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This study is being done to find out if an investigational product called HP802-247 can help people with venous leg ulcers. Investigational means that HP802-247 has not been approved by the U.S. Food and Drug Administration (FDA).
At least 250 subjects will participate. The study is going to be conducted in approximately 50 sites in the United States and Canada.
This research is being done to compare the efficacy of HP802-247 plus compression therapy against Vehicle plus compression therapy in achieving complete wound closure over the 16-week treatment period. Vehicle looks the same as HP802-247 but contains no cells. Target wound status is evaluated at each study visit (closed, open, reopened). At wound closure or completion of treatment all subject will enter an observational safety followed up period which ends at one year after initial exposure to test article.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HP802-247 | Experimental | HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 solution) containing 0.5 x 106 cells per mL every 14 days. |
|
| Vehicle | Placebo Comparator | Vehicle Control(fibrinogen solution & thrombin solution without cells) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HP802-247 | Biological | HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x106 cells per mL every 14 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Wound Closure | Compare HP802-247 plus compression therapy against Vehicle plus compression therapy for proportion of subjects with complete wound closure over the 16-week treatment period from baseline. | 16 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time in Days to Closure | Compare the efficacy of HP802-247 plus compression therapy against Vehicle plus compression therapy in achieving complete wound closure, based on time in days to closure over the 16-week treatment period from baseline. | 16 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Herbert B Slade, MD | Healthpoint | Study Chair |
| Tommy Lee, MSHS | Healthpoint | Study Director |
| Robert Kirsner, MD | University of Miami | Principal Investigator |
| William Marston, MD | University of North Carolina | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix | Arizona | 85006 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29037354 | Derived | Marston WA, Ennis WJ, Lantis JC 2nd, Kirsner RS, Galiano RD, Vanscheidt W, Eming SA, Malka M, Cargill DI, Dickerson JE Jr, Slade HB; HP802-247 Study Group. Baseline factors affecting closure of venous leg ulcers. J Vasc Surg Venous Lymphat Disord. 2017 Nov;5(6):829-835.e1. doi: 10.1016/j.jvsv.2017.06.017. |
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Results summaries have been sent to each site for distribution to participants
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Subjects entered a 2-week run-in; subjects whose wound radius decreased by < 0.349 cm/2weeks and met all other inclusion/exclusion (I/E) criteria were eligible for randomization. After completion of the treatment period, subjects entered a three-month follow up period.
Subjects were screened at 36 sites in the US and 3 in Canada; between November 30, 2012 and November 11, 2015; sites included independent and hospital wound clinics and private practice sites.
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| ID | Title | Description |
|---|---|---|
| FG000 | HP802-247 | HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 solution) containing 0.5 x 106 cells per mL every 14 days. |
| FG001 | Vehicle |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Vehicle | Biological |
|
| Phoenix |
| Arizona |
| 85012 |
| United States |
| Phoenix | Arizona | 85015 | United States |
| Carlsbad | California | 92009 | United States |
| Castro Valley | California | 94546 | United States |
| Fair Oaks | California | 95608 | United States |
| Fresno | California | 93720 | United States |
| Laguna Hills | California | 92653 | United States |
| Long Beach | California | 90822 | United States |
| Los Angeles | California | 90095 | United States |
| San Diego | California | 92013 | United States |
| Sylmar | California | 91342 | United States |
| Washington D.C. | District of Columbia | 20007 | United States |
| Hialeah | Florida | 33013 | United States |
| Miami | Florida | 33125 | United States |
| South Miami | Florida | 33143 | United States |
| Chicago | Illinois | 60611 | United States |
| Jacksonville | Illinois | 62650 | United States |
| Springfield | Illinois | 62702 | United States |
| Baltimore | Maryland | 21224 | United States |
| Boston | Massachusetts | 02118 | United States |
| Saginaw | Michigan | 48602 | United States |
| Washington | Missouri | 63090 | United States |
| Las Vegas | Nevada | 89119 | United States |
| Bayonne | New Jersey | 07002 | United States |
| Hoboken | New Jersey | 07030 | United States |
| East Meadow | New York | 11554 | United States |
| New York | New York | 10025 | United States |
| Chapel Hill | North Carolina | 27599 | United States |
| Akron | Ohio | 44307 | United States |
| Willoughby | Ohio | 44094 | United States |
| Tulsa | Oklahoma | 74127 | United States |
| Dunmore | Pennsylvania | 18512 | United States |
| Wyomissing | Pennsylvania | 19610 | United States |
| Knoxville | Tennessee | 37909 | United States |
| Fort Worth | Texas | 76107 | United States |
| Tacoma | Washington | 98431 | United States |
| Calgary | Alberta | T2T5C7 | Canada |
| Winnipeg | Manitoba | R3A1R9 | Canada |
| Hamilton | Ontario | L8R2R3 | Canada |
| London | Ontario | N6C5J1 | Canada |
| Sherbrooke | Quebec | J1H5N4 | Canada |
| San Juan | 00909-1711 | Puerto Rico |
Vehicle Control(fibrinogen solution & thrombin solution without cells)
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | HP802-247 | HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 solution) containing 0.5 x 106 cells per mL every 14 days. |
| BG001 | Vehicle | Vehicle Control(fibrinogen solution & thrombin solution without cells) |
| BG002 | Total | Total of all reporting groups |
| 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 | Participants |
| ||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | 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 | Wound Closure | Compare HP802-247 plus compression therapy against Vehicle plus compression therapy for proportion of subjects with complete wound closure over the 16-week treatment period from baseline. | Posted | Number | participants | 16 Weeks |
|
|
| ||||||||||||||||||||||||||||||
| Secondary | Time in Days to Closure | Compare the efficacy of HP802-247 plus compression therapy against Vehicle plus compression therapy in achieving complete wound closure, based on time in days to closure over the 16-week treatment period from baseline. | Posted | Mean | Standard Deviation | Days | 16 Weeks |
|
|
Treatment emergent Adverse Events (AE) were collected weekly during the 16-week treatment period; post treatment AE were collected during the follow up period.
Adverse events were reported at each study visit over the duration of the study
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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 | HP802-247 | HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 solution) containing 0.5 x 106 cells per mL every 14 days. | 0 | 77 | 7 | 77 | 23 | 77 |
| EG001 | Vehicle | Vehicle Control(fibrinogen solution & thrombin solution without cells) Vehicle | 0 | 78 | 7 | 78 | 19 | 78 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial infarction | Cardiac disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Infected skin ulcer | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Skin infection | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Pulmonary embo;ism | Respiratory, thoracic and mediastinal disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Peripheral ischemia | Vascular disorders | MedDRA 13.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cellulitis | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Infected skin ulcer | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Wound infecton | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
| |
| Wound complication | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 13.1 | Systematic Assessment |
| |
| Skin ulcer | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Systematic Assessment |
|
The trial was terminated due to the failure of the Phase 3 study
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr Innes Cargill | Smith and Nephew | 817-302-3913 | innes.cargill@smith-nephew.com |
| ID | Term |
|---|---|
| D014647 | Varicose Ulcer |
| D014456 | Ulcer |
| D014947 | Wounds and Injuries |
| D014648 | Varicose Veins |
| D014689 | Venous Insufficiency |
| D020246 | Venous Thrombosis |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D007871 | Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
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| >=65 years |
|
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| United States |
|
|