Safety and Efficacy of HO/03/03 10μg in the Treatment of Plantar Neuropathic Diabetic Foot Ulcers

NCT ID: NCT00926068

Last Updated: 2013-04-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

196 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Brief Summary

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A prospective, double blind, randomized, placebo controlled, outpatient, parallel group comparison trial to assess the safety and efficacy of HO/03/03 10µg versus Placebo, applied topically once daily for up to 14 weeks in at least 196 subjects diagnosed with Diabetes Mellitus and having a single target non-healing Plantar Neuropathic Diabetic Foot Ulcer.

Detailed Description

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Conditions

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Diabetic Foot Ulcer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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HO/03/03 10µg

Group Type EXPERIMENTAL

HO/03/03 10µg

Intervention Type DRUG

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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HO/03/03 10µg

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age between 18 and 80 years, extremes included
2. Diagnosed with Diabetes Mellitus Type 1 or Type 2
3. Having a documented single target non-healing Plantar Neuropathic Diabetic Foot Ulcer with a minimal duration of 4 weeks prior to the informed consent signature
4. Ulcer size at randomization:

* Wagner grade 1, between 2.0 cm2 to 10 cm2, extremes included or;
* Wagner grade 2, between 1.0 cm2 to 10 cm2, extremes included;
5. Single target, ulcer on the study foot:

* Wagner grade 1 or;
* Wagner grade 2 (does not involve abscess or osteomyelitis);
6. Target ulcer area decreased by ≤ 30% OR ≤ 0.1 cm/wk edge healing rate measured after debridement at screening to after debridement if clinically indicated at randomization.
7. Glycosylated Haemoglobin A1c (HbA1c) ≤ 12%;
8. Ankle to Brachial Index (ABI) on study foot:

* 0.7 ≤ ABI ≤ 1.2 or
* ABI \> 1.2 and toe pressure \> 50 mm Hg (ABI measured by Doppler; toe blood pressure measured by toe cuff);
9. Diabetic Neuropathy is confirmed by neurological testing
10. Subject should be available for the entire study period, and be able and willing to adhere to protocol requirements
11. Subject has signed the informed consent form prior to any study protocol related procedure

Exclusion Criteria

Subjects meeting one or more of the following criteria cannot be selected:

1. Anamnesis of current or recent past (within the last 2 years) abuse of alcohol, barbiturates, benzodiazepines, amphetamines, narcotics, cocaine, psychoactive drugs or other abused substances that will interfere with treatment compliance
2. Use of growth factors, skin graft or participation in an investigational study within the last 30 days prior to the beginning of the screening period
3. Females who are pregnant, lactating, of child-bearing potential, or post-menopausal for less than 2 years and not using a medically approved method of contraception or females who test positive on a blood-based pregnancy test
4. Have a documented medical history of HIV, HBV or HCV
5. Have a documented medical history of a significant cardiac, pulmonary, gastrointestinal, endocrine (other than Diabetes Mellitus type 1 or 2), metabolic, neurological, hepatic or nephrologic disease and/or receiving dialysis
6. Anaemia (Haemoglobin \< 9 gram/dL for females or Haemoglobin \< 10 gram/dL for males) or White Blood Cells count \> 11,000/μL or Platelets count \< 100,000/μL or impaired renal function (Creatinine \> 3 mg/dL) or liver function tests \> 3 times upper normal lab values or any indication of malnourishment (Albumin \< 2.8 g/dL) or any other clinically significant biochemistry, haematology and urinalysis tests;
7. Had any clinically significant illness during the last 4 weeks prior to the screening period;
8. Have a current malignancy or a past malignancy in the last 5 years other than Basal Cell Carcinoma or is treated by radio/chemotherapy
9. Have any signs of clinical infection in the wound (which could be linked to raised body temperature, abscess, osteomyelitis, necrosis or erythema)
10. Had any antibiotic treatment during the screening period;
11. Had evidence of infection or osteomyelitis on a plain foot x-ray at screening;
12. Is bed-ridden or unable to come to the clinic;
13. Have more than one target non-healing Diabetic Foot Ulcer per subject;
14. Plantar Neuropathic DFU is located on an active Charcot foot;
15. Have hind foot ulcer or have a foot deformity/condition preventing the use of offload footwear;
16. Had a leg revascularization surgery within the last 6 months or be a candidate for revascularization surgery during the course of the study;
17. Glucocorticosteroid treatment (Prednisone \>10 mg/day or its equivalent)
18. Inability to stop alternative wound healing treatment (e.g. Becaplermin or other topical products) following debridement
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clinigene International Ltd

INDUSTRY

Sponsor Role collaborator

Cato Research

INDUSTRY

Sponsor Role collaborator

HealOr

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix VA Healthcare System

Phoenix, Arizona, United States

Site Status

Center For Clinical Research

Castro Valley, California, United States

Site Status

Dr. Ian Gordon

Long Beach, California, United States

Site Status

Advanced Clinical Research

Los Angeles, California, United States

Site Status

Innovative Medical Technologies, LLC

Los Angeles, California, United States

Site Status

California School of Podiatric Medicine at Samuel Merritt University

Oakland, California, United States

Site Status

North American Centre for Limb Preservation

New Haven, Connecticut, United States

Site Status

Bay Pines VA Healthcare System-Wound Clinic Bay Pines VA Healthcare System-Research Pharmacy

Bay Pines, Florida, United States

Site Status

University of Miami Miller School of Medicine

Miami, Florida, United States

Site Status

Doctors Research Network

Miami, Florida, United States

Site Status

Capt. James A. Lovell Federal Health Care Center

North Chicago, Illinois, United States

Site Status

Deaconess Clinic Downtown-Research Institute

Evansville, Indiana, United States

Site Status

St. Vincent Wound Care Center IDI Research

Indianapolis, Indiana, United States

Site Status

Cambridge Hospital

Cambridge, Massachusetts, United States

Site Status

Center for Curative & Palliative Wound Care Calvary Hospital

New York, New York, United States

Site Status

Armstrong County Memorial Hospital Snyder Institute for Vascular Health and Research

Kittanning, Pennsylvania, United States

Site Status

Paddington Testing Company

Philadelphia, Pennsylvania, United States

Site Status

Martin Foot and Ankle

York, Pennsylvania, United States

Site Status

Complete Family Foot Care

McAllen, Texas, United States

Site Status

Medanta

Gurgaon, Haryana, India

Site Status

Jain Institute of Vascular Sciences

Bangalore, Karnataka, India

Site Status

Karnataka Institute of Diabetology

Bangalore, Karnataka, India

Site Status

St.John's Hospital

Bangalore, Karnataka, India

Site Status

Belgaum Diabetes Centre

Belagavi, Karnataka, India

Site Status

Vinaya Hospital and Research Centre

Mangalore, Karnataka, India

Site Status

Kunnamkulam Eye and Diabetes Centre

Thrissur, Kerala, India

Site Status

OM Shree Swami Samarth Hospital

Pune, Maharashtra, India

Site Status

Patil Hospital

Pune, Maharashtra, India

Site Status

MV Hospital for Diabetes Pvt Ltd

Chennai, Tamil Nadu, India

Site Status

Dr. V Seshiah Diabetes Research Institute

Chennai, Tamil Nadu, India

Site Status

Christian Medical College

Vellore, Tamil Nadu, India

Site Status

SK Diabetes Research & Education Center

Kolkata, West Bengal, India

Site Status

Advanced Medicare & Research Institute

Kolkata, , India

Site Status

Countries

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United States India

Other Identifiers

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HO-09-01

Identifier Type: -

Identifier Source: org_study_id

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