NCT02236793

Brief Summary

The present clinical trial is designed to assess the effectiveness of BioChaperone PDGF-BB applied at 4 µg/cm² every other day for up to 20 weeks and associated to Standard of Care as compared to Standard of Care alone for the treatment of neuropathic and neurovascular diabetic foot ulcers.(In order to ensure the double-blinding of the treatments, a sterile normal saline solution presented in the same multi-dose spray vials than BioChaperone PDGF-BB will be applied on patients of the control group).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
252

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Dec 2014

Geographic Reach
1 country

32 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 9, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 11, 2014

Completed
3 months until next milestone

Study Start

First participant enrolled

December 1, 2014

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2016

Completed
Last Updated

June 29, 2017

Status Verified

June 1, 2017

Enrollment Period

1.7 years

First QC Date

September 9, 2014

Last Update Submit

June 28, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Incidence of complete wound closure.

    20 weeks

Secondary Outcomes (5)

  • Time to achieve complete wound closure.

    20 weeks

  • Percentage reduction in total ulcer surface area at each visit.

    20 weeks

  • Incidence of complete wound healing

    10 weeks

  • Number of ulcer recurrence observed 12 weeks after wound healing.

    32 weeks

  • Treatment emergent adverse events.

    52 weeks

Study Arms (2)

BioChaperone PDGF-BB

EXPERIMENTAL

BioChaperone PDGF-BB administered every other day at the dose of 4µg/cm² for 20 weeks or until wound closure, associated with Standard of Care

Drug: BioChaperone PDGF-BB

Standard of Care

PLACEBO COMPARATOR

Normal saline solution applied every other day at the same volume for up to 20 weeks, associated with standard wound care

Other: Standard of Care

Interventions

BioChaperone PDGF-BB
Standard of Care

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men or women aged 18 years old or older, with type 1 or 2 diabetes mellitus
  • Patient with a single ulcer on the treated feet
  • Patient able and willing to provide informed consent
  • Patient able and willing to comply with protocol visits and procedure
  • Patient willing to use an off-loading method during the whole duration of the study
  • Full-thickness plantar, lateral or dorsal ulcer of the extremity (below the malleolus), excluding inter-digits ulcer (web spaces), extending through the epidermis and dermis, but not involving bone, tendons, ligaments or muscles (grade IA as defined by University of Texas Diabetic Wound Classification or Grade 1 according to Wagner classification)
  • Chronic ulcer of at least six weeks despite appropriate wound care
  • Ulcer area measured with the formula Length x Width x 0.8 following sharp debridement, of 1 to 10 cm², both inclusive
  • Well controlled infection or cellulitis (systemic antibiotherapy) before Baseline Visit
  • Peripheral neuropathy as assessed by Semmes- Weinstein monofilament test or by the bio esthesimeter (vibration perception threshold).
  • Ankle brachial pressure index \> 0.60 and \<1.3
  • Women surgically sterile, post-menopausal, or agree to practice adequate contraception and have a negative pregnancy test at screening. Non-nursing

You may not qualify if:

  • Inter digit ulcers
  • Ulcer of other cause or origin: electrical, chemical or radiation insult, bedsores, vascular ulcer or Charcot deformities ulcers
  • Charcot foot.
  • Wound originated from amputation bed
  • Active ulcer infection assessed by clinical examination and radiography if necessary. Presence of necrosis, purulence or sinus tracts that cannot be removed by debridement and controlled by standard wound care.
  • Active osteomyelitis affecting the area of the target ulcer
  • Poorly controlled diabetes (uncontrolled glycemia: HbA1c% \>= 10%), renal failure (serum creatinine \> 3.0 mg/dL), poor nutritional status (albumin \< 3.0 g/dL or total protein \< 6.5 g/dL)
  • Known connective tissue or malignant disease
  • Concomitant treatment with corticosteroids, immunosuppressive agents, radiation therapy, or anticancer chemotherapy
  • Use of investigational drug/device or growth factor within 30 days
  • Topical application of any advance wound care on this wound (antiseptics, antibiotics, debriders, enzyme) within 7 days
  • Vascular reconstruction within 8 weeks
  • Patients expected to be noncompliant with the protocol (not available for the duration of the trial, treatment or wound care compliance), or felt to be unsuitable by the Investigator for any other reason.
  • A history of severe cerebrovascular events

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Mediciti Hospital

Hyderabad, Andhra Pradesh, 500 063, India

Location

SL Raheja Hospital

Mumbai, Maharashtra, 400 016, India

Location

M.V. Hospital for Diabetes (P) Ltd

Chennai, Tamil Nadu, India

Location

Dr V. Seshiah Diabetes Research Institute, Dr Balaji Diabetes Care centre

Chennai, Taminadu, 600 029, India

Location

B.J. Medical College and Civil Hospital

Ahmedabad, India

Location

Dr Jivraj Mehta Smarak Health Foundation

Ahmedabad, India

Location

Sangini Hospital

Ahmedabad, India

Location

V.S. General Hospital & Sml NHL Municipal Medical College Sheth

Ahmedabad, India

Location

Rajiv Gandhi Centre for Diabetes and Endocrinology

Aligarh, India

Location

Govt Medical College and Hospital

Chandigarh, India

Location

Sri Ramachandra Medial Centre

Chennai, India

Location

The Madras Diabetes Research Foundation

Chennai, India

Location

The Madras Medical Mission

Chennai, India

Location

Gandhi Medical College & Hospital

Hyderabad, India

Location

Nizam's Institute of Medical Sciences

Hyderabad, India

Location

Sumana Hospital

Hyderabad, India

Location

Surakshaka diabetic Centre(P) Ltd

Hyderabad, India

Location

SMS Medical College & Attached Hospital

Jaipur, India

Location

ILS Hospital

Kolkata, India

Location

IPGME & R and SSKM Hospital

Kolkata, India

Location

Nightingale Hospital

Kolkata, India

Location

Rabindranath Tagore International Insitute of cardiac Sciences

Kolkata, India

Location

Fortis Hospital Phase

Mohali, India

Location

Seth G.S. Medical College and K.E.M Hospital

Mumbai, India

Location

Mysore Medical College & Research Institute

Mysore, India

Location

Govt Medical college & Hospital Medical Square

Nagpur, India

Location

Indira Gandhi Govt Medical College and Hospital

Nagpur, India

Location

B.J. Govt. Medical College and Sassoon Hospital

Pune, India

Location

Inamdar Multispeciality Hospital

Pune, India

Location

Poona Hospital & Research Centre

Pune, India

Location

Shree Giriraj Multispeciality Hospital

Rajkot, India

Location

King Georges Hospital

Visakhapatnam, India

Location

MeSH Terms

Conditions

Diabetic Foot

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Diabetic AngiopathiesVascular DiseasesCardiovascular DiseasesFoot UlcerLeg UlcerSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System DiseasesDiabetic Neuropathies

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Arun Bal, MD

    SL Raheja Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 9, 2014

First Posted

September 11, 2014

Study Start

December 1, 2014

Primary Completion

August 1, 2016

Study Completion

August 1, 2016

Last Updated

June 29, 2017

Record last verified: 2017-06

Locations