SDF1 Plasmid Treatment for Patients With Peripheral Artery Disease

NCT ID: NCT02544204

Last Updated: 2016-11-02

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

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2017-11-30

Brief Summary

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To investigate the efficacy of the administration of JVS-100 delivered via direct intramuscular injections on a 3 month and 6 month composite endpoint of wound progression, healing and limb loss in patients with severe peripheral arterial disease with non-healing chronic wounds who undergo an open bypass grafting or endovascular procedure for treatment of infrapopliteal disease and are dosed within 12 days and 3 months following the procedure.

Detailed Description

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Conditions

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Peripheral Arterial Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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8 mg JVS-100

Biological/Vaccine: JVS-100 Injection Intramuscular Injection

Group Type ACTIVE_COMPARATOR

JVS-100

Intervention Type BIOLOGICAL

Biological/Vaccine: JVS-100 Intramuscular Injection

8 mg placebo

Biological/Vaccine: Placebo Injection Intramuscular Injection

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Biological/Vaccine: Placebo Intramuscular Injection

16 mg JVS-100

Biological/Vaccine: JVS-100 Injection Intramuscular Injection

Group Type ACTIVE_COMPARATOR

JVS-100

Intervention Type BIOLOGICAL

Biological/Vaccine: JVS-100 Intramuscular Injection

16 mg placebo

Biological/Vaccine: Placebo Injection Intramuscular Injection

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Biological/Vaccine: Placebo Intramuscular Injection

Interventions

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JVS-100

Biological/Vaccine: JVS-100 Intramuscular Injection

Intervention Type BIOLOGICAL

Placebo

Biological/Vaccine: Placebo Intramuscular Injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age ≥18
* Currently receiving standard of care wound treatment (\>2 weeks) for chronic wounds or gangrene including as indicated: debridement, pressure offloading, infection control, and/or maintenance of a moist wound environment.
* Diagnosis of advanced PAD with tissue loss (ulceration and/or dry gangrene) on the foot of the index leg with an ulcer size of at least 0.5 cm2 and \<25 cm2. Index wounds on the heel must be \<10 cm2 that cannot be probed to bone, have exposed bone or osteomyelitis.

* TBI ≤ 0.51or;
* Toe pressure ≤50 mmHg with flat or dampened wave forms or;
* Skin Perfusion pressure ≤40 mmHg at mid foot level or;
* TcPO2 ≤40 mmHg
* Subjects willing to forgo treatment with hyperbaric oxygen, nerve stimulation or sympathectomy for the treatment of advanced PAD from time of consent to 6 months following the initial injection of study drug

Exclusion Criteria

* Previous major amputation of the leg to be treated or planned major amputation or transmetatarsal amputation within the first month following enrollment.
* Only a short segment superficial femoral artery lesion - consistent with Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) A or B category, and no infrapopliteal disease
* Staged or planned intervention in the index leg within 30 days after the index procedure
* Acute limb-threatening ischemia, trauma, known non-atherosclerotic vascular disease
* Non-salvageable limb defined as major tissue loss and an unsalvageable foot;
* Wounds that have decreased in size by \>50% between the Screening visit and Day 0.
* If patient has active infection of the index limb that is being treated, and, in the opinion of treating physician, will not lead to an amputation within the next 3 months, the patient can be enrolled.
* Inability to safely perform a revascularization procedure due to uncontrolled diabetes or other medical condition.
* Presence of any other condition that, in the opinion of the investigator, might compromise any aspect of the trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Juventas Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cardiovascular Associates of the Southeast

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

UC Davis

Davis, California, United States

Site Status RECRUITING

Cedars-Sinai Heart Institute

Los Angeles, California, United States

Site Status RECRUITING

MedStar Georgetown UH

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

Site Status NOT_YET_RECRUITING

Morton Plant Hosptial - Baycare

Clearwater, Florida, United States

Site Status RECRUITING

Mount Sinai Medical Center

Miami, Florida, United States

Site Status RECRUITING

St. Joseph's Hospital

Tampa, Florida, United States

Site Status RECRUITING

Northwestern

Chicago, Illinois, United States

Site Status RECRUITING

RUMC

Chicago, Illinois, United States

Site Status RECRUITING

Cardiovascular Institute of the South

Houma, Louisiana, United States

Site Status RECRUITING

St. John Hospital and Medical Center

Detroit, Michigan, United States

Site Status RECRUITING

Mayo

Rochester, Minnesota, United States

Site Status RECRUITING

Cardiology Associates Research

Tupelo, Mississippi, United States

Site Status RECRUITING

St. Luke's Mid America Heart Institute

Kansas City, Missouri, United States

Site Status RECRUITING

Holy Name Medical Center

Teaneck, New Jersey, United States

Site Status RECRUITING

UNC

Chapel Hill, North Carolina, United States

Site Status RECRUITING

NC Heart and Vascular Research

Raleigh, North Carolina, United States

Site Status RECRUITING

Summa Health

Akron, Ohio, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

Metro Health

Cleveland, Ohio, United States

Site Status RECRUITING

University Hospitals

Cleveland, Ohio, United States

Site Status RECRUITING

Lifespan Health System

Providence, Rhode Island, United States

Site Status RECRUITING

VCU

Richmond, Virginia, United States

Site Status RECRUITING

Medical College of Wisconsin

Milwauke, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Chris Huff, MD

Role: primary

John Laird, MD

Role: primary

Tim Henry, MD

Role: primary

Paul Kim, MD

Role: primary

Les Miller, MD

Role: primary

Nirat Beohar, MD

Role: primary

Sai Sadanandan, MD

Role: primary

Karen Ho, MD

Role: primary

Jeff Snell, MD

Role: primary

Craig Walker, MD

Role: primary

Tom Davis, MD

Role: primary

Sanjay Misra, MD

Role: primary

Murray Estess, MD

Role: primary

Matt Bunte, MD

Role: primary

John Runback, MD

Role: primary

William Marston, MD

Role: primary

Matt Hook, MD

Role: primary

Justin Dunn, MD

Role: primary

Mehdi Shishehbor, DO

Role: primary

Sanjay Gandhi, MD

Role: primary

Vikram Kashyap, MD

Role: primary

Peter Soukas, MD

Role: primary

Luis Guzman, MD

Role: primary

James Gossett, MD

Role: primary

References

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Hammad TA, Rundback J, Bunte M, Miller L, Patel PD, Sadanandan S, Fitzgerald M, Pastore J, Kashyap V, Henry TD, Shishehbor MH. Stromal Cell-Derived Factor-1 Plasmid Treatment for Patients With Peripheral Artery Disease (STOP-PAD) Trial: Six-Month Results. J Endovasc Ther. 2020 Aug;27(4):669-675. doi: 10.1177/1526602820919951. Epub 2020 May 18.

Reference Type DERIVED
PMID: 32419594 (View on PubMed)

Shishehbor MH, Rundback J, Bunte M, Hammad TA, Miller L, Patel PD, Sadanandan S, Fitzgerald M, Pastore J, Kashyap V, Henry TD. SDF-1 plasmid treatment for patients with peripheral artery disease (STOP-PAD): Randomized, double-blind, placebo-controlled clinical trial. Vasc Med. 2019 Jun;24(3):200-207. doi: 10.1177/1358863X18817610. Epub 2019 Feb 21.

Reference Type DERIVED
PMID: 30786835 (View on PubMed)

Other Identifiers

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JTCS-007

Identifier Type: -

Identifier Source: org_study_id