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A Phase 2 Exploratory Pharmacodynamic Study of HP802-247 in Venous Leg Ulcers

Phase 2
Terminated
Conditions
Venous Leg Ulcers
Interventions
Biological: HP802-247
Registration Number
NCT02154087
Lead Sponsor
Healthpoint
Brief Summary

Assess the influence of HP802-247 on biochemical and cellular markers of inflammation in chronic venous leg ulcers

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1
Inclusion Criteria
  • Provide informed consent
  • Age ≥ 18 years and of either sex
  • Willing to comply with protocol instructions, including allowing all study assessments
  • Have a venous leg ulcer (VLU) between the knee and ankle (at or above the malleolus), with a surface area ≥ 4.0 cm x cm and ≤ 15.0 cm x cm
  • Venous insufficiency confirmed by duplex Doppler ultrasound examination for valvular or venous incompetence
  • Arterial supply adequacy confirmed
  • Target ulcer involves a full thickness skin loss, but WITHOUT exposure of tendon, muscle, or bone
  • Target ulcer duration ≥ 12 weeks but ≤ 104 weeks (24 months).
  • Acceptable state of health and nutrition
Exclusion Criteria
  • History of anaphylaxis, serum sickness, or erythema multiforme reaction to aprotinin, bovine serum albumin or bovine serum proteins, penicillin, streptomycin, amphotericin B or any other component of HP802-247,or known sensitivity to Iodine
  • Prior diagnosis of Systemic Lupus Erythematosus with elevated anti-DNA antibody titers, Buerger's disease (thromboangiitis obliterans), current diagnosis of vasculitis, or current diagnosis of claudication
  • Therapy with another investigational agent within thirty (30) days of Screening, or during the study, or any participation in a previous HP802-247 trial
  • A target ulcer of non-venous etiologies (e.g., sickle cell anemia, necrobiosis lipoidica diabeticorum, pyoderma gangrenosum, vasculopathic or vasculitic)
  • Documented history of osteomyelitis at the target wound location within 6 months preceding the Screening Visit
  • Refusal of or inability to tolerate compression therapy
  • Therapy of the target ulcer with Collagenase Santyl® ointment, autologous skin graft, biological dressings or living cell products (e.g., Oasis®, Apligraf™, Dermagraft™) within 30 days preceding the Screening Visit
  • Therapy of the target ulcer with topical growth factors within 1 week preceding the Screening Visit
  • Current therapy with systemic antibiotics
  • Current systemic therapy with cytotoxic drugs
  • Current therapy with chronic (> 10 days) oral corticosteroids
  • Current therapy with TNFα inhibitors
  • History of cancer in the preceding 5 years (other than carcinoma in situ of the cervix or adequately treated non-melanoma skin cancers)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
HP802-247HP802-247-
Primary Outcome Measures
NameTimeMethod
Determine Change From Baseline in Cell Numbers in Subjects With VLU Following the First Dose of HP802-247Wound fluid samples were to be collected one week after the initial dose of HP802-247.

The following mediators were to be measured for the chronic ulcer stage: IL-1β, IL-6, TNF-α, IFN, MMP-2, and MMP-9, and the following for the resolving ulcer stage: PGE-2, Lipoxin, GM-CSF, TGFβ, IL-10, LL-37, Indoleamine 2,3-Dioxygenase (IDO), and Arginase (ARG-1). Each of the soluble mediators were to be plotted versus measurement time point \[i.e., (pre-study run-in visit (RV)1), baseline (RV3), study visit (SV)2, and SV3\]) and by subjects' quartile of percent reduction (%) in target wound area at SV3 from baseline (RV3).

Secondary Outcome Measures
NameTimeMethod
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