UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008011
Receipt number R000009419
Scientific Title A Multicenter, Open-Label, Dose-Escalation, Investigator-Initiated Trial for 5-Day Repeated Intramuscular Administration of NK-104-NP to Treat Chronic Critical Limb Ischemia
Date of disclosure of the study information 2012/05/31
Last modified on 2017/03/30 09:38:28

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Basic information

Public title

A Multicenter, Open-Label, Dose-Escalation, Investigator-Initiated Trial for 5-Day Repeated Intramuscular Administration of NK-104-NP to Treat Chronic Critical Limb Ischemia

Acronym

Administration of NK-104-NP to Treat Chronic Critical Limb Ischemia

Scientific Title

A Multicenter, Open-Label, Dose-Escalation, Investigator-Initiated Trial for 5-Day Repeated Intramuscular Administration of NK-104-NP to Treat Chronic Critical Limb Ischemia

Scientific Title:Acronym

Administration of NK-104-NP to Treat Chronic Critical Limb Ischemia

Region

Japan


Condition

Condition

Chronic critical limb ischemia associated with arteriosclerosis obliterans

Classification by specialty

Cardiology Vascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To identify doses showing safety and efficacy when NK-104-NP containing 0.5, 1, 2, and 4 mg of pitavastatin calcium is intramuscularly administered for 5 days repeatedly to patients with chronic critical limb ischemia, as well as to evaluate pharmacokinetics for the parent compound and the lactone bodies in plasma and urine.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Safety: names, severity, and incidence rates of adverse events and adverse drug reactions
Pharmacokinetics: concentrations of pitavastatin and pitavastatin lactone in plasma and urine,
Efficacy: Fontaine classification and Rutherford classification

Key secondary outcomes

Safety: physiological tests (body weight, body temperature, blood pressure, and pulse), clinical laboratory tests, and cardiac function tests
Efficacy: ankle-brachial index (ABI) in the supine position, toe-brachial index (TBI) in the supine position, ankle pressure (AP) in the supine position, pulse volume recording (PVR), laser Doppler blood flow, angiography (IA-DSA), ulcer size, degree of pain (VAS), transcutaneous oxygen pressure (TcPO2), number of cases of minor amputation, number of cases of major amputation


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

NK-104-NP 0.5 mg/body

Interventions/Control_2

NK-104-NP 1 mg/body

Interventions/Control_3

NK-104-NP 2 mg/body

Interventions/Control_4

NK-104-NP 4 mg/body

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who meet all of the following criteria before enrollment and who give written consent
1)Patients with Fontaine grades III or IV (generally ABI 0.90, TBI 0.60 or less)
2)Patients with difficulty in revascularization of the femoral artery or below, who do not show improvement in Fontaine classification with 2 weeks of drug therapy (vasodilatators, anti-platelet agents, or prostaglandins)
3)Patients aged 20 years or older at the time of consent

Key exclusion criteria

1) Rutherford grade 3 category 6
2)Malignant tumor or patients who underwent malignant tumor operation within the past 5 years
3)Patients scheduled for surgery for ulcers caused by chronic critical limb ischemia
4)Patients who used anticoagulants within 3 days before starting the administration of the test product.
5)Patients taking a statin.
6)Patients taking a fibrate
7)Patients taking ciclosporins
8)Patients with severe cardiac function disturbance or heart failure
9)Patients with untreated severe arrhythmias
10)Patients with a history of prosthetic valve replacement
11)Patients with progressive hepatic dysfunction
12)Patients with moderate or severe hepatic dysfunction associated with chronic hepatitis.
13)Patients diagnosed with hepatic cirrhosis of Child score B or C
14)Patients with clear findings of interstitial pneumonia
15)Patients with biliary obstruction
16)Patients with a CK high level
17)Patients with a history of hypersensitivity or a serious adverse drug reaction to pitavastatin calcium
18)Patients with a history of serious drug allergy
19)Patients with alcohol dependence or drug dependence
20) others

Target sample size

16


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tadashi Furuyama

Organization

Kyushu University Hospital

Division name

Department of Surgery and Science

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

TEL

81-92-642-6919

Email

kaku@cardiol.med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tadashi Furuyama

Organization

Kyushu University Hospital

Division name

Kyushu University Graduate School of Medical Sciences

Zip code


Address

3-1-1 Maidashi, Higashi-ku,Fukuoka

TEL

81-92-642-6789

Homepage URL


Email

kaku@cardiol.med.kyushu-u.ac.jp


Sponsor or person

Institute

AMED

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education,Culture,Sports,Science & Technology in Japan

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院(福岡県)、名古屋大学医学部附属病院(愛知県)


Other administrative information

Date of disclosure of the study information

2012 Year 05 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 12 Month 22 Day

Date of IRB


Anticipated trial start date

2012 Year 07 Month 01 Day

Last follow-up date

2016 Year 09 Month 08 Day

Date of closure to data entry


Date trial data considered complete

2017 Year 03 Month 29 Day

Date analysis concluded

2017 Year 06 Month 28 Day


Other

Other related information



Management information

Registered date

2012 Year 05 Month 22 Day

Last modified on

2017 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009419


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name