A Phase 2 Exploratory Pharmacodynamic Study of HP802-247 in Venous Leg Ulcers
- 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
- 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
- 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
Group Intervention Description HP802-247 HP802-247 -
- Primary Outcome Measures
Name Time Method Determine Change From Baseline in Cell Numbers in Subjects With VLU Following the First Dose of HP802-247 Wound 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
Name Time Method