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| Name | Class |
|---|---|
| The First Affiliated Hospital of Soochow University | OTHER |
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Critical limb ischemia (CLI) is the most severe ischemic stage in peripheral arterial disease (PAD) of the lower limbs, characterized by decreased walking ability, resting pain (lasting for more than 2 weeks), ulcers, and gangrene, which seriously affect the quality of life of patients. Some patients may even face amputation or death. Thrombosis is an important pathological feature of CLI. TP03HN106 can promote thrombolysis, thus having a therapeutic effect on CLI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TP03HN106 | Drug | During the dose escalation phase, subjects will undergo a dose escalation trial of intravenous injection of TP03HN106 for 5 consecutive days to evaluate the safety and tolerance of the subjects to the injection dose of TP03HN106. The preset initial dose for this experiment is 10U/kg, with gradient doses of 20, 30, 40, and 50U/kg. Observe the subjects receiving the investigational drug for any adverse events (AEs) after daily intravenous injection. During the maintenance treatment phase, the subjects will undergo two consecutive treatment courses at the final dose during the dose escalation phase. During each treatment course, subjects will complete the collection of efficacy and safety data for 14 consecutive days of medication (administered every 2 days) and 14 days of discontinuation to evaluate the efficacy and safety of TP03HN106 for subjects with critical limb ischemia. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall clinical treatment efficacy rate | The VAS score or ulcer area decreases by ≥ 50% compared to baseline when administering day 62, it is considered a clinically effective case. The overall clinical efficacy of patient treatment is calculated according to the following formula: Overall clinical treatment effectiveness rate=(number of clinically effective cases/total cases) × 100% When the calculated overall clinical success rate is ≥ 70%, the entire clinical trial is considered successful. | Day 62 |
| Measure | Description | Time Frame |
|---|---|---|
| Ankle brachial index, ABI | Changes in ABI of subjects (applicable to patients with ulcers) compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 ABI:The ratio of ankle artery systolic pressure to ipsilateral brachial artery systolic pressure | Baseline, day 6, day 21, day 34, day 49, and day 62 |
| Measure | Description | Time Frame |
|---|---|---|
| Coagulation function indicators | Changes in coagulation function of subjects compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 | Baseline, day 6, day 21, day 34, day 49, and day 62 |
| Fibrinogen degradation products (FDP) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chunying Guo | Contact | 86-15919440001 | guocy@talengen-pharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Soochow University | Recruiting | Suzhou | Jiangsu | 215000 | China |
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| ID | Term |
|---|---|
| D000089802 | Chronic Limb-Threatening Ischemia |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
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| TcPO2 |
Changes in TcPO2 of subjects (applicable to patients with ulcers) compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 TcPO2: transcutaneous oxygen partial pressure |
| Baseline, day 6, day 21, day 34, day 49, and day 62 |
| TBI | Changes in TBI of subjects compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 TBI: The ratio of toe artery systolic pressure to ipsilateral brachial artery systolic pressure | Baseline, day 6, day 21, day 34, day 49, and day 62 |
| Overall clinical treatment efficacy rate | The VAS score or ulcer area decreases by ≥ 50% compared to baseline when administering day 6, day 14, day 21, day 34, day 49, it is considered a clinically effective case. The overall clinical efficacy of patient treatment is calculated according to the following formula: Overall clinical treatment effectiveness rate=(number of clinically effective cases/total cases) × 100% When the calculated overall clinical success rate is ≥ 70%, the entire clinical trial is considered successful. | Day 6, day 14, day 21, day 34, day 49 |
| Rutherford grading | Changes in Rutherford grading of subjects compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 | Baseline, day 6, day 21, day 34, day 49, and day 62 |
Changes in FDP of subjects compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62
| Baseline, day 6, day 21, day 34, day 49, and day 62 |
| Thrombosis 4 items | Changes in thrombosis 4 items of subjects compared to baseline during administration of day 6, day 21, day 34, day 49, and day 62 | Baseline, day 6, day 21, day 34, day 49, and day 62 |
| Computed tomography perfusion (CTP) | Changes in blood volume of subjects compared to baseline during administration of day 34 and day 62 | Baseline,day 34, day 62 |
| Infrared thermal imaging | Measure the temperature of the feet and lower leg | Baseline,day 34, day 62 |
| Computed tomography perfusion (CTP) | Changes in blood flow of subjects compared to baseline during administration of day 34 and day 62 | Baseline,day 34, day 62 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007511 | Ischemia |