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CompletedNCT00671307Updated Sep 29, 2010

Ascending Single Dose Study of Rhu-pGelsolin in Patients With Decreased Gelsolin Levels

A Phase 1/2 interventional study of rhu-pGelsolin and Placebo in Low Gelsolin, Trauma and Infection, sponsored by Critical Biologics Corporation. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-09-29.

Sponsored by Critical Biologics Corporation · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to assess the pharmacokinetics and safety of an infusion of a single dose of recombinant plasma gelsolin (rhu-pGelsolin) when given to patients admitted to the Intensive Care Unit with documented low levels of natural gelsolin. It is believed that this drug will raise the gelsolin levels in these patients and decrease the probability that they will develop complications from their underlying disease such as organ system failure or death.

Read the detailed description

This is a randomized, double-blind, placebo-controlled, ascending single dose of rhu-pGelsolin infusion study. Thirteen subjects (10 active and 3 placebo) will be dosed at 3 mg/kg and 5 subjects (3 active and 2 placebo) will be dosed at 6 mg/kg. In addition, twenty-two subjects (18 active and 4 placebo) will be dosed at 6 mg/kg per day for 3 days. The Data Safety Monitoring Committee (DSMC) and Steering Committee will review the preceding dose safety data, and agree the tolerability prior to the enrolment for next higher dose. Blood samples will be collected during 1 hour infusion through 72 hours post dose for PK assessment after each dose.

02

Conditions studied

  • Low Gelsolin
  • Trauma
  • Infection
  • Burns

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Keywords

  • Gelsolin
  • Trauma
  • Pneumonia
  • Peritonitis
  • Burn
  • Infection
  • Sepsis
  • Systemic Inflammatory Response Syndrome
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's planned enrollment of 40 is below the median of 120 across 4,200 interventional studies indexed under Infections.

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Lead sponsor

This is the only study on the registry with Critical Biologics Corporation as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • >18 years of age
  • Documented gelsolin level \<100 mg/mL
  • Admission to ICU
  • Women of child-bearing age have a negative pregnancy test
  • Multiple Organ Failure score \< 4
  • Catheter present through which blood samples can be taken
  • Written Informed Consent obtained

Exclusion criteria

Exclusion Criteria:

  • Participation in other investigational treatment protocols
  • Patients \<18 years of age
  • Patients who have a modified Multiple Organ Failure score of >=4
  • Patient, who in the opinion of the Principal Investigator, are unlikely to be in the ICU for >48 hours
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo

  • Experimental
    Low dose

    3 mg/kg of rhu-pGelsolin given as an IV infusion over 1 hour

    Drug: rhu-pGelsolin

  • Experimental
    Mid-dose

    6 mg/kg of rhu-pGelsolin given as an IV infusion over 1 hour

    Drug: rhu-pGelsolin

  • Experimental
    High dose

    6 mg/kg of rhu-pGelsolin given a an IV infusion over 1 hour once a day for 3 days

    Drug: rhu-pGelsolin

Interventions

  • Drugrhu-pGelsolin

    IV formulation of recombinant plasma gelsolin formulated as 10 mg/ml given as a single IV infusion over 1 hour

    Also known as: Recombinant plasma gelsolin, CBC-100, Solinex

  • DrugPlacebo

    Vehicle control given as IV infusion over 1 hour

    Also known as: Vehicle control

06

What researchers measure

Primary outcomes

  1. Pharmacokinetics of plasma gelsolin

    Time frame: 72 hours

Secondary outcomes

  1. Adverse events and the development of anti-rhu-pGelsolin antibodies

    Time frame: 3 months

  2. Pharmacodynamics of sepsis biomarkers

    Time frame: 72 hours

  3. Clinical outcomes (mortality, duration of ICU stay, duration of ventilator support, duration of hospital stay)

    Time frame: 28 days

07

Study locations

1 site
  • Queen Mary Hospital; University of Hong Kong
    Hong Kong, SAR, Hong Kong
08

References and documents

Publications

  • Lee PS, Waxman AB, Cotich KL, Chung SW, Perrella MA, Stossel TP. Plasma gelsolin is a marker and therapeutic agent in animal sepsis. Crit Care Med. 2007 Mar;35(3):849-55. doi: 10.1097/01.CCM.0000253815.26311.24. PubMed 17205019 ↗
  • Lee PS, Drager LR, Stossel TP, Moore FD, Rogers SO. Relationship of plasma gelsolin levels to outcomes in critically ill surgical patients. Ann Surg. 2006 Mar;243(3):399-403. doi: 10.1097/01.sla.0000201798.77133.55. PubMed 16495706 ↗
  • Christofidou-Solomidou M, Scherpereel A, Solomides CC, Christie JD, Stossel TP, Goelz S, DiNubile MJ. Recombinant plasma gelsolin diminishes the acute inflammatory response to hyperoxia in mice. J Investig Med. 2002 Jan;50(1):54-60. doi: 10.2310/6650.2002.33518. PubMed 11813829 ↗
  • Rothenbach PA, Dahl B, Schwartz JJ, O'Keefe GE, Yamamoto M, Lee WM, Horton JW, Yin HL, Turnage RH. Recombinant plasma gelsolin infusion attenuates burn-induced pulmonary microvascular dysfunction. J Appl Physiol (1985). 2004 Jan;96(1):25-31. doi: 10.1152/japplphysiol.01074.2002. Epub 2003 May 2. PubMed 12730154 ↗
  • Mounzer KC, Moncure M, Smith YR, Dinubile MJ. Relationship of admission plasma gelsolin levels to clinical outcomes in patients after major trauma. Am J Respir Crit Care Med. 1999 Nov;160(5 Pt 1):1673-81. doi: 10.1164/ajrccm.160.5.9807137. PubMed 10556139 ↗
  • DiNubile MJ, Stossel TP, Ljunghusen OC, Ferrara JL, Antin JH. Prognostic implications of declining plasma gelsolin levels after allogeneic stem cell transplantation. Blood. 2002 Dec 15;100(13):4367-71. doi: 10.1182/blood-2002-06-1672. Epub 2002 Aug 1. PubMed 12393536 ↗
  • Suhler E, Lin W, Yin HL, Lee WM. Decreased plasma gelsolin concentrations in acute liver failure, myocardial infarction, septic shock, and myonecrosis. Crit Care Med. 1997 Apr;25(4):594-8. doi: 10.1097/00003246-199704000-00007. PubMed 9142022 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 29, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00671307
Lead sponsor
Critical Biologics Corporation
First posted
May 5, 2008
Start date
Mar 2008
Primary completion
Mar 2010
Completion
May 2010
Last update
Sep 29, 2010

Study contacts

Wai M Chan, MBBS
principal investigator · Queen Mary Hospital, Hong Kong
Selene Tam, PhD
study director · University of Hong Kong; Clinical Trials Centre
Richard C Straube, MD
study chair · Critical Biologics Corporation

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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