Hamed Saher, Belokopytov Mark, Ullmann Yehuda, Safadi Muhammad, Stark Yafit, Shoufani Aziz, Akita Sadanori, Liu Paul Y, Teot Luc
Department of Research and Development, Remedor Biomed Ltd., Nazareth Illit, Israel.
Department of Plastic and Reconstructive Surgery, Rambam Health Care Campus, Haifa, Israel.
Adv Wound Care (New Rochelle). 2019 Oct 1;8(10):514-521. doi: 10.1089/wound.2018.0808. Epub 2019 Aug 21.
To inform on the interim results of the Remede d'Or study, which is a prospective, multicenter, single-blind, randomized, controlled clinical study on the safety and efficacy of RMD-G1, a topical carbopol-based hydrogel with a fibronectin matrix whose active pharmaceutical ingredient is erythropoietin (EPO), for treating diabetic foot ulcers (DFU). The trial will comprise 20 patients with type 2 diabetes mellitus with neuroischemic DFUs who will be randomized into two groups: (1) a control group in which standard-of-care (SOC) will be used to treat the DFUs, and (2) a test group in which SOC and RMD-G1 will be used to treat the DFUs. On day 0, all participants will be randomized to receive either RMD-G1 and SOC treatment or SOC alone. The primary endpoint of the study is complete closure of the DFU within the 12-week study period following daily treatments and dressing changes. Interim results reveal that those DFUs which were treated with RMD-G1 responded positively: there was a significant reduction in the wound areas. In contrast, the condition of those DFUs which were treated with only SOC deteriorated. To date, no topical therapies with proven efficacy for treating DFUs exist. Topical application of EPO-based RMD-G1 in conjunction with SOC to a DFU accelerates their healing and closure. The interim results of this trial indicate that topical RMD-G1 is a safe adjunctive therapy to SOC, which accelerates the closure of a DFU. RMD-G1 is safe pharmaceutical because EPO has a proven safety profile.
为了报告Remede d'Or研究的中期结果,该研究是一项前瞻性、多中心、单盲、随机对照临床研究,旨在评估RMD-G1(一种含有纤连蛋白基质的卡波姆基局部水凝胶,其活性药物成分是促红细胞生成素(EPO))治疗糖尿病足溃疡(DFU)的安全性和有效性。该试验将纳入20例患有神经缺血性DFU的2型糖尿病患者,他们将被随机分为两组:(1)对照组,采用标准治疗(SOC)来治疗DFU;(2)试验组,采用SOC联合RMD-G1来治疗DFU。在第0天,所有参与者将被随机分配接受RMD-G1联合SOC治疗或仅接受SOC治疗。该研究的主要终点是在每日治疗和换药后的12周研究期内DFU完全闭合。中期结果显示,接受RMD-G1治疗的DFU反应良好:伤口面积显著减小。相比之下,仅接受SOC治疗的DFU病情恶化。迄今为止,尚无经证实对治疗DFU有效的局部治疗方法。将基于EPO的RMD-G1与SOC联合局部应用于DFU可加速其愈合和闭合。该试验的中期结果表明,局部应用RMD-G1是SOC的一种安全辅助治疗方法,可加速DFU的闭合。RMD-G1是一种安全的药物,因为EPO具有已证实的安全性。