The aim of this clinical trial is to investigate the efficacy (by monitoring the wound size reduction of Chronic Venous Ulcers) and safety (by monitoring adverse events) of the medicinal product to be studied after two applications on the wound surface in patients with Chronic Venous Ulcers.
This is an interventional, single arm, phase I/IIa clinical trial to investigate the efficacy and safety of allogeneic ABCB5-positive mesenchymal stem cells (MSCs) on wound healing in patients with chronic venous ulcer (CVU). Allogeneic MSCs will be isolated ex vivo and will be expanded in vitro. The IMP incorporating the ABCB5-positive MSCs will then be applied on the wound surface of CVU under local anesthesia (on Day 0 and Week 6.1). Wound measurements from Visit (V) 2 and V9 will be used to determine the cell amount for the IMP treatments on V3 and V10, respectively. Patients are followed up for efficacy for 3 months which allows to distinguish actual wound healing from transient wound coverage. The wound healing process will be documented by standardized photography. The wound size evaluation will start on the day of the first change of wound dressing. The quality of the wound healing process will be assessed on the basis of formation of granulation tissue, epithelialization and wound exudation. Pain will be assessed using a numerical rating scale and quality of life will be investigated with standardized and validated questionnaires. To assess long-term safety of allo-APZ2-CVU three follow-up visits at Months 6, 9 and 12 after the first IMP applications are included.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
31
Suspension of ABCB5-positive mesenchymal stem cells
Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Kliniken der Ruhr-Universität Bochum im St. Maria Hilf Krankenhaus
Bochum, Germany
Universitätsklinikum Erlangen, Hautklinik
Erlangen, Germany
Klinik und Poliklinik für Hautkrankheiten, Universitätsmedizin Greifswald
Greifswald, Germany
Percentage of wound size reduction
Percentage of wound size reduction at Week 12, or last available post-baseline measurement of Weeks 6, 8 or 10 if the Week 12 measurement is missing (last observation carried forward \[LOCF\]).
Time frame: Week 12 post baseline, or last available post-baseline measurement if the Week 12 measurement is missing
Assessment of adverse event (AE) occurrence
All AEs occurring during the clinical trial will be registered, documented and evaluated.
Time frame: Up to 12 months
Percentage of wound size reduction
Time frame: Weeks 2, 3, 4, 6, 6.1, 6.2, 8, 10, and 12 (without LOCF);
Absolute wound size reduction
Time frame: Weeks 2, 3, 4, 6, 6.1, 6.2, 8, 10, and 12
Proportion of patients achieving complete wound closure
Time frame: Weeks 2, 3, 4, 6, 8, 10, 12, and at any time point
Time to first complete wound closure
Time frame: A priori specification not possible; between baseline and week 12 post baseline
Proportion of patients achieving 30% wound closure
Time frame: Weeks 2, 3, 4, 6, 6.1, 6.2, 8, 10, 12, and at any time point
Time to first 30% wound closure
Time frame: A priori specification not possible; between baseline and week 12 post baseline
Epithelialization
Time frame: Weeks 2, 3, 4, 6, 6.1, 6.2, 8, 10, and 12
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Klinische Forschung Hamburg GmbH, Dermatologie / Allergologie
Hamburg, Germany
pro scientia med im Mare Klinikum; Department Klinische Forschung und Entwicklung
Kiel, Germany
Universitätsklinikum Münster, Klinik für Hautkrankheiten, Allgemeine Dermatologie und Venerologie
Münster, Germany
Klinische Forschung Schwerin GmbH
Schwerin, Germany
Universitätsklinikum Ulm, Klinik für Dermatologie und Allergologie
Ulm, Germany
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Würzburg
Würzburg, Germany
Assessment of further wound healing parameters: formation of granulation tissue and wound exudation
Time frame: Visit 3 and Visit 10 before IMP application, Days 1 to 3 and 8, Weeks 2, 3, 4, 6, 6.2, 8, 10, and 12
Pain assessment as per numerical rating scale (NRS)
Time frame: Days 0, 1 to 3 and 8, Weeks 2, 3, 4, 6, 6.1, 6.2, 8, 10, and 12
Assessment of quality of life (QoL) using the short form 36 (SF-36) questionnaire
Time frame: Day 0 and Weeks 4, 8 and 12
Assessment of dermatology-specific quality of life based on the Dermatology Life Quality Index (DLQI) questionnaire
Time frame: Day 0 and Weeks 4, 8 and 12
Physical examination and vital signs at Week 6.1 and Week 12
Time frame: Week 6.1 and Week 12