Phase 2
N=30
Topically Applied Bisphosphocin Nu-3 on Infected Diabetic Ulcers of Subjects With Type I or II Diabetes Mellitus
Diabetic Foot Infections
Bottom Line
View on ClinicalTrials.gov: NCT02737722 ↗Enrolled (actual)
30
Serious AEs
3.3%
Results posted
Nov 2019
Primary outcome: Primary: Number of Participants With Treatment-related Treatment-emergent Adverse Events as Graded According to the Common Terminology Criteria for Adverse Events v4.02 (CTCAE) — 0; 0; 0; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Bisphosphocin Nu-3 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Lakewood-Amedex Inc
- Primary completion
- Aug 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment-related Treatment-emergent Adverse Events as Graded According to the Common Terminology Criteria for Adverse Events v4.02 (CTCAE) |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Normal and Abnormal Cultures at Visits 2, 3, 4, and 5 |
2; 0; 0; 6; 7; 4 | 0.5152 |
| SECONDARY Mean Change From Baseline in the Diabetic Ulcer Severity Score (DUSS) |
0.13; -0.13; -0.14; -0.33 | 0.172 |
| SECONDARY Mean Change From Baseline in the Diabetic Foot Ulcer Wound Infection Score |
-2.38; -1.50; -2.86; -3.00 | 0.432 |
| SECONDARY Mean Change From Baseline in Ulcer Area in the ITT Population |
-0.3; -0.2; -0.7; -0.3 | 0.519 |
| SECONDARY Mean Change From Baseline in the Percentage of Area Reduction for Ulcers in the ITT Population |
25.2; 10.8; 54.0; 41.0 | 0.464 |
| SECONDARY Mean Change From Baseline in Ulcer Area in the Per-Protocol Population |
-0.1; -0.2; -0.7; -0.3 | 0.361 |
| SECONDARY Mean Change From Baseline in the Percentage of Area Reduction for Ulcers in the Per-Protocol Population |
22.4; 10.8; 54.0; 41.0 | 0.465 |
Summary
Phase I/IIa, five cohort ascending dose with two dosing arms per cohort, study in Type I or II diabetes mellitus subjects with a chronic infected diabetic ulcer defined as having a DUSS score of 0 to 3 and DFI wound score of 1 to 3.
Eligibility Criteria
Inclusion Criteria
- Men and women between the ages of 18 and 85.
- Voluntary written consent, given before performance of any clinical investigation-related procedure not part of standard medical care, and with the understanding that consent may be withdrawn at any time without prejudice to future medical care.
- Non-hospitalized ambulatory subjects suffering from Diabetes mellitus, Type I or II
- Diabetic foot ulcer(s) with a DUSS Score of 0 to 3
- Ulcerated area(s) of not more than two (2) ulcers between 0.5 to 6 cm2
- Any female of child bearing age must consent to use medically acceptable birth control for the duration of the study
- Female subjects must meet at least one of the following additional criteria:
- Surgically sterile with bilateral tubal ligation or hysterectomy.
- Post-menopausal for at least one year.
- If of child-bearing potential, practicing an acceptable method of birth control for the duration of the clinical investigation as judged by the Investigator, such as condoms, foams, jellies, diaphragm, intrauterine device or abstinence.
- Subjects willing to undergo pre-and post-clinical investigation blood collection, physical exams and laboratory investigations.
Exclusion Criteria
- A DUSS Score above 3.
- DUSS Probing to Bone = "Yes"
- An ulcer area(s) greater than 6 cm2 or more than two (2) ulcers
- Any subject that has received systemic or topical antibiotics within the last seven (7) days
- Any subject on topical antimicrobial treatment for their infected diabetic foot ulcer whose ulcer is responding to treatment
- Any subject that would be unable to follow the protocol procedures, safely monitor the infection status at home, and return for schedule visits
- Positive pregnancy test at Screening or Visit 2
- Active infection as demonstrated by temperature > 37.5 oC and clinical features of active infection.
- Known immunosuppression or taking immunosuppressive agents including systemic steroids.
- History of severe co-morbidity with expected patient survival ≤ 6 months.
- Pregnancy or lactation
- Intake of investigational drugs within 28 days prior to enrollment.
- History of concurrent condition that, in the Investigator's opinion, would jeopardize the safety of the subject or compliance with the protocol.
- Likely inability to comply with the protocol or cooperate fully with the investigator and site personnel.
- Unwillingness or language barrier precluding adequate understanding of the trial procedure or cooperation with trial site personnel.
- Known or suspected active abuse of alcohol, narcotics or non-prescription drugs.
- Other planned surgical procedures within 30 days prior to or 30 days post-index procedure.
- Prior enrollment in this clinical trial
Data sourced from ClinicalTrials.gov (NCT02737722). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.