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临床试验/EUCTR2015-005580-16-DK
EUCTR2015-005580-16-DK进行中(未招募)1 期

A Phase 1b, open label, uncontrolled non-randomised single dose study to examine the safety of topically applied bone marrow derived allogeneic mesenchymal stromal cells (REDDSTAR ORBCEL-M) seeded in a collagen scaffold to patients with non-healing neuroischaemic diabetic foot wounds

Steno Diabetes Center A/S0 个研究点目标入组 9 人开始时间: 2016年6月9日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
9

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Age 18-80 years.
  • 2. Type 1 or Type 2 diabetes mellitus (with any kind or combination of pharmacological treatment for disease and/or complications to disease).
  • 3. HbA1c = 97 mmol/mol (= 11%).
  • 4. Males or non-pregnant females.
  • 5. Understand trial information document.
  • 6. Provide written informed consent.
  • 7. Duration of (diabetic foot) wound > 4 but < 52 weeks.
  • 8. Reduction of < 50% area over 4 weeks despite standard care (standard care; off-loading, weekly debridement, dressings, orthotic).
  • 9. Wound area with sharp debridement of = 0.5 but = 4.0 cm2.
  • 10. Clinically non-infected wound.
  • 11. Texas wound stage 1a, 1c or 2a.
  • 12. Location of wound below malleolus.
  • 13. Affected limb toe pressure = 40mmHg; or a Doppler waveform consistent with adequate flow in the foot (biphasic or triphasic waveforms).
  • 14. An ankle-brachial systolic pressure index between 0.7 and 1.3.
  • 15. Diagnosis of peripheral neuropathy using ADA guidelines (monofilament/vibration sensation/biothesiometer).
  • 16. Adhere to study visit protocol.
  • 17. Adhere to offloading devices/orthotic.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 6
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • 1. Life expectancy of less than 12 months.
  • 2. Patients with a definite diagnosis of any immunodeficiency disorder.
  • 3. Viral hepatitis [patient must have negative hepatitis B surface-antigen (HBsAg) and hepatitis C antibody (HepCAb) test results obtained within 2 weeks prior to the Treatment Day (Day 1)].
  • 4. Active, uncontrolled connective tissue disease.
  • 5. Renal failure as defined by serum creatinine > 220 µmol/L.
  • 6. Liver function tests (e.g. AST, ALT) that are > 2.0 times ULN.
  • 7. Poor nutritional status as measured by serum albumin < 30 mg/dL.
  • 8. Active cancer or a history of cancer in the 5 years prior to signing the informed consent form (history of basal cell carcinoma is allowed).
  • 9. Active wound infection (i.e. recent onset of erythema, oedema, and increased temperature of the foot with normal radiographs).
  • 10. Diabetic Charcot neuroarthropathy or other structural deformity that would prevent adequate off-loading of the study foot.
  • 11. Treatment with any systemic corticosteroid immunosuppressive chemotherapeutic agent, antiviral, or previous/current radiation therapy to lower extremity to be treated within 30 days prior to signing the informed consent form.
  • 12. Having received another investigational drug or biologic within 30 days prior to signing the informed consent form or currently participating in an investigational drug or biologic study.
  • 13. A psychiatric condition or chronic alcohol or drug abuse problem, determined from the patient’s medical history, which in the Investigator’s opinion may pose a threat to patient compliance.
  • 14. History of non-compliance with treatment or clinical visit attendance (i.e. this study requires that patients will comply with the protocol and ulcer care regimen).
  • 15. Any unstable medical condition judged by the Investigator or Medical Monitor that would cause the study to be detrimental to the patient.
  • 16. A Haemoglobin A1c (HbA1c) test result of > 11% (>97 mmol/mol) documented at the screening visit.
  • 17. Wounds caused primarily by untreated vascular insufficiency, or where patients are primarily eligible for vascular intervention to promote wound healing.
  • 18. Wounds with an aetiology not related to diabetes.
  • 19. More than three wounds on the target lower extremity.
  • 20. The wound to be studied not anatomically distinct from another wound(s) (separated by < 1 cm from another wound or would interfere with standard of care treatment of another wound. Only one single wound per one study subject can be treated in this study.
  • 21. Wounds which decrease in area by >50% during the screening 4-week run-in period.
  • 22. Ulcers with underlying osteomyelitis on the leg with the wound to be treated.
  • 23. Patients presenting with the clinical characteristics of cellulitis at the wound site (suppurative inflammation involving particularly the subcutaneous tissue, often mild erythema, tenderness, malaise, chills and fever).
  • 24. Revascularization surgery on the leg with the wound to be treated =8 weeks prior to signing the informed consent form.
  • 25. Surgery to lengthen Achilles tendon on the leg with the wound to be treated =8 weeks prior to signing the informed consent form.
  • 26. Necrosis, purulence, or sinus tracts that cannot be removed by debridement on foot to be treated.
  • 27. Received dermal substitute or living skin equivalent (Leukopatch within 30 days prior to signing the informed consent form.
  • 28. Received prior PDGF-BB (Regranex®/becaplermin) therapy within 30 days prior to

研究者

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