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Clinical Study to Evaluate Efficacy and Safety of ALLO-ASC-DFU in Patients With Diabetic Wagner Grade 2 Foot Ulcers.

A

Anterogen

Status and phase

Completed
Phase 3

Conditions

Diabetic Foot Ulcer

Treatments

Procedure: Vehicle Sheet
Biological: ALLO-ASC-DFU

Study type

Interventional

Funder types

Industry

Identifiers

NCT04569409
ALLO-ASC-DFU-302

Details and patient eligibility

About

This is a phase III double-blind study to evaluate the efficacy and safety of ALLO-ASC-DFU in patients with Diabetic Wagner grade 2 Foot Ulcer, compared to placebo therapy.

Full description

Experimental: ALLO-ASC-DFU, Placebo Comparator: Vehicle Sheet, Study type: Interventional, Study design: Randomized, Placebo-controlled, Double blind, Parallel-group, Multi-center Study

Enrollment

104 patients

Sex

All

Ages

19 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Subject is between 19 and 75 years of age.

  2. Subject is diagnosed with Type I or Type II diabetics.

  3. Diabetic foot ulcer has been more than 4 weeks but less than 52 weeks at the screening visit.

  4. Ulcer located in the foot and ulcer size is between 1.5~15 cm2.

  5. Ulcer graded 2 by Wagner grade.

  6. Foot ulcer extended to ligament, tendon, joint capsule, fascia, muscle and periosteum.

  7. Ulcer is free of necrotic debris.

  8. Ulcer area blood circulation meets one of the following criteria;

    • Blood vessels around the ulcer detected by Doppler Test
    • Range of Ankle Brachial Index (ABI) is > 0.7 to < 1.3
    • Transcutaneous Oxygen Pressure (TcPO2) > 30mmHg or Toe Blood Pressure (TBP) > 40mmHg.
    • Skin Perfusion Pressure (SPP) > 30mmHg
  9. Subject is able to give written informed consent prior to study start and willing to comply with the study requirements.

Exclusion criteria

  1. Ulcer is of non-diabetic pathophysiology.

  2. There is gangrene in any part of the target foot ulcer.

  3. The longest dimension of the target foot ulcer exceeds 15 cm at the enrollment visit.

  4. Other wounds within 2cm of the target foot ulcer.

  5. The ulcer has increased or decreased in size by ≥ 30% during two weeks after the screening visit.

  6. Patient requiring intravenous (IV) antibiotics to treat foot wound infection at the screening and enrollment visit.

  7. Current evidence of active charcot on the study foot, osteomyelitis, cellulitis, or evidence of other infection including fever or purulent drainage from wound site.

  8. Patient with skin lesion confirmed by biopsy (when Investigator deems suspicious) and then judged by Investigator to be an etiology other than diabetic foot ulcer.

  9. An active malignant tumor(malignant melanoma, squamous cell carcinoma, basal cell carcinoma) on the body or skin.

  10. Have a glycated hemoglobin A1c (HbA1c) level of > 14%

  11. Have random blood sugar > 450mg/dL

  12. Have severe renal failure with creatinine > 3.0mg/dL.

  13. Have severe hepatic deficiencies

    • Total bilirubin ≥ 1.5×upper normal limit(UNL)
    • AST, ALT ≥ 2.0×UNL
    • Serum albumin < 2.0mg/dL
  14. Is Human Immunodeficiency Virus (HIV) positive

  15. Have a known history of allergic or hypersensitive reaction to bovine-derived proteins or fibrin glue

  16. Pregnant or breast-feeding.

  17. Is unwilling to use an acceptable method of birth control during the whole study.

  18. Have a clinically relevant history of alcohol or drugs abuse at the screening visit.

  19. Is not able to understand the objective of the study or to comply with the study requirements

  20. Is considered by the Investigator to have a significant disease which might impact the study

  21. Is considered not suitable for the study by Investigator

  22. Have a history of malignancy within the last 5 years (except carcinoma in situ)

  23. Is currently or were enrolled in another clinical study within 60 days of screening

  24. Have undergone wound treatments with growth factors, dermal substitutes, or other biological therapies within the last 30 days.

  25. Is receiving oral or parenteral corticosteroids, any immunosuppressive, or cytotoxic agents with unstable dose within the last 30 days

  26. Cannot maintain off-loading process and device.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

104 participants in 2 patient groups, including a placebo group

ALLO-ASC-DFU
Experimental group
Description:
Hydrogel sheet containing allogenic adipose-derived mesenchymal stem cells
Treatment:
Biological: ALLO-ASC-DFU
Vehicle sheet
Placebo Comparator group
Description:
Hydrogel sheet without allogenic mesenchymal stem cell
Treatment:
Procedure: Vehicle Sheet

Trial contacts and locations

5

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Central trial contact

SeungKyu Han, MD. Ph D

Data sourced from clinicaltrials.gov

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