This is an adaptive open-label, first-in-human (Phase IIa) study designed to assess the safety (and efficacy) of Aurase Wound Gel, an enzymatic debridement product, intended for topical application to sloughy venous leg ulcers (VLU)
The study has been designed as a dose escalation study, and will serially explore increasing concentrations of the Aurase enzyme in a relevant patient population. Five cohorts (of 10 patients each, except cohort 1 with 5 patients), will receive standard of care supplemented with increasing concentrations of Aurase and will be assessed for clinical tolerability at the wound site, systemic safety and efficacy (extent of wound debridement) over a period of 4 weeks. Patients will receive a total of 12 doses of Aurase Wound Gel. At the end of the study, patients will revert to standard of care only.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
43
Aurase Wound Gel is reconstituted from Aurase Component A (a hydrogel) and Aurase Component B (stabilised solutions of Aurase enzyme). By diluting different strengths of Aurase Component B with Component A, specific concentrations of Aurase Wound Gels with differing Aurase contents are yielded.
Center for Clinical Research
San Francisco, California, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
Doctors Research Network
Miami, Florida, United States
University of Miami
Miami, Florida, United States
Incidence of treatment emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From the time of signing informed consent up to the last visit (Day 29)
Change in study wound pain burden from baseline measured by Numerical Rating Scale (NRS)
Subject will be asked to describe the level of wound pain on a scale of 0-10: 0 being no pain, 10 being worst imaginable pain
Time frame: Pre-dosing and post-dose at day 1 (baseline) through to day 29 (end of study)
Change in study wound itch burden from baseline measured by Numerical Rating Scale (NRS)
Subject will be asked to describe the level of wound itch on a scale of 0-10: 0 being no itch, 10 being worst imaginable itch
Time frame: Pre-dose at day 1 (baseline) through to day 29 (end of study)
Grading of clinical signs of wound inflammation
5-point ordinal grading scale (1 \[none\] to 5 \[severe\] ) of wound erythema, oedema made by clinical assessor by Visual Assessment (VA)
Time frame: Pre-dosing and Post-dose at day 1 (baseline) through to day 29 (end of study)
Grading of clinical signs of wound infection
5-point ordinal grading scale (1 \[none\] to 5 \[severe\] ) of wound exudate and induration or grading of presence/absence of wound bleeding and infection made by clinical assessor by Visual Assessment (VA)
Time frame: Day 1 (baseline) through to day 29 (end of study)
Change in surface area of wound compared to baseline
Time frame: Day 1 (baseline), day 5, day 12, day 19, day 29 (end of study)
Change in surface area of devitalised tissue (slough, eschar) compared to baseline
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FASMA
Salem, Virginia, United States
Óbudai Egészségügyi Centrum Kft.
Budapest, Hungary
Uno Medical Trials
Budapest, Hungary
Hull Royal Infirmary
Hull, United Kingdom
Time frame: Day 1 (baseline), day 5, day 12, day 19, day 29 (end of study)
Change in surface area of granulation tissue from baseline
Time frame: Day 1 (baseline) , day 5, day 12, day 19, day 29 (end of study)
Number of patients achieving 100% debridement
Determination of 100% debridement made by clinical assessor upon assessment of wound at each study visit
Time frame: Day 1 (baseline), day 5, day 12, day 19, day 29 (end of study)
Systemic absorption of Aurase enzyme assessed through pharmacokinetic profiling of blood samples
Time frame: Pre-dose and Post dose at day 1 (baseline) and day 29 (end of study) or early termination visit (if applicable)
Assessment of the presence of antibodies to Aurase in plasma (Anti-Drug Antibody [ADA] activity) through applicable laboratory analysis of blood samples
Time frame: Day 1 (Baseline) and day 29 (end of study) or early termination visit (if applicable)
Assessment of systemic clotting factors in plasma
Activated partial thromboplastin time (APTT)/ prothrombin time (PT)/Fibrinogen plasma concentrations determined through laboratory analysis of blood samples
Time frame: Day 0 (Screening), day 1 (Baseline), day 8 and day 29 (end of study) or early termination visit (if applicable)