Study of AMG0001 to Improve Ulcer Healing and Perfusion in Subjects With Peripheral Ischemic Ulcers

NCT ID: NCT04267640

Last Updated: 2021-12-22

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-30

Study Completion Date

2023-01-31

Brief Summary

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This study will assess the safety and efficacy of intramuscular injection of AMG0001 (hepatocyte growth factor \[HGF\] plasmid) to improve ulcer healing and perfusion in patients with peripheral artery disease.

Detailed Description

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This is a Phase 2, double-blind, randomized, placebo-controlled, parallel group study. Approximately 60 male or female subjects aged 18 years or older with one shallow foot ulcer and mild/moderate ischemia due to peripheral artery disease (PAD) will be randomized in a 1:1:1 ratio to one of 3 treatment groups:

* 4.0 mg AMG0001 intramuscular (IM) (n = 20)
* 8.0 mg AMG0001 IM (n = 20)
* Placebo IM (n = 20)

Conditions

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Peripheral Artery Disease Ischaemic Ulcer of Lower Leg Due to Atherosclerotic Disease Chronic Limb Threatening Ischemia Ischemic Ulcer of 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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AMG0001 4mg

AMG0001 4mg + standard wound care

Group Type EXPERIMENTAL

AMG0001

Intervention Type BIOLOGICAL

AMG0001 is a DNA Plasmid encoding hepatocyte growth factor (HGF) administered intramuscularly

AMG0001 8mg

AMG0001 8mg + standard wound care

Group Type EXPERIMENTAL

AMG0001

Intervention Type BIOLOGICAL

AMG0001 is a DNA Plasmid encoding hepatocyte growth factor (HGF) administered intramuscularly

Placebo

Placebo + standard wound care

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Matching placebo

Interventions

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AMG0001

AMG0001 is a DNA Plasmid encoding hepatocyte growth factor (HGF) administered intramuscularly

Intervention Type BIOLOGICAL

Placebo

Matching placebo

Intervention Type BIOLOGICAL

Other Intervention Names

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HGF plasmid Collategene beperminogene perplasmid

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of PAD and mild/moderate foot ischemia (WIFI ischemia grades 1, 2)
* A single measurable ulcer of ≥ 1 cm2 and ≤ 10 cm2 on a lower extremity without evidence of infection or gangrene and no evidence of bone and/or tendon involvement at randomization
* Subjects will undergo protocol-defined standardized wound care during the screening period and through 12 months from the first dose of investigational product
* Subjects who have a diagnosis of diabetes must be considered stable with no changes in diabetic medication regimen anticipated during the study period. Subjects who have a diagnosis of diabetes must have a HbA1c of ≤12% at Screening

* Subjects currently receiving immunosuppressive medication, systematically administered steroid therapy, chemotherapy or radiation therapy. Inhaled and topical steroid therapies are allowed

Exclusion Criteria

* Subjects who have excessive tissue necrosis that is unlikely to benefit from medication, or those subjects who, in the opinion of the Investigator, are felt likely to require revascularization within 1 month of screening
* Subjects with severe limb ischemia
* Subjects who are considered likely to require a major amputation (at or above the ankle) within 3 months of screening
* Subjects with deep ulcerations with bone or tendon exposure, or uncontrolled infection, or with the largest ulcer that is \>10 cm2 in area
* Subjects with hemodynamically significant aorto-iliac occlusive disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AnGes USA, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David G Armstrong, MD, DPM, PhD

Role: PRINCIPAL_INVESTIGATOR

Keck School of Medicine, USC

Michael S Conte, MD

Role: PRINCIPAL_INVESTIGATOR

Division of Vascular and Endovascular Surgery, UCSF

Locations

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ILD Research Center

Carlsbad, California, United States

Site Status RECRUITING

Rancho Research Institute

Downey, California, United States

Site Status RECRUITING

Limb Preservation Platform, Inc.

Fresno, California, United States

Site Status RECRUITING

Felix Sigal, D.P.M. A Professional Corporation

Los Angeles, California, United States

Site Status RECRUITING

Center for Clinical Research Inc.

San Francisco, California, United States

Site Status RECRUITING

University of California, San Francisco

San Francisco, California, United States

Site Status RECRUITING

Goleta Valley Cottage Hospital

Santa Barbara, California, United States

Site Status RECRUITING

BRCR Global

Deerfield Beach, Florida, United States

Site Status RECRUITING

Doctors Research Network

South Miami, Florida, United States

Site Status RECRUITING

Barry University Clinical Research

Tamarac, Florida, United States

Site Status RECRUITING

Guardian Research/Florida Cardiology

Winter Park, Florida, United States

Site Status RECRUITING

Gateway Clinical Trials, LLC

Belleville, Illinois, United States

Site Status RECRUITING

Rosalind Franklin University Health Clinics

North Chicago, Illinois, United States

Site Status RECRUITING

Brigham and Women's Hospital / Harvard Medical School

Boston, Massachusetts, United States

Site Status RECRUITING

Advanced Foot & Ankle Center

Las Vegas, Nevada, United States

Site Status RECRUITING

Vascular Solutions of North Carolina

Cary, North Carolina, United States

Site Status RECRUITING

The Lindner Center for Research and Education at the Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

Lower Extremity Institute for Research and Therapy (LEIRT)

Youngstown, Ohio, United States

Site Status RECRUITING

Oregon Health & Sciences University

Portland, Oregon, United States

Site Status RECRUITING

Foot and Ankle Associates of Southwest Virginia

Salem, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Melton Affrime, PharmD

Role: CONTACT

Phone: +1 908-444-3889

Email: [email protected]

Chan Quach

Role: CONTACT

Phone: +1 240-780-9033

Email: [email protected]

Other Identifiers

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AG-CLTI-0211

Identifier Type: -

Identifier Source: org_study_id