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The purpose of this study is to determine safety and efficacy of a new gel formulation of Esmolol hydrochloride (Galnobax®) for the treatment of Diabetic Foot Ulcer (DFU). The study will compare number and types of adverse events occured, rates of wound closure and percentage of wounds closed in Galnobax treated groups versus placebo group.
This is an interventional, placebo-controlled, randomized, double-blinded, dose comparison, phase I/II study of Galnobax® in subjects with diabetic foot ulcers. Additionally the effect of dosage and frequency of application will also be studied . The total trial duration per subject is 25 weeks which comprises of 1 week for screening, 12 weeks of treatment and 12 weeks of follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo gel |
|
| Galnobax 20% QD | Experimental | Esmolol Hydrochloride (Galnobax) 20% gel once daily |
|
| Galnobax 20% BID | Experimental | Esmolol Hydrochloride (Galnobax) 20% gel twice daily |
|
| Galnobax 14% BID | Experimental | Esmolol Hydrochloride (Galnobax) 14% gel twice daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Esmolol hydrochloride | Drug |
|
| |
| Esmolol hydrochloride |
| Measure | Description | Time Frame |
|---|---|---|
| Safety Outcome | Number of participant with adverse events (AEs) till end of follow-up phase in different groups | Till end of follow up period (Week 25) |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy Outcome | To evaluate the percent change in ulcer area and ulcer volume from baseline till end of treatment (Week 12) in different groups | Baseline and end of treatment (Week 12 or 84 +/- 2 days) |
| Efficacy Outcome |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Measurements | Pharmacokinetic profile of Galnobax® in subset of patients suffering from DFU | pre-dose (prior to first study drug application), and at 15 and 30 minutes, 1, 3, 6, 12, and 24 hours after the first study drug application on day 0, weeks 1, 4, and 12 (prior to study drug application). |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vickie R Driver, DPM FACFAS | Providence Veteran Affairs Medical Center, RI | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA New England Health Care Division | Providence | Rhode Island | 02908 | United States | ||
| S.L. Raheja Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36245145 | Background | Rastogi A, Kulkarni SA, Deshpande SK, Driver V, Barman H, Bal A, Deshmukh M, Nair H. Novel Topical Esmolol Hydrochloride (Galnobax) for Diabetic Foot Wound: Phase 1/2, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Parallel-Group Study. Adv Wound Care (New Rochelle). 2023 Aug;12(8):429-439. doi: 10.1089/wound.2022.0093. Epub 2022 Nov 16. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo gel |
| FG001 | Galnobax 20% QD | Esmolol Hydrochloride (Galnobax) 20% gel once daily |
| FG002 | Galnobax 20% BID | Esmolol Hydrochloride (Galnobax) 20% gel twice daily |
| FG003 | Galnobax 14% BID | Esmolol Hydrochloride (Galnobax) 14% gel twice daily |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo gel |
| BG001 | Galnobax 20% QD | Esmolol Hydrochloride (Galnobax) 20% gel once daily |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 Outcome | Number of participant with adverse events (AEs) till end of follow-up phase in different groups | Posted | Count of Participants | Participants | Till end of follow up period (Week 25) |
|
25 weeks
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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 | Placebo gel | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arthritis bacterial | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Wound infection | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Supreet Deshpande | NovaLead Pharma Pvt. Ltd. | +91-866-965-6660 | 12 | supreet@novaleadpharma.com |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
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| ID | Term |
|---|---|
| C036604 | esmolol |
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| Drug |
|
|
| Esmolol hydrochloride | Drug |
|
|
| Placebo gel | Drug |
|
|
Time in days taken for closure of wound in different groups from baseline till end of treatment (week 12 or 84 +/- 2 days)
| From baseline till end of treatment (Week 12 or 84 +/- 2 days) |
| Mumbai |
| Maharashtra |
| 400016 |
| India |
| Deenanath Mangeshkar Hospital & Research Center | Pune | Maharashtra | 411004 | India |
| M V Hospital for Diabetes Pvt. Ltd. | Chennai | Tamil Nadu | 600 013 | India |
| Hospital Kuala Lumpur | Kuala Lumpur | Malaysia |
| BG002 |
| Galnobax 20% BID |
Esmolol Hydrochloride (Galnobax) 20% gel twice daily |
| BG003 | Galnobax 14% BID | Esmolol Hydrochloride (Galnobax) 14% gel twice daily |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG003 | Galnobax 14% BID | Esmolol Hydrochloride (Galnobax) 14% gel twice daily |
|
|
| Secondary | Efficacy Outcome | To evaluate the percent change in ulcer area and ulcer volume from baseline till end of treatment (Week 12) in different groups | Posted | Mean | Standard Deviation | percent change | Baseline and end of treatment (Week 12 or 84 +/- 2 days) |
|
|
|
| Secondary | Efficacy Outcome | Time in days taken for closure of wound in different groups from baseline till end of treatment (week 12 or 84 +/- 2 days) | Posted | Median | Full Range | days | From baseline till end of treatment (Week 12 or 84 +/- 2 days) |
|
|
|
| Other Pre-specified | Pharmacokinetic Measurements | Pharmacokinetic profile of Galnobax® in subset of patients suffering from DFU | Posted | Mean | Standard Deviation | Cmax (ng/mL) of Esmolol acid | pre-dose (prior to first study drug application), and at 15 and 30 minutes, 1, 3, 6, 12, and 24 hours after the first study drug application on day 0, weeks 1, 4, and 12 (prior to study drug application). |
|
|
|
| 10 |
| 0 |
| 10 |
| 1 |
| 10 |
| EG001 | Galnobax 20% QD | Esmolol Hydrochloride (Galnobax) 20% gel once daily | 0 | 9 | 0 | 9 | 3 | 9 |
| EG002 | Galnobax 20% BID | Esmolol Hydrochloride (Galnobax) 20% gel twice daily | 0 | 14 | 4 | 14 | 6 | 14 |
| EG003 | Galnobax 14% BID | Esmolol Hydrochloride (Galnobax) 14% gel twice daily | 0 | 11 | 0 | 11 | 6 | 11 |
| Cellulitis | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
|
| Infected skin ulcer | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Inflammation | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Local swelling | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA (17.0) | Non-systematic Assessment |
|
| Wound secretion | Injury, poisoning and procedural complications | MedDRA (17.0) | Non-systematic Assessment |
|
| Skin discoloration | Skin and subcutaneous tissue disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Palpitation | Cardiac disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Hypersensitivity | Immune system disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Blood creatinine increase | Investigations | MedDRA (17.0) | Non-systematic Assessment |
|
| Hypertriglyceradaemia | Metabolism and nutrition disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment |
|
The sponsor has prepared an integrated clinical/statistical report. As this was a multicenter study, any publication/presentation of data was to include the entire study population. Publication/presentation of data from individual study centers is not allowed without explicit permission from the sponsor.
| D007871 |
| Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| Percent Change in Ulcer Volume |
|