Efficacy and Safety of XRP0038/NV1FGF in Critical Limb Ischemia Patients With Skin Lesions (TAMARIS)
A Randomized Double-Blind Placebo-Controlled Parallel Group Study of the Efficacy and Safety of XRP0038/NV1FGF on Amputation or Any Death in Critical Limb Ischemia Patients With Skin Lesions
Primary objective is to demonstrate the superiority of riferminogene pecaplasmid (XRP0038/NV1FGF) over placebo in the prevention of major amputation above the ankle of the treated leg or of death from any cause, whichever comes first, in critical limb ischemia (CLI) patients with skin lesions.
Secondary objectives are to evaluate:
- The efficacy of riferminogene pecaplasmid versus placebo for delaying the time to major amputation;
- The efficacy of riferminogene pecaplasmid versus placebo for delaying the time to death;
- The safety of riferminogene pecaplasmid in the study population.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study consists in 6-week treatment then a follow-up period up to 12 months. A follow-up contact is then scheduled 6 months later.
Per protocol amendment a 18-month long-term safety survey was added.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos AIres, Argentina
- Sanofi-Aventis Administrative Office
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New South Wales
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Macquarie Park, New South Wales, Australia
- Sanofi-Aventis Administrative Office
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Vienna, Austria
- Sanofi-Aventis Administrative Office
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Minsk, Belarus
- Sanofi-Aventis Administrative Office
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Diegem, Belgium
- Sanofi-Aventis Administrative Office
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Sao Paulo, Brazil
- Sanofi-Aventis Administrative Office
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Laval, Canada
- Sanofi-Aventis Administrative Office
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Santiago, Chile
- Sanofi-Aventis Administrative Office
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Praha, Czech Republic
- Sanofi-Aventis Administrative Office
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Horsholm, Denmark
- Sanofi-Aventis Administrative Office
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Tatari, Estonia
- Sanofi-Aventis Administrative Office
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Helsinki, Finland
- Sanofi-Aventis Administrative Office
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Paris, France
- Sanofi-Aventis Administrative Office
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Berlin, Germany
- Sanofi-Aventis Administrative Office
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Athens, Greece
- Sanofi-Aventis Administrative Office
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Causeway Bay, Hong Kong
- Sanofi-Aventis Administrative Office
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Budapest, Hungary
- Sanofi-Aventis Administrative Office
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Milan, Italy
- Sanofi-Aventis Administrative Office
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Tokyo, Japan
- Sanofi-Aventis Administrative Office
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Seoul, Korea, Republic of
- Sanofi-Aventis Administrative Office
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Mexico, Mexico
- Sanofi-Aventis Administrative Office
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Warszawa, Poland
- Sanofi-Aventis Administrative Office
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Moscow, Russian Federation
- Sanofi-Aventis Administrative Office
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Singapore, Singapore
- Sanofi-Aventis Administrative Office
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Midrand, South Africa
- Sanofi-Aventis Administrative Office
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Barcelona, Spain
- Sanofi-Aventis Administrative Office
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Bromma, Sweden
- Sanofi-Aventis Administrative Office
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Geneva, Switzerland
- Sanofi-Aventis Administrative Office
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Istanbul, Turkey
- Sanofi-Aventis Administrative Office
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Kiev, Ukraine
- Sanofi-Aventis Administrative Office
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Surrey
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Guildford, Surrey, United Kingdom
- Sanofi-Aventis Administrative Office
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New Jersey
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Bridgewater, New Jersey, United States
- Sanofi-Aventis Administrative Office
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Having peripheral artery disease at the stage of Critical Limb Ischemia (CLI) with skin lesions (either ulcer(s) or gangrene);
- With objective evidence of CLI such as ankle systolic pressure <70 mmHg and/or toe systolic pressure <50 mmHg or transcutaneous oxygen pressure (TcPO2) <30 mmHg;
- Unsuitable for standard revascularization of his/her peripheral arterial disease;
- Having a negative screening for cancer.
Exclusion Criteria:
- Previous major amputation on the leg to be treated or planned major amputation within the first month following randomization;
- Known Buerger's disease;
- Successful lower extremity revascularization procedure within 3 months prior randomization;
- Uncontrolled blood pressure defined as systolic blood pressure (SBP) ≥180 mmHg or diastolic blood pressure (DBP) ≥110 mmHg despite adequate antihypertensive treatment;
- Acute cardiovascular events within 3 months prior to randomization;
- Active proliferative retinopathy and severe macular oedema;
- Previous or current history of malignant disease within the past 5 years;
- Previous treatment with systemic angiogenic factors or with stem cells therapy;
- Pregnant or breast-feeding woman or woman of childbearing potential not protected by an effective contraceptive method of birth control. Man not following effective contraceptive method with his partner of childbearing potential during the course of the study.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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EXPERIMENTAL: Riferminogene pecaplasmid
4 administrations of riferminogene pecaplasmid 4 mg at 2-week intervals
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Formulation: 5 ml glass vials containing 2,5 ml riferminogene pecaplasmid Route: intramuscular (IM) injection of 2.5 mL in the ischemic leg to be treated
Other Names:
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PLACEBO_COMPARATOR: Placebo
4 administrations of placebo (for riferminogene pecaplasmid) at 2-week intervals
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Formulation: 5 ml glass vials containing 2,5 ml placebo Route: IM injection of 2.5 mL in the ischemic leg to be treated |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Time to major amputation of the treated leg or death from any cause, whichever comes first
Time Frame: From randomization up to 12 months
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From randomization up to 12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Time to first major amputation of the treated leg
Time Frame: From randomization up to 12 months
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From randomization up to 12 months
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Time to death from any cause
Time Frame: From randomization up to 12 months
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From randomization up to 12 months
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Number of participants with adverse events as a measure of safety
Time Frame: From 1st treatment administration up to death, or the earliest of Day 360 or last contact/assessment
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From 1st treatment administration up to death, or the earliest of Day 360 or last contact/assessment
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Van Belle E, Nikol S, Norgren L, Baumgartner I, Driver V, Hiatt WR, Belch J. Insights on the role of diabetes and geographic variation in patients with critical limb ischaemia. Eur J Vasc Endovasc Surg. 2011 Sep;42(3):365-73. doi: 10.1016/j.ejvs.2011.04.030. Epub 2011 Jun 21.
- Belch J, Hiatt WR, Baumgartner I, Driver IV, Nikol S, Norgren L, Van Belle E; TAMARIS Committees and Investigators. Effect of fibroblast growth factor NV1FGF on amputation and death: a randomised placebo-controlled trial of gene therapy in critical limb ischaemia. Lancet. 2011 Jun 4;377(9781):1929-37. doi: 10.1016/S0140-6736(11)60394-2. Epub 2011 May 28.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EFC6145
- 2006-006277-24 (EUDRACT_NUMBER)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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