Study Investigating the Safety and Efficacy of HP802-247 in the Treatment of Venous Leg Ulcers

Sponsor
Healthpoint (Industry)
Overall Status
Completed
CT.gov ID
NCT01656889
Collaborator
Smith & Nephew, Inc. (Industry)
447
50
2
28
8.9
0.3

Study Details

Study Description

Brief Summary

This study is being done to find out if an investigational product called HP802-247 can help people with venous leg ulcers. Investigational means that HP802-247 has not been approved by the U.S. Food and Drug Administration (FDA).

This research is being done to compare the efficacy of HP802-247 plus compression therapy against Vehicle plus compression therapy in achieving complete wound closure over the 12-week treatment period. Vehicle looks the same as HP802-247 but contains no cells.

Condition or Disease Intervention/Treatment Phase
  • Biological: HP-802-247
  • Biological: Vehicle
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
447 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 3 Randomized, Double Blind, Vehicle Controlled Study Investigating the Safety and Efficacy of HP802-247 in the Treatment of Venous Leg Ulcers
Study Start Date :
Aug 1, 2012
Actual Primary Completion Date :
Dec 1, 2014
Actual Study Completion Date :
Dec 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: HP802-247

HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days.

Biological: HP-802-247
HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days.

Placebo Comparator: Vehicle

Vehicle Control (fibrinogen solution & thrombin solution without cells)

Biological: Vehicle
(fibrinogen solution & thrombin solution without cells)

Outcome Measures

Primary Outcome Measures

  1. Compare the Treatment Groups for the Proportion of Subjects With Complete Wound Closure Over the 12-Week Treatment Period From Baseline [12 Weeks]

    For each treatment group the area of each subject's target ulcer was measured on a weekly basis, for up to 12 weeks, using a laser-based wound imaging system in conjunction with software to measure area. Following initial closure subjects returned for four weekly visits to confirm wound closure. Wounds that remained closed for four weeks were classified as confirmed closures; if a wound opened at any of the 4 visits it was not considered to have closed. For subjects who dropped from the study, their remaining visit values were imputed using LOCF; wound status of closed was not imputed.

Secondary Outcome Measures

  1. Compare the Efficacy of the Treatment Groups in Achieving Complete Wound Closure, Based on Time in Days to Closure Over the 12-Week Treatment Period From Baseline. [12 Weeks]

    This key secondary outcome was based on a Cox Proportional Hazard Analysis and a Kaplan-Meier survival analysis.

  2. Compare the Treatment Groups for the Percentage of Closed Ulcers at Each Visit of the 12-Week Treatment Period From Baseline [Weekly, over the 12 week treatment period, or until wound closure, which ever occurred first]

    Treatment groups were compared for the proportion of wounds closed at each weekly visit. For subjects who dropped from the study, their remaining visit values were imputed using LOCF.

  3. Number of Subjects With Durable Wound Healing Over the 3 Months Following Complete Wound Closure [Target ulcer status observed at two and three months following initial ulcer closure.]

    Subjects who completed the treatment period with confirmed wound closure were followed in the post-treatment period for a further two months to determine their closed wound status (remained closed/reopened), giving a measure of persistence of wound closure following completion of treatment.

  4. Change in Pain Associated With the Target Leg at Each of the 12 Double Blind Treatment Weeks [Weekly, over the 12 week treatment period, baseline]

    Target leg pain were measured using a Visual Analog Scale [Range: 0mm - 100mm]. Subjects marked their pain level on a 100 mm horizontal line, with a short vertical line across the scale, 0 denoting no pain and 100mm the maximum pain.

  5. Change in Target Ulcer Pain [Weekly, over 12 week treament period, baseline]

    Target ulcer pain were measured using a Visual Analog Scale [Range: 0mm - 100mm]. Subjects marked their pain level on a 100 mm horizontal line, with a short vertical line across the scale, 0 denoting no pain and 100mm the maximum pain.

  6. Compare the Efficacy of the Treatment Groups in Achieving Complete Wound Closure, Based on the Median Time (in Days) to Closure Over the 12-Week Treatment Period From Baseline. [12 weeks]

    This key secondary outcome was based on a Kaplan-Meier survival analysis.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Provide informed consent.

  • Age ≥ 18 years and of either sex.

  • Willing to comply with protocol instructions, including allowing all study assessments.

  • Have a venous leg ulcer (VLU) between the knee and ankle (at or above the malleolus), with a surface area ≥ 2.0 cm2 and ≤ 12.0 cm2

  • Venous insufficiency confirmed by duplex Doppler ultrasound examination for valvular or venous incompetence.

  • Arterial supply adequacy confirmed

  • Target ulcer involves a full thickness skin loss, but WITHOUT exposure of tendon, muscle, or bone.

  • Target ulcer duration ≥ 6 weeks but ≤ 104 weeks (24 months).

  • Acceptable state of health and nutrition

Exclusion Criteria:
  • History of anaphylaxis, serum sickness, or erythema multiforme reaction to aprotinin, bovine serum albumin or bovine serum proteins, penicillin, streptomycin, amphotericin
  • Prior diagnosis of Systemic Lupus Erythematosus with elevated anti-DNA antibody titers, Buerger's disease (thromboangiitis obliterans), current diagnosis of vasculitis, or current diagnosis of claudication.

  • Therapy with another investigational agent within thirty (30) days of Screening, or during the study.

  • A target ulcer of non-venous etiologies (e.g., sickle cell anemia, necrobiosis lipoidica diabeticorum, pyoderma gangrenosum, vasculopathic or vasculitic).

  • Documented history of osteomyelitis at the target wound location within 6 months preceding the Screening Visit.

  • Refusal of or inability to tolerate compression therapy.

  • Therapy of the target ulcer with autologous skin graft, Apligraf™, or Dermagraft™ within 30 days preceding the Screening Visit.

  • History of cancer in the preceding 5 years (other than carcinoma in situ of the cervix or adequately treated non-melanoma skin cancers).

  • Any prior exposure to HP802-247 or its vehicle.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Glendale Arizona United States 85306
2 Phoenix Arizona United States 85006
3 Phoenix Arizona United States 85012
4 Tucson Arizona United States 85723
5 Tucson Arizona United States 85724
6 Carlsbad California United States 92009
7 Castro Valley California United States 94546
8 Fresno California United States 93720
9 Laguna Hills California United States 92653
10 Long Beach California United States 90822
11 Los Angeles California United States 90095
12 San Diego California United States 92013
13 San Francisco California United States 94115
14 Stockton California United States 95204
15 Sylmar California United States 91342
16 Washington District of Columbia United States 20007
17 Gainesville Florida United States 32605
18 Hialeah Florida United States 33013
19 Miami Florida United States 33125
20 South Miami Florida United States 33143
21 Tamarac Florida United States 33321
22 Chicago Illinois United States 60611
23 Chicago Illinois United States 60612
24 Chicago Illinois United States 60616
25 Jacksonville Illinois United States 62650
26 North Chicago Illinois United States 60064
27 Springfield Illinois United States 62702
28 Baltimore Maryland United States 21224
29 Boston Massachusetts United States 02118
30 Cambridge Massachusetts United States 02138
31 Las Vegas Nevada United States 89119
32 Emerson New Jersey United States 07630
33 New York New York United States 10025
34 Chapel Hill North Carolina United States 27599
35 Akron Ohio United States 44307
36 Tulsa Oklahoma United States 74127
37 Dunmore Pennsylvania United States 18512
38 Wyomissing Pennsylvania United States 19610
39 Dallas Texas United States 75390
40 Fort Worth Texas United States 76104
41 Fort Worth Texas United States 76107
42 San Antonio Texas United States 78229
43 St. George Utah United States 84770
44 Roanoke Virginia United States 24013
45 Tacoma Washington United States 98431
46 Vancovuer British Columbia Canada V5Z1M9
47 Hamilton Ontario Canada L8R2R3
48 London Ontario Canada N6C5J1
49 Sudbury Ontario Canada P3E5J1
50 Sherbrooke Quebec Canada J1H5N4

Sponsors and Collaborators

  • Healthpoint
  • Smith & Nephew, Inc.

Investigators

  • Study Chair: Herbert B Slade, MD, Chief Medical Officer
  • Study Director: Tommy Lee, MSHS, Associate Director Clinical Operations
  • Principal Investigator: Robert Kirsner, MD, Investigator
  • Principal Investigator: William Marston, MD, Investigator

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Healthpoint
ClinicalTrials.gov Identifier:
NCT01656889
Other Study ID Numbers:
  • 802-247-09-029
First Posted:
Aug 3, 2012
Last Update Posted:
Mar 14, 2016
Last Verified:
Feb 1, 2016
Keywords provided by Healthpoint
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Subjects were screened at 43 sites in the US and 5 in Canada; between August 22, 2012 and April 18, 2014; sites included independent and hospital wound clinics and private practice sites.
Pre-assignment Detail Subjects entered a 2-week run-in; subjects whose wound radius decreased by < 0.349 cm/2weeks and met all other inclusion/exclusion (I/E) criteria were eligible for randomization. After completion of the treatment period, subjects entered a three-month follow up period.
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Period Title: Treatment Period, 12 Weeks
STARTED 222 225
COMPLETED 210 214
NOT COMPLETED 12 11
Period Title: Treatment Period, 12 Weeks
STARTED 210 213
COMPLETED 206 204
NOT COMPLETED 4 9

Baseline Characteristics

Arm/Group Title HP802-247 Vehicle Total
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle Total of all reporting groups
Overall Participants 211 210 421
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
136
64.5%
138
65.7%
274
65.1%
>=65 years
75
35.5%
72
34.3%
147
34.9%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
60.5
(14.8)
61.0
(12.5)
60.7
(13.7)
Sex: Female, Male (Count of Participants)
Female
71
33.6%
82
39%
153
36.3%
Male
140
66.4%
128
61%
268
63.7%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
36
17.1%
42
20%
78
18.5%
Not Hispanic or Latino
175
82.9%
168
80%
343
81.5%
Unknown or Not Reported
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
1
0.5%
0
0%
1
0.2%
Asian
3
1.4%
1
0.5%
4
1%
Native Hawaiian or Other Pacific Islander
1
0.5%
1
0.5%
2
0.5%
Black or African American
43
20.4%
34
16.2%
77
18.3%
White
160
75.8%
167
79.5%
327
77.7%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
3
1.4%
7
3.3%
10
2.4%
Region of Enrollment (participants) [Number]
Canada
9
4.3%
13
6.2%
22
5.2%
United States
202
95.7%
197
93.8%
399
94.8%

Outcome Measures

1. Primary Outcome
Title Compare the Treatment Groups for the Proportion of Subjects With Complete Wound Closure Over the 12-Week Treatment Period From Baseline
Description For each treatment group the area of each subject's target ulcer was measured on a weekly basis, for up to 12 weeks, using a laser-based wound imaging system in conjunction with software to measure area. Following initial closure subjects returned for four weekly visits to confirm wound closure. Wounds that remained closed for four weeks were classified as confirmed closures; if a wound opened at any of the 4 visits it was not considered to have closed. For subjects who dropped from the study, their remaining visit values were imputed using LOCF; wound status of closed was not imputed.
Time Frame 12 Weeks

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Analysis was by the Cochrane Mantel Haenszel (CMH) test, adjusted for sites, with significance being at P < 0.05
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 211 210
Wound Closed
129
61.1%
126
60%
Wound Not Closed
82
38.9%
84
40%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5896
Comments
Method Cochran-Mantel-Haenszel
Comments P-value is based on the chi-squared proportion of wounds closed in each group.
2. Secondary Outcome
Title Compare the Efficacy of the Treatment Groups in Achieving Complete Wound Closure, Based on Time in Days to Closure Over the 12-Week Treatment Period From Baseline.
Description This key secondary outcome was based on a Cox Proportional Hazard Analysis and a Kaplan-Meier survival analysis.
Time Frame 12 Weeks

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Data were analyzed using the Cox Proportional hazard procedure, with significance being at P < 0.05 and by the Kaplan-Meier survival procedure
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 211 210
Median (Full Range) [days]
57.0
50.0
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .3675
Comments
Method Regression, Cox
Comments
3. Secondary Outcome
Title Compare the Treatment Groups for the Percentage of Closed Ulcers at Each Visit of the 12-Week Treatment Period From Baseline
Description Treatment groups were compared for the proportion of wounds closed at each weekly visit. For subjects who dropped from the study, their remaining visit values were imputed using LOCF.
Time Frame Weekly, over the 12 week treatment period, or until wound closure, which ever occurred first

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Analysis was by the Cochrane Mantel Haenszel (CMH) test, adjusted for sites, with significance being at P < 0.05
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 211 210
Baseline
0
0
Treatment Week 01
2.4
1.9
Treatment Week 02
5.7
9.5
Treatment Week 03
13.3
19.5
Treatment Week 04
23.7
32.4
Treatment Week 05
31.8
38.1
Treatment Week 06
38.9
44.3
Treatment Week 07
40.8
47.6
Treatment Week 08
46.4
52.9
Treatment Week 09
49.3
55.2
Treatment Week 10
53.6
55.7
Treatment Week 11
57.8
60.0
Treatment Week 12
63.0
62.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 01
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6426
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 02
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .3843
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 03
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2792
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 04
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1502
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 05
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3823
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 06
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5528
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 07
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .02913
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 08
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3896
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 09
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3989
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 10
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8682
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 11
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8083
Comments
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Treatment Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6687
Comments
Method Cochran-Mantel-Haenszel
Comments
4. Secondary Outcome
Title Number of Subjects With Durable Wound Healing Over the 3 Months Following Complete Wound Closure
Description Subjects who completed the treatment period with confirmed wound closure were followed in the post-treatment period for a further two months to determine their closed wound status (remained closed/reopened), giving a measure of persistence of wound closure following completion of treatment.
Time Frame Target ulcer status observed at two and three months following initial ulcer closure.

Outcome Measure Data

Analysis Population Description
The 285 subjects (HP802-247: 141/222; Vehicle: 144/225) who completed the treatment period with confirmed wound closure. Subjects returning for Visit 1 with confirmed wound closure at end of treatment: 134 HP802-247 and 132 Vehicle. Subjects returning for Visit 2 with confirmed wound closure at end of treatment: 132 HP802-247 and 131 Vehicle
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 134 132
Follow-up Visit 1 (2 months), Wounds Closed
120
56.9%
114
54.3%
Follow-up Visit 1 (2 months), Wounds Reopened
14
6.6%
18
8.6%
Follow-up Visit 2 (3 months), Wounds Closed
118
55.9%
112
53.3%
Follow-up Visit 2 (3 months), Wounds Reopened
14
6.6%
16
7.6%
5. Secondary Outcome
Title Change in Pain Associated With the Target Leg at Each of the 12 Double Blind Treatment Weeks
Description Target leg pain were measured using a Visual Analog Scale [Range: 0mm - 100mm]. Subjects marked their pain level on a 100 mm horizontal line, with a short vertical line across the scale, 0 denoting no pain and 100mm the maximum pain.
Time Frame Weekly, over the 12 week treatment period, baseline

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Data were analyzed by an ANCOVA, adjusted for site and baseline score.
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 210 210
Week 01
-3.74
(1.22)
-2.19
(1.22)
Week 02
-4.18
(1.39)
-4.03
(1.38)
Week 03
-6.14
(1.4)
-5.91
(1.39)
Week 04
-8.2
(1.42)
-6.71
(1.41)
Week 05
-10.6
(1.38)
-8.62
(1.37)
Week 06
-11.04
(1.53)
-8.2
(1.52)
Week 07
-11.57
(1.54)
-9.77
(1.53)
Week 08
-11.18
(1.53)
-10.65
(1.53)
Week 09
-12.7
(1.5)
-11.26
(1.49)
Week 10
-12.55
(1.52)
-11.2
(1.51)
Week 11
-12.35
(1.49)
-11.56
(1.48)
Week 12
-12.1
(1.49)
-12.27
(1.48)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 01
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3601
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 02
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9398
Comments
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 03
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.905
Comments
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 04
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4471
Comments
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 05
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3004
Comments
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 06
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1815
Comments
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 07
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.399
Comments
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 08
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8027
Comments
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 09
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4913
Comments
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 10
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5227
Comments
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 11
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7032
Comments
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9366
Comments
Method ANCOVA
Comments
6. Secondary Outcome
Title Change in Target Ulcer Pain
Description Target ulcer pain were measured using a Visual Analog Scale [Range: 0mm - 100mm]. Subjects marked their pain level on a 100 mm horizontal line, with a short vertical line across the scale, 0 denoting no pain and 100mm the maximum pain.
Time Frame Weekly, over 12 week treament period, baseline

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Data were analyzed by an ANCOVA, adjusted for site and baseline score.
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 210 210
Week 01
-5.08
(1.08)
-5.05
(1.08)
Week 02
-7.59
(1.25)
-6.95
(1.24)
Week 03
-10.32
(1.27)
-9.58
(1.26)
Week 04
-12.17
(1.3)
-10.26
(1.29)
Week 05
-13.15
(1.23)
-13.17
(1.22)
Week 06
-15.56
(1.35)
-13.03
(1.34)
Week 07
-15.8
(1.38)
-14.51
(1.37)
Week 08
-16.28
(1.38)
-14.81
(1.37)
Week 09
-17.16
(1.32)
-15.97
(1.31)
Week 10
-17.65
(1.32)
-15.91
(1.31)
Week 11
-17.34
(1.33)
-16.47
(1.32)
Week 12
-17.18
(1.36)
-16.39
(1.35)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 01
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9853
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 02
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7083
Comments
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 03
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6744
Comments
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2891
Comments
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 05
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9923
Comments
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 06
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1775
Comments
Method ANCOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 07
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.499
Comments
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 08
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4423
Comments
Method ANCOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 09
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5138
Comments
Method ANCOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 10
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3409
Comments
Method ANCOVA
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 11
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6358
Comments
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6753
Comments
Method ANCOVA
Comments
7. Secondary Outcome
Title Compare the Efficacy of the Treatment Groups in Achieving Complete Wound Closure, Based on the Median Time (in Days) to Closure Over the 12-Week Treatment Period From Baseline.
Description This key secondary outcome was based on a Kaplan-Meier survival analysis.
Time Frame 12 weeks

Outcome Measure Data

Analysis Population Description
ITT Populations: Subjects who received at least one dose of test article. Data were analyzed using a Kaplan-Meier Survival Analysis, with significance being at P < 0.05.
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
Measure Participants 211 210
Median (Full Range) [days to wound closure]
57.0
50.0
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection HP802-247, Vehicle
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value < 0.05
Comments
Method Kaplan-Meier Survival analysis
Comments

Adverse Events

Time Frame Up to 19 Weeks or subjects who completed 12 weeks of treatment and the post-treatment follow up. For subjects who had wound closure, collection time included the treatment period and the post-treatment period
Adverse Event Reporting Description All subjects randomized to treatment were questioned about AE and were included in the number of participants assessed for safety. The first assessments at each weekly visit were about changes in general health and concomitant medications and the occurrence of AE. Some AE were only collected with respect to the organ system class.
Arm/Group Title HP802-247 Vehicle
Arm/Group Description HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. HP-802-247: HP802-247 (fibrinogen solution & thrombin solution containing living, irradiated, growth arrested keratinocytes and fibroblasts) 260 µL (130 µL, one spray, of each solution) containing 0.5 x 106 cells per mL every 14 days. Vehicle Control (fibrinogen solution & thrombin solution without cells) Vehicle
All Cause Mortality
HP802-247 Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
HP802-247 Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 17/222 (7.7%) 21/225 (9.3%)
Cardiac disorders
Angina pectoris 1/222 (0.5%) 1 1/225 (0.4%) 1
Arteriosclerosis coronary artery 1/222 (0.5%) 1 0/225 (0%) 0
Artrial fibrillation 0/222 (0%) 0 1/225 (0.4%) 1
Cardiac arrest 0/222 (0%) 0 1/225 (0.4%) 1
Hypertensive heart disease 1/222 (0.5%) 1 0/225 (0%) 0
Myocardial infarction 1/222 (0.5%) 1 0/225 (0%) 0
Gastrointestinal disorders
Colitis 0/222 (0%) 0 1/225 (0.4%) 1
Gastrointestinal haemorrhage 1/222 (0.5%) 1 0/225 (0%) 0
Rectal prolapse 0/222 (0%) 0 1/225 (0.4%) 1
General disorders
Pain 1/222 (0.5%) 1 0/225 (0%) 0
Hepatobiliary disorders
Bile duct obstruction 0/222 (0%) 0 1/225 (0.4%) 1
Infections and infestations
Abscess limb 1/222 (0.5%) 1 0/225 (0%) 0
Cellulitis 2/222 (0.9%) 2 4/225 (1.8%) 4
Diabetic gangrene 1/222 (0.5%) 1 0/225 (0%) 0
Infected skin ulcer 0/222 (0%) 0 1/225 (0.4%) 1
Osteomyelitis 0/222 (0%) 0 1/225 (0.4%) 1
Pneumonia 1/222 (0.5%) 1 0/225 (0%) 0
Sepsis 0/222 (0%) 0 2/225 (0.9%) 2
Septic shock 0/222 (0%) 0 1/225 (0.4%) 1
Wound infection 1/222 (0.5%) 1 0/225 (0%) 0
Injury, poisoning and procedural complications
Gastrointestinal stoma complication 0/222 (0%) 0 1/225 (0.4%) 1
Hip fracture 0/222 (0%) 0 1/225 (0.4%) 1
Multiple injuries 0/222 (0%) 0 1/225 (0.4%) 1
Metabolism and nutrition disorders
Hypovolaemia 1/222 (0.5%) 1 0/225 (0%) 0
Musculoskeletal and connective tissue disorders
Neuropathic arthropathy 1/222 (0.5%) 1 0/225 (0%) 0
Pain in extremity 1/222 (0.5%) 1 0/225 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer 0/222 (0%) 0 1/225 (0.4%) 1
Nervous system disorders
Cerebral infarction 1/222 (0.5%) 1 0/225 (0%) 0
Dysarthria 1/222 (0.5%) 1 0/225 (0%) 0
Psychiatric disorders
Completed suicide 1/222 (0.5%) 1 0/225 (0%) 0
Depression suicidal 1/222 (0.5%) 1 0/225 (0%) 0
Renal and urinary disorders
Renal failure acute 0/222 (0%) 0 1/225 (0.4%) 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/222 (0%) 0 1/225 (0.4%) 1
Dyspnoea 0/222 (0%) 0 1/225 (0.4%) 1
Respiratory distress 0/222 (0%) 0 1/225 (0.4%) 1
Respiratory failure 1/222 (0.5%) 1 1/225 (0.4%) 2
Skin and subcutaneous tissue disorders
Skin ulcer 1/222 (0.5%) 1 1/225 (0.4%) 1
Skin warm 1/222 (0.5%) 1 0/225 (0%) 0
Vascular disorders
Deep-vein thrombosis 0/222 (0%) 0 1/225 (0.4%) 1
Other (Not Including Serious) Adverse Events
HP802-247 Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 119/222 (53.6%) 107/225 (47.6%)
Gastrointestinal disorders
Gastrointestinal Disorders 7/222 (3.2%) 9 8/225 (3.6%) 8
General disorders
General disorders and administration site conditions 14/222 (6.3%) 15 11/225 (4.9%) 14
Infections and infestations
Cellulitis 8/222 (3.6%) 8 10/225 (4.4%) 15
Wound infection 6/222 (2.7%) 6 7/225 (3.1%) 8
Infections and Infestations 39/222 (17.6%) 48 40/225 (17.8%) 58
Injury, poisoning and procedural complications
Injury, poisoining and procedural complication 27/222 (12.2%) 31 22/225 (9.8%) 24
Wound complication 9/222 (4.1%) 9 13/225 (5.8%) 14
Metabolism and nutrition disorders
Metabolism and Nutrition Disorders 9/222 (4.1%) 10 4/225 (1.8%) 5
Musculoskeletal and connective tissue disorders
Musculoskeletal and Connective Tissue Disorders 19/222 (8.6%) 23 18/225 (8%) 23
Pain in Extremity 15/222 (6.8%) 17 10/225 (4.4%) 10
Nervous system disorders
Nervous System Disorders 11/222 (5%) 12 8/225 (3.6%) 9
Skin and subcutaneous tissue disorders
Skin and Subcutaneous Tissue Disorders 71/222 (32%) 99 50/225 (22.2%) 75
Rash 7/222 (3.2%) 7 1/225 (0.4%) 1
Skin Ulcer 42/222 (18.9%) 53 31/225 (13.8%) 44
Venous Ulcer Pain 7/222 (3.2%) 9 4/225 (1.8%) 5
Vascular disorders
Vascular Disorders 11/222 (5%) 13 8/225 (3.6%) 10

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Jaime E Dickerson, PhD
Organization Smith & Nephew
Phone 1-817-302-3914
Email Jaime.Dickerson@smith-nephew.com
Responsible Party:
Healthpoint
ClinicalTrials.gov Identifier:
NCT01656889
Other Study ID Numbers:
  • 802-247-09-029
First Posted:
Aug 3, 2012
Last Update Posted:
Mar 14, 2016
Last Verified:
Feb 1, 2016