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Skin Ulcer Venous Stasis ChronicPhase 2NCT04971161

Allogeneic ABCB5-positive Dermal Mesenchymal Stromal Cells for Treatment of CVU (Phase IIb)

A Phase 2 study testing allo-APZ2-CVU in people with Skin Ulcer Venous Stasis Chronic, run by RHEACELL GmbH & Co. KG at 38 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The aim of this clinical trial is to investigate the efficacy (by monitoring the wound size reduction of CVUs) and safety (by monitoring adverse events [AEs]) of three dose groups of the investigational medicinal product (IMP) allo-APZ2-CVU, topically administered on target wounds of patients with CVU compared to… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Skin Ulcer Venous Stasis Chronic
What is being tested?
allo-APZ2-CVU
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
159 participants
Where
38 sitesGermany
Study dates
18 Aug 2021to 25 Nov 2025
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

  • Male or female patients at least 18 years old;
  • Chronic venous leg ulcer (as defined by the current AWMF guidelines: therapy-resistant ulcer that shows no tendency to heal within 3 months despite of optimal phlebological therapies or has not fully healed within 12 months) at lower leg and/or ankle region and has not been present longer than 15 years, diagnosed by doppler or duplex sonography, ankle brachial index (ABI, 0.9-1.3), physical examination and dermatological review;
  • Wound size of target ulcer between 1 and 50 cm² measured by a standardized photography at the screening visit;
  • If patients have 2 or more ulcers at the same extremity, the target ulcer has to be separated by a minimum bridge of 1 cm of epithelialized skin from other ulcers (the largest ulcer should be the target ulcer, if not decided otherwise at discretion of the investigator; the target ulcer is defined at Visit 1);
  • Body mass index between 15 and 50 kg/m²;
  • Patients understand the nature of the procedure and are providing written informed consent prior to any clinical trial procedure;
  • Women of childbearing potential must have a negative blood pregnancy test at Visit 1;
  • Women of childbearing potential and their partner must be willing to use highly effective contraceptive methods during the course of the clinical trial.

Who cannot join

  • Evidence of the ulcer extending to the underlying muscle, tendon, or bone;
  • Diabetes mellitus that has to be confirmed by blood test (Hemoglobin A1c >7.5%);
  • Peripheral Artery Disease including claudication with need of treatment;
  • Acute deep vein thrombosis (maximum 30 days from diagnosis) or a still untreated deep vein thrombosis;
  • Unable to tolerate leg ulcer compression bandage;
  • Infection of the target ulcer requiring treatment as judged clinically;
Show all 18Show fewer
  • All diagnosed disorders, unrelated to CVU, that are influencing wound healing of the target wound at investigator's discretion;
  • Current use of medications that influence wound healing: systemic immunosuppressives, cytotoxic medicinal products, and systemic steroids (above Cushing-threshold level);
  • Patient who, in the opinion of the investigator, for any reason are unable or unwilling to complete the trial per protocol (e.g. alcohol or substance abuse, not mobile, short life expectancy) or there is evidence of any other medical condition (such as psychiatric illness, physical examination, or laboratory findings) that may interfere with the planned treatment, affect the patient's compliance, or place the patient at high risk of complications related to the treatment;
  • Any malignancy within the past 5 years, excluding successfully treated carcinoma in situ, basal cell carcinoma or squamous cell carcinoma of the skin without evidence of metastases;
  • Pregnant or lactating women;
  • Any known allergies to components of the IMP;
  • Prior surgical procedures such as bypass or mesh-graft treatment at target leg within 2 months prior to Visit 1 at target leg;
  • Patients with significant ulcer healing or wound size enlargement of more than 25% at Visit 2 compared to Visit 1;
  • Treatment of target ulcer with active wound care agents (e.g. Iruxol®N), which have not been paused 14 days before IMP application;
  • Current or previous (within 30 days of enrollment) treatment with another IMP, or participation and/or under follow-up in another clinical trial;
  • Previous participation in this clinical trial (except for screening failures due to an inclusion or exclusion criterion);
  • Employees of the sponsor, or employees or relatives of the investigator.

Trial locations and contacts

38 sites in 1 country.

38 sites in 1 country

Germany38 sites
  • MVZ Gefäßzentrum Aachen am Marienhospital Aachen GmbH

    Aachen, 52066

  • Universitätsklinikum Augsburg, Klinik für Dermatologie und Allergologie, Campus Süd

    Augsburg, 86179

  • Fachklinik Bad Bentheim, Dermatologische Ambulanz

    Bad Bentheim, 48455

  • Helios Klinikum Berlin-Buch, Klinik für Plastische und Ästhetische Chirurgie

    Berlin, 13125

  • Helios Klinikum Emil von Behring, Klinik für Plastische und Ästhetische Chirurgie

    Berlin, 14165

  • Hautarztpraxis Dr. Niesmann & Dr. Othlinghaus, Hautzentrum im Jahrhunderthaus

    Bochum, 44793

  • Katholisches Klinikum Bochum gGmbH, Venenzentrum der Kliniken für Dermatologie und Gefäßchirurgie der Ruhr-Universität Bochum

    Bochum, 44805

  • Hautärzte Braunschweig am Altstadtmarkt, Hautärztliche Gemeinschaftspraxis

    Braunschweig, 38100

  • Klinikum Bremerhaven Reinkenheide gGmbH, Klinik für Dermatologie, Allergologie und Phlebologie, Wundzentrum

    Bremerhaven, 27574

  • Klinische Forschung Dresden GmbH

    Dresden, 01069

  • Universitätsklinikum Erlangen, Hautklinik - Wundzentrum Dermatologie

    Erlangen, 91054

  • Universitätsklinikum Essen, Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie

    Essen, 45147

  • Universitätsklinikum Freiburg, Klinik für Dermatologie und Venerologie

    Freiburg im Breisgau, 79104

  • Marienhospital Gelsenkirchen GmbH, Klinik für Chirurgie (Allgemein-, Viszeral- und Endokrine Chirurgie, Thorax-, Gefäß- und Endovaskuläre Chirurgie und Kinderchirurgie)

    Gelsenkirchen, 45886

  • SRH Wald-Klinikum Gera GmbH, Zentrum für Klinische Studien

    Gera, 07548

  • Universitätsmedizin Greifswald, Klinik und Poliklinik für Hautkrankheiten

    Greifswald, 17475

  • Praxis Dr. med. Abdou Zarzour

    Halle, 06108

  • Universitätsklinikum Hamburg- Eppendorf, Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP)

    Hamburg, 20246

  • MVZ Prof. Dr. Ockenfels, Haut und Allergie-Praxisklinik GmbH

    Hanau, 63450

  • Klinikum Region Hannover GmbH, KRH Klinikum Siloah, Klinik für Nephrologie, Angiologie und Rheumatologie

    Hanover, 30459

  • Zentrum für Dermatochirurgie, St. Josefskrankenhaus Heidelberg GmbH

    Heidelberg, 69115

  • SRH Klinikum Karlsbad- Langensteinbach GmbH, Interdisziplinäres Gefäßzentrum Innere Medizin

    Karlsbad, 76307

  • Medizinisches Versorgungszentrum DermaKiel GmbH

    Kiel, 24148

  • Hautarztpraxis Langenau, Studienzentrum

    Langenau, 89129

  • Universitätsklinikum Leipzig AöR, Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie

    Leipzig, 04103

  • Diabetologikum Ludwigshafen, die Praxis am Ludwigsplatz

    Ludwigshafen, 67059

  • Beldio Research GmbH

    Memmingen, 87700

  • Klinikum der Ludwig-Maximilians-Universität München, Klinik und Poliklinik für Dermatologie und Allergologie

    München, 80337

  • Universitätsklinikum Münster, Klinik für Hautkrankheiten, Allgemeine Dermatologie und Venerologie

    Münster, 48149

  • Klinikum Nürnberg Nord, Klinik für Dermatologie

    Nuremberg, 90419

  • MVZ Corius Potsdam GmbH, Dermatologie Potsdam MVZ

    Potsdam, 14467

  • Caritas-Krankenhaus St. Josef, Klinik für Plastische und Ästhetische, Hand- und Wiederherstellungschirurgie

    Regensburg, 93053

  • Universitätsmedizin Rostock, Klinik und Poliklinik für Dermatologie und Venerologie

    Rostock, 18057

  • Helios Kliniken Schwerin, Plastische, Rekonstruktive und Ästhetische Chirurgie

    Schwerin, 19049

  • Hautärztliche Gemeinschaftspraxis Dr. Leitz und Kollegen

    Stuttgart, 70178

  • Universitätsklinikum Tübingen, Universitäts-Hautklinik Tübingen

    Tübingen, 72076

  • Helios Universitätsklinikum Wuppertal, Zentrums für Dermatologie, Allergologie und Dermatochirurgie

    Wuppertal, 42283

  • Universitätsklinikum Würzburg, Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie

    Würzburg, 97080

Other trials in Germany

About this study

Official title: A Randomized, Placebo-Controlled, Double-blind, Dose-Ranging, Multicenter, Phase IIb Clinical Trial to Investigate the Efficacy and Safety of Allo-APZ2-CVU on Wound Healing of Therapy-Resistant Chronic Venous Ulcer (CVU)

The aim of this clinical trial is to investigate the efficacy (by monitoring the wound size reduction of CVUs) and safety (by monitoring adverse events [AEs]) of three dose groups of the investigational medicinal product (IMP) allo-APZ2-CVU, topically administered on target wounds of patients with CVU compared to placebo.

Read the detailed description

This is a randomized, placebo-controlled, double-blind, dose-ranging, multicenter, phase IIb clinical trial to investigate the efficacy and safety of the IMP allo-APZ2-CVU on wound healing in patients with therapy-resistant CVU. The allogeneic IMP allo-APZ2-CVU contains skin-derived ABCB5-positive dermal mesenchymal stromal cells isolated from skin tissue of healthy donors and stored in a donor cell bank.

Patients will be randomized to be treated with allo-APZ2-CVU (dose 1, dose 2, dose 3) or placebo (50 patients per dose group). The patients will undergo treatment with the IMP on Day 0 (V3) and will be followed up for efficacy for 18 weeks (V4 until V14). Two safety follow-up visits will be performed at Month 6 (V15) and Month 10 (V16). An additional visit (V17) will be performed to follow up on target wounds of all patients who reached the primary endpoint (i.e. wound was closed at V13 and V14) at Month 16 (at least).

The wound healing process will be documented by standardized photography. The wound size measurement will start at the first Screening Visit (V1) and will be measured at each following on-site visit.

Pain will be assessed using a numerical rating scale and quality of life will be investigated with standardized and validated questionnaires.

Being tested
allo-APZ2-CVU, Placebo
Keywords
Chronic Venous Ulcer, ABCB5, Allogeneic, Dermal mesenchymal stromal cells, varicose ulcer, skin ulcer, advanced therapy medicinal product, somatic cell therapy, phase IIb
Medical subject headings
Varicose Ulcer, Skin Ulcer

What participants receive

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

  • allo-APZ2-CVUBiological

    Also called Skin-derived ABCB5-positive dermal mesenchymal stromal cells

    Suspension of ABCB5-positive dermal mesenchymal stromal cells. One topical application with a syringe.

  • PlaceboDrug

    One topical application with a syringe

Study groups in NCT04971161
Study groupRoleWhat they receive
allo-APZ2-CVU (dose group 1: 1 x 10e6 cells/cm²)ExperimentalApplication of IMP on patients wound
Receives: Biological: allo-APZ2-CVU
PlaceboPlacebo comparatorApplication of IMP on patients wound
Receives: Drug: Placebo
allo-APZ2-CVU (dose group 2: 3 x 10e6 cells/cm²)ExperimentalApplication of IMP on patients wound
Receives: Biological: allo-APZ2-CVU
allo-APZ2-CVU (dose group 3: 6 x 10e6 cells/cm²)ExperimentalApplication of IMP on patients wound
Receives: Biological: allo-APZ2-CVU

What is being measured

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

  1. Complete wound closure at Week 18 already persisting for at least two weeks

    Complete wound closure at Week 18 already persisting for at least two weeks will be evaluated.

    Measured: Week 18

  2. Assessment of adverse event (AE) occurrence

    All AEs occurring during the clinical trial will be registered, documented and evaluated.

    Measured: Up to 10 months

Secondary outcomes (11)
  1. Wound size change in percent at each post-baseline follow-up visit

    Wound size change in percent at each post-baseline follow-up visit will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  2. Time to complete wound closure

    Time to complete wound closure will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  3. Complete wound closures at each post-baseline follow-up visit

    Complete wound closures at each post-baseline follow-up visit will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10, Month 16

  4. Duration of wound closure

    Duration of wound closure will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  5. Recurrence of the wound

    Recurrence of the wound will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10, Month 16

  6. Quality of wound healing (wound exudate) at each post-baseline follow-up visit

    The Quality of wound healing will be assessed at each post-baseline follow-up visit on the basis of the amount and type of wound exudate.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10, Month 16

  7. Quality of wound healing (granulation tissue together with epithelialization) at each post-baseline follow-up visit

    The Quality of wound healing will be assessed at each post-baseline follow-up visit on the basis of the formation of granulation tissue together with epithelialization.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  8. Quality of wound healing (scar formation) at each post-baseline follow-up visit

    The Quality of wound healing will be assessed at each post-baseline follow-up visit on the basis of the questions regarding scar formation.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  9. Assessment of Quality of Life using the Wound-Quality of Life Questionnaire at V8, V11, V14, V15, V16

    Quality of Life using the Wound-Quality of Life Questionnaire at V8, V11, V14, V15, V16 will be evaluated.

    Measured: Week 6, 12, 18, Month 6 and 10

  10. Pain assessment as per numerical rating scale on each post-baseline follow-up visit

    Pain assessment as per numerical rating scale on each post-baseline follow-up visit will be evaluated.

    Measured: Day 1-2, Week 1, 2, 4, 6, 8, 10, 12, 14, 16, Month 6 and 10

  11. Physical examination and vital signs at V14

    A physical body examination (e.g. general appearance, thyroid, head, lungs and thorax, ears, cardiovascular system, eyes, abdomen, nose-mouth-throat, musculoskeletal system, skin, extremities, lymph nodes, neurological system) will be performed and abnormal physical examination results will be evaluated and reported as AEs.

    Measured: Week 18

Timeline

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

  1. First posted21 Jul 2021
  2. Study start18 Aug 2021
  3. Primary completion25 Nov 2025
  4. Study completion25 Nov 2025

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
Model description
Randomized, placebo-controlled, double-blind, dose-ranging, interventional, multicenter, phase IIb clinical trial
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
159 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04971161
Sponsor's protocol ID
allo-APZ2-CVU-IIb
Other IDs
2023-510162-27-00, U1111-1301-6596, 2020-004960-24, 2023
Status last verified
Nov 2025
First submitted
7 Jun 2021
Last updated
4 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing allo-APZ2-CVU in people with Skin Ulcer Venous Stasis Chronic, run by RHEACELL GmbH & Co. KG at 38 sites in Germany.

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 8 inclusion and 18 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: finished, as of the sponsor's last update on 4 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in Germany. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Complete wound closure at Week 18 already persisting for at least two weeks (time frame: Week 18). The study lists 2 primary outcomes in all. 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 4 Dec 2025; AzTrials last refreshed its copy on 7 Nov 2026.

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