The purpose of this study is to determine if VF001-DP improves wound healing in chronic venous leg ulcers compared to standard care only.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
156
Placebo
VF001-DP contains parts of normal vitronectin and Insulin-like growth factor 1 (IGF-I) combined in a single protein.
VF001-DP contains parts of normal vitronectin and Insulin-like growth factor 1 (IGF-I) combined in a single protein.
ILD Research Center
Carlsbad, California, United States
Limb Preservation Platform, Inc.
Fresno, California, United States
The percentage reduction in the study ulcer area in each treatment group over the 12-week Treatment Phase.
Patient's ulcers healing rate
Time frame: 12-weeks
The proportion of patients with complete study ulcer closure within the 12-week Treatment Phase
How many patient's ulcers healed?
Time frame: 12-weeks
Time to complete study ulcer closure within the 12-week Treatment Phase
Time to Ulcer Healing
Time frame: 12-weeks
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
Time frame: 12-weeks
Time to clinically meaningful study ulcer pain reduction (33% reduction on VAS) within the 12-week Treatment Phase
Measure of meaningful pain reduction
Time frame: 12-weeks
Change in Quality-of-Life metrics Euro Quality-of-Life Questionnaire EQ-5D-5L
Quality of life
Time frame: Up to 24-weeks
Change in Quality-of-Life metrics Patient Benefit Index - wound version PBI-W
Quality of life - specific to chronic wounds
Time frame: Up to 24-weeks
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Alliance Research Centers
Laguna Hills, California, United States
Foot and Ankle Clinic
Los Angeles, California, United States
Center for Clinical Research
Martinez, California, United States
Sacramento Foot Ankle Cente
Sacramento, California, United States
Bay Area Foot Care
San Francisco, California, United States
Bay Area Foot Care
San Francisco, California, United States
NorthBay Center for Wound Care
Vacaville, California, United States
University of Miami Hospital
Miami, Florida, United States
...and 7 more locations