Clinical Trial With Adipose Tissue Stem Cells on Biological Matrix for the Treatment of Venous Ulcer of the Lower Limbs

NCT ID: NCT05962931

Last Updated: 2023-07-27

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

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-12

Study Completion Date

2025-07-31

Brief Summary

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Phase I-II, Multicenter, Randomized, Controlled, Proof of Concept Clinical Trial to determine feasibility, safety and efficacy of the use of Allogenic adipose-derived adult mesenchymal stem cells expanded on fibrinhyaluronic biological matrix in the treatment of venous ulcer of the lower limbs.

Detailed Description

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Conditions

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Venous Ulcer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bioengineered Artificial Mesenchimal Sheet (BAMS)

Allogenic adipose-derived adult mesenchymal stem cells expanded on fibrinhyaluronic biological matrix

Group Type EXPERIMENTAL

Bioengineered Artificial Mesenchimal Sheet (BAMS)

Intervention Type BIOLOGICAL

Each patient assigned to the experimental treatment group will receive 4 BAMS (1 BAMS/week) at a concentration of about 360,000 cells/cm2.

Standard treatment (Control)

Standard treatment

Group Type ACTIVE_COMPARATOR

Standard treatment (Control)

Intervention Type PROCEDURE

Each patient assigned to the control group will undergo a standard treatment procedure for uncomplicated venous ulcers.

Interventions

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Bioengineered Artificial Mesenchimal Sheet (BAMS)

Each patient assigned to the experimental treatment group will receive 4 BAMS (1 BAMS/week) at a concentration of about 360,000 cells/cm2.

Intervention Type BIOLOGICAL

Standard treatment (Control)

Each patient assigned to the control group will undergo a standard treatment procedure for uncomplicated venous ulcers.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Signing of the informed consent (IC) after reading the patient information sheet.
2. Over 18 years of both sexes.
3. Active or recurrent venous ulcer in the lower extremity with an area between 5-10 cm2
4. Grade III injury on the Widmer scale.
5. Independence and/or availability to go to the referral center on an outpatient basis.
6. Distal pulses in palpable lower limbs (tibial and foot). ABI between 0.8 - 1.3

Exclusion Criteria

1. Any pathology for which the investigator considers that compression bandaging is contraindicated and/or previous acute deep vein thrombosis (DVT), within the first 10 days from the onset of symptoms.
2. Grade III obesity with a body mass index (BMI) \>40; or underweight patients (BMI \<18.5).
3. Active neoplasia and/or being treated with cytostatics.
4. Patients undergoing radiotherapy treatment in areas close to the lesion.
5. Clinical signs of colonization or local infection of the lesion.
6. Patients with more than one lesion compatible with UV in the same lower limb.
7. Erysipelas.
8. Infectious cellulite.
9. Osteomyelitis.
10. Lymphangitis.
11. Chronic lymphedema.
12. Therapy with corticosteroids or immunosuppressants.
13. Venous ulcer grade I or II on the Widmer scale.
14. Lesions close to possible or diagnosed cancerous lesions.
15. Non-localized wounds in the lower extremities.
16. Ongoing infection and/or sepsis.
17. Critical ischemia in the lower limbs or other venous diseases of unknown origin.
18. Immunocompromised patients.
19. Dependent patients with severe mobility limitations.
20. Dialysis patients.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Andalusian Network for Design and Translation of Advanced Therapies

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Encarnación González Vigil

Role: PRINCIPAL_INVESTIGATOR

Unidad de A.P. de Atarfe

Mª Ángeles Granado Contrelas

Role: PRINCIPAL_INVESTIGATOR

Unidad de A.P. de Alfacar

Victor Costela Ruiz

Role: STUDY_DIRECTOR

Universidad de Granada

Locations

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Unidad de A.P. de Alfacar

Alfacar, Granada, Spain

Site Status RECRUITING

Unidad de A.P. de Atarfe

Atarfe, Granada, Spain

Site Status RECRUITING

Universidad de Granada

Granada, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Olga Férnández López, PhD

Role: CONTACT

955 048 366 ext. 0034

Facility Contacts

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Mª Ángeles Granado Contrelas

Role: primary

Encarnación González Vigil

Role: primary

Victor Costela Ruiz

Role: primary

References

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Costela-Ruiz VJ, Gonzalez-Vigil E, Espinosa-Ibanez O, Alcazar-Caballero RM, Melguizo-Rodriguez L, Fernandez-Lopez O, Arias-Santiago S. Application of allogeneic adult mesenchymal stem cells in the treatment of venous ulcers: A phase I/II randomized controlled trial protocol. PLoS One. 2025 May 15;20(5):e0323173. doi: 10.1371/journal.pone.0323173. eCollection 2025.

Reference Type DERIVED
PMID: 40373055 (View on PubMed)

Other Identifiers

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UV/AP/21

Identifier Type: -

Identifier Source: org_study_id

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