Trial Outcomes & Findings for Study of Thymosin Beta 4 in Patients With Venous Stasis Ulcers (NCT NCT00832091)

NCT ID: NCT00832091

Last Updated: 2010-03-30

Results Overview

All Treatment-Emergent (TE) Serious Adverse Events (SAEs) and Adverse Events (AEs) by treatment with Tβ4 gel at the combined 3 doses in the safety population with Venous Stasis (VS) ulcers for up to 84 days. TEAE is defined as a side effect that begins or that worsens in severity after the application of at least one dose of Tβ4 gel on the venous stasis ulcer. A pre-existing condition is not considered an AE, but if it worsens during the study, then it may be considered an AE

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

72 participants

Primary outcome timeframe

Up to 84 days

Results posted on

2010-03-30

Participant Flow

Recruitment started in 2006 and ended in 2009 using 8 sites: University Medical Center Clinics

Prior to randomization, patients need to meet specific inclusion and exclusion criteria. There was no wash-out or run-in periods

Participant milestones

Participant milestones
Measure
Placebo
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Overall Study
STARTED
17
55
Overall Study
COMPLETED
12
53
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Overall Study
Adverse Event
1
1
Overall Study
Protocol Violation
1
0
Overall Study
Withdrawal by Subject
2
1
Overall Study
Prohibited Medication
1
0

Baseline Characteristics

Study of Thymosin Beta 4 in Patients With Venous Stasis Ulcers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=17 Participants
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
n=55 Participants
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Total
n=72 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
39 Participants
n=7 Participants
48 Participants
n=5 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
16 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
28 Participants
n=7 Participants
40 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
27 Participants
n=7 Participants
32 Participants
n=5 Participants
Region of Enrollment
Poland
6 participants
n=5 Participants
38 participants
n=7 Participants
44 participants
n=5 Participants
Region of Enrollment
Italy
11 participants
n=5 Participants
17 participants
n=7 Participants
28 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 84 days

Population: Analysis per protocol, ITT, using LOCF

All Treatment-Emergent (TE) Serious Adverse Events (SAEs) and Adverse Events (AEs) by treatment with Tβ4 gel at the combined 3 doses in the safety population with Venous Stasis (VS) ulcers for up to 84 days. TEAE is defined as a side effect that begins or that worsens in severity after the application of at least one dose of Tβ4 gel on the venous stasis ulcer. A pre-existing condition is not considered an AE, but if it worsens during the study, then it may be considered an AE

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
n=55 Participants
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Safety and Tolerability of Thymosin Beta 4 (Tβ4) Applied to Patients With Venous Stasis (VS) Ulcers for up to 84 Days
24 SAEs and AEs
104 SAEs and AEs

SECONDARY outcome

Timeframe: Up to 84 days

Population: Analysis per protocol, Intent-to-treat (ITT), using Last Observation Carried Forward (LOCF)

Wound healing effectiveness of Tβ4 gel applied once daily for up to 84 days to patients expressed as the number of patients whose wound had closed without drainage at the end of the study, Day 84

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
n=55 Participants
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Wound Healing (Wound Closure Without Drainage) by Applying Tβ4 Gel Once Daily for up to 84 Days to Patients With Venous Stasis (VS) Ulcers
4 Participants
12 Participants

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Thymosin Beta 4 (Tβ4) at 3 Doses

Serious events: 3 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=17 participants at risk
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
n=55 participants at risk
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Musculoskeletal and connective tissue disorders
Connective tissue, inflammation
5.9%
1/17 • Number of events 1 • 99 days
3.6%
2/55 • Number of events 3 • 99 days
Investigations
Increased Transamines
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Infections and infestations
Lymphangitis
5.9%
1/17 • Number of events 2 • 99 days
0.00%
0/55 • 99 days
Skin and subcutaneous tissue disorders
Skin Ulcer
0.00%
0/17 • 99 days
3.6%
2/55 • Number of events 4 • 99 days

Other adverse events

Other adverse events
Measure
Placebo
n=17 participants at risk
0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w)
Thymosin Beta 4 (Tβ4) at 3 Doses
n=55 participants at risk
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w
Infections and infestations
Mycobacterium ulcerans infection
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
Red blood cell sedimentation rate increased
0.00%
0/17 • 99 days
10.9%
6/55 • Number of events 6 • 99 days
Investigations
alanine aminotransferase increased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
bilirubin conjugated increased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
blood calcium decreased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
blood creatinine phosphokinase increased
5.9%
1/17 • Number of events 1 • 99 days
5.5%
3/55 • Number of events 3 • 99 days
Investigations
blood potassium increased
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Investigations
body temperature increased
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Infections and infestations
bronchitis acute
0.00%
0/17 • 99 days
3.6%
2/55 • Number of events 3 • 99 days
Infections and infestations
cystitis
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Infections and infestations
gastroenteritis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Infections and infestations
genitourinary tract infection
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Infections and infestations
helicobacter gastritis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
in urine protein/creatinine ratio increased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Infections and infestations
influenza
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Infections and infestations
inviral infection
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 2 • 99 days
Infections and infestations
nasopharyngitis
5.9%
1/17 • Number of events 1 • 99 days
3.6%
2/55 • Number of events 2 • 99 days
Investigations
platelet count increased
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Infections and infestations
pulpitis dental
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
red blood cell count increased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Infections and infestations
upper respiratory infection
0.00%
0/17 • 99 days
5.5%
3/55 • Number of events 3 • 99 days
Investigations
urinary sediment present
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Infections and infestations
urinary tract infection
0.00%
0/17 • 99 days
5.5%
3/55 • Number of events 3 • 99 days
Investigations
white blood cell count decreased
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Investigations
white blood cell increased
0.00%
0/17 • 99 days
3.6%
2/55 • Number of events 2 • 99 days
Investigations
white blood cell urine positive
0.00%
0/17 • 99 days
3.6%
2/55 • Number of events 2 • 99 days
Skin and subcutaneous tissue disorders
Pruritus
5.9%
1/17 • Number of events 1 • 99 days
7.3%
4/55 • Number of events 4 • 99 days
Skin and subcutaneous tissue disorders
erythema
0.00%
0/17 • 99 days
5.5%
3/55 • Number of events 5 • 99 days
Skin and subcutaneous tissue disorders
rash
0.00%
0/17 • 99 days
3.6%
2/55 • Number of events 2 • 99 days
Skin and subcutaneous tissue disorders
dermatitis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Skin and subcutaneous tissue disorders
Dermatitis contact
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Skin and subcutaneous tissue disorders
Eczema
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Skin and subcutaneous tissue disorders
rash erythematous
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Skin and subcutaneous tissue disorders
Skin necrosis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Skin and subcutaneous tissue disorders
venous ulcer pain
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
General disorders
Inflammation
5.9%
1/17 • Number of events 1 • 99 days
7.3%
4/55 • Number of events 5 • 99 days
General disorders
face edema
5.9%
1/17 • Number of events 1 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
General disorders
Pain
5.9%
1/17 • Number of events 1 • 99 days
1.8%
1/55 • Number of events 2 • 99 days
General disorders
edema peripheral
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
General disorders
pyrexia
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
General disorders
Secretion Discharge
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
General disorders
Chest pain
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Musculoskeletal and connective tissue disorders
Pain in extremities
5.9%
1/17 • Number of events 1 • 99 days
5.5%
3/55 • Number of events 3 • 99 days
Musculoskeletal and connective tissue disorders
Arthropathy
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Musculoskeletal and connective tissue disorders
Back Pain
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Musculoskeletal and connective tissue disorders
Intervertebral disc disorder
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Vascular disorders
Varicose ulceration
5.9%
1/17 • Number of events 1 • 99 days
3.6%
2/55 • Number of events 4 • 99 days
Vascular disorders
Hypertension
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Vascular disorders
Phlebitis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 2 • 99 days
Vascular disorders
Thrombophlebitis
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Gastrointestinal disorders
Gingivitis
5.9%
1/17 • Number of events 1 • 99 days
0.00%
0/55 • 99 days
Gastrointestinal disorders
Nausea
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Gastrointestinal disorders
Periodontal disease
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Gastrointestinal disorders
Vomiting
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Metabolism and nutrition disorders
Hypercholesteroloemia
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 2 • 99 days
Hepatobiliary disorders
Cholelithiasis
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Injury, poisoning and procedural complications
Excoriation
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Nervous system disorders
Carpal tunnel syndrome
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Psychiatric disorders
Depression
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Renal and urinary disorders
Renal Failure
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal Pain
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days
Surgical and medical procedures
Tooth extraction
0.00%
0/17 • 99 days
1.8%
1/55 • Number of events 1 • 99 days

Additional Information

Nabila Turjman, PhD, Executive Director, Regulatory Affairs

RegeneRx Biopharmaceuticals, Inc.

Phone: 301-208-9191

Results disclosure agreements

  • Principal investigator is a sponsor employee RegeneRx/Sigma-Tau agreements may vary with individual investigators, but will not prohibit any investigator from publishing. RegeneRx/Sigma-Tau support the publication of results from all centers of a multi-center trial but requests that reports based on a single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER