Phase
Condition
Diabetes Mellitus, Type 2
Diabetes Mellitus Types I And Ii
Diabetes And Hypertension
Treatment
Placebo
ILP100-Topical (emilimogene sigulactibac) 1x10^9 CFU/cm^2
ILP100-Topical (emilimogene sigulactibac) 5x10^7 CFU/cm^2
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Signed written informed consent
Males and females aged ≥18 years
Diagnosis of diabetes mellitus type 1 or 2
HbA1c ≤ 86 mmol/mol (≤ 10%) at Screening
Subjects with at least one first time or recurrent full thickness ulcer (at or belowthe ankle) which fulfils all of the following criteria at Screening and at the timeof Baseline:
A non-interdigital wound
Accessible for administration of IMP, wound study assessments and procedures
Persistence of the wound for at least 6 weeks at Baseline
Assessed by the investigator to be of non-venous etiology.
Minimum full skin ulcer without undermining, with no exposed muscle, tendon orbone
A wound area of 1.0 - 5.0 cm^2 after sharp or mechanical debridement atScreening
During the 2-weeks between start of Run-in Phase and Baseline the wound sizemust not decrease by more than 30% or increase by more than 25%, whichcorrespond to wound areas of 0.7 - 6.3 cm^2, or at Screening expected by theInvestigator to have a high probability for wound size changes within thisrange during this period.
Toe pressure ≥20 mm Hg
Expected to comply with the study procedures
Exclusion
Exclusion Criteria:
Infected index wound with clinical signs of inflammation at Screening or Baseline.
The index wound determined as heavily exuding defined as requiring more than 1dressing change per day or requiring use of super absorbent dressing
Wound duration longer than 2 years
Active Charcot deformity of the study foot
Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m^2
Hemoglobin concentration <100 g/L at Baseline
Planned or ongoing treatment with corticosteroids to an equivalent dose ofprednisolone >10 mg per day or other immunosuppressive therapy, or such treatmentwithin 4 weeks prior to Baseline
Has any major surgery or hospitalization planned up to Week 26
Has changed a treatment for diabetes during the last 3 weeks before Baseline. Dosechange is allowed
Ongoing treatment with dipeptidyl peptidase 4 (DPP-4) inhibitors
Revascularization procedure in the index wound leg planned or undertaken within 8weeks before Screening, or under investigation
Current smokers
Participation in other clinical studies or having received any investigationaltreatment within 1 month or at the earliest five times the half-life prior toScreening
Has any disease conditions, including ulcerative dermatological disorders andvasculitis, or comorbidities which is expected to prevent the subject fromparticipating in the study or confounding the evaluation of the safety profile andeffect on wound healing of ILP100
Pregnant or lactating woman
Male subjects not willing to use a condom and refrain from donating sperm
Female subjects of childbearing potential unless they use a contraceptive methodwith a failure rate of < 1% to prevent pregnancy
Study Design
Connect with a study center
Cordinator Medical Service AB
Linköping, 587 58
SwedenSite Not Available
Department of Endocrinology, Skåne University Hospital
Lund, 221 85
SwedenSite Not Available
Clinical Diabetes Research Unit at Uppsala University Hospital
Uppsala,
SwedenSite Not Available
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