The purpose of this study is to determine if CV-18C3 will reduce the rate of restenosis or the time to restenosis in patients undergoing repeat peripheral artery revascularization versus controls randomized to standard of care.
Restenosis of peripheral artery lesions remains a challenging problem to overcome after percutaneous revascularization of atherosclerotic disease in the femoropopliteal arterial system. Rates of restenosis are as high as 60% after a year. Treatment options include medical therapy, angioplasty, arthrectomy and stent placement. The heterogeneity of disease between patients, variable length of target lesions and presence of unpredictable physical forces requires individualized treatment plans. Vascular response to injury appears to play an important role in the development of restenosis. IL-1α is a potent inflammatory cytokine that plays a central role in vascular inflammation and vascular smooth muscle proliferation--both in acute and chronic injury. CV-18C3 antagonizes the biologic activity of IL-1α and is theorized to prevent the early IL-1α mediated inflammation that leads to vascular smooth muscle hypertrophy and restenosis, as well as the late IL-1α mediated atherosclerotic plaque formation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
43
3.75mg/kg given IV for a period of 6 weeks, followed by subcutaneous administration
Sutter Heart & Vascular Institute
Sacramento, California, United States
JFK Medical Center
Atlantis, Florida, United States
River City Clinical Research
Jacksonville, Florida, United States
Jacksonville Center for Clinical Research
Jacksonville, Florida, United States
Safety and tolerability of CV-18C3
adverse events, vitals signs, physical examination results and clinical laboratory values
Time frame: 1 year
Time to restenosis and restenosis rates compared between CV-18C3 and controls
Efficacy determination will be derived from observed rates of target vessel occlusion, time to occlusion, incidence of target vessel revascularization procedures and incidence of major adverse cardiovascular events (MACE). ABI measurements and quality of life questionnaire scores will also be collected. Treated subjects will be compared to those randomized to no treatment.
Time frame: 1 year
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Mediquest Research Group
Ocala, Florida, United States
John D. Archbold Memorial Hospital
Thomasville, Georgia, United States
Univeristy of Cincinnati University Hospital
Cincinnati, Ohio, United States
Methodist Hospital
Houston, Texas, United States