Safety and Preliminary Efficacy Study of an Anti-inflammatory Therapeutic Antibody in Reducing Restenosis.
Phase II Open Label,Randomized Study of the Safety, Pharmacokinetics, and Preliminary Efficacy of an Anti-Inflammatory Therapeutic Antibody(CV-18C3)in Reducing Restenosis in Patients Undergoing Percutaneous Femoro-popliteal Revascularization.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Restenosis of peripheral artery lesions remains a challenging problem to overcome after percutaneous revascularization of atherosclerotic disease in the femoropopliteal arterial system. Rates of restenosis are as high as 60% after a year. Treatment options include medical therapy, angioplasty, arthrectomy and stent placement. The heterogeneity of disease between patients, variable length of target lesions and presence of unpredictable physical forces requires individualized treatment plans.
Vascular response to injury appears to play an important role in the development of restenosis. IL-1α is a potent inflammatory cytokine that plays a central role in vascular inflammation and vascular smooth muscle proliferation--both in acute and chronic injury. CV-18C3 antagonizes the biologic activity of IL-1α and is theorized to prevent the early IL-1α mediated inflammation that leads to vascular smooth muscle hypertrophy and restenosis, as well as the late IL-1α mediated atherosclerotic plaque formation.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
California
-
Sacramento, California, United States, 95819
- Sutter Heart & Vascular Institute
-
-
Florida
-
Atlantis, Florida, United States, 33462
- JFK Medical Center
-
Jacksonville, Florida, United States, 32216
- Jacksonville Center for Clinical Research
-
Jacksonville, Florida, United States, 32207
- River City Clinical Research
-
Ocala, Florida, United States, 34471
- Mediquest Research Group
-
-
Georgia
-
Thomasville, Georgia, United States, 31799
- John D. Archbold Memorial Hospital
-
-
Ohio
-
Cincinnati, Ohio, United States, 45267
- Univeristy of Cincinnati University Hospital
-
-
Texas
-
Houston, Texas, United States, 77030
- Methodist Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have suspected superficial femoro-popliteal artery occlusion due to lower extremity pain with exercise or at rest and are undergoing a planned arteriogram.
- Subjects will be randomized after angiographic evidence of qualifying lesion
Exclusion Criteria:
- Acute critical limb ischemia
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
- Any surgical or medical condition, which in the opinion of the investigator, may place the patient at higher risk from his/her participation in the study, or is likely to prevent the patient from complying with the requirements of the study or completing the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CV-18C3 and standard of care
|
3.75mg/kg given IV for a period of 6 weeks, followed by subcutaneous administration
|
|
Active Comparator: standard of care
Percutaneous revascularization
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety and tolerability of CV-18C3
Time Frame: 1 year
|
adverse events, vitals signs, physical examination results and clinical laboratory values
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to restenosis and restenosis rates compared between CV-18C3 and controls
Time Frame: 1 year
|
Efficacy determination will be derived from observed rates of target vessel occlusion, time to occlusion, incidence of target vessel revascularization procedures and incidence of major adverse cardiovascular events (MACE).
ABI measurements and quality of life questionnaire scores will also be collected.
Treated subjects will be compared to those randomized to no treatment.
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Hosam El-Sayed, M.D., Ph.D., Methodist Cardiovascular Surgery Associates
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- 2010-PT017
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.
Clinical Trials on Patients Undergoing Repeat Peripheral Artery Revascularization
-
NCT03864016CompletedPatients Undergoing Cardiac Surgery | Patients With Coronary Artery Bypass Surgery With CEC
-
NCT06435416CompletedPatients Undergoing Off-pump Coronary Artery by Pass Surgery
-
NCT02069405CompletedCoronary Artery Disease and Cardiac Anatomy | Patients Undergoing Coronary CT Angiogram | Patients Undergoing CT Pulmonary Vein Angiogram | Patients Undergoing CT Calcium Score
-
NCT00220909TerminatedPatients Undergoing Elective Coronary Artery Bypass Graft
-
NCT07328646Active, not recruitingBEHAVIOR CHANGE-BASED PHYSICAL ACTIVITY INTERVENTION IN PAD PATIENTS AFTER ENDOVASCULAR REVASCULARIZATION
-
NCT03640767UnknownMessage-based Rehabilitation for Peripheral Artery Disease Patients
-
NCT02941224CompletedPatients With Peripheral Artery Disease in the SFA or PA
-
NCT06686121RecruitingIntermittent Claudication | Peripheral Vascular Disease | Peripheral Artery Disease | Mobility Limitation | Revascularization
-
NCT04125069CompletedPatients Undergoing Coronary Artery Bypass Graft (CABG) Surgery Requiring Extracorporeal Circulation
-
NCT01948505CompletedPost-operative Craniotomy Patients | Carotid Endarterectomy and Carotid Artery Stenosis Patients | Post-op Spine Patients Admitted to the NCCU | Endovascular Patients Undergoing Intracranial Intervention | Traumatic Brain Injuries NPO for at Least 12 Hours
Clinical Trials on CV-18C3
-
NCT01260545CompletedHematologic Malignancies
-
NCT02983877CompletedHypertension | Bipolar Disorder
-
NCT04555161RecruitingPulmonary Arterial Hypertension | Pulmonary Hypertension | Right Heart Dysfunction
-
NCT07611318Enrolling by invitationSurgical Wound | Wounds | Pressure Injuries | VLU | DFU
-
NCT03001713CompletedCardiovascular Diseases | Stroke | Heart Attack
-
NCT01384630Completed
-
NCT01767857TerminatedMetastatic Colorectal Cancer
-
NCT03084406Completed