Safety, Efficacy, and Pharmacokinetics (PK) Study of Trans Sodium Crocetinate (TSC) in Patients With Intermittent Claudication
A Randomized, Double-Blinded, Placebo-Controlled Phase 1/2 Dose-Range-Finding Study to Evaluate the Safety, Efficacy and PK of Multiple Once Daily Intravenous Doses of TSC in Patients With Intermittent Claudication
1 other identifier
interventional
48
1 country
7
Brief Summary
The purpose of this study is to evaluate the safety and pharmacokinetics of multiple, once-daily, intravenous doses of trans sodium crocetinate (TSC). The effectiveness of TSC in alleviating the symptoms of intermittent claudication (IC) will also be assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Aug 2008
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 29, 2008
CompletedFirst Posted
Study publicly available on registry
July 31, 2008
CompletedStudy Start
First participant enrolled
August 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedJuly 29, 2011
July 1, 2011
1.6 years
July 29, 2008
July 1, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety (laboratory tests, vital signs, ECG, physical exam, pulse oximetry) and pharmacokinetic assessments
Screening, Baseline, Dose 1, Dose 2, Dose 3, Dose 4, Dose 5, 5-Day Follow-up, 14-Day Follow-up
Secondary Outcomes (1)
Change in peak walking time (PWT) and claudication onset time (COT) in an exercise treadmill test
Baseline, Dose 1, Dose 5, 5-Day Follow-up
Study Arms (9)
1
EXPERIMENTAL.25 mg/kg TSC
2
EXPERIMENTAL.5 mg/kg TSC
3
EXPERIMENTAL.75 mg/kg TSC
4
EXPERIMENTAL1.0 mg/kg TSC
5
EXPERIMENTAL1.25 mg/kg TSC
6
EXPERIMENTAL1.5 mg/kg TSC
7
EXPERIMENTAL1.75 mg/kg TSC
8
EXPERIMENTAL2.0 mg/kg TSC
9
PLACEBO COMPARATOR5.0 mL 0.9% normal saline
Interventions
Once-daily bolus intravenous injections in a superficial vein of the arm via syringe over a period of up to 2 minutes. Each patient will receive up to 5 doses given on 5 consecutive days
A total volume of 5.0 mL normal saline will be dosed in a superficial vein of the arm via syringe over a period of up to 2 minutes.
Eligibility Criteria
You may qualify if:
- Aged 40 or older, male or female
- mo. history of walking limitation or symptoms of intermittent claudication (IC) in at least 1 lower limb, severity of which has not changed in the past 3 mo. and diagnosed by principal investigator as clinically stable Fontaine Stage II peripheral artery disease (PAD)
- Diagnosis of PAD secondary to atherosclerosis
- If ankle-brachial index (ABI) is \> 1.3 or cannot be measured in either leg, vascular etiology documented by toe-brachial index (TBI) ≤ 0.7 in at least 1 leg
- Claudication severity, meds. for the treatment of coronary artery disease (CAD), PAD and IC, and exercise habits should be clinically stable for 3 mo. prior to Screening (SCRN) and during study. Pt. is not likely to change smoking and/or exercise habits during study
- On an exercise treadmill test (ETT), peak walking time (PWT) of at least 1 min., but no more than 12 min. at Baseline
- Willing and able to discontinue Pletal or Trental for 21 days before SCRN and during study
- Antihypertensive therapy, cholesterol-lowering therapy, chronic oral nitrates, and diabetic therapy have been stable for 30 days prior to SCRN
- Willing and able to provide written, signed, informed consent after the nature of the study has been explained and prior to any research-related procedures
- Willing and able to comply with all study-related procedures
- Sexually active patients must use an acceptable method of contraception while participating in the study
- Females of childbearing potential must have a negative pregnancy test at SCRN and have additional pregnancy tests during the study
You may not qualify if:
- Pregnant or lactating
- Current or history of critical limb ischemia (CLI)
- Pts. in whom artery insufficiency in the lower extremity is the result of acute limb ischemia (ALI) or an immunological or inflammatory non-atherosclerotic disorder
- Pts. in whom walking impairment due to pain is the result of other non-atherosclerotic co-morbid conditions
- A surgical intervention to alleviate symptoms of IC or PAD-specific endovascular intervention or cardiovascular surgery within 3 mo. of SCRN
- Walking limited by reasons other than claudication
- Conditions other than IC of significant severity that could confound PWT on the ETT
- Concurrent severe congestive heart failure (CHF)
- Life-threatening ventricular arrhythmias, unstable angina, and/or myocardial infarction (MI) within 3 mo. before enrollment (ENRL)
- Coronary artery bypass grafting or percutaneous coronary intervention within 4 mo. before ENRL
- Renal and/or carotid revascularization procedure within 3 mo. of ENRL
- Transient ischemic attack (TIA) within 3 mo. before ENRL
- Deep vein thrombosis (DVT) within 3 mo. before ENRL
- Severe chronic obstructive pulmonary disease (COPD)
- Thrombocytopenia
- +17 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Cardiology, P.C.
Birmingham, Alabama, 35211, United States
Radiant Research, Inc.
Santa Rosa, California, 95405, United States
Stanford University School of Medicine, Division of Cardiovascular Medicine
Stanford, California, 94305-5406, United States
Andrews Research and Education
Pensacola, Florida, 32561, United States
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Clinical Trials of Texas, Inc.
San Antonio, Texas, 78229, United States
Related Publications (1)
Mohler ER 3rd, Gainer JL, Whitten K, Eraso LH, Thanaporn PK, Bauer T. Evaluation of trans sodium crocetinate on safety and exercise performance in patients with peripheral artery disease and intermittent claudication. Vasc Med. 2011 Oct;16(5):346-53. doi: 10.1177/1358863X11422742.
PMID: 22003000DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
July 29, 2008
First Posted
July 31, 2008
Study Start
August 1, 2008
Primary Completion
March 1, 2010
Study Completion
March 1, 2010
Last Updated
July 29, 2011
Record last verified: 2011-07