A Research Study to evaluate the safety and potential efficacy of ON101 cream for the treatment of venous leg ulcers.The objectives of the study are to determine the safety and to explore the potential efficacy of ON101 cream in patients with venous leg ulcers.
This is a multi-center, open-label study to investigate the Safety and Potential Efficacy of ON101 Cream in Venous Leg Ulcers (VLU) patients. Subjects with VLU of CEAP C6 (active venous ulcer) or C6R (recurrent active venous ulcer) are to be included in this study. If a subject has more than one ulcer on the leg, the most severe ulcer then the largest ulcer that confirm to meet the eligibility criteria will be selected for study evaluation. 12 eligible subjects will be enrolled and receive ON101 cream treatment. Enrolled subjects will be instructed to apply the study treatment on the selected target ulcer for a maximum of 18 weeks, until the ulcer complete closure (ulcer size of 0) for two consecutive visits that at least 2 weeks apart, or until the subject exit the study prematurely due to any reason. Identical standard of care (SoC) procedure will be performed in both the control and investigational product arms throughout the study period, which including ulcer cleansing, debridement if necessary, and application of a suitable dressing and compression system until complete ulcer closure. Subjects are required to apply compression device at least 8 hours per day throughout the treatment period. The study consists of three periods, a 2-week Screening/Run-in period, an up-to-18-week Treatment period, and a 1-to-2-week Follow-up period. The Screening/Run-in period is to ensure the subjects' eligibility and their compliance to compression therapy and to exclude subjects who demonstrate substantial healing resulting solely from improved compliance with SoC. The Treatment period is to determine the safety and to explore the potential efficacy of the study product. The Follow-up period is to assess the safety. During the Follow-up period, SoC will be provided to subjects with non-healing or recurrent target ulcer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
9
Test drug: 1. Name: ON101 2. Dosage form: Topical cream 3. Active ingredients: Extracts of Plectranthus amboinicus and Centella Asiatica 4. Dose(s): Apply 1 cc per 5 cm2 ulcer size (not exceeding 2 mm in thickness) 5. Dosing schedule: Apply once a day
Taipei Medical University Shuang Ho Hospital
New Taipei City, Taiwan
Taipei Veterans General Hospital
Taipei, Taiwan
Safety endpoint(1) : Treatment-Emergent Adverse Event
Incidence of treatment-emergent adverse event (TEAE); safety will be assessed by the incidence of adverse events, including overall AEs, AEs related to the ON101, study-ulcer-associated AEs and SAEs.
Time frame: Through study completion, an average of 6 months
Safety endpoint(2-1) : Change from baseline in vital signs
Incidence of treatment-emergent adverse event (AE) Change from baseline in vital signs:pulse rate(times/min), SBP/DBP(mmHg), Body Temperature (°C), and respiratory rate ( breaths/min)
Time frame: Through study completion, an average of 6 months
Safety endpoint(2-2) : Change from baseline in physical examination
Incidence of treatment-emergent adverse event (AE) Change from baseline in the physical examination: HEENT (head, eyes, ears, nose, and throat), mouth, skin, neck (including thyroid), lymph nodes, spine, cardiovascular system, respiratory system, gastrointestinal system, nervous system, musculoskeletal system, blood and blood-forming organs and mental status.
Time frame: Through study completion, an average of 6 months
Safety endpoint(2-3) : Change from baseline in laboratory test
Incidence of treatment-emergent adverse event (AE) Change from baseline in laboratory tests: Complete blood count (WBC, Neutrophils, Monocytes, Hb, MCV, MCH, MCHC, Platelet), Biochemistry (HbA1c, fasting blood glucose, triglyceride, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, total bilirubin, aspartate aminotransferase, alanine aminotransferase, creatinine, albumin), and Urinalysis (pH, protein, glucose, ketone, blood, urobilinogen, bilirubin, nitrite, leukocyte)
Time frame: Through study completion, an average of 6 months
Efficacy endpoint(1): ulcer healing time measured
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Time to complete ulcer healing:measured by the photo to ensure the target ulcer area, such as length, width,and depth changed
Time frame: Through study completion, an average of 6 months
Efficacy endpoint(2): complete healing of the target ulcer
Incidence of complete healing of the target ulcer:measured by the photo to ensure the target ulcer area, such as length, width,and depth changed.
Time frame: Through study completion, an average of 6 months
Efficacy endpoint(3): change from baseline in the target ulcer area
Mean change from baseline in the target ulcer area:measured by the photo to ensure the target ulcer area, such as length, width,and depth changed.
Time frame: Through study completion, an average of 6 months
Efficacy endpoint(4): percentage change from baseline in the target ulcer area
Percentage change from baseline in the target ulcer area:measured by the photo to ensure the target ulcer area, such as length, width,and depth changed
Time frame: Through study completion, an average of 6 months
Efficacy endpoint(5): between target ulcer area and time to complete ulcer healing
Correlation between target ulcer area and time to complete ulcer healing:measured by the photo to ensure the target ulcer area, such as length, width,and depth changed
Time frame: Through study completion, an average of 6 months