A Study to Evaluate Safety and Exploratory Efficacy of KTP-001 in Subjects With Lumbar Disc Herniation

NCT ID: NCT01978912

Last Updated: 2020-02-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2018-10-16

Brief Summary

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The purpose of this study is to evaluate the safety and exploratory efficacy of KTP-001 in subjects with lumbar disc herniation.

Detailed Description

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This study was a first-in-human, open-label, non-controlled single ascending dose study of KTP-001 in male and female subjects between the ages of 30 and 70 years with a single herniated lumbar disc. After obtaining informed consent, subjects were evaluated during a screening period of no more than 3 weeks (21 days). This study was conducted in 10 centers in the US.

Subjects that met all screening requirements and inclusion criteria and none of the exclusion criteria were enrolled into the study. Overall, 24 subjects were enrolled and treated: 6 subjects in each cohort. Cohort 1 received a 5 μg/disc dose of KTP-001 by intradiscal injection. Following administration of study drug, subjects were confined to the study center for 24 hours to collect data for safety and efficacy measures and collect blood samples for safety, PK evaluation, exploratory PD and anti-KTP-001 antibody and then returned for further assessments at various intervals from weeks 1 through to month 24.

After all subjects in Cohort 1 had received study drug, safety measures were evaluated by a Data and Safety Monitoring Board (DSMB) to determine whether to escalate KTP-001 administration to the next dose level. If appropriate, Cohort 2 subjects received 15 μg/disc of KTP-001, Cohort 3 subjects received 50 μg/disc of KTP-001, and Cohort 4 subjects received 150 μg/disc of KTP-001 by intradiscal injection. All safety, PK, and exploratory efficacy assessments were performed for the subjects in the subsequent cohorts as were performed for Cohort 1.

Conditions

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Lumbar Disc Herniation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1

one time 5 μg/disc dose of KTP-001 by intradiscal injection

Group Type EXPERIMENTAL

KTP-001

Intervention Type DRUG

KTP-001 is one time dose intradiscally.

Cohort 2

one time 15 μg/disc dose of KTP-001 by intradiscal injection

Group Type EXPERIMENTAL

KTP-001

Intervention Type DRUG

KTP-001 is one time dose intradiscally.

Cohort 3

one time 50 μg/disc dose of KTP-001 by intradiscal injection

Group Type EXPERIMENTAL

KTP-001

Intervention Type DRUG

KTP-001 is one time dose intradiscally.

Cohort 4

one time 150 μg/disc dose of KTP-001 by intradiscal injection

Group Type EXPERIMENTAL

KTP-001

Intervention Type DRUG

KTP-001 is one time dose intradiscally.

Interventions

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KTP-001

KTP-001 is one time dose intradiscally.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject has had a single contained or noncontained (extruded) lumbar disc herniation (L3-L4, L4-L5 or L5-S1) diagnosed by clinical symptoms and/or physical findings and confirmed by MRI.
* Subject has leg pain with a documented positive straight leg raise (SLR) test or femoral stretch test (FST).
* Subject has experiences herniated disc symptoms for at least 6 weeks prior to the study without relief with pain medications and other therapies.
* Subject has a BMI of 18 to 35 kg/m2

Exclusion Criteria

* Subject has a sequestered lumbar disc herniation or intrathecal herniation confirmed by MRI
* Subject has two or more symptomatic lumbar disc herniations
* Previous intradiscal therapeutic intervention or has had any lumbar surgery
* Presence of lumbar spine disease and/or deformity other than a lumbar disc herniation
* Active smoker or is unable to abstain from tobacco use for 2 weeks prior to study injection
* Subject has a history or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease
Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teijin America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alabama Clinical Therapeutics, LLC

Birmingham, Alabama, United States

Site Status

HOPE Research Institute, LLC

Phoenix, Arizona, United States

Site Status

CORE Orthopaedic Medical Center

Encinitas, California, United States

Site Status

California Spine Diagnostic

San Francisco, California, United States

Site Status

Compass Research, LLC

Orlando, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Chicago Anesthesia Pain Specialists

Chicago, Illinois, United States

Site Status

Central Kentucky Research Associates, Inc.

Lexington, Kentucky, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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KTP-001-CL-101

Identifier Type: -

Identifier Source: org_study_id

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