A Study Of Pain And Quality Of Life Outcomes In Subjects With a Single Painful Venous Leg Ulcer Treated With Apligraf®

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2013 by Organogenesis.
Recruitment status was  Active, not recruiting
Information provided by (Responsible Party):
ClinicalTrials.gov Identifier:
First received: December 10, 2013
Last updated: NA
Last verified: December 2013
History: No changes posted
The objective of the study is to demonstrate that treatment with Apligraf reduces venous leg ulcer (VLU)-related pain and improves the quality of life (QOL) of patients with a painful VLU.

Condition Intervention Phase
Venous Leg Ulcers
Device: Apligraf
Phase 4

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: An Open Label, Multi Center, Post Marketing Study Of Pain And Quality Of Life Outcomes In Subjects With a Single Painful Venous Leg Ulcer Treated With Apligraf®

Resource links provided by NLM:

Further study details as provided by Organogenesis:

Primary Outcome Measures:
  • Percent reduction in maximum VLU-related pain at Week 5 [ Time Frame: Day 0 - Week 5 ] [ Designated as safety issue: No ]
    Based on the maximum pain levels during the preceding 24 hours

Secondary Outcome Measures:
  • Reduction in maximum VLU-related pain at 48 hours following initial Apligraf application [ Time Frame: Day 0 - 48 hours after Apligraf application ] [ Designated as safety issue: No ]
  • Reduction on SF-12v2 - Pain Enhanced Health Survey at Week 5 [ Time Frame: Day 0 - Week 5 ] [ Designated as safety issue: No ]
  • Reduction in class and/or dose of VLU-related pain medications at Week 5 [ Time Frame: Day 0 - Week 5 ] [ Designated as safety issue: No ]
  • Reduction on Cardiff Wound Impact Schedule (CWIS) at Week 5 [ Time Frame: Day 0 - Week 5 ] [ Designated as safety issue: No ]

Other Outcome Measures:
  • Reduction in average VLU-related pain at Week 5. [ Time Frame: Day 0 - Week 5 ] [ Designated as safety issue: No ]
  • Reduction in VLU-related pain using both maximum and average pain [ Time Frame: Day 0 - Weeks 1, 2, 3, and 4 ] [ Designated as safety issue: No ]
    From baseline (Day 0) to Weeks 1, 2, 3 and 4

Estimated Enrollment: 100
Study Start Date: November 2013
Estimated Study Completion Date: January 2014
Estimated Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Apligraf Device: Apligraf


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Subject is a minimum of 18 years of age.
  • Subject has read, understood, and signed an Institutional Review Board (IRB)-approved Informed Consent Form (ICF).
  • Subject is able and willing to follow study procedures and instructions.
  • Subject reports moderate VLU-related pain (defined as ≥4 based on maximum pain level over preceding 24 hours) on numeric rating scale (NRS) at both Week -2 and Day 0).
  • Subject has a partial or full-thickness VLU between 1-60 cm2 and 1-36 months duration, which, in the opinion of the Investigator, has not adequately responded to conventional ulcer therapy.
  • Female subject of childbearing potential has a documented negative urine pregnancy test.
  • Subject (male or female) agrees to use highly effective methods of contraception for the duration of the study.

Exclusion Criteria:

  • Subject has more than 1 VLU.
  • Female subject who is lactating.
  • Subject with significant or severe non VLU-related chronic pain which, in the Investigator's opinion, would impact subject's ability to evaluate their VLU-related pain. Subject with non-VLU-related chronic pain must be on a stable pain medication regimen and must, in the Investigator's opinion, not be anticipated to require a new pain medication for the chronic pain condition during the course of the study.
  • Subject is not willing to discontinue the use of topical analgesics at the VLU (topical anesthetic is permitted for debridement).
  • Subject who has arterial disease, as determined by an ankle-brachial index (ABI), of <0.65.
  • Subject who has received an investigational drug, device, or biological/bioactive treatment within 30 days prior to study enrollment.
  • Subject who is scheduled to have a vascular intervention on the study extremity during the study.
  • Subject with a biopsy confirmed active malignancy at the VLU. Also, subject with any active malignancy not at the VLU, with the exception of squamous cell carcinoma or basal cell carcinoma.
  • Subject who is currently receiving, anticipates receiving, or has received, at any time within 30 days prior to Screening visit, topical corticosteroids at the VLU.
  • Subject has vasculitis, severe rheumatoid arthritis, and other collagen vascular diseases.
  • Subject has signs and symptoms of wound infection, cellulitis, or osteomyelitis at the VLU.
  • Subject has a VLU with an avascular wound bed.
  • Subject has a VLU with exposed bone, tendon, or fascia.
  • Subject has other wounds (DFU, surgical, etc.) on the same limb as the VLU.
  • Subject has a known hypersensitivity to bovine collagen or to the components of the Apligraf agarose shipping medium.
  • Subject previously treated with Apligraf, or any other cell or tissue-based product at the VLU within 30 days of the Screening visit.
  • Subject who, in the opinion of the Investigator, has a history of alcohol or substance abuse within the previous year that could interfere with study compliance (eg, inability to attend scheduled study visits).
  • Subject, who in the opinion of the Investigator, for any reason other than those listed above, will not be able to complete the study per protocol.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT02011724

United States, New York
Winthrop University Hospital
Mineola, New York, United States, 11501
Sponsors and Collaborators
Principal Investigator: William A. Marston, MD Division of Vascular Surgery, UNC at Chapel Hill
Principal Investigator: Scott Gorenstein, MD Winthrop University Hospital
Principal Investigator: David G. Armstrong, DPM, MD, PhD Department of Surgery, University of Arizona College of Medicine
  More Information

Responsible Party: Organogenesis
ClinicalTrials.gov Identifier: NCT02011724     History of Changes
Other Study ID Numbers: 13-VLU-003-AG 
Study First Received: December 10, 2013
Last Updated: December 10, 2013
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Leg Ulcer
Varicose Ulcer
Cardiovascular Diseases
Pathologic Processes
Skin Diseases
Skin Ulcer
Varicose Veins
Vascular Diseases

ClinicalTrials.gov processed this record on May 04, 2016