ClinicalTrials.gg
Not yet recruitingNCT06774040CLAUDIAUpdated Sep 17, 2025

Evaluation of Safety, Tolerability and Preliminary Efficacy of Etrinabdione in Patients With Peripheral Arterial Disease

A Phase 2 interventional study of Etribnabdione 25 mg BID and Etribnabdione 50 mg BID in Peripheral Arterial Disease, sponsored by VivaCell Biotechnology España. Not yet recruiting at 1 site in Spain. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-09-17.

Sponsored by VivaCell Biotechnology España · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
50 Years to 85 Years
Sex
All
01

Study summary

The goal of this clinical trial is to study the safety and tolerability of Etrinabdione in adult patients with peripheral arterial disease. It will also learn about the preliminary efficacy of Etrinabdione. The main questions it aims to answer are:

Has Etrinabdione an acceptable safety/tolerability profile during 12 months?

Do the patients show any improvement in any of the tests included in the protocol for this disease?

Researchers will test first the low dose of Etrinadione. If the product is safe at 3 months, the high dose can start.

Participants will:

Take Etrinabdione twice a day for 12 months. Visit the clinic once every 4 weeks for checkups and tests.

Read the detailed description

This is a single center, open-label Phase IIa clinical study. The study will be conducted with 2 treatment arms 25 mg BID and 50 mg BID.

The study consists of a Screening Period, a Treatment Period, and a Follow-up Period. Total duration 14 months.

Subjects who meet the inclusion criteria and do not meet the exclusion criteria at screening will start with the lower dose (25 mg BID). When the 12 patients have been treated for 3 months and the PK and safety data are evaluated by the regulatory authority, the Sponsor and the site investigators, the high dose (50 mg BID) will be released.

02

Conditions studied

  • Peripheral Arterial Disease

Keywords

  • Claudication
  • Arterial Occlusive Disease
  • Peripheral Artery Disease
  • Vascular Disease
  • Peripheral Vascular Disease
  • Chronic Limb Threatening Ischemia
  • Critical Limb Ischemia
03

In context

Peripheral Arterial Disease

1,377 studies on the registry are indexed under Peripheral Arterial Disease; 275 are open to participants now.

This study's planned enrollment of 30 is below the median of 70 across 927 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

This is the only study on the registry with VivaCell Biotechnology España as lead sponsor.

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

04

Who can participate

Ages eligible
50 Years to 85 Years
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

  • Willing and able to provide and capable of understanding and complying with the protocol;
  • Subjects classified as critical limb ischemia (CLI) Rutherford Category 2 or 3 (moderate or severe) claudication;
  • Diabetes mellitus type 2 with \< 9%;
  • In case of treatment for PAD, the subject is controlled on medical therapy indicated for CLI;
  • A female patient is eligible to participate if she is not pregnant, not breastfeeding, and agrees to use a highly effective method of ;
  • A male patient with a female partner of is eligible if he agrees to use acceptable method of contraception.

Exclusion criteria

Exclusion Criteria:

  • Planned surgical or endovascular revascularization on the index leg within the next 12 months;
  • Failed surgical or endovascular revascularization on the index leg within 10 days prior to screening;
  • Amputation at or above the talus on the index leg;
  • Planned major amputation within the first month after screening;
  • On the index leg, use of concomitant wound treatments not currently approved for ischemic wound-healing within 30 days prior to screening or plans to initiate new treatments to the index leg during the trial;
  • Uncontrolled or untreated proliferative retinopathy;
  • Blood clotting disorder not caused by medication;
  • Severe hypertension according to the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure;
  • Evidence of moderate to severe hepatocellular dysfunction;
  • Positive test for 1 (HIV 1), HIV 2, virus (HBV), virus (HCV) or Treponema Pallidum;
  • Subjects who may not be healthy enough to successfully complete all protocol requirements, or who are not expected to survive more than 12 months, or in whom results may be particularly difficult to assess.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Low dose

    25 mg BID

    Drug: Etribnabdione 25 mg BID

  • Experimental
    High dose

    50 mg BID

    Drug: Etribnabdione 50 mg BID

Interventions

  • DrugEtribnabdione 25 mg BID

    The trial will start with the lower dose. When the 12 patients have been treated for 3 months and the PK and safety data are evaluated by the regulatory authority, the Sponsor and the site investigators, the high dose (50 mg BID) will be released.

  • DrugEtribnabdione 50 mg BID

    The treatment will start when the regulatory authority, the sponsor and the site investigators have reviewed the low dose safety and pharmacokinetics data.

06

What researchers measure

Primary outcomes

  1. Incidence and severity of Treatment Emergent Adverse Events (TEAEs)

    This safety outcome combines the measure of the number of subjects experiencing adverse events (AEs), the nature and severity of those AEs and their relationship to the study treatments.

    Time frame: 13 months

Secondary outcomes

  1. Vascularization

    The angiogenesis induced by Etrinabdione treatment will be assessed by the evaluation of the peripheral arterial system of affected limbs by computed tomography angiography.

    Time frame: Baseline, 6 and 12 months

  2. Absolute claudication time

    The claudication time will be quantitatively measured by standardized treadmill test using a graded exercise protocol.

    Time frame: Baseline, 3, 6 and 12 months

  3. Hemodynamic

    The Ankle/Brachial Index (ABI) is a diagnostic measure used to assess blood flow and detect potential vascular abnormalities. It will be calculated as the ratio of systolic blood pressure at the ankle level (posterior tibial artery or pedia) divided by the systolic blood pressure obtained on the arm (humeral artery).

    Time frame: Baseline, 3, 6 and 12 months

  4. Stenosis

    Doppler ultrasound will be performed in the affected lower limbs at the level of the common femoral artery, superficial femoral artery, popliteal artery, posterior tibial artery and pedia artery.

    Time frame: Baseline, 3, 6 and 12 months

  5. Disease specific quality of life questionnaire (VascuQoL-6)

    The questionnaire includes 6 questions with 4 possible answers, scoring from 1 to 4. The lower the score, the worse the patient's perceived quality of life.

    Time frame: Baseline, 3, 6 and 12 months

  6. Tissue oxigenation

    Measure the local oxygen released from the capillaries through the skin by transcutaneous oximetry.

    Time frame: Baseline, 3, 6 and 12 months

Other outcomes

  1. Pharmacokinetic profile of Etrinabdione in terms of maximum observed plasma concentration (Cmax).

    The point of maximum concentration of Etrinabdione in plasma.

    Time frame: pre-dose and 3 hours post dose) at Day 1 and months 1, 3, 6, 12, and 13 months.

  2. Pharmacokinetic profile of Etrinabdione in terms of time to peak drug concentration (Tmax).

    The time of Etrinabdine to reach its maximum concentration in the body after administration

    Time frame: pre-dose and 3 hours post dose) at Day 1 and months 1, 3, 6, 12, and 13 months.

  3. Pharmacokinetic profile of Etrinabdione in terms of area under the plasma concentration-time curve (AUC).

    Total systemic exposure to Etrinabdione.

    Time frame: pre-dose and 3 hours post dose) at Day 1 and months 1, 3, 6, 12, and 13 months.

  4. Determination of potential accumulation of Etrinabdione.

    Etrinabdione plasma through level.

    Time frame: pre-dose and 3 hours post dose) at Day 1 and months 1, 3, 6, 12, and 13 months.

  5. Change in blood levels of disease/mechanism of action biomarkers measured by proximity extension assay and next-generation sequencing. All levels of plasma proteins will be provided in normalized protein expression units (NPX).

    von Willebrand factor, Angiogenin, EPO, HGF, VEGF, FGF-2, PDGF, Endoglin, Endothelin-1, IL-1, TNFa, IL-6, IL-17, ICAM-1, IL-18, Proteinase-activated receptor 1, Angiopoietin-1, Endothelial cell-specific molecule 1, IL-18 and MCP1

    Time frame: Day 1 and months 1, 3, 6, 12, and 13 months.

07

Study locations

1 site
08

References and documents

Publications

  • Garcia-Martin A, Prados ME, Lastres-Cubillo I, Ponce-Diaz FJ, Cerero L, Garrido-Rodriguez M, Navarrete C, Pineda R, Rodriguez AB, Munoz I, Moya J, Medeot A, Moreno JA, Chacon A, Garcia-Revillo J, Munoz E. Etrinabdione (VCE-004.8), a B55alpha activator, promotes angiogenesis and arteriogenesis in critical limb ischemia. J Transl Med. 2024 Nov 6;22(1):1003. doi: 10.1186/s12967-024-05748-w. PubMed 39506809 ↗

Related links

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2026; primary completion for Mar 2027, 14 months later.

Of 27 phase 2 interventional studies under Peripheral Arterial Disease, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 61. This study's planned 14 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 20, 2024
First posted
Jan 14, 2025
StartEst.
Jan 1, 2026
Primary completionEst.
Mar 2027
CompletionEst.
May 2027
Last update
Sep 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06774040
Lead sponsor
VivaCell Biotechnology España
Responsible party
Sponsor
First posted
Jan 14, 2025
Start date
Jan 1, 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Sep 17, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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