Clinical trial NCT02590042: Safety of Adipose-Derived Stem Cell Stromal Vascular Fraction
Official title: A Phase I Open-labeled, Single-arm, Single-centred Study to Test the Safety of ADSC-SVF-002 in Subjects With Soft Tissue Defects or Abnormal Wound Healing
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Abnormally Healing Wounds
Scars
Soft Tissue Defects
Lead sponsor: AdiSave Inc.
Sponsor class: INDUSTRY
First posted: 2015-10-28
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: A single-arm, open-labeled, single-center, descriptive and exploratory safety trial using ADSC-SVF-002. ADSC-SVF-002 is an autologous adipose derived stem cell (ADSC)-containing stromal vascular fraction (SVF) obtained from subcutaneous fat harvested by liposuction from a patient. As a cellular therapy product, ADSC-SVF-002 (fresh or cryopreserved) will be administered subcutaneously via injection, with or without unprocessed autologous fat (fresh or cryopreserved), into soft tissue defects and abnormally healing wounds. The primary objective of the trial is to demonstrate the safety of ADSC-SVF-002 in a population of subjects with soft tissue defects or abnormal wound healing who are still symptomatic despite being managed by conventional therapies.

Detailed description: Protocol Number: SJS-CT-001 Phase: Pilot study Methodology: Open label, single-arm Study Duration: Six months after accrual and treatment of the last patient Study Center(s): Single-center Objectives: To demonstrate the safety of subcutaneous administration of autologous ADSC-SVF-002 in a population of subjects with soft tissue defects or abnormal wound healing who are still symptomatic despite being managed by conventional therapies.

Number of Subjects: 10 Diagnosis and Main Inclusion Criteria: Subject has soft tissue deficiencies, soft tissue post traumatic malformations, scars, and/or abnormal wound healing.

Study Product, Dose, Route, Regimen: ADSC-SVF-002. 1.0x106 cells/mL defect (when administered without fat) to 1.2x106 cells/mL defect (when administered with fat). Subcutaneous injection.

Duration of administration: Administration of the product takes approximately 30 minutes. Administered once.

Reference therapy: N/A

Statistical Methodology: Safety outcomes will be reported with descriptive statistics. Secondary (efficacy) outcomes will be assessed relative to baseline (screening) as follows:

* For outcomes assessed at multiple follow-up visits, one-way ANOVAs followed by the Tukey's test will be conducted
* For outcomes assessed at one follow-up visit, a Student's t-test will be conducted.

Data will be reported as mean ± SD and p\<0.05 will be considered significant.

Eligibility criteria: Inclusion Criteria:

1. Subject has soft tissue deficiencies, soft tissue post traumatic malformations, scars, and/or abnormal wound healing.
2. Subject is an adult male or non-pregnant female between the ages of 18 to 80 years.
3. Subject is able to undergo a liposuction procedure in the opinion of the investigator or per facility guidelines.
4. Subject is able to read, understand and sign a written Informed Consent to participate in the study.
5. Subject is willing and able to comply with the study protocol, including requirements for taking and abstaining from medications.

Exclusion Criteria:

1. The subject is a woman of child-bearing potential (not surgically sterile or post-menopausal for at least 1 year as documented in medical history), but is not using a highly effective method of contraception \[oral, injected or implanted hormonal methods of contraception; intrauterine device (IUD) or intrauterine system (IUS); condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository; or male sterilization (vasectomy)\].
2. Subject has a history of cancer and/or any known conditions/diseases prone to malignancy.
3. Subject has significant cardiac, renal, or hepatic failure or any other disease that may interfere with the ability to interpret the results of the study.
4. Subject has an infection, cellulitis, or osteomyelitis diagnosed by MRI and microbiologic culture results.
5. Subject has an autoimmune disorder.
6. Subject has a connective, metabolic or atrophic skin disease.
7. Subject is under chronic anticoagulant therapy.
8. Subject has a Body Mass Index (BMI) \>30.
9. Subject is positive for HBs antigen, HCV antibody, or HIV antibody.
10. Subject has received other investigational drug/drugs or unapproved medication within 3 months before registration in this study.
11. Subject has a history of hematopoietic stem cell transplantation or radio immunotherapy.
12. Subject has a recent and significant weight loss, the cause of which has not been determined.
13. Subject has a history of hereditary linked malignancy in a first-degree relative (parent, child, sibling).
14. Subject is participating in another clinical trial within 6 weeks prior to registration in this study.
15. Subject has a psychiatric disorder that in the judgment of the investigator could interfere with provision of informed consent, completion of tests, therapy, or follow-up.

Primary outcomes:
measure: Continuous monitoring of safety via laboratory tests and physical examinations
timeFrame: Screening, 48 hours after procedure, and at post-treatment months 1, 2 and 6
Secondary outcomes:
measure: Physician satisfaction with wound cosmesis, assessed using the Hollander Wound Evaluation Scale
timeFrame: Screening, 48 hours after procedure, and at post-treatment day 10 and months 1-6
measure: Patient satisfaction with wound cosmesis, assessed using the 100 mm vertical line visual analogue scale
timeFrame: Screening, 48 hours after procedure, and at post-treatment day 10 and months 1-6
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: Forest Hill Institute of Aesthetic Plastic Surgery
state: Ontario
Study officials:
affiliation: Forest Hill Institute of Aesthetic Plastic Surgery
name: Sarah HM Wong, MD
role: PRINCIPAL_INVESTIGATOR
References: