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A Phase I/II Randomized, Double Blinded, Placebo Trial to Evaluate the Safety and Potential Efficacy of Intravenous Infusion (IV) of Zofin for the Treatment of Chronic Obstructive Pulmonary Disease (COPD).
Total of 20 adult patients will be chosen from population of adults between the age of 40 to 80 diagnosed with COPD to be randomized to 1 of 2 treatment arms including IV infusion of Zofin or IV infusion on sterile saline.
The subjects will be followed for 12 months to demonstrate safety and efficacy of Zofin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: Zofin | Experimental | Group 1 Treatment Arm (10 subjects): Zofin + Standard of care (SOC) Ten subjects will receive 1 mL of Zofin on Day 0, Day 4, and Day 8, containing 1-5 x 10^11 particles/ml. The Zofin dose will be diluted in 100 mL of sterile saline at subject's bedside. In addition to Zofin all subjects in this trial will receive SOC throughout the study period. |
|
| Group 2: Placebo | Placebo Comparator | Group 2 Control Arm (10 subjects): Placebo + SOC Ten subjects will receive placebo on Day 0, Day 4, and Day 8, containing 101 mL of sterile saline at subject's bedside. In addition to placebo all subjects in this trial will receive SOC throughout the study period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zofin | Drug | Intravenous Infusion (IV) of Zofin |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of Zofin | To demonstrate the safety of Zofin administered intravenously in subjects with COPD by measuring incidence of any of the following treatment-emergent serious adverse events (TE-SAEs) within the first 30 days of infusion:
| first 30 days |
| Safety of Zofin | To monitor the frequency and severity of adverse events | day 0 to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| FVC | FVC from resting PFT | Screen, day 4, day 8, 4 months, 8 months and 12 months |
| FEV1 | FEV1 from resting PFT | Screen, day 4, day 8, 4 months, 8 months and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
Subject with clinically significant illness with manifestations of significant organ dysfunction which in the judgment of the PI or co-investigator would render the study subject unlikely to tolerate the infusion or complete the study
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| Name | Affiliation | Role |
|---|---|---|
| Natasha Phrsai | Proxima Health, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Phoenix | Arizona | 85054 | United States |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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This is a phase I/II randomized, double blinded and placebo control. The ratio between groups is 1:1 for total 20 subjects. Each subject will be randomized to receive either treatment or placebo.
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The study will be double blinded such that neither the patients nor the researchers will know who is getting a placebo and who is getting the treatment. Only product manufacturing staff will be un-blinded.
| Other |
Intravenous Infusion of sterile saline |
|
| FEV1 to FVC ratio | FEV1 to FVC ratio on resting pulmonary function test | Screen, day 4, day 8, 4 months, 8 months and 12 months |
| FEF25-75 | FEF25-75 on resting pulmonary function test | Screen, day 4, day 8, 4 months, 8 months and 12 months |
| Lung Volume Changes | Change in lung volumes (in body plethysmograph), including SGAW (specific airway conductance) and RV (to calculate gas trapping) | Screen, day 4, day 8, 4 months, 8 months and 12 months |
| DLCO | Change in single breath diffusing capacity of lung for carbon monoxide (DLCO) | Screen, day 4, day 8, 4 months, 8 months and 12 months |
| HU of CT Scan | Change in the average of Hounsfield Unit (HU) - a relative quantitative measurement of radio density in CT images. | Screen and 12 months |
| % air in lung on CT Scan | Change in the percentage of air in the lung | Screen and 12 months |
| CPET | Cardiopulmonary Exercise Testing (CPET) with peak VO2 and measures of dynamic hyperinflation | Screen, 4 months, and 12 months |
| Peak VO2 | Cardiopulmonary Exercise Testing (CPET) with peak VO2 | Screen, 4 months, and 12 months |
| Dynamic Hyperinflation | Cardiopulmonary Exercise Testing (CPET) with measures of dynamic hyperinflation | Screen, 4 months, and 12 months |
| Pulmonary Exacerbation | Incidence of investigator-defined pulmonary exacerbation: decrease in exacerbation-related hospitalization | Screening through 12 months |
| TNF-α | Change in serum inflammatory markers: TNF-α | Day 0, Day14, 4 months, 8 months, and 12 months |
| CRP | Change in serum inflammatory markers: CRP | Day 0, Day14, 4 months, 8 months, and 12 months |
| IL-1 | Change in serum inflammatory markers: IL-1 | Day 0, Day14, 4 months, 8 months, and 12 months |
| D-Dimer | Change in serum inflammatory markers: D-dimer | Day 0, Day14, 4 months, 8 months, and 12 months |
| Fibrinogen | Change in serum inflammatory markers: Fibrinogen | Day 0, Day14, 4 months, 8 months, and 12 months |
| SF-36 ot SGRQ | Change in SF-36 questionnaire or St. George's Respiratory Questionnaire (SGRQ) | Screen, 14 days, 1.5 months, 4 months, 8 months, and 12 months |
| CAT Assessment | Change in quality of life (QOL) assessments via COPD Assessment Test (CAT) | Screen, 14 days, 1.5 months, 4 months, 8 months, and 12 months |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |