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XRP0038

Phase 3

Peripheral Arterial Disease | Gene therapy | Cardiovascular |Sanofi|Trials Updated: Jun 8, 2017

XRP0038 development status

Highest phase Phase 3 (NCT00566657)
Phase scored for SNYPhase 2
Registered trials 1 across 1 sponsor since Dec 2007

XRP0038 target and mechanism

ModalityGene therapy

Also known as XRP0038 (NV1FGF), riferminogene pecaplasmid, NV1FGF

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials6
Total Enrollment814

FDA Designations

No designations recorded

XRP0038 clinical trials

XRP0038 · 6 trials · 4 indications

Phase 3 1Phase 2 3Phase 1 2
NCT00566657Efficacy and Safety of XRP0038/NV1FGF in Critical Limb Ischemia Patients With Skin LesionsPeripheral Vascular Diseases
COMPLETED525 Analytics
PHASE3COMPLETED
Efficacy and Safety of XRP0038/NV1FGF in Critical Limb Ischemia Patients With Skin Lesions
Peripheral Vascular DiseasesUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to major amputation of the treated leg or death from any cause, whichever comes first
From randomization up to 12 months
Change from baseline in Absolute Claudication Distance (ACD) evaluated by treadmill test at week 13
13 weeks
evaluate the efficacy and the safety of NV1FGF compared to placebo in patients with severe PAOD.
Primary efficacy parameter: ulcer healing.
Ulcers will be evaluated at each visit primarily by collecting quantitative and qualitative information.
Detection of FGF-1 mRNA (by real-time RT-PCR) in injected tissues at injection site
3 to 8 days after amputation
Safety assessment (adverse events, physical examination,vital signs,ECG, laboratory tests...)
12 weeks

Secondary Endpoints

Time to first major amputation of the treated leg
From randomization up to 12 months
Time to death from any cause
From randomization up to 12 months
Number of participants with adverse events as a measure of safety
From 1st treatment administration up to death, or the earliest of Day 360 or last contact/assessment
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Riferminogene pecaplasmidEXPERIMENTAL4 administrations of riferminogene pecaplasmid 4 mg at 2-week intervals
PlaceboPLACEBO_COMPARATOR4 administrations of placebo (for riferminogene pecaplasmid) at 2-week intervals
NV1FGF 16 mgEXPERIMENTAL4 administrations at 2-week interval of 4mg at each administration
NV1FGF 32 mgEXPERIMENTAL4 administrations at 2-week interval of 8mg at each administration
NV1FGF 500 μgEXPERIMENTAL8 intramuscular injections for a total of 500 μg administered in one single administration 3 to 8 days before major amputation
NV1FGF 2000 μgEXPERIMENTAL8 intramuscular injections for a total of 2000 μg administered in one single administration 3 to 8 days before major amputation
NV1FGF 4000 μgEXPERIMENTAL8 intramuscular injections for a total of 4000 μg administered in one single administration 3 to 8 days before major amputation

Interventions

NameTypeDescription
riferminogene pecaplasmidBIOLOGICALFormulation: 5 ml glass vials containing 2,5 ml riferminogene pecaplasmid Route: intramuscular (IM) injection of 2.5 mL in the ischemic leg to be treated
Placebo (for riferminogene pecaplasmid)BIOLOGICALFormulation: 5 ml glass vials containing 2,5 ml placebo Route: IM injection of 2.5 mL in the ischemic leg to be treated
XRP0038 (NV1FGF)DRUGPharmaceutical form:solution Route of administration: intramuscular
placeboDRUGPharmaceutical form:solution Route of administration: intramuscular
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Having peripheral artery disease at the stage of Critical Limb Ischemia (CLI) with skin lesions (either ulcer(s) or gangrene); * With objective evidence of CLI such as ankle systolic pressure \<70 mmHg and/or toe systolic pressure \<50 mmHg or transcutaneous oxygen pressure (T...

Countries:United StatesArgentinaAustraliaAustriaBelarusBelgiumBrazilCanadaChileCzechiaDenmarkEstoniaFinlandFranceGermanyGreeceHong KongHungaryItalyJapanMexicoPolandRussiaSingaporeSouth AfricaSouth KoreaSpainSwedenSwitzerlandTurkey (Türkiye)UkraineUnited Kingdom
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Frequently asked questions about XRP0038

What is XRP0038 used for?

XRP0038 is being studied for peripheral arterial disease, including peripheral arterial occlusive disease and severe peripheral artery occlusive disease. It is an investigational therapy developed by Sanofi. The clinical program has focused on patients with intermittent claudication and those with severe disease, including patients planned to undergo major amputation.

Who makes XRP0038?

XRP0038 is developed by Sanofi, which trades under the ticker SNY. Sanofi sponsored the clinical trial program evaluating the drug in peripheral arterial occlusive disease. The studies were conducted across sites in the United States, Belgium, Germany, Switzerland, and Finland.

What phase is XRP0038 in?

XRP0038 has been studied in Phase 2 clinical development. Four completed trials are listed for the program, two of which are Phase 2 studies and two of which are Phase 1 studies. No active trials are currently listed, and the program has completed its registered studies.

What clinical trials is XRP0038 in?

XRP0038 has been evaluated in completed trials including NCT01157871, a Phase 2 dose-finding study in intermittent claudication, and NCT00798005, a Phase 2 efficacy and safety study in severe peripheral artery occlusive disease. Phase 1 studies NCT01157156 and NCT01157143 assessed safety, tolerability, and gene expression.

Is XRP0038 the same as NV1FGF?

Yes, XRP0038 is also known as NV1FGF. The two names refer to the same investigational therapy developed by Sanofi for peripheral arterial disease. The clinical trials for this program are registered under the NV1FGF designation, so searches for either name lead to the same set of studies.

How many patients were enrolled in XRP0038 trials?

The XRP0038 clinical program enrolled a total of 125 patients across its completed trials. Individual study enrollment ranged from 6 patients in a Phase 1 gene expression and tolerability study to 71 patients in a Phase 2 efficacy and safety study in severe peripheral artery occlusive disease.