Overview

Revascularization of Stenosed Vessels Using Optimized Treatment of Rejuveinix for Reversing Endothelial Dysfunction

Status:
Not yet recruiting
Trial end date:
2022-07-01
Target enrollment:
0
Participant gender:
All
Summary
A Phase I/IIa Dose-Escalation Study Evaluating the Safety, Tolerability and Efficacy of Rejuveinix in Combination With Standard Interventional Therapy for Critical Limb Ischemia Patients with Rutherford Class 4, 5 and 6 Disease
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Reven Pharmaceuticals, Inc.
Criteria
Clinical Inclusion Criteria

1. Subject age > 18 and < 90 years of age.

2. Subject has been informed of the nature of the study, agrees to participate and has
signed an approved consent form.

3. Subject understands the duration of the study, agrees to follow-up visits and the
required testing.

4. Subject has symptomatic lower extremity claudication (meets Rutherford category 4, 5,
or 6).

5. Subject has resting ankle-brachial index (ABI) < 0.5, toe pressure <50 mmHg, and/or
other evidence suggesting severe PAD (ischemic ulceration, for example).

Anatomic Inclusion Criteria

1. No more than one-week post revascularization, defined as one of the following: PTA,
Stent, or Atherectomy.

2. Stenosis in the femoral, femoral-popliteal, popliteal, peroneal, tibial and/or pedal
arteries.

3. Angiographic or duplex ultrasound evidence of significant stenosis ≥ 50% DS of target
lesion.

4. Target treatment length from 1 to 25 cm (To include single or multifocal lesions
within the target lesion segment.

5. Reference vessel diameter (RVD) ≥ 3.5 mm and ≤ 7 mm.

6. Not expected to require further interventional standard of care treatment during study
participation (approximately 174 days).

Miscellaneous Inclusion Criteria

1. Anticipated life expectancy >1 year.

2. Has adequate hepatic function defined as total bilirubin < 1.5 mg/dL, serum albumin >
3.0 gm/dL, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 3.0 ×
upper limit of normal (ULN) or < 5 x ULN for subjects with known hepatic metastases.

3. Has adequate renal function defined as serum creatinine < 2.5 × ULN.

4. Has adequate bone marrow function defined as a hemoglobin ≥ 10 mg/dL, absolute
neutrophil count (ANC) ≥ 1.5 × 109/L, and platelet count ≥ 100 × 109/L.

5. Must be willing and able to comply with study visits and procedures.

6. Women of childbearing potential (WOCP) must not be pregnant (confirmed by a negative
urine pregnancy test prior to enrollment in the trial) nor breast-feeding. In
addition, a medically acceptable method of birth control must be used such as an oral,
implantable, injectable, or transdermal hormonal contraceptive, an intrauterine device
(IUD), use of a double barrier method (condoms, sponge, diaphragm, or vaginal ring
with spermicidal jellies or cream), or total abstinence. Women who are postmenopausal
for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral
oophorectomy, or hysterectomy) are not considered to be WOCP.

7. Men who are not surgically or medically sterile must agree to use an acceptable method
of contraception. Male subjects with female sexual partners who are pregnant, possibly
pregnant, or who could become pregnant during the study must agree to use condoms at
least 30 days after the last dose of study drug. Total abstinence for the same study
period is an acceptable alternative.

8. Subject agrees to refrain from taking multivitamins that include Ascorbic Acid and
B-complex vitamins or a Magnesium supplement for a full 24 hours in advance of Week 1,
Day 1 through the final Follow-up Visit, Day 174.

Clinical Exclusion Criteria

1. Inability to obtain informed consent.

2. Pregnancy or suspected pregnancy during study period. Subjects of childbearing
potential must a have negative pregnancy test ≤ 7 days prior to treatment.

3. Recent diagnosis of cancer or treatment for cancer within last 12 months.

4. Life expectancy < 12 months.

5. CVA < 1 month prior to screening or any CVA resulting in unresolved walking
impairment.

6. STEMI Myocardial infarction < 1 month prior to procedure.

7. Contraindication to contrast media or any study-required medication.

8. Coagulopathy or clotting disorders.

9. Suspected systemic infection affecting target limb.

10. Serum creatinine ≥ 2.5 mg/dL unless dialysis-dependent.

11. Enrollment in a drug study or medical device investigational research study.

12. Previous standard of care treatment to the same target lesion < 3 months prior to
study enrollment.

Anatomic Exclusion Criteria

1. Greater than 50% DS following treatment of inflow lesions in the iliac or common
femoral artery.

2. Unresolved complication following treatment of inflow lesions, or inflow lesion
requiring a stent graft or surgical intervention.

3. Grade 4 or grade 5 stent fracture affecting target stent or proximal to the target
stent.

4. Aneurysm within the target vessel.

5. Subjects with (or planned to receive) amputation(s) above the ankle, including major
amputation, unilateral or bilateral.

6. Subject is expected to require further interventional standard of care treatment,
during study participation (approximately 174 days).

Miscellaneous Exclusion Criteria

1. Standard of care cannot include drug eluting stent (DES).

2. Concurrent enrollment in another investigational drug or device study or has received
other investigational drugs within 14 days of enrollment.

3. Had surgery within 4 weeks prior to study treatment except for the interventional
standard of care.

4. Has a history of blood clots, pulmonary embolism, or deep vein thrombosis unless
controlled by anticoagulant treatment.

5. Has a history of an arterial thromboembolic event within the prior six months
including cerebrovascular accident, transient ischemic attack, myocardial infarction,
or unstable angina.

6. Has uncontrolled human immunodeficiency virus (HIV) infection or hepatitis B or C.

7. Has any clinically significant infection, i.e., any acute viral, bacterial, or fungal
infection that requires specific treatment (anti-infective treatment has to be
completed ≥ 7 days prior to study entry).

8. Has any other severe, uncontrolled medical condition, including uncontrolled diabetes
mellitus (defined as a Hemoglobin A1C ≥ 9% in subjects with a prior history of
diabetes, 28 days prior to study) or clinical signs of unstable congestive heart
failure.

9. Radiation therapy to more than 25% of the bone marrow. Whole pelvic radiation is
considered to be over 25%.

10. Prior allogeneic bone marrow or organ transplantation.

11. Grade 3 peripheral neuropathy within 14 days before enrollment.

12. Abnormalities on 12-lead electrocardiogram (ECG) considered by the investigator to be
clinical significant or baseline prolongation of the rate-corrected QT interval (e.g.,
repeated demonstration of QTc interval > 480 milliseconds).

13. Subject has other severe acute or chronic medical or psychiatric conditions or
laboratory abnormalities that may increase the risk associated with study
participation or investigation product administration or may interfere with the
interpretation of study results and, in the judgment of the investigator, would make
the subject inappropriate for enrollment in this study.

14. Subject has any mental or medical condition that prevents the subject from giving
informed consent or participating in the trial.

15. Subject has any condition that, in the opinion of the investigator, might jeopardize
the safety of the subject or interfere with protocol compliance.

16. Prior history of sensitivity or allergic reaction to any of the following: Ascorbic
Acid (Vitamin C), Magnesium Sulfate, Thiamine (b1), Cyanocobalamin (b12), Riboflavin
(b2), Calcium D-Pantothenate (b5), Pyridoxine (b6), and Niacinamide (b3).