Trial Outcomes & Findings for Safety and Efficacy Study of Engensis (VM202) in the Treatment of Chronic Non-Healing Foot Ulcers (NCT NCT02563522)
NCT ID: NCT02563522
Last Updated: 2025-10-09
Results Overview
Determine the proportion of subjects with a target Wound Closure from baseline to month 4 visit
Recruitment status
TERMINATED
Study phase
PHASE3
Target enrollment
44 participants
Primary outcome timeframe
Days 0 to Month 4
Results posted on
2025-10-09
Participant Flow
Participant milestones
| Measure |
Active
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
|---|---|---|
|
Overall Study
STARTED
|
27
|
17
|
|
Overall Study
COMPLETED
|
23
|
12
|
|
Overall Study
NOT COMPLETED
|
4
|
5
|
Reasons for withdrawal
| Measure |
Active
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
|---|---|---|
|
Overall Study
Adverse Event
|
2
|
3
|
|
Overall Study
Lost to Follow-up
|
1
|
0
|
|
Overall Study
withdrew consent,, noncompliance, and unable to attend future visits
|
1
|
2
|
Baseline Characteristics
Safety and Efficacy Study of Engensis (VM202) in the Treatment of Chronic Non-Healing Foot Ulcers
Baseline characteristics by cohort
| Measure |
Active
n=27 Participants
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
n=17 Participants
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
Total
n=44 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=27 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
20 Participants
n=93 Participants
|
8 Participants
n=4 Participants
|
28 Participants
n=27 Participants
|
|
Age, Categorical
>=65 years
|
7 Participants
n=93 Participants
|
9 Participants
n=4 Participants
|
16 Participants
n=27 Participants
|
|
Age, Continuous
|
57.5 years
STANDARD_DEVIATION 11.05 • n=93 Participants
|
61.2 years
STANDARD_DEVIATION 10.88 • n=4 Participants
|
58.9 years
STANDARD_DEVIATION 11.00 • n=27 Participants
|
|
Sex: Female, Male
Female
|
7 Participants
n=93 Participants
|
5 Participants
n=4 Participants
|
12 Participants
n=27 Participants
|
|
Sex: Female, Male
Male
|
20 Participants
n=93 Participants
|
12 Participants
n=4 Participants
|
32 Participants
n=27 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=93 Participants
|
1 Participants
n=4 Participants
|
2 Participants
n=27 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=27 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=27 Participants
|
|
Race (NIH/OMB)
Black or African American
|
4 Participants
n=93 Participants
|
1 Participants
n=4 Participants
|
5 Participants
n=27 Participants
|
|
Race (NIH/OMB)
White
|
21 Participants
n=93 Participants
|
15 Participants
n=4 Participants
|
36 Participants
n=27 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
1 Participants
n=27 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=93 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=27 Participants
|
|
Region of Enrollment
United States
|
27 participants
n=93 Participants
|
17 participants
n=4 Participants
|
44 participants
n=27 Participants
|
PRIMARY outcome
Timeframe: Days 0 to Month 4Determine the proportion of subjects with a target Wound Closure from baseline to month 4 visit
Outcome measures
| Measure |
Active
n=27 Participants
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
n=17 Participants
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
|---|---|---|
|
Proportion of Subjects With a Target Wound Closure by the 4-month Follow-up Visit
|
13 Participants
|
5 Participants
|
Adverse Events
Active
Serious events: 11 serious events
Other events: 16 other events
Deaths: 0 deaths
Control
Serious events: 5 serious events
Other events: 14 other events
Deaths: 0 deaths
Serious adverse events
| Measure |
Active
n=27 participants at risk
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
n=17 participants at risk
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
|---|---|---|
|
Infections and infestations
Infected skin ulcer
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Osteomyelitis
|
14.8%
4/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Urinary tract infection
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Cellulitis
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Localised infection
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Sepsis
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Vascular disorders
Peripheral vascular disorder
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Vascular disorders
Hypotension
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Metabolism and nutrition disorders
Hyperkalaemia
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Septic shock
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Limb injury
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Cardiac disorders
Acute myocardial infarction
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Cardiac disorders
Cardiac failure congestive
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Gastrointestinal disorders
Gastrointestinal haemorrhage
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Blood and lymphatic system disorders
Anaemia
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Abscess limb
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Nervous system disorders
Hypoglycaemic encrephalopathy
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Nervous system disorders
Cerebrovascular accident
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Pregnancy, puerperium and perinatal conditions
Abortion missed
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
Other adverse events
| Measure |
Active
n=27 participants at risk
Engensis (VM202) + standard of care
Engensis (VM202): gene therapy
|
Control
n=17 participants at risk
Placebo (VM202 Vehicle) + standard of care
Placebo: Standard of care plus placebo
|
|---|---|---|
|
Blood and lymphatic system disorders
Anaemia
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Blood and lymphatic system disorders
Leukocytosis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Ear and labyrinth disorders
Blepharitis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Eye disorders
Diabetic retinopathy
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Eye disorders
Macular oedema
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Gastrointestinal disorders
Constipation
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Gastrointestinal disorders
Dyspepsia
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
General disorders
Asthenia
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Cellulitis
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
35.3%
6/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Fungal infection
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Infected skin ulcer
|
11.1%
3/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
23.5%
4/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Influenza
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Localised infection
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Nasopharyngitis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Osteomyelitis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Paronychia
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Infections and infestations
Urinary tract infection
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Contusion
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Fall
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Skin abrasion
|
11.1%
3/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Skin laceration
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Injury, poisoning and procedural complications
Traumatic haematoma
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Blood creatinine increased
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Blood glucose increased
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Blood urea increased
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Glomerular filtration rate decreased
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Glomerular filtration rate increased
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Glycosylated haemoglobin increased
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Investigations
Hyperkalaemia
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Bursitis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Exocytosis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Muscle spasms
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Neuropathic arthropathy
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Osteoarthritis
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Musculoskeletal and connective tissue disorders
Pain in extremity
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Nervous system disorders
Balance disorder
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Nervous system disorders
Dizziness
|
3.7%
1/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Psychiatric disorders
Mental status change
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Renal and urinary disorders
Acute kidney injury
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Renal and urinary disorders
Chronic kidney disease
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
5.9%
1/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
|
7.4%
2/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Skin and subcutaneous tissue disorders
Skin ulcer
|
25.9%
7/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
35.3%
6/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Vascular disorders
Haematoma
|
0.00%
0/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
11.8%
2/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
|
Vascular disorders
Hypertension
|
11.1%
3/27 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
0.00%
0/17 • Day 0 to 7 months
Treatment-emergent serious adverse events (TESAEs)
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place