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of cBMA aspirate into the index leg

Phase 1

Peripheral Artery Disease | Monoclonal antibody | Cardiovascular |Zimmer Biomet Holdings, Inc.|Last Updated: Dec 12, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment6
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02863926Use of Autologous Concentrated Bone Marrow Aspirate in Preventing Wound Complications in Below Knee Amputation (BKA)PHASE1 COMPLETED 6Jan 6, 2017Jul 27, 2018Dec 12, 20241 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Treatment-related Adverse Events Occurring During the Enrollment Period as Assessed by the Investigator Using the CTCAE 4.0 Scale.
12 months

Safety will be evaluated by review of treatment related AEs during the 12-month follow-up period. The study will be terminated in the event of a Grade 4-5 unexpected event based on the Common Terminology Criteria for Adverse Events (CTCAE), version 4.0. Treatment-related AEs will be categorized overlapping systems and severities. Three categories of systems are cardiovascular, respiratory, or infectious. Two categories of severity will be serious adverse (SAE) and major adverse cardiac events (MACE). Binomial confidence Intervals at the 95% confidence level and p-values for these 3 groups will be calculated. Since previous trials have not reported AEs with cBMA treatment, confidence intervals will be generated by the method of the Wilson Score Interval.

Secondary Endpoints
Number of Participants With Conversion From Below Knee Amputation to Above Knee Amputation as Evidenced by Wound Complications at the Below Knee Amputation Stump Site.
12 months
The Role of Autologous Bone Marrow Cells Injected in Human Skeletal Muscle in Inducing Capillary Vessel Formation at the Time of Below Knee Amputation.
12 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Day 7EXPERIMENTALBKA performed at 7 days post autologous cBMA injection. Injection of cBMA aspirate into the index leg
Day 14EXPERIMENTALBKA performed at 14 days post autologous cBMA injection. Injection of cBMA aspirate into the index leg
Day 21EXPERIMENTALBKA performed at 21 days post autologous cBMA injection. Injection of cBMA aspirate into the index leg
Interventions
NameTypeDescription
Injection of cBMA aspirate into the index legBIOLOGICALInjection of cBMA into the anterior tibialis muscle and upper index leg of subjects scheduled for semi-elective BKA 7-21 days before surgery
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Eligibility Criteria
Age Range40 Years — 90 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Be ≥ 40 and ≤90 years of age. 2. Patients requiring below knee amputation, as determined by an independent vascular specialist. 3. If ulceration or gangrene present, it is distal to malleoli (to allow adequate length of ATM for 4 injections 4 cm. apart) 4. BKA can safely be p...

Countries:United States
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