Clinical Study to Evaluate Efficacy and Safety of ALLO-ASC-DFU in Patients With Diabetic Wagner Grade 2 Foot Ulcers.
Phase 3 Clinical Study to Evaluate Efficacy and Safety of ALLO-ASC-DFU in Patients With Diabetic Wagner Grade 2 Foot Ulcers: A Randomized, Comparator-controlled, Double-blind, Parallel-group, Multi-center Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: SeungKyu Han, MD. Ph D
- Phone Number: +82-02-2626-3333
- Email: pshan@kumc.or.kr
Study Locations
-
-
Bucheon
-
Gyeonggi-do, Bucheon, South Korea, 14647
- Bucheon St. Mary's Hospital
-
-
Seongnam-si
-
Gyeonggi-do, Seongnam-si, South Korea, 13620
- Seoul National University Bundang Hospital
-
-
Seoul
-
Seoul, Seoul, South Korea, 08308
- Korea University Guro Hospital
-
Seoul, Seoul, South Korea, 05505
- Asan Medical Center
-
Seoul, Seoul, South Korea, 07061
- Borame Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject is between 19 and 75 years of age.
- Subject is diagnosed with Type I or Type II diabetics.
- Diabetic foot ulcer has been more than 4 weeks but less than 52 weeks at the screening visit.
- Ulcer located in the foot and ulcer size is between 1.5~15 cm2.
- Ulcer graded 2 by Wagner grade.
- Foot ulcer extended to ligament, tendon, joint capsule, fascia, muscle and periosteum.
- Ulcer is free of necrotic debris.
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
- Subject is able to give written informed consent prior to study start and willing to comply with the study requirements.
Exclusion Criteria:
- Ulcer is of non-diabetic pathophysiology.
- There is gangrene in any part of the target foot ulcer.
- The longest dimension of the target foot ulcer exceeds 15 cm at the enrollment visit.
- Other wounds within 2cm of the target foot ulcer.
- The ulcer has increased or decreased in size by ≥ 30% during two weeks after the screening visit.
- Patient requiring intravenous (IV) antibiotics to treat foot wound infection at the screening and enrollment visit.
- Current evidence of active charcot on the study foot, osteomyelitis, cellulitis, or evidence of other infection including fever or purulent drainage from wound site.
- 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.
- An active malignant tumor(malignant melanoma, squamous cell carcinoma, basal cell carcinoma) on the body or skin.
- Have a glycated hemoglobin A1c (HbA1c) level of > 14%
- Have random blood sugar > 450mg/dL
- Have severe renal failure with creatinine > 3.0mg/dL.
Have severe hepatic deficiencies
- Total bilirubin ≥ 1.5×upper normal limit(UNL)
- AST, ALT ≥ 2.0×UNL
- Serum albumin < 2.0mg/dL
- Is Human Immunodeficiency Virus (HIV) positive
- Have a known history of allergic or hypersensitive reaction to bovine-derived proteins or fibrin glue
- Pregnant or breast-feeding.
- Is unwilling to use an acceptable method of birth control during the whole study.
- Have a clinically relevant history of alcohol or drugs abuse at the screening visit.
- Is not able to understand the objective of the study or to comply with the study requirements
- Is considered by the Investigator to have a significant disease which might impact the study
- Is considered not suitable for the study by Investigator
- Have a history of malignancy within the last 5 years (except carcinoma in situ)
- Is currently or were enrolled in another clinical study within 60 days of screening
- Have undergone wound treatments with growth factors, dermal substitutes, or other biological therapies within the last 30 days.
- Is receiving oral or parenteral corticosteroids, any immunosuppressive, or cytotoxic agents with unstable dose within the last 30 days
- Cannot maintain off-loading process and device.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ALLO-ASC-DFU
Hydrogel sheet containing allogenic adipose-derived mesenchymal stem cells
|
Application of ALLO-ASC-DFU sheet to Diabetic Wagner grade 2 Foot Ulcer
|
|
Placebo Comparator: Vehicle sheet
Hydrogel sheet without allogenic mesenchymal stem cell
|
Application of Vehicle sheet to Diabetic Wagner grade 2 Foot Ulcer
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportions of subjects who achieved complete wound closure
Time Frame: During 12 weeks
|
During 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time taken to complete wound closure
Time Frame: During 12 weeks
|
During 12 weeks
|
|
Proportions of subjects who achieved complete wound closure at every visit
Time Frame: During 12 weeks
|
During 12 weeks
|
|
Change rates in wound size and depth compared to baseline groups
Time Frame: During 12 weeks
|
During 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: SeungKyu Han, MD. Ph D, Korea University Guro Hospital
- Principal Investigator: BaekKyu Kim, MD. Ph D, Seoul National University Bundang Hospital
- Principal Investigator: JunPio Hong, MD. Ph D, Asan Medical Center
- Principal Investigator: JiUng Bak, MD. Ph D, Borame Medical Center
- Principal Investigator: YeongCheol Seo, MD. Ph D, Bucheon St. Mary's Hospital
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- ALLO-ASC-DFU-302
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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