II diabetes.
Subjects who have a wound defined as diabetic foot ulcer presence for more than 4 weeks, but not present for more than 54 weeks at the screening visit.
Foot ulcer located below the malleoli on plantar or dorsal surface of the foot and ulcer size is between 1 cm^2 and 25 cm^2.
Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule.
Ulcer is free of necrotic debris, exhibits no signs of clinical infection, and appears to be made of primarily vascularized tissue.
0.7 < Ankle Brachial Index (ABI) < 1.3.
Subject is able to give written informed consent prior to study start and to comply with the study requirements.
Exclusion Criteria:
Ulcer is of non-diabetic pathophysiology.
Gangrene is present on any part of the affected foot.
Ulcer is over an active Charcot deformity.
The ulcer has increased or decreased in size by 30% or more during one week after the screening visit.
The longest dimension of the Index Ulcer exceeds 5 cm at the screening visit.
Subject is Human Immunodeficiency Virus (HIV) positive.
Subjects with severe hepatic deficiencies.
Subjects with a glycated hemoglobin A1c (HbA1c) level of > 12%.
Subject who are allergic or have a hypersensitive reaction to bovine-derived proteins or fibrin glue.
Subjects requiring intravenous (IV) antibiotics to treat the index wound infection.
Subjects who are currently receiving dialysis.
Subjects who are pregnant or breast-feeding.
Subjects who are unwilling to use an "effective" method of contraception during the study.
Current evidence of osteomyelitis, cellulitis, or other evidence of infection including pus drainage from the wound site.
Subjects who have a clinically relevant history of alcohol or drugs abuse.
Subject's blood sugar is > 450 mg/dL at postprandial.
Subjects who are not able to understand the objective of this study or to comply with the study requirements.
Subjects who are considered to have a significant disease which can impact the study by the investigator.
Subjects who are considered not suitable for the study by the investigator.
Subjects who have a history of surgery for malignant tumor within the last five years (except carcinoma site).
Subjects who are currently or were enrolled in another clinical study within 60 days of screening.
Subjects who have undergone wound treatments with growth factors, dermal substitutes, or other biological therapies within the last 30 days.
Subjects who are receiving oral or parenteral corticosteroids, immunosuppressive, or cytotoxic agents.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joon Pio Hong, MD, PhD
Organizational Affiliation
Asan Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Asan Medical Center
City
Seoul
Country
Korea, Republic of
12. IPD Sharing Statement
Learn more about this trial
Safety of ALLO-ASC-DFU in the Patients With Diabetic Foot Ulcers
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