The PDA-002-DFU-002 trial is a Phase 2, multicenter, randomized, double blind, placebo controlled, dose range finding study. The study will enroll approximately 133 subjects in four treatment groups. The primary objective of the study is to assess the efficacy and safety of PDA-002 administered intramuscular (IM) in subjects who have DFU with and without PAD. The secondary objective is to explore potential clinical efficacy by assessing changes in vascular parameters such as Ankle-Brachial Index and Toe-Brachial Index (ABI and/or TBI), Transcutaneous oxygen measurements (TcPO2).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
159
3 x 10\^6 cells administered on Study Days 1 and 8
10 x 10\^6 Human Placenta Derived cells (PDA-002) administered on Study Days 1 and 8
30 x 10\^6 Human Placenta Derived cells (PDA-002) administered intramuscularly on Study Days 1 and 8
Identical matching placebo administered IM on Study Days 1 and 8
Cardiology PC
Birmingham, Alabama, United States
TFi Medical
Mobile, Alabama, United States
East Valley Foot and Ankle Specialist
Mesa, Arizona, United States
Carl T. Hayden Veterans Affairs Medical Center
Phoenix, Arizona, United States
Arizona Arthritis and Rheumatology Research, PLLC
Phoenix, Arizona, United States
Complete wound closure of the index ulcer
Complete wound closure is defined as closure of the index ulcer and retaining wound closure for the subsequent 4 weeks
Time frame: Up to 4 months
Safety (adverse events [type, frequency, and severity of AEs, and relationship of AEs to study drug], laboratory abnormalities, and hospitalizations
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a subject during the course of a study.
Time frame: Up to 24 months
Time to ulcer closure
The time period for the index ulcer to close
Time frame: Up to 6 months
Ankle Brachial Index (ABI ) and Toe-Brachial Index (TBI)
ABI and TBI will be calculated by dividing the systolic blood pressure at the ankle or toe by the systolic blood pressures (Doppler technique) in the arm
Time frame: Up to 6 months
50% Closure of Index Ulcer
The proportion of subjects with at least 50% closure of the index ulcer
Time frame: Up to 24 months
Transcutaneous oxygen
Transcutaneous oxygen measurements determine the oxygen level in tissue below the skin
Time frame: Up to 6 months
Time to amputation, ulcer opening closing, gangrene and infection
Time to major amputation (above the ankle) of treated leg, minor amputations, to re-opening of ulcer, time to doubling / halving of index ulcer total surface area from baseline, de novo gangrene and foot wound infection
Time frame: Up to 24 months
Wagner Grading Scale
The Wagner system assesses ulcer depth and the presence of osteomyelitis or gangrene by using the following grades: grade 0 (pre-or postulcerative lesion), grade 1 (partial/full thickness ulcer), grade 2 (probing to tendon or capsule), grade 3 (deep with osteitis), grade 4 (partial foot gangrene), and grade 5 (whole foot gangrene).
Time frame: Up to 24 months
Rutherford Criteria
The Rutherford classification is a clinical staging system for describing peripheral arterial disease.
Time frame: Up to 6 months
36-item Short Form Health Survey (SF-36)
A validated measurement of health related quality of life
Time frame: Up to 6 months
Diabetic Foot Ulcer Scale Short Form (DFS-SF) index ulcer
A measurement of the impact of diabetic foot ulcer on a patient's quality of life.
Time frame: Up to 6 months
Patient Global Impression of Change in Neuropathy (PGICN)
Assessment of changes in neuropathy over time
Time frame: Up to 24 months
European Quality of Life: EuroQOL-5D- health utility index assessment (EQ-5D)
A standardized instrument used as a measure of health outcome
Time frame: Up to 6 months
Number of all ulcers
The total number of ulcers
Time frame: Up to 24 months
Leg rest pain score
A visual analog scale (VAS) graded from 0 (pain free) to Grade 10 (maximum pain)
Time frame: Up to 24 months
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Aung Foothealth Clinics and Advanced Wound Care Center
Tucson, Arizona, United States
Northeast Arkansas Baptist Clinic
Jonesboro, Arkansas, United States
Jeffrey A Klemes DPM
Beverly Hills, California, United States
Center for Clinical Research Inc.
Castro Valley, California, United States
Reliance Clinical Research
Chino, California, United States
...and 45 more locations