Efficacy and Safety of Intramuscular PDA-002 in Subjects Who Have Diabetic Foot Ulcer With and Without Peripheral Arterial Disease

NCT ID: NCT02264288

Last Updated: 2020-07-22

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-23

Study Completion Date

2018-02-28

Brief Summary

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The PDA-002-DFU-002 trial is a Phase 2, multicenter, randomized, double blind, placebo controlled, dose range finding study. The study will enroll approximately 133 subjects in four treatment groups. The primary objective of the study is to assess the efficacy and safety of PDA-002 administered intramuscular (IM) in subjects who have DFU with and without PAD. The secondary objective is to explore potential clinical efficacy by assessing changes in vascular parameters such as Ankle-Brachial Index and Toe-Brachial Index (ABI and/or TBI), Transcutaneous oxygen measurements (TcPO2).

Detailed Description

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Conditions

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Peripheral Arterial Disease Diabetic Foot

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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3 x 10^6 cells

Human Placenta Derived cells (PDA-002) administered intramuscularly (IM) on Study Days 1 and 8

Group Type EXPERIMENTAL

3 x 10^6 cells

Intervention Type BIOLOGICAL

3 x 10\^6 cells administered on Study Days 1 and 8

10 x 10^6 cells

10 x 10\^6 Human Placenta Derived cells (PDA-002) administered intramuscularly on Study Days 1 and 8

Group Type EXPERIMENTAL

10 x 10^6 cells

Intervention Type BIOLOGICAL

10 x 10\^6 Human Placenta Derived cells (PDA-002) administered on Study Days 1 and 8

30 x 10^6 cells

30 x 10\^6 Human Placenta Derived cells (PDA-002) administered intramuscularly on Study Days 1 and 8

Group Type EXPERIMENTAL

30 x 10^6 cells

Intervention Type BIOLOGICAL

30 x 10\^6 Human Placenta Derived cells (PDA-002) administered intramuscularly on Study Days 1 and 8

Placebo

Identically matching placebo administered IM on Study Days 1 and 8

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Identical matching placebo administered IM on Study Days 1 and 8

Interventions

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3 x 10^6 cells

3 x 10\^6 cells administered on Study Days 1 and 8

Intervention Type BIOLOGICAL

10 x 10^6 cells

10 x 10\^6 Human Placenta Derived cells (PDA-002) administered on Study Days 1 and 8

Intervention Type BIOLOGICAL

30 x 10^6 cells

30 x 10\^6 Human Placenta Derived cells (PDA-002) administered intramuscularly on Study Days 1 and 8

Intervention Type BIOLOGICAL

Placebo

Identical matching placebo administered IM on Study Days 1 and 8

Intervention Type OTHER

Other Intervention Names

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PDA-002 PDA-002 PDA-002

Eligibility Criteria

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Inclusion Criteria

1. Males and females, at least 18 years of age or older at the time of signing the informed consent document.
2. Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
3. Able to adhere to the study visit schedule and other protocol requirements.
4. Diabetes mellitus Type 1 or Type 2.
5. Diabetic foot ulcer with severity of Grade 1 (full thickness only) or Grade 2 on the Wagner Grading Scale (Appendix A) of greater than one month duration which has not adequately responded to conventional ulcer therapy with a size of at least of 1cm2 except if present on the toe. The maximum lesion size range in the index ulcer is ≤ 10cm2. The measurement of the index ulcer is to be evaluated and measured after debridement (if necessary) at the Screening Visit. If located on the plantar aspect of the foot, the index ulcer must be able to be adequately offloaded in the assessment of the investigator.
6. No planned revascularization or amputation over the next 3 months after Screening visit, in the opinion of the Investigator.
7. Screening should not begin until at least 14 days after a failed reperfusion intervention and at least 30 days after a successful reperfusion intervention.
8. Subjects should be receiving appropriate medical therapy for hypertension and diabetes any other chronic medical conditions for which they require ongoing care.
9. A female of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test prior to treatment with study therapy. In addition, sexually active FCBP must agree to use 2 of the following adequate forms of contraception methods simultaneously such as: oral, injectable, or implantable hormonal contraception; tubal ligation; IUD; barrier contraceptive with spermicide or vasectomized partner for the duration of the study and the Follow-up Period.
10. Males (including those who have had a vasectomy) must agree to use barrier contraception (latex condoms) when engaging in reproductive sexual activity with FCBP for the duration of the study and the Follow-up Period.

Exclusion Criteria

1. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
2. Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he or she were to participate in the study.
3. Any condition that confounds the ability to interpret data from the study.
4. Pregnant or lactating females.
5. Subjects with a body mass index \> 45 kg/m2 at Screening.
6. AST (SGOT) or ALT (SGPT) \> 2.5 x the upper limit of normal (ULN) at Screening.
7. Patient on renal dialysis for abnormal kidney function.
8. An ABI \< 0.4 and or TBI \< 0.3 in the leg with the index ulcer.
9. Bilirubin level \> 2 mg/dL (unless subject has known Gilbert's disease) at Screening.
10. Untreated chronic infection or treatment of any infection with systemic antibiotics, including the ulcer site, must be free of antibiotics within 1 week prior to dosing with IP.
11. Active osteomyelitis, infection, or cellulites at or adjacent to the index ulcer. Patients with a history of being treated for an osteomyelitis without a surgical resection.
12. Index ulcer that has decreased or increased in size by ≥ 30% during the Screening/Run-In/ Pre-Treatment Period.
13. Active Charcot Neuroarthropathy in the foot with the index ulcer
14. Pain at rest due to limb ischemia.
15. Uncontrolled hypertension (defined as diastolic blood pressure \> 100 mmHg or systolic blood pressure \> 180 mmHg during Screening at 2 independent measurements taken while subject is sitting and resting for at least 5 minutes).
16. Poorly controlled diabetes mellitus (hemoglobin A1c \> 12% or a screening serum glucose of ≥ 300mg/dl).
17. Untreated proliferative retinopathy.
18. History of malignant ventricular arrhythmia, CCS Class III-IV angina pectoris, myocardial infarction/ percutaneous coronary intervention (PCI) / coronary artery bypass graft (CABG) in the preceding 6 months prior to signing the informed consent form (ICF), pending coronary revascularization in the following 3 months, transient ischemic attack/cerebrovascular accident in the preceding 6 months, prior to signing the ICF, and/or New York Heart Association \[NYHA\] Stage III or IV congestive heart failure.
19. Abnormal ECG: new right bundle branch block (BBB) ≥ 120 msec in the preceding 3 months prior to signing the ICF.
20. Uncontrolled hypercoagulation syndrome.
21. Life expectancy less than at 2 years at the time of signing the ICF due to concomitant illnesses.
22. In the opinion of the Investigator, the subject is unsuitable for cellular therapy.
23. History of malignancy within 5 years prior to signing the ICF except basal cell or squamous cell carcinoma of the skin or remote history of cancer now considered cured or positive Pap smear with subsequent negative follow-up.
24. History of hypersensitivity to any of the components of the product formulation (including bovine or porcine products, dextran 40, and dimethyl sulfoxide \[DMSO\]).
25. Subject has received an investigational agent -an agent or device not approved by the US Food and Drug Administration (FDA) for marketed use in any indication- within 90 days (or 5 half-lives, whichever is longer) prior to treatment with study therapy or planned participation in another therapeutic study prior to the completion of this study.
26. Subject has received previous investigational gene or cell therapy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celularity Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Solveig Ericson, MD

Role: STUDY_DIRECTOR

Celularity Incorporated

Locations

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Cardiology PC

Birmingham, Alabama, United States

Site Status

TFi Medical

Mobile, Alabama, United States

Site Status

East Valley Foot and Ankle Specialist

Mesa, Arizona, United States

Site Status

Carl T. Hayden Veterans Affairs Medical Center

Phoenix, Arizona, United States

Site Status

Arizona Arthritis and Rheumatology Research, PLLC

Phoenix, Arizona, United States

Site Status

Aung Foothealth Clinics and Advanced Wound Care Center

Tucson, Arizona, United States

Site Status

Northeast Arkansas Baptist Clinic

Jonesboro, Arkansas, United States

Site Status

Jeffrey A Klemes DPM

Beverly Hills, California, United States

Site Status

Center for Clinical Research Inc.

Castro Valley, California, United States

Site Status

Reliance Clinical Research

Chino, California, United States

Site Status

Limb Preservation Platform, INC.

Fresno, California, United States

Site Status

Foot and Ankle Clinic

Los Angeles, California, United States

Site Status

UCLA

Los Angeles, California, United States

Site Status

VA Palo Alto Health Care System

Palo Alto, California, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

Georgetown University Medical Center Lombardi Cancer Center

Washington D.C., District of Columbia, United States

Site Status

Clinical Research of West Florida Inc - Clearwater

Clearwater, Florida, United States

Site Status

Barry University

Fort Lauderdale, Florida, United States

Site Status

Florida Research Network, LLC

Gainesville, Florida, United States

Site Status

The Research Center

Hialeah, Florida, United States

Site Status

University of Florida

Jacksonville, Florida, United States

Site Status

Solutions Through Advanced Research Inc.

Jacksonville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Well Pharma Medical Research Corporation

Miami, Florida, United States

Site Status

GF Professional Research Group Corporation

Miami Lakes, Florida, United States

Site Status

Med-Care Research Inc

North Miami Beach, Florida, United States

Site Status

Podiatry 1st

Belleville, Illinois, United States

Site Status

University of Illinois at Chicago Cancer Center

Chicago, Illinois, United States

Site Status

Weill Foot & Ankle Institute

Des Plaines, Illinois, United States

Site Status

Rosalind Franklin University of Medicine and Science

North Chicago, Illinois, United States

Site Status

Southern Illinois University

Springfield, Illinois, United States

Site Status

Foot and Ankle Center of Illinois

Springfield, Illinois, United States

Site Status

CGH Medical Center Main Clinic

Sterling, Illinois, United States

Site Status

Hamilton Foot Care

Baltimore, Maryland, United States

Site Status

Sinai Hospital of Baltimore

Baltimore, Maryland, United States

Site Status

Northwest Hospital

Randallstown, Maryland, United States

Site Status

Revive Research Institute

Sterling Heights, Michigan, United States

Site Status

Englewood Hospital and Medical Center

Englewood, New Jersey, United States

Site Status

Office of Michael J. De Marco, DPM

Tinton Falls, New Jersey, United States

Site Status

Ocean City Foot and Ankle Assoc

Toms River, New Jersey, United States

Site Status

Animas Foot and Ankle

Gallup, New Mexico, United States

Site Status

Office of Gerard J. Furst, DPM, PLLC

East Setauket, New York, United States

Site Status

Syracuse VA Medical Center

Syracuse, New York, United States

Site Status

UNC Hospitals University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Clinical Research Associates of Central Pennsylvania

Duncansville, Pennsylvania, United States

Site Status

University of Pennsylvania Health Systems

Philadelphia, Pennsylvania, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Premier Vein and Vascular Center

Houston, Texas, United States

Site Status

Complete Family Foot Care - McAllen Office

McAllen, Texas, United States

Site Status

Endeavor Clinical Trials PA

San Antonio, Texas, United States

Site Status

SAM Clinical Research Center

San Antonio, Texas, United States

Site Status

Advanced Foot & Ankle Center

Salt Lake City, Utah, United States

Site Status

Carilion Clinic

Roanoke, Virginia, United States

Site Status

1Foot 2Foot Centre for Foot & Ankle Care PC

Suffolk, Virginia, United States

Site Status

Milwaukee Foot & Ankle Specialists

Wauwatosa, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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CCT-PDA-002-DFU-002

Identifier Type: -

Identifier Source: org_study_id

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