Evaluation of CureXcell® in Treating Lower Extremity Chronic Ulcers in Adults With Diabetes

NCT ID: NCT01421966

Last Updated: 2015-12-07

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

285 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2015-10-31

Brief Summary

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Chronic foot ulcers are particularly prevalent in patients with underlying diabetes mellitus. These ulcers are reported to be the leading cause of hospitalization among people with diabetes.

The purpose of this study is to evaluate CureXcell® in treating chronic lower extremity ulcers in adults with diabetes mellitus. CureXcell® is a cell based therapy, containing activated homologous white blood cells prepared from donated healthy whole blood. A total of 280 patients will be randomized to receive either CureXcell® or sham.

Detailed Description

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Chronic foot ulcers are particularly prevalent in patients with underlying diabetes mellitus. The prevalence of diabetes mellitus is growing at epidemic rates in Europe, United States and in general worldwide. Foot ulceration is a serious complication of diabetes mellitus associated with increased risk of infection, gangrene and amputation. These ulcers are reported to be the leading cause of hospitalization among people with diabetes. Despite existing ulcer therapies and technologies, there continues to be a great necessity for new wound healing technologies that will further improve healing rates for these chronic ulcers that remain a major source of morbidity, concern, and cost. This Phase 3 multinational, multicenter, randomized, double-blind, controlled study is designed to evaluate CureXcell® in treating lower extremity chronic ulcers in adults with Diabetes Mellitus.

CureXcell® is a cell based therapy obtained from donated whole blood. The blood are collected from healthy, young adult (age 18-40), the cells separated and then activated by hypo-osmotic shock.

A total of 280 patients, in approximately 35 sites in the US, Canada and Israel, will be randomized to receive either CureXcell® or control.

The primary objective of the study is to evaluate the clinical benefit of CureXcell® (study biologic) compared to control, as adjunct to Good Ulcer Care. Additional objectives are to demonstrate safety, tolerability and durability of CureXcell® compared to control.

The study has two phases: a core double-blind phase and a follow up phase.

Conditions

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Lower Extremity Chronic Ulcers in Diabetics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CureXcell®

Group Type EXPERIMENTAL

CureXcell®

Intervention Type BIOLOGICAL

CureXcell® injection will be administered about every 4 weeks for up to 4 treatments, or until until ulcer closure, whichever occurs first.

Sham injection

Group Type SHAM_COMPARATOR

Sham injection

Intervention Type BIOLOGICAL

The sham injections will be made by pressing on the ulcer with a needle connected to an empty syringe, at each cm of the ulcer bed

Interventions

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CureXcell®

CureXcell® injection will be administered about every 4 weeks for up to 4 treatments, or until until ulcer closure, whichever occurs first.

Intervention Type BIOLOGICAL

Sham injection

The sham injections will be made by pressing on the ulcer with a needle connected to an empty syringe, at each cm of the ulcer bed

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Males or females at least 18 years of age with diabetes type 1 or type 2;
2. Patients with HbA1c ≤ 12%;
3. Patients with at least one lower extremity (on or below the malleolus (ankle bone)), at least full-thickness ulcer (penetrating through the whole layer of the skin), which has been unresponsive to any treatment for at least 4 weeks;
4. Ulcers with an area between ≥ 1 cm2 and ≤ 20 cm2 (after sharp debridement of free, non-viable, hyperkeratotic and fibrotic tissue to the extent possible);
5. Ankle Brachial Index ≥ 0.65;

Exclusion Criteria

1. Patients with more than two ulcers on the same foot or more than a total of three chronic ulcers;
2. Patients with ulcers primarily caused by venous insufficiency;
3. Patients whose target ulcer has decreased \> 25% in size from screening to baseline;
4. Malignancy within the past 5 years excluding successfully treated basal cell carcinoma;
5. Significantly compromised immunity for any reason including radiation therapy, chemotherapy or HIV;
6. Current clinical osteomyelitis;
7. Acute Charcot foot;
8. Current sepsis;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amarex Clinical Research

OTHER

Sponsor Role collaborator

ICON plc

INDUSTRY

Sponsor Role collaborator

ARANZ Medical

OTHER

Sponsor Role collaborator

Macrocure Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vickie Driver, MS, DPM, FACFAS

Role: PRINCIPAL_INVESTIGATOR

VA New England Health Care Division

Locations

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Glendale, Arizona, United States

Site Status

Mesa, Arizona, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Fresno, California, United States

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San Francisco, California, United States

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Sylmar, California, United States

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Gulf Breeze, Florida, United States

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Hialeah, Florida, United States

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Miami, Florida, United States

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South Miami, Florida, United States

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Evans, Georgia, United States

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Arlington Heights, Illinois, United States

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Chicago, Illinois, United States

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Oak Park, Illinois, United States

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Indianapolis, Indiana, United States

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Wichita, Kansas, United States

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Boston, Massachusetts, United States

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Kansas City, Missouri, United States

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Toms River, New Jersey, United States

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Mineola, New York, United States

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New York, New York, United States

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Lima, Ohio, United States

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Aiken, South Carolina, United States

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Greenville, South Carolina, United States

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Dallas, Texas, United States

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Lewisville, Texas, United States

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McAllen, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Norfolk, Virginia, United States

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Winnipeg, Manitoba, Canada

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Boucherville, Quebec, Canada

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Haifa, , Israel

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Holon, , Israel

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Jerusalem, , Israel

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Tel Aviv, , Israel

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Countries

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United States Canada Israel

Other Identifiers

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MC-102

Identifier Type: -

Identifier Source: org_study_id