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CompletedNCT03068585NeovasculgenUpdated Mar 3, 2017

Efficiency, Safety and Portability of Neovasculgen

A Phase 2/3 interventional study of Neovasculgen (Cambiogeneplasmid) in Peripheral Arterial Disease, sponsored by Human Stem Cell Institute, Russia. Completed at 3 sites in Russian Federation. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2017-03-03.

Sponsored by Human Stem Cell Institute, Russia · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Feb 2010, registered Jun 2011).
Phase
Phase 2/3
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
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Study summary

In 2010, we completed a phase 1 to 2a clinical trial of pCMV-vegf165 in patients with chronic lower limb ischemia (stage 2a to 3 according to Fontaine classification modified by A. V. Pokrovsky) who were not suitable for reconstructive surgery or endovascular treatment. This study demonstrated the safety, feasibility, and short-term(3 months) efficacy of pCMV-vegf165 gene transfer,12,13which lead to conducting a phase 2b to 3 multicenter clinical trial. The study was conducted under the control of the Russian Ministry of Health and was completed in 2011. Patients enrolled in the study were subjected to a 6-month

Read the detailed description

We conducted a phase 2b/3 multicenter randomized controlled clinical trial of the intramuscular transfer of a plasmid DNA encoding vascular endothelial growth factor (VEGF) 165 with cytomegalovirus promotor (CMV) in patients with atherosclerotic lower limb ischemia. A total of 100 patients were enrolled in the study, that is, 75 patients were randomized into the test group and received 2 intramuscular injections of 1.2 mg of pCMV- vegf165, 14 days apart together with standard pharmacological treatment. In all, 25 patients were randomized into the control group and received standard treatment only. The following end points were evaluated within the first 6 months of the study and during a 1.5-year additional follow-up period: pain-free walking distance (PWD), ankle-brachial index (ABI), and blood flow velocity (BFV).

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Conditions studied

  • Peripheral Arterial Disease

Keywords

  • PAD
  • CLI
  • stage 2a-3 of Pokrovsky-Fonteine
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In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 100 is above the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Human Stem Cell Institute, Russia is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • age more than 40 years;
  • a history of stable claudication for at least 3 months;
  • stage 2 to 3 chronic ischemia according to Fontaine classification (modified by A. V. Pokrovsky);
  • presence of hemodynamically significant (stenosis >70% and/or occlusion) diffuse lesions of the interior and (or) posterior tibial arteries (distal lesion);
  • voluntary informed consent signed and dated by the patient.

Exclusion criteria

Exclusion Criteria:

  • chronic lower limb ischemia of nonatherosclerotic genesis; stage 4 chronic ischemia according to Fontaine classification modified by A. V. Pokrovsky (ischemic ulcers and necrotic lesions);
  • severe concomitant pathology with life expectancy \<1 year;
  • infectious diseases, history of cancer, or suspected malignancy;
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Neovasculgen

    DNA encoding the 165-amino-acid isoform of human vascular endothelial growth factor (pCMV - VEGF165)

    Drug: Neovasculgen (Cambiogeneplasmid)

  • No intervention
    Control

    Control therapy

Interventions

  • DrugNeovasculgen (Cambiogeneplasmid)

    treatment

    Also known as: Neovasculgen

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What researchers measure

Primary outcomes

  1. Pain-free walking distance.

    The PWD was determined using a treadmill test with reduced initial speed (1 km/h), as the majority of elderly patients were unable to perform Gardner test or its equivalents.

    Time frame: 6 months

Secondary outcomes

  1. Ankle-brachial index

    The ankle-brachial pressure index (ABPI) or ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg is an indication of blocked arteries due to peripheral artery disease (PAD).

    Time frame: 6 months

  2. Transcutaneous oximetry

    Transcutaneous oximetry, tcpO2 or TCOM, is a local, non-invasive measurement reflecting the amount of O2 that has diffused from the capillaries, through the epidermis.

    Time frame: 6 months

  3. quality of life

    SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. These measures rely upon patient self-reporting and are now widely utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients.

    Time frame: 6 months

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Study locations

3 sites
  • Russian National Surgery Center by Petrovsky
    Moscow, Central Russia 119991, Russian Federation
  • Ryazansky State Medical University
    Ryazan, Central Russia 390026, Russian Federation
  • Yaroslavl State Medical Academy
    Yaroslavl, Central Russia 150000, Russian Federation
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References and documents

Publications

  • Deev RV, Bozo IY, Mzhavanadze ND, Voronov DA, Gavrilenko AV, Chervyakov YV, Staroverov IN, Kalinin RE, Shvalb PG, Isaev AA. pCMV-vegf165 Intramuscular Gene Transfer is an Effective Method of Treatment for Patients With Chronic Lower Limb Ischemia. J Cardiovasc Pharmacol Ther. 2015 Sep;20(5):473-82. doi: 10.1177/1074248415574336. Epub 2015 Mar 13. PubMed 25770117 ↗
  • Deev R, Plaksa I, Bozo I, Mzhavanadze N, Suchkov I, Chervyakov Y, Staroverov I, Kalinin R, Isaev A. Results of 5-year follow-up study in patients with peripheral artery disease treated with PL-VEGF165 for intermittent claudication. Ther Adv Cardiovasc Dis. 2018 Sep;12(9):237-246. doi: 10.1177/1753944718786926. Epub 2018 Jul 11. PubMed 29996720 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2017, 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
NCT03068585
Lead sponsor
Human Stem Cell Institute, Russia
Responsible party
Sponsor
First posted
Mar 3, 2017
Start date
Feb 2010
Primary completion
Jun 1, 2011
Completion
Jul 1, 2011
Last update
Mar 3, 2017

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2011. You cannot join it, but the record below documents what was studied.

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