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UlcerPhase 2NCT02973893

Study of VF001-DP in Patients With Chronic Venous Leg Ulcers

A Phase 2 study testing VF001-DP LD and VF001-DP HD in people with Ulcer and Leg Ulcer, run by Factor Therapeutics Ltd. at 17 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine if VF001-DP improves wound healing in chronic venous leg ulcers compared to standard care only. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ulcer, Leg Ulcer, Varicose Ulcer
What is being tested?
VF001-DP LD and VF001-DP HD
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
156 participants
Where
17 sitesUnited States
Study dates
Nov 2016to Feb 2019
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At least 18 years old.
  • Ankle-Brachial Pressure Index (ABI) ≥0.80. (Calculations will be made using measurements from both posterior tibial and dorsalis pedis arteries as well as both arms).
  • Presence of VLUs extending through the full thickness of the skin but not down to muscle, tendon or bone. In the case of more than one ulcer, the largest ulcer (compliant with study criteria) will be chosen as the study ulcer and treated in the study. Other ulcerations, if present on the same leg must be at least 2 cm apart from the study ulcer.
  • Venous disease confirmed by Doppler ultrasonography to demonstrate reflux of >0.5 seconds in saphenous (great or small), calf perforators or the deep venous system. Patients with prior venous surgery (i.e., varicose vein stripping, endovenous ablation) may be included if they still demonstrate significant reflux in a remaining venous segment and the ulcer continues to suffer poor healing because of venous hypertension.
  • Ulcer which has been present and treated with standard care (moisture retentive ulcer dressings and compression bandaging not limited to Mepitel® and Coban2®) for at least one month prior to the initial Screening Visit.
  • Moderate severity ulcer at the T1 visit (post-debridement) complying with the following requirements of the Margolis Predictive Score Baseline Wound Area and Wound Duration:
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  • 1(a) 2.5 cm2 to not-more-than 5 cm2 and not-less-than 6 months or;
  • 1(b) Not-less-than 5 cm2 to not-more-than 15 cm2 and not-more-than 6 months
  • Ulcer with a clean, granulating base free of adherent slough at the T1 visit (post-debridement).
  • Female patients of childbearing potential, willing to use acceptable methods of contraception (birth control pills, barriers, or sexual abstinence). A urine pregnancy test must be performed, and negative at the T1 visit.
  • Patient able to understand the study procedures and willing to participate in the clinical study and able to comply with study visit schedule.
  • Provide signed informed consent.

Who cannot join

  • Ulcer(s) deemed by the Investigator to be caused by a medical condition other than venous insufficiency. These may include, but are not limited to: fungal ulcerations, malignant ulcerations, diabetic (neuropathic) ulcerations, and ulcerations due to arterial insufficiency.
  • Increase or decrease by >30% in the study ulcer surface area at the T1 visit post-debridement as compared to the S1 visit study ulcer surface area post-debridement.
  • Ulcer exhibits clinical signs and symptoms of infection at S1to T1 in which case infection should be treated and the patient may after treatment be re-assessed for eligibility to enter into the study.
  • Known allergy to any of the protocol-stipulated treatment procedures, or non-tolerance of multi-layer compression therapy.
  • Ulcer which has undergone continuing high level of compression therapy for ≥12 months
  • Ulcer, which in the opinion of the Investigator is suspicious for cancer.
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  • A history of more than 2 weeks' treatment with immunosuppressants (including systemic corticosteroids), cytotoxic chemotherapy, or application of topical steroids to the ulcer surface within one month prior to initial screening, or treatments with such medications during the screening period, or anticipated requirement of such medications during the course of the study.
  • IGF-1 treatment or treatment with a product containing IGF-1.
  • Treatment with Pentoxifylline (Trental®) within 30-days of S1 visit.
  • Treatment with any investigational drug(s) or therapeutic device(s) within 30 days preceding screening (i.e., S1); or anticipated (patient or physician anticipates) use of any of these therapies during the course of the study.
  • Malignant disease not in remission for 5 years or more, other than basal cell carcinoma, squamous cell carcinoma of the skin or cervical carcinoma in situ, that have been successfully treated without evidence of recurrence or metastases.
  • History of radiation at the ulcer site.
  • As determined by medical history, presence of one or more medical conditions including renal, hepatic, hematologic, active auto-immune or immune diseases that, in the opinion of the Investigator, would make the patient an inappropriate candidate for this ulcer healing study.
  • Known history of having Acquired Immunodeficiency Syndrome (AIDS) or with a history of known infection with Human Immunodeficiency Virus (HIV).
  • Previous participation in any VF001-DP study within the past 6 months.
  • Ulcer has been previously treated with tissue engineered materials (e.g., Apligraf® or Dermagraft®) or other scaffold materials (e.g., Oasis®, Matristem®) within the last 30 days prior to S1.
  • Ulcer which in the opinion of the Investigator might require negative pressure ulcer therapy or hyperbaric oxygen during the course of the study.
  • New York Heart Association Class III and IV congestive heart failure, as defined by the following criteria:
  • Class III: Symptoms with moderate exertion
  • Class IV: Symptoms at rest
  • Uncontrolled diabetes mellitus, defined as Hemoglobin A1C >10% confirmed by the Investigator.
  • Ulcer on the dorsum of the foot or with more than 50% of the ulcer below the malleolus is excluded.
  • Known history of acromegaly.
  • Any other medical or psychological condition (including relevant laboratory abnormalities at screening) that, in the opinion of the Investigator, may suggest a new and/or insufficiently understood disease, may present an unreasonable risk to the study patient as a result of his/her participation in this clinical trial, may make patient's participation unreliable, or may interfere with study assessments. The specific justification for patients excluded under this criterion will be noted in study documents (chart notes, CRFs, etc).
  • Women unwilling to use adequate birth control, if of reproductive potential and sexually active. Adequate birth control is defined as agreement to consistently practice an effective and accepted method of contraception throughout the duration of the study.
  • Pregnancy or breast-feeding.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • ILD Research Center

    Carlsbad, California, 92130

  • University of North Carolina - Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Limb Preservation Platform, Inc.

    Fresno, California, 93721

  • Alliance Research Centers

    Laguna Hills, California, 24012

  • Advanced Foot and Ankle Center

    Las Vegas, Nevada, 89119

  • Foot and Ankle Clinic

    Los Angeles, California, 90057

  • Center for Clinical Research

    Martinez, California, 94553

  • University of Miami Hospital

    Miami, Florida, 33136

  • Doctor Research Network (Dr Hanft)

    Miami, Florida, 33143

  • Miami Dade Medical Research Center (Dr Oliva)

    Miami, Florida, 33176

  • Spotlight Research Centre

    Miami, Florida, 33176

  • Barry University School of Podiatric Medicine

    North Miami Beach, Florida, 33169

  • Sacramento Foot Ankle Cente

    Sacramento, California, 95628

  • Bay Area Foot Care

    San Francisco, California, 94115

  • Bay Area Foot Care

    San Francisco, California, 94705

  • NorthBay Center for Wound Care

    Vacaville, California, 95687

  • Center for Advanced Wound Care PC

    Wyomissing, Pennsylvania, 19610

Other trials in United States

About this study

Official title: A Prospective, Multi-Center, Double-Blind, Randomized, Placebo-Controlled Trial Comparing Two Doses of VF001-DP to Placebo as an Adjunct to Standard Care in Patients With Chronic Venous Leg Ulcers

The purpose of this study is to determine if VF001-DP improves wound healing in chronic venous leg ulcers compared to standard care only.

Read the detailed description

Objective: The objective of this study is to demonstrate the effectiveness and safety of VF001-DP as an adjunct to standard care (SC) in the treatment of chronic venous leg ulcers (VLUs) compared to Placebo with SC over the course of the 12-week Treatment Phase.

Design: This study is a multi-center, randomized, double-blind, placebo-controlled dose-response study designed to evaluate VF-001-DP as an adjunct to SC, versus Placebo and SC in the treatment of chronic VLUs. The SC therapy for VLUs is a moisture retentive ulcer dressing and multi-layer compression therapy. Mepitel® and Coban2® have been chosen to be used as SC in this trial.

The study will have three (3) phases: Screening (2 weeks), Treatment Phase (12 weeks) and Follow-Up (12 weeks).

Only patients whose study ulcer does not exhibit more than 30% change (increase or decrease) in ulcer size post-debridement between Screening Phase Visit (S1) and Treatment Phase Visit (T1) and who continue to meet eligibility criteria at T1 will be randomized to receive either the Active Treatment group (VF001-DP low or high dose plus SC) or the Control Treatment group (Placebo plus SC) in a ratio of 1:1:1.

Treatment: Eligible patients will be assigned to one of the following treatment groups:

  • Placebo and SC
  • VF001-DP (14 micrograms per treatment) and SC (low dose [LD])
  • VF001-DP (140 micrograms per treatment) and SC (high dose [HD]).

The investigational product (IP), i.e., VF001-DP and placebo, will be supplied in 1 mL syringes each containing 0.5 mL of either VF001-DP or Placebo.

The IP contains parts of normal vitronectin and Insulin-like growth factor 1 (IGF-I) combined in a single protein (vitronectin, amino acids 1-64 of the human sequence and IGF-I amino acids 1-70 of the human sequence), 14 μg or 140 μg protein in 0.5 mL of Phosphate Buffered Saline, pH 7.2. VF001-DP is manufactured utilizing an expression vector system in yeast to Good Manufacturing Practice (GMP) and is not made with and does not include any products of human or animal origin.

Number of Patients: It is planned to recruit 168 patients (56 per treatment group) at 26 centres in USA for this study.

Being tested
Placebo, VF001-DP LD, VF001-DP HD
Keywords
Chronic Venous Leg Ulcer
Medical subject headings
Ulcer, Leg Ulcer, Varicose Ulcer, Pathologic Processes, Skin Ulcer, Skin Diseases, Vascular Diseases, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboBiological

    Placebo

  • VF001-DP LDBiological

    VF001-DP contains parts of normal vitronectin and Insulin-like growth factor 1 (IGF-I) combined in a single protein.

  • VF001-DP HDBiological

    VF001-DP contains parts of normal vitronectin and Insulin-like growth factor 1 (IGF-I) combined in a single protein.

Study groups in NCT02973893
Study groupRoleWhat they receive
Placebo plus Standard CarePlacebo comparatorPlacebo plus Standard Care
Receives: Biological: Placebo
VF001-DP LD plus Standard CareExperimentalVF001-DP (14 micrograms per treatment) and Standard Care (low dose [LD])
Receives: Biological: VF001-DP LD
VF001-DP HD plus Standard CareExperimentalVF001-DP (140 micrograms per treatment) and Standard Care (high dose [HD])
Receives: Biological: VF001-DP HD

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The percentage reduction in the study ulcer area in each treatment group over the 12-week Treatment Phase.

    Patient's ulcers healing rate

    Measured: 12-weeks

Secondary outcomes (6)
  1. The proportion of patients with complete study ulcer closure within the 12-week Treatment Phase

    How many patient's ulcers healed?

    Measured: 12-weeks

  2. Time to complete study ulcer closure within the 12-week Treatment Phase

    Time to Ulcer Healing

    Measured: 12-weeks

  3. Time to first instance of no study ulcer pain (i.e., pain score less than 5 mm on Visual Analog Scale [VAS]) within the 12-week Treatment Phase

    Measure of pain reduction to no pain

    Measured: 12-weeks

  4. Time to clinically meaningful study ulcer pain reduction (33% reduction on VAS) within the 12-week Treatment Phase

    Measure of meaningful pain reduction

    Measured: 12-weeks

  5. Change in Quality-of-Life metrics Euro Quality-of-Life Questionnaire EQ-5D-5L

    Quality of life

    Measured: Up to 24-weeks

  6. Change in Quality-of-Life metrics Patient Benefit Index - wound version PBI-W

    Quality of life - specific to chronic wounds

    Measured: Up to 24-weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Nov 2016 (estimated)
  2. Study startNov 2016
  3. Primary completionNov 2018 (estimated)
  4. Study completionFeb 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
156 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02973893
Sponsor's protocol ID
VF00102
Status last verified
Sep 2018
First submitted
7 Nov 2016
Last updated
25 Sep 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VF001-DP LD and VF001-DP HD in people with Ulcer and Leg Ulcer, run by Factor Therapeutics Ltd. at 17 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 25 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The percentage reduction in the study ulcer area in each treatment group over the 12-week Treatment Phase. (time frame: 12-weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2018.

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