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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00820196
Registration number
NCT00820196
Ethics application status
Date submitted
8/01/2009
Date registered
12/01/2009
Date last updated
18/09/2012
Titles & IDs
Public title
A Trial to Assess the Safety and Activity of Nexagon® for the Treatment of Venous Leg Ulcers (The NOVEL Study)
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Scientific title
A Randomized, Double-Blind, Vehicle-controlled, Parallel Group, Dose-Ranging, Multi-center Study of the Efficacy and Safety of Nexagon® in the Treatment of Participants With Venous Leg Ulcers
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Secondary ID [1]
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NEX-ULC-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Venous Ulcer
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Skin
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Other skin conditions
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Rate of reduction in the size of the reference ulcer from Day 0 to Day 28 as measured by photographic planimetry
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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Complete healing of the treated Venous Leg Ulcer
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Reference ulcer wound healing as assessed by digital photographic planimetry
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Adverse Events
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Assessment method [3]
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Timepoint [3]
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Eligibility
Key inclusion criteria
1. Diagnosis of venous leg ulceration
2. Ankle brachial index of > 0.80 measured during screening or within three months prior to the Day -14 visit.
3. Reference ulcer area greater than 1 cm2 and less than 25 cm2
4. Reference ulcer present for at least 4 weeks
5. Have an ankle circumference of greater than 18 cm
6. Male of female patients aged 18 years or over
7. Able to tolerate effective compression bandaging
8. Patients able to walk independently with or without mobility aids
9. Able and willing to give informed consent
10. Able and willing to attend all follow up visits
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Significant change in ulcer size in the screening period screening period
2. Presence of a non-study ulcer within 2.0 cm of the reference ulcer
3. Wound bed with exposed bone, tendon or fascia
4. Patients with leg ulceration etiology other than venous insufficiency
5. Patients who require wheel chairs for normal mobility
6. Patients who have any ulcer (reference or non-reference) which shows signs of clinical infection
7. Patients who have any ulcer (reference or non-reference) positive for ß-hemolytic streptococcus upon culture.
8. Patients who are unable to tolerate or comply with the standardized compression bandaging protocol specified in this protocol
9. Female patients who are pregnant or breastfeeding.
10. Patients who are currently taking:
1. Pentoxifylline (Trental®)
2. Immunosuppressive therapy
3. Oral corticosteroid therapy or topical corticosteroid on the leg where the reference ulcer is located
4. Growth factors (e.g. Regranex)
5. Cell cultures or topical skin factors
11. Patients with:
1. Renal insufficiency defined as an estimated GFR which is < 30 mL/min/1.7m2
2. Abnormal blood biochemistry defined as 3 times that of the upper limit of the normal range
3. Hepatic insufficiency defined as total bilirubin > 2 mg/dL or serum albumin < 25 g/L
4. HbA1c > 8.5%
5. Hemoglobin < 10 g/dL
6. Hematocrit < 0.30
7. Platelet count < 100,000
12. Patients have had a myocardial infarction within the previous 6 months or patients with unstable angina pectoris
13. Patients with:
1. Collagen vascular disease
2. Severe rheumatoid arthritis
3. Cellulitis or osteomyelitis
14. Patients who have, or are suspected of having malignancy, or who have received treatment for any active malignancy, apart from non-melanomatic skin cancer, within 3 months prior to treatment
15. Patients who, in the opinion of the Investigator, have an existing condition that would compromise their participation and follow-up in this study, e.g., known to abuse alcohol or drugs currently or to have psychological disorders that could affect follow-up care
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2010
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Sample size
Target
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Accrual to date
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Final
98
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Pennsylvania
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Country [3]
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New Zealand
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State/province [3]
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Auckland
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Country [4]
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New Zealand
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State/province [4]
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Christchurch
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Country [5]
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New Zealand
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State/province [5]
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Dunedin
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Country [6]
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New Zealand
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State/province [6]
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Hamilton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
OcuNexus Therapeutics, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Venous leg ulcers are a common, costly and debilitating condition, with few effective treatments. Compression bandaging helps healing, but more than four out of every ten leg ulcers remain unhealed after three months. New treatments to help heal venous ulcers are urgently needed. Initial studies with a new drug product candidate called Nexagon® (developed by CoDa Therapeutics, Inc.) have shown improvements in healing when applied topically to a wound. Further research will be undertaken to assess the safety and activity of Nexagon® when applied to venous leg ulcers in humans, and to obtain further information on the most appropriate dose or doses to apply. A proposed randomised controlled trial aims to further evaluate Nexagon® by randomly allocating (e.g., by the toss of a coin) 90 people with venous leg ulcers to Nexagon® (one of two different doses) or a vehicle (substance containing no medication) to be applied to their ulcer three times over four weeks. Participants will be followed up for 12 weeks to evaluate ulcer healing.
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Trial website
https://clinicaltrials.gov/study/NCT00820196
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Scott Bannan
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Address
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OcuNexus Therapeutics, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00820196
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