Study to Evaluate the Safety and Efficacy of Dermal Injections of JVS-100 Given to Adults Receiving Median Sternotomy

NCT ID: NCT01657045

Last Updated: 2013-07-23

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

PHASE1

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2014-07-31

Brief Summary

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This study will investigate the safety and efficacy of using JVS-100 to accelerate wound healing and reduce scar formation in subjects receiving surgical incisions ("sternotomies") during cardiovascular surgery. Twenty-five (25) subjects receiving a median sternotomy of 16 - 25 cm in the process of cardiothoracic surgery will be enrolled consecutively and be followed for 6 months post-dosing. Three cohorts of approximately 8 subjects each will be enrolled, and within each cohort subjects will be randomized 3:1 to receive a single set of needle-free dermal injections of either JVS-100 or placebo. JVS-100 or placebo will be delivered along the edge of the sternal wound using a needle-free injection device that has FDA-clearance for subcutaneous injections.

Detailed Description

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Conditions

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Median Sternotomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cohort 1

Subjects will be randomized to receive injections JVS-100 or placebo.

Group Type EXPERIMENTAL

JVS-100 or placebo

Intervention Type BIOLOGICAL

Injections will be delivered depending on sternal incision length.

Cohort 2

Subjects will be randomized to receive injections JVS-100 or placebo.

Group Type EXPERIMENTAL

JVS-100 or placebo

Intervention Type BIOLOGICAL

Injections will be delivered depending on sternal incision length.

Cohort 3

Subjects will be randomized to receive injections of JVS-100 or placebo.

Group Type EXPERIMENTAL

JVS-100 or placebo

Intervention Type BIOLOGICAL

Injections will be delivered depending on sternal incision length.

Interventions

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JVS-100 or placebo

Injections will be delivered depending on sternal incision length.

Intervention Type BIOLOGICAL

JVS-100 or placebo

Injections will be delivered depending on sternal incision length.

Intervention Type BIOLOGICAL

JVS-100 or placebo

Injections will be delivered depending on sternal incision length.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Men and women 40 - 80 years of age inclusive
* Patients undergoing median sternotomy for cardiac surgical procedures, with incision length of 16-25 cm
* Subject must be able to understand the study procedures, agree to participate in the study program, and voluntarily provide written informed consent
* Subjects with BMI 25 - 40 kg/m2
* All subjects age 50 or older must have had a Fecal occult blood test (FOBT) or fecal immunochemical test (FIT) that was negative within the last year or a colonoscopy within the last 10 years
* Women age 40 - 65 must have had a Papanicolaou (PAP) test that was negative within the last 5 years unless a total hysterectomy has been previously performed for benign disease
* Women age 40 or older must have had a mammogram that was negative within the last year
* All diabetic subjects must have had an ophthalmologic exam within the last year showing no active proliferative retinopathy.

Exclusion Criteria

* Subject is scheduled for mechanical device assistance or, heart transplantation
* Class IV heart failure
* Subject had acute myocardial infarction less than 3 days prior to scheduled surgery
* Subject is undergoing urgent bypass surgical procedure
* History of scleroderma, a connective tissue disorder, rheumatoid arthritis, or ankylosing spondylitis or systemic lupus erythematosus (SLE)
* Pregnant or lactating women or subjects of childbearing potential not protected by an effective method of birth control
* Life expectancy of \< 1 year
* Diabetes mellitus with HgbA1C \>10.5% tested within 2 weeks prior to surgery
* Existing scarring in the area of study
* Subject has received a cytotoxic agent or has a history of chest radiation therapy and/or will likely require such treatment in the 30 day period following surgery, not including use of radiation for diagnostic imaging, e.g., PET Scan, CT SCAN, Fluro, Myocardial Perfusion (SPECT).
* Chest tattoos over the sternum, breast implants, prior mastectomies or lumpectomies
* Subject plans to use an alternative/accessory wound healing treatment
* Infection being treated with systemic antibiotics within 3 days of scheduled surgery
* Chronic kidney disease (stage 5) requiring dialysis
* Significant Hepatic disease
* Significant is known to be infected with HBV, HIV or HCV
* Clinically significant elevations or decreases in PT/PTT/INR/WBC
* Concurrent medical condition that is associated with prolonged recovery from surgery (e.g., significant respiratory disease, high risk for ventilator dependence, current use of systemic steroids)
* Subject has cognitive impairment
* Any patient with a history of cancer with the exception of: 1) The cancer was limited to curable non-melanoma skin malignancies; 2) The cancer was removed by a successful tumor resection, with or without radiation or chemotherapy treatment, 5 years or more prior to enrollment in this study without recurrence.
* Men unwilling to agree to barrier contraception unless previously received a vasectomy
* Presence of any other condition that, in the opinion of the investigator, might compromise any aspect of the trial
* Previous treatment with an angiogenic growth factor or with stem cell therapy within 1 year
* Participation in another clinical trial of an investigational agent in the previous 30 days
* History of drug or alcohol abuse in the past year
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SironRX Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amit Patel, MD

Role: PRINCIPAL_INVESTIGATOR

University of Utah

Robert Michler, MD

Role: PRINCIPAL_INVESTIGATOR

Montefiore Medical Center

Locations

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Pepin Heart Institute

Tampa, Florida, United States

Site Status RECRUITING

Northwestern University Bluhm Cardiovascular Inst

Chicago, Illinois, United States

Site Status RECRUITING

Montefiore Medical Center

New York, New York, United States

Site Status RECRUITING

Summa Health System Hospital

Akron, Ohio, United States

Site Status RECRUITING

University of Utah Hospital

Salt Lake City, Utah, United States

Site Status RECRUITING

Sentara Cardiovascular Research Institute

Norfolk, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Timothy J Miller, Ph.D

Role: CONTACT

216-445-5588

Facility Contacts

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Yvonne Gopsill, RN

Role: primary

813-615-7527

Jade Irving

Role: primary

312-695-6854

Nadia Sookraj, RN

Role: primary

718-920-6636

Robin Roth, RN

Role: primary

330-375-3931

Patty Meldrum, RN

Role: primary

801-581-4121

Melinda Bullivant, RN

Role: primary

757-388-4024

Other Identifiers

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SRX-001

Identifier Type: -

Identifier Source: org_study_id

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