Trial Outcomes & Findings for Study of PXL01 Versus Placebo to Inhibit Adhesion Formation After Flexor Tendon Surgery (NCT NCT01022242)

NCT ID: NCT01022242

Last Updated: 2014-05-29

Results Overview

The primary variable is TAM2: The sum of Total Active Motion at the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints of the affected digit at actively made fist minus the extensor lag at these joints.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

138 participants

Primary outcome timeframe

At 12 weeks after surgery

Results posted on

2014-05-29

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. Placebo: Placebo is a physiological sodium chloride solution, which is clear and colourless.
PXL01
PXL01 is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. PXL01: PXL01 is a synthetic peptide sequentially derived from human lactoferrin. PXL01 is formulated in a viscous solution of sodium hyaluronate. The drug product is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound.
Overall Study
STARTED
70
65
Overall Study
COMPLETED
49
46
Overall Study
NOT COMPLETED
21
19

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of PXL01 Versus Placebo to Inhibit Adhesion Formation After Flexor Tendon Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=70 Participants
Placebo is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. Placebo is a physiological sodium chloride solution, which is clear and colourless.
PXL01
n=65 Participants
PXL01 is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. PXL01 is a synthetic peptide sequentially derived from human lactoferrin. PXL01 is formulated in a viscous solution of sodium hyaluronate. The drug product is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound.
Total
n=135 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=93 Participants
4 Participants
n=4 Participants
6 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
66 Participants
n=93 Participants
60 Participants
n=4 Participants
126 Participants
n=27 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Sex: Female, Male
Female
19 Participants
n=93 Participants
17 Participants
n=4 Participants
36 Participants
n=27 Participants
Sex: Female, Male
Male
51 Participants
n=93 Participants
48 Participants
n=4 Participants
99 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
White
64 Participants
n=93 Participants
62 Participants
n=4 Participants
126 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants

PRIMARY outcome

Timeframe: At 12 weeks after surgery

Population: FAS population

The primary variable is TAM2: The sum of Total Active Motion at the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints of the affected digit at actively made fist minus the extensor lag at these joints.

Outcome measures

Outcome measures
Measure
Placebo
n=51 Participants
Placebo is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. Placebo is a physiological sodium chloride solution, which is clear and colourless.
PXL01
n=50 Participants
PXL01 is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. PXL01 is a synthetic peptide sequentially derived from human lactoferrin. PXL01 is formulated in a viscous solution of sodium hyaluronate. The drug product is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound.
TAM2
108 Degrees
Interval 36.0 to 175.0
121 Degrees
Interval 29.0 to 182.0

Adverse Events

Placebo

Serious events: 9 serious events
Other events: 22 other events
Deaths: 0 deaths

PXL01

Serious events: 10 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=70 participants at risk
Placebo is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. Placebo is a physiological sodium chloride solution, which is clear and colourless.
PXL01
n=65 participants at risk
PXL01 is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. PXL01 is a synthetic peptide sequentially derived from human lactoferrin. PXL01 is formulated in a viscous solution of sodium hyaluronate. The drug product is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound.
Musculoskeletal and connective tissue disorders
Tendon rupture
8.6%
6/70 • Number of events 6
7.7%
5/65 • Number of events 5
Injury, poisoning and procedural complications
procedural pain
0.00%
0/70
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
allergic urticaria
0.00%
0/70
1.5%
1/65 • Number of events 1
Nervous system disorders
syncope
1.4%
1/70 • Number of events 1
0.00%
0/65
Musculoskeletal and connective tissue disorders
adhesion (resulting in tenolysis)
2.9%
2/70 • Number of events 2
1.5%
1/65 • Number of events 1
Injury, poisoning and procedural complications
accidental death
0.00%
0/70
1.5%
1/65 • Number of events 1
Immune system disorders
myeloproliferative disorder
0.00%
0/70
1.5%
1/65 • Number of events 1
Cardiac disorders
stroke
0.00%
0/70
1.5%
1/65 • Number of events 1

Other adverse events

Other adverse events
Measure
Placebo
n=70 participants at risk
Placebo is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. Placebo is a physiological sodium chloride solution, which is clear and colourless.
PXL01
n=65 participants at risk
PXL01 is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound. PXL01 is a synthetic peptide sequentially derived from human lactoferrin. PXL01 is formulated in a viscous solution of sodium hyaluronate. The drug product is administered locally between the flexor tendon and the tendon sheath and around the tendon sheath at a volume of 0.5 ml. Administration of the product is carried out after repair of the flexor tendon but before closure of the surgical wound.
General disorders
Oedema peripheral
5.7%
4/70 • Number of events 5
7.7%
5/65 • Number of events 5
Infections and infestations
Nasopharyngitis
11.4%
8/70 • Number of events 8
10.8%
7/65 • Number of events 8
Musculoskeletal and connective tissue disorders
Pain in extremity
8.6%
6/70 • Number of events 6
3.1%
2/65 • Number of events 2
Nervous system disorders
Headache
2.9%
2/70 • Number of events 2
6.2%
4/65 • Number of events 4
Infections and infestations
Localised Infections
2.9%
2/70 • Number of events 2
6.2%
4/65 • Number of events 4

Additional Information

Monica Wiig

Uppsala University Hospital

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60