The Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of UTTR1147A in Participants With Neuropathic Non-Healing Diabetic Foot Ulcers
A Phase Ib, Blinded, Randomized, Multicenter, Multiple-Ascending-Dose Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of UTTR1147A Administered by Subcutaneous Injection in Patients With Non-Healing Neuropathic Diabetic Foot Ulcers
2 other identifiers
interventional
72
6 countries
32
Brief Summary
This trial will evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of repeat dosing of UTTR1147A in participants with neuropathic diabetic foot ulcers that do not respond adequately to standard wound care. Participants across multiple sites will be assigned to one of five cohorts (Cohort A, B, C, D, and E) based on the eligibility criteria and randomized to receive subcutaneous (SC) injections of either UTTR1147A or placebo over 12 weeks in addition to standard wound care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Nov 2016
Typical duration for phase_1
32 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 12, 2016
CompletedFirst Posted
Study publicly available on registry
July 14, 2016
CompletedStudy Start
First participant enrolled
November 14, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 12, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 12, 2018
CompletedNovember 21, 2018
November 1, 2018
2 years
July 12, 2016
November 20, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants with Adverse Events
Baseline up to Day 141
Secondary Outcomes (3)
Percent Change from Baseline in Index Ulcer Surface Area at Weeks 6 and 12
Baseline, Weeks 6 and 12
Percentage of Participants with Anti-Therapeutic (Anti-UTTR1147A) Antibodies
Day 1, 22, 64, 85, 99, early termination visit (up to Day 141)
Serum Concentration of UTTR1147A
Pre-dose (0 h) on Days 1, 22, 43, and 64, on Days 4, 8, 71, 85, and 99, early termination (up to Day 141)
Study Arms (6)
Cohort A - UTTR1147A, 0.8-6.0 cm^2, No Infection - Dose 1
EXPERIMENTALParticipants with 0.8-6.0 centimeters square (cm\^2) index ulcer area at screening and no infection in index ulcer will receive UTTR1147A SC at Dose Level 1 for 12 weeks (a total of 4 doses).
Cohort B - UTTR1147A, 0.8-6.0 cm^2, No Infection - Dose 2
EXPERIMENTALParticipants with 0.8-6.0 cm\^2 index ulcer area at screening and no infection in index ulcer will receive UTTR1147A SC at Dose Level 2 for 12 weeks (a total of 4 doses).
Cohort C - UTTR1147A, 0.8-6.0 cm^2, Mild Infection - Dose 2
EXPERIMENTALParticipants with 0.8-6.0 cm\^2 index ulcer area at screening and mild infection in index ulcer will receive UTTR1147A SC at Dose Level 2 for 12 weeks (a total of 4 doses).
Cohort D - UTTR1147A, 1.5-6.0 cm^2, Mild Infection - Dose 2
EXPERIMENTALParticipants with 1.5-6.0 cm\^2 index ulcer area at screening and mild infection in index ulcer will receive UTTR1147A SC at Dose Level 2 for 12 weeks (a total of 4 doses).
Cohort E - UTTR1147A, 0.8-6.0 cm^2, No infection - Dose 3
EXPERIMENTALParticipants with 0.8-6.0 cm\^2 index ulcer area at screening and mild infection in index ulcer will receive UTTR1147A SC at Dose Level 3 for 12 weeks (a total of 4 doses).
Placebo
PLACEBO COMPARATORParticipants will receive UTTR1147A matching placebo SC in each cohort for 12 weeks (a total of 4 doses).
Interventions
UTTR1147A will be administered SC.
Eligibility Criteria
You may qualify if:
- Have a diagnosis of Type 1 or Type 2 diabetes and confirmed peripheral neuropathy
- Have adequate circulation to the foot
- Have an ulcer area at screening up to 6 cm\^2
- Up to date on all age-appropriate cancer screenings per local standards
You may not qualify if:
- Have current evidence of osteomyelitis, cellulitis, or evidence of systemic infection
- Have gangrene present on any part of the affected foot
- Known peripheral arterial disease requiring revascularization
- Have a glycated hemoglobin A1C level of greater than (\>) 15% assessed at screening
- Are receiving oral or parenteral corticosteroids, immunosuppressive, or cytotoxic agents
- Have active malignancy or any history of a malignancy
- Use of oral antibiotics at the time of randomization for any reason in participants to be enrolled in Cohorts A, B, E, and any additional uninfected patient cohorts
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Genentech, Inc.lead
Study Sites (32)
East Valley Foot and Ankle Specialists
Mesa, Arizona, 85206, United States
Center for Clinical Research Inc.; i
San Francisco, California, 94115, United States
Animas Foot and Ankle
Durango, Colorado, 81301, United States
GF Professional Research Group Corporation
Miami Lakes, Florida, 33016, United States
Podiatry 1st
Belleville, Illinois, 62226, United States
Clinical Research Associates Of Central Pa , Llc
Altoona, Pennsylvania, 16602, United States
Futuro Clinical Trials
McAllen, Texas, 78501-2930, United States
Endeavor Clinical Trials PA
San Antonio, Texas, 78229, United States
1Foot 2Foot Centre for Foot & Ankle Care PC
Suffolk, Virginia, 23434, United States
Steven M. Waldman, SC
Wauwatosa, Wisconsin, 53226, United States
Aalborg Universitetshospital
Aalborg, 9000, Denmark
Bispebjerg Hospital
Copenhagen, 2400, Denmark
Odense Universitetshospital; Endokrinologisk Afdeling
Odense, 5000, Denmark
DRC Gyogyszervizsgalo Kozpont Kft
Balatonfüred, 8230, Hungary
Semmelweis Egyetem
Budapest, 1083, Hungary
Kenezy Korhaz Rendelointezet
Debrecen, 4031, Hungary
Policlinico Universitario Campus Biomedico Di Roma; Farmacia
Rome, Lazio, 00128, Italy
Azienda Ospedaliera Universitaria Careggi
Florence, Tuscany, 50141, Italy
Azienda Ospedaliero Universitaria Pisana
Pisa, Tuscany, 56100, Italy
Hospital Universitario Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Hospital Universitario de Donostia
Donostia / San Sebastian, Guipuzcoa, 20080, Spain
Fundacion Hospital de Alcorcon
Alcorcón, Madrid, 28922, Spain
Hospital Universitario Cruces
Barakaldo, Vizcaya, 48903, Spain
Universidad Complutense de Madrid
Madrid, 28040, Spain
Bradford Royal Infirmary
Bradford, BD9 6RJ, United Kingdom
Royal Derby Hospital; Medical School
Derby, DE22 3DT, United Kingdom
Ipswich Hospital
Ipswich, IP4 5PD, United Kingdom
St James University Hospital
Leeds, LS9 7TF, United Kingdom
Kings College Hospital
London, SE5 9RS, United Kingdom
University of East Anglia
Norfolk, NR4 7TJ, United Kingdom
Nottingham City Hospital
Nottingham, NG5 1PB, United Kingdom
Northern General Hospital
Sheffield, S5 7AU, United Kingdom
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 12, 2016
First Posted
July 14, 2016
Study Start
November 14, 2016
Primary Completion
November 12, 2018
Study Completion
November 12, 2018
Last Updated
November 21, 2018
Record last verified: 2018-11