ClinicalTrials.gg
WithdrawnNCT03214887Updated Mar 15, 2022

Autologous BMMNC Combined With HA Therapy for PAOD

A Phase 1/2 interventional study of RV-P1501 in Peripheral Arterial Occlusive Disease and Critical Limb Ischemia, sponsored by Academia Sinica, Taiwan. Withdrawn at 2 sites in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2022-03-15.

Sponsored by Academia Sinica, Taiwan · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
Incomplete enrollment process

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Jan 2017, registered Jul 2017).
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of hyaluronan combined with autologous bone marrow mononuclear cells for the treatment of critical PAOD patients.

Read the detailed description

This is a multicenter, non-blinded and randomized study to evaluate the safety and efficacy of hyaluronan (HA) combined with autologous bone marrow mononuclear cells (BMMNC) therapy for critical peripheral arterial occlusive disease (PAOD) patients.

A total of 30 subjects will be recruited into the study. The subjects will be randomized into 3 different arms. During the Phase I study, 9 subjects recruited while another 21 additional subjects will be recruited in Phase II after the review of DSMB and consultation of Taiwan FDA on the results of the Phase I study.

Each subject will be administered 5\~10 injections of RV-P1501, the number of injections depends on the size of the subject's ischemic leg. Each subject will receive treatment once. Subjects will be assigned to the treatments in random order. Evaluations including ABI, PWT/PFWT, clinical status, EF, CTA, biochemistry and hematology checked during the inclusion and exclusion evaluation, and will be taken at baseline, 1 week, 2 weeks, 4 weeks, 12 weeks, and 24 weeks after the treatment.

02

Conditions studied

  • Peripheral Arterial Occlusive Disease
  • Critical Limb Ischemia

Keywords

  • Hyaluronan
  • Bone marrow mononuclear cells
03

In context

Chronic Limb-Threatening Ischemia

348 studies on the registry are indexed under Chronic Limb-Threatening Ischemia; 70 are open to participants now.

Browse Chronic Limb-Threatening Ischemia studies →

Lead sponsor

Academia Sinica, Taiwan is the lead sponsor of 15 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient age ≥ 20
  • Patients with severe PAOD and diagnosed with Rutherford category 3, 4, or 5
  • Contraindication to angioplasty or bypass surgery, or post-angioplasty or bypass surgery for once but with limited or no effect.
  • Patient without hypertension or hypertensive patient with adequate-controlled blood pressure.
  • With signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Patient undergone any organ transplantation
  • Inability to undergo bone marrow aspiration
  • Pregnant woman
  • Life expectancy \< 1 year
  • Cognitive impairment
  • Active malignancy in 5 years prior to treatment
  • Bleeding diathesis or pulmonary embolism
  • Patient with active major cardiovascular diseases such as unstable angina, arrhythmia, heart failure, impaired cardiac function (ejection fraction \< 45%), or stroke
  • Estimated Glomerular Filtration Rate (eGFR) \< 30
  • Glutamic oxaloacetic transaminase (GOT) and glutamic pyruvic transaminase (GPT) values higher than 80 U/L
  • Patient with severe diabetes mellitus (HbA1C > 8%)
  • Patient with alcohol addiction
  • Patient with drug abuse
  • Patient with infections or skin disease on the ischemic leg.
  • Allergic to HA
  • Patient whose blockage region only occurred in the femoral artery or at foot.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    RV-P1501-4

    Gel-like product with 10 thousand BMMNCs in each ml of 1% hyaluronan (HA) solution

    Biological: RV-P1501

  • Experimental
    RV-P1501-5

    Gel-like product with 100 thousand BMMNCs in each ml of 1% hyaluronan (HA) solution

    Biological: RV-P1501

  • Experimental
    RV-P1501-6

    Gel-like product with 1 million BMMNCs in each ml of 1% hyaluronan (HA) solution

    Biological: RV-P1501

Interventions

  • BiologicalRV-P1501

    Gel-like product with BMMNCs in each ml of hyaluronan (HA) solution

06

What researchers measure

Primary outcomes

  1. Ankle Brachial Index (ABI)

    The percentage change of ABI from 3 follow-ups with the baseline.

    Time frame: Day 0, Week 4, Week 12, Week 24

Secondary outcomes

  1. Clinical status (Rutherford category)

    Improvement in Rutherford scale was recorded at baseline and each follow-up.

    Time frame: Day 0, Week 1, Week 2, Week 4, Week 12, Week 24

  2. Level of pain at rest

    Rest pain was measured using Wong-Baker FACES pain rating scale at baseline and each follow-up visit.

    Time frame: Day 0, Week 1, Week 2, Week 4, Week 12, Week 24

  3. Ulcer size in cm2

    Ulcer size was assessed and measured at each follow-up interval and compared to baseline.

    Time frame: Day 0, Week 1, Week 2, Week 4, Week 12, Week 24

  4. Ulcer category

    Ulcer status was assessed at each follow-up interval and compared to baseline.

    Time frame: Day 0, Week 1, Week 2, Week 4, Week 12, Week 24

  5. PWT/PFWT in seconds

    Peak walking time and pain-free walking time was measured at baseline and compared to W4, W12 and W24 by treadmill walking tests.

    Time frame: Day 0, Week 4, Week 12, Week 24

  6. Amputation free

    Time to below the knee amputation of the ipsilateral leg after the treatment.

    Time frame: Week 1, Week 2, Week 4, Week 12, Week 24

  7. Ejection fraction

    Ejection fraction was measured by echocardiogram to record the cardiac function at W12 and W24.

    Time frame: Week 12, Week 24

  8. CT angiography

    CT angiography was performed to record the morphology of blood vessel, location, and the vessel cross section percentage.

    Time frame: Week 12, Week 24

  9. Biochemistry

    Biochemistry tests were performed to interpret the health assessment at W12 and W24.

    Time frame: Week 12, Week 24

  10. Hematology

    Hematology tests were performed to interpret the health assessment at W12 and W24.

    Time frame: Week 12, Week 24

07

Study locations

2 sites
  • National Cheng Kung University Hospital
    Tainan, 704, Taiwan
  • National Taiwan University Hospital
    Taipei, 100, Taiwan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03214887
Lead sponsor
Academia Sinica, Taiwan
Responsible party
Sponsor
First posted
Jul 12, 2017
Start date
Jan 17, 2017
Primary completion
Jun 30, 2018 (estimated)
Completion
Jul 27, 2018
Last update
Mar 15, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion