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Diabetic NephropathiesPhase 2NCT02552277

A Efficacy and Safety Study of Intramuscular Injection of Human Placenta-Derived Cells (PDA-002) in Subjects With Diabetic Peripheral Neuropathy

A Phase 2 study testing PDA-002 in people with Diabetic Nephropathies and Peripheral Nervous System Diseases, run by Celularity Incorporated at 7 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 2, randomized, double-blind, placebo-controlled, dose range finding study in subjects who have diabetic peripheral neuropathy (DPN). The study will enroll approximately 24 subjects. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
PDA-002
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
26 participants
Where
7 sitesUnited States
Study dates
27 Oct 2015to 30 Oct 2017
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Inclusion Criteria: Subjects must satisfy the following criteria to be enrolled in the study:

  1. Males and females who are at least 18 years of age at the time of signing the informed consent document.
  2. Subject must understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
  3. Subject is willing and able to adhere to the study visit schedule and other protocol requirements
  4. Diabetes mellitus (DM) Type 2 as defined by the American Diabetes Association (ADA) or World Health Organization (WHO) criteria.
  5. Meet established criteria for diabetic peripheral neuropathy (DPN) due to Type 2 diabetes with the following:
  6. Abnormal symptoms 6-item Neuropathy Total Symptom Score (NTSS-6 ≥ 6 points (total score) or ≥ 2.0 points for one or more symptoms) AND
  7. Abnormal signs; Utah Early Neuropathy Scale (UENS) score of 2-24 and/or Neurological Impairment Score of the Lower Limb (NIS-LL) score of 2-10.
  8. A female of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to treatment with study therapy. In addition, sexually active Females of Child Bearing Potential (FCBP) must agree to use 2 of the following adequate forms of contraception methods simultaneously such as: oral, inject able, or implantable hormonal contraception, tubal ligation, intrauterine device (IUD), barrier contraceptive with spermicide or vasectomized partner for the duration of the study.
  9. Males (including those who have had a vasectomy) must agree to use barrier contraception (latex condoms) when engaging in sexual activity with FCBP for the duration of the study

Exclusion Criteria: The presence of any of the following will exclude a subject from enrollment:

  1. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
  2. Other causes of neuropathy in diabetic subjects: chronic inflammatory demyelinating polyneuropathy; neuropathy due to vitamin B12 deficiency, hypothyroidism, and uremia syndrome; and neuropathy due to entrapment or trauma.
  3. A reversible course of acute painful diabetic neuropathy syndrome: treatment-induced diabetic neuropathy that presents in the setting of rapid glycemic control; diabetic neuropathic cachexia; and diabetic anorexia, a diabetic neuropathy that is seen with intentional weight loss.
  4. History of a prior diagnosis of severe peripheral arterial disease (PAD).
  5. Thrombocytopenia and coagulopathy, to avoid severe bruising or bleeding due to multiple intramuscular (IM) injections.
  6. Any condition including the presence of laboratory abnormalities that places the subject at unacceptable risk if he or she were to participate in the study.
  7. Any condition that confounds the ability to interpret data from the study.
  8. Subjects who are taking opioids for the treatment of DPN.
  9. Pregnant or lactating females.
  10. Subjects with a body mass index > 40 kilgrams (kg)/m^2 at screening.
  11. Neuropathy resulting from a condition other than DM and/or significant co-morbid neurological diseases (eg, Parkinson's disease, epilepsy, multiple sclerosis, alcoholic peripheral neuropathy), or exposure to agents suspected to cause symptoms of neuropathy (such as but not limited to metronidazole, antituberculosis medications, and heavy metals).
  12. Advanced neuropathy as measured by the absence of sural sensory nerve action potential, or a UENS>24 and or a NIS-LL>10.
  13. History of a prior diagnosis of Critical Limb Ischemia.
  14. History of diabetic foot ulceration (at any time) and/or or undergoing a limb revascularization procedure(s) and/or amputation(s) due to diabetes mellitus (DM).
  15. Diagnosis of Type 1 DM and/or any of the following: diagnosis of DM prior to age 35 years; insulin required to treat DM within 1 year after DM diagnosis; history of diabetic ketoacidosis.
  16. Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), or alkaline phosphatase ≥ 2.5 x the upper limit of normal (ULN) at screening.
  17. Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m2 at Screening calculated using the Modification of Diet in Renal Disease Study equation or history of an abnormal eGFR < 60 and decline > 15 mL/min/1.73 m2 below normal in the past year.
  18. Bilirubin level > 2 mg/dL (unless subject has known Gilbert's disease) at screening.
  19. Untreated chronic infection or treatment of any infection with systemic antibiotics within 4 weeks prior to dosing with investigational product (IP).
  20. Uncontrolled hypertension (defined as diastolic blood pressure > 100 mmHg or systolic blood pressure > 180 mmHg during screening at 2 independent measurements taken while subject is sitting and resting for at least 5 minutes).
  21. History of significant cardiac disorders including but not limited to malignant ventricular arrhythmia, CCS Class III-IV angina pectoris, myocardial infarction/ percutaneous coronary intervention (PCI) / coronary artery bypass graft (CABG) in the 6 months prior to signing the informed consent form (ICF), pending coronary revascularization in the following 3 months, transient ischemic attack/cerebrovascular accident in the 6 months prior to signing the informed consent form, and/or New York Heart Association [NYHA] Stage III or IV congestive heart failure. Note: Stable Canadian Cardiovascular Society (CCS) Class I-II angina is allowed.
  22. Poorly controlled DM (hemoglobin A1c > 10%) at screening.
  23. Untreated proliferative retinopathy at screening.
  24. Life expectancy less than 2 years due to concomitant illnesses.25. History of malignancy within 5 years except for the following circumstances: basal cell or squamous cell carcinoma of the skin, remote history of cancer now considered cured or positive Pap smear with subsequent negative follow-up.
  25. History of hypersensitivity to any of the components of the product formulation (including bovine or porcine products, dextran 40, and dimethyl sulfoxide [DMSO]).
  26. Subject has received an investigational agent -an agent or device not approved by the US Food and Drug Administration (FDA) for marketed use in any indication- within 90 days (or 5 half-lives, whichever is longer) prior to treatment with study therapy or planned participation in another therapeutic study prior to the completion of this study or has received previous gene or cell therapy at any time.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Collaborative Neuroscience Network, LLC- Southland Neurologic Associates - Los Alamitos

    Garden Grove, California, 92845

  • Nerve And Muscle Center Of Texas

    Houston, Texas, 77099

  • SDS Clinial Trials, Inc

    Orange, California, 92868

  • Compass Research, LLC

    Orlando, Florida, 32806

  • Endeavor Clinical Trials PA

    San Antonio, Texas, 78229

  • Infinity Clinical Research, LLC

    Sunrise, Florida, 33351

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double Blind, Placebo Controlled, Dose Range Finding Study to Access the Efficacy and Safety of Intramuscular Injection of Human Placenta- Derived Cells (PDA-002) in Subjects With Diabetic Peripheral Neuropathy.

This is a Phase 2, randomized, double-blind, placebo-controlled, dose range finding study in subjects who have diabetic peripheral neuropathy (DPN). The study will enroll approximately 24 subjects. Subjects will be randomized to receive one of 3 treatments: PDA-002 (3 x 10^6 cells), PDA-002 (30 x 10^6 cells), or placebo (vehicle control) in a 1:1:1 randomization approach. Investigational product or placebo will be administered monthly (3 administrations total on Study Days 1, 29, and 57).

Read the detailed description

Subjects will undergo a Screening Period (up to 28 days in duration) to determine study eligibility and baseline levels of signs and symptoms of diabetic peripheral neuropathy (DPN) will be established. Subjects will then enter a Treatment Period (6 months in duration). During the Treatment Period, subjects will be evaluated on an ongoing basis (at 8 scheduled study visits). Subjects will receive intramuscular (IM) injections of investigational product (IP) on Study Days 1, 29, and 57 as fifteen 0.30 mL injections (below the knee and above the ankle) in one lower extremity in a blinded manner. After completing the Treatment Period, subjects will enter the Follow-up Period where they will continue to be evaluated at scheduled study visits over the subsequent months.

An analysis of all study data will occur after the last subject has completed Visit 9 (Month 6) and after the last scheduled study visit.

Being tested
PDA-002, Placebo
Keywords
Diabetic, PDA-002, Placenta-Derived Cells, Peripheral neuropathy, Neuropathy, Double-Blind, Safety, Efficacy, Human Placenta-derived Cells
Medical subject headings
Diabetic Nephropathies, Peripheral Nervous System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PDA-002Biological

    Also called HUMAN PLACENTA-DERIVED CELLS

    PDA-002 cells administered intramuscular (IM) on study Days 1, 29, and 57.

  • PlaceboDrug

    Subjects will receive placebo administered on study days 1, 29, and 57.

Study groups in NCT02552277
Study groupRoleWhat they receive
PDA-002 Dose Level 1: 3 x 10^6 cellsExperimental3 x 10^6 PDA-002 cells administered intramuscular (IM) on study Days 1, 29, and 57.
Receives: Biological: PDA-002
PDA-002 Dose Level 2: 30 x 10^6 cellsExperimental30 x 10^6 PDA-002 cells administered IM on study Days 1, 29, and 57.
Receives: Biological: PDA-002
PlaceboPlacebo comparatorSubjects will receive placebo administered IM on study days 1, 29, and 57.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent change in the epidermal nerve fiber density (ENFD) at 6 months, compared to baseline

    Epidermal nerve fiber density is a measurement used to assess the extent of peripheral diabetic neuropathy. The number of nerve fibers in a skin biopsy will be counted and quantified. A reduction in the number of nerves fibers (EPND)is indicative of worsening neuropathy.

    Measured: Baseline up to 6 months

Secondary outcomes (1)
  1. Adverse Events (AEs)

    Number of participants with adverse events

    Measured: Up to approximately 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Sep 2015 (estimated)
  2. Study start27 Oct 2015
  3. Primary completion7 Mar 2017
  4. Study completion30 Oct 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02552277
Sponsor's protocol ID
CCT-PDA-002-DPN-001
Status last verified
Feb 2022
First submitted
15 Sep 2015
Last updated
2 Feb 2022
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PDA-002 in people with Diabetic Nephropathies and Peripheral Nervous System Diseases, run by Celularity Incorporated at 7 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent change in the epidermal nerve fiber density (ENFD) at 6 months, compared to baseline (time frame: Baseline up to 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2022.

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