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| Name | Class |
|---|---|
| sigma-tau i.f.r. S.p.A. | INDUSTRY |
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The purpose of this study is to evaluate the safety, tolerability and effectiveness of Thymosin Beta 4 administered topically in patients with Venous Stasis ulcers
The purpose of this double-blind, placebo-controlled, dose-response study is to evaluate the safety, tolerability and effectiveness of Thymosin Beta 4 (Tβ4), administered topically, in patients with Venous Stasis (VS) ulcers. VS ulcers develop on the ankle or lower leg in patients with chronic vascular disease. In these patients, blood flow in the lower extremities is impaired, leading to edema (swelling) and mild redness and scaling of the skin that gradually progress to ulceration. Tβ4 is a synthetically-produced copy of a naturally occurring 43 amino acid peptide that has wound healing and anti-inflammatory properties and can up-regulate the expression of laminin-5.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | There are 3 groups of patients with venous stasis (VS) ulcers. Each group included 18 patients receiving active drug and 6 receiving placebo. There were 3 concentrations used for topical administration to the active drug groups: 0.01% weight/weight (w/w), 0.03% w/w, and 0.1% w/w thymosin beta 4 gel applied once daily for up to 84 days |
|
| 2 | Placebo Comparator | There were 3 groups of patients with venous stasis (VS) ulcers. Each group included 18 patients receiving active drug and 6 receiving placebo. There was one concentration of placebo gel for topical administration to the placebo group. The concentration was 0.0% weight/weight (w/w) thymosin beta 4 gel applied once daily for up to 84 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thymosin Beta 4 | Drug | There were 3 groups of patients with venous stasis (VS) ulcers. Each group included 18 patients receiving active drug and 6 receiving placebo. There were three concentrations of gel used for topical administration to the active groups: 0.01% weight/weight (w/w), 0.03% w/w, and 0.1% w/w thymosin beta 4 gel applied once daily for up to 84 days |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of Thymosin Beta 4 (Tβ4) Applied to Patients With Venous Stasis (VS) Ulcers for up to 84 Days | All Treatment-Emergent (TE) Serious Adverse Events (SAEs) and Adverse Events (AEs) by treatment with Tβ4 gel at the combined 3 doses in the safety population with Venous Stasis (VS) ulcers for up to 84 days. TEAE is defined as a side effect that begins or that worsens in severity after the application of at least one dose of Tβ4 gel on the venous stasis ulcer. A pre-existing condition is not considered an AE, but if it worsens during the study, then it may be considered an AE | Up to 84 days |
| Measure | Description | Time Frame |
|---|---|---|
| Wound Healing (Wound Closure Without Drainage) by Applying Tβ4 Gel Once Daily for up to 84 Days to Patients With Venous Stasis (VS) Ulcers | Wound healing effectiveness of Tβ4 gel applied once daily for up to 84 days to patients expressed as the number of patients whose wound had closed without drainage at the end of the study, Day 84 | Up to 84 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Giorgio Guarnera, MD | Istituto Dermopatico Dell'Immacolata, Rome , Italy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chirurgia Vascolare | Bologna | Italy | ||||
| Università degli Studi di Napoli - Federico II |
Prior to randomization, patients need to meet specific inclusion and exclusion criteria. There was no wash-out or run-in periods
Recruitment started in 2006 and ended in 2009 using 8 sites: University Medical Center Clinics
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | 0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w) |
| FG001 | Thymosin Beta 4 (Tβ4) at 3 Doses | 0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | 0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w) |
| BG001 | Thymosin Beta 4 (Tβ4) at 3 Doses | 0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety and Tolerability of Thymosin Beta 4 (Tβ4) Applied to Patients With Venous Stasis (VS) Ulcers for up to 84 Days | All Treatment-Emergent (TE) Serious Adverse Events (SAEs) and Adverse Events (AEs) by treatment with Tβ4 gel at the combined 3 doses in the safety population with Venous Stasis (VS) ulcers for up to 84 days. TEAE is defined as a side effect that begins or that worsens in severity after the application of at least one dose of Tβ4 gel on the venous stasis ulcer. A pre-existing condition is not considered an AE, but if it worsens during the study, then it may be considered an AE | Analysis per protocol, ITT, using LOCF | Posted | Jan 2010 | Number | SAEs and AEs | Up to 84 days |
|
99 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | 0.00% Thymosin Beta 4 (Tβ4), weight/weight (w/w) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Connective tissue, inflammation | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Non-systematic Assessment | SAE not related to TB4 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Mycobacterium ulcerans infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Nabila Turjman, PhD, Executive Director, Regulatory Affairs | RegeneRx Biopharmaceuticals, Inc. | 301-208-9191 | 108 | nturjman@regenerx.com |
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| ID | Term |
|---|---|
| D014647 | Varicose Ulcer |
| D014689 | Venous Insufficiency |
| D007871 | Leg Ulcer |
| ID | Term |
|---|---|
| D014648 | Varicose Veins |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D012883 | Skin Ulcer |
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| ID | Term |
|---|---|
| C033402 | thymosin beta(4) |
| D005782 | Gels |
| ID | Term |
|---|---|
| D003102 | Colloids |
| D045424 | Complex Mixtures |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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|
|
| Placebo | Drug | There were 3 groups of patients with venous stasis (VS) ulcers. Each group included 18 patients receiving active drug and 6 receiving placebo. There was one concentration of placebo gel for topical administration to the placebo group. The concentration was 0.0% weight/weight (w/w) thymosin beta 4 gel applied once daily for up to 84 days |
|
| Naples |
| Italy |
| Azienda Ospedaliera di Padova | Padova | Italy |
| Unità Operativa di Angiologia Azienda Ospedaliera di Padova | Padova | Italy |
| Istituto Dermopatico dell'Immacolata (IDI) | Rome | Italy |
| Klinika Chirurgii Naczyń i Angiologii | Lublin | Poland |
| Klinika Chirurgii Ogólnej i Naczyniowej, | Szczecin | Poland |
| Oddział Angiologiczny | Wroclaw | Poland |
| Withdrawal by Subject |
|
| Prohibited Medication |
|
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Thymosin Beta 4 (Tβ4) at 3 Doses |
0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w |
|
|
| Secondary | Wound Healing (Wound Closure Without Drainage) by Applying Tβ4 Gel Once Daily for up to 84 Days to Patients With Venous Stasis (VS) Ulcers | Wound healing effectiveness of Tβ4 gel applied once daily for up to 84 days to patients expressed as the number of patients whose wound had closed without drainage at the end of the study, Day 84 | Analysis per protocol, Intent-to-treat (ITT), using Last Observation Carried Forward (LOCF) | Posted | Jan 2010 | Number | Participants | Up to 84 days |
|
|
|
| 1 |
| 17 |
| 11 |
| 17 |
| EG001 | Thymosin Beta 4 (Tβ4) at 3 Doses | 0.01% Tβ4 weight by weight (w/w), 0.03% Tβ4 w/w, 0.1% Tβ4 w/w | 3 | 55 | 35 | 55 |
|
| Increased Transamines | Investigations | MedDRA (10.0) | Systematic Assessment | SAE not related to TB4 |
|
| Lymphangitis | Infections and infestations | MedDRA (10.0) | Non-systematic Assessment | SAE not related to TB4 |
|
| Skin Ulcer | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | SAE not related to TB4 |
|
| Red blood cell sedimentation rate increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| alanine aminotransferase increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| bilirubin conjugated increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| blood calcium decreased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| blood creatinine phosphokinase increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| blood potassium increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| body temperature increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| bronchitis acute | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| cystitis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| gastroenteritis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| genitourinary tract infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| helicobacter gastritis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| in urine protein/creatinine ratio increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| influenza | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| inviral infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| nasopharyngitis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| platelet count increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| pulpitis dental | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| red blood cell count increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| upper respiratory infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| urinary sediment present | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| urinary tract infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
|
| white blood cell count decreased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| white blood cell increased | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| white blood cell urine positive | Investigations | MedDRA (10.0) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| erythema | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| rash | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| dermatitis | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | AE nnot related to TB4 |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| rash erythematous | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| Skin necrosis | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment | AE nt related to TB4 |
|
| venous ulcer pain | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Inflammation | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| face edema | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| Pain | General disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| edema peripheral | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| pyrexia | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| Secretion Discharge | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| Chest pain | General disorders | MedDRA (10.0) | Systematic Assessment |
|
| Pain in extremities | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Arthropathy | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Intervertebral disc disorder | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| Varicose ulceration | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
| Phlebitis | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
| Thrombophlebitis | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
|
| Gingivitis | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment | AE not related to TB4 |
|
| Nausea | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
|
| Periodontal disease | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
|
| Hypercholesteroloemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
|
| Leukocytosis | Blood and lymphatic system disorders | MedDRA (10.0) | Systematic Assessment |
|
| Cholelithiasis | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
|
| Carpal tunnel syndrome | Nervous system disorders | MedDRA (10.0) | Systematic Assessment | AE not associated with TB4 |
|
| Depression | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
|
| Renal Failure | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
|
| Pharyngolaryngeal Pain | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
|
| Tooth extraction | Surgical and medical procedures | MedDRA (10.0) | Systematic Assessment | AE unrelated to TB4 |
|
RegeneRx/Sigma-Tau agreements may vary with individual investigators, but will not prohibit any investigator from publishing. RegeneRx/Sigma-Tau support the publication of results from all centers of a multi-center trial but requests that reports based on a single-site data not precede the primary publication of the entire clinical trial.
| D012871 |
| Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |