2区 · 医学
Article
作者: Huang, Wen ; Wu, Zuze ; Sun, Wenjie ; Lv, Bonan ; Qin, Tingting ; Qiu, Zhenming ; Zhao, Jun ; Cheng, Xiaochen ; Du, Li ; Yang, Xinglong ; Zhao, Jichun ; Liu, Changjian ; Cui, Shijun ; Zhang, Qinglin ; Yin, Ping ; Zhu, Dan ; Li, Ming ; Li, Yiqing ; Lu, Yuxin ; Xiao, Fengjun ; Gu, Yongquan ; Zhao, Wenguang ; Guo, Wei ; Huang, Jianhua ; Li, Mingzhang ; Ren, Keyun
This phase II clinical trial investigated the efficacy and safety of intramuscular injection of plasmid pUDK-HGF, which encodes the human hepatocyte growth factor gene in patients with critical limb ischemia. Resting pain patients (n = 119) and patients with leg ulcers (n = 121) were enrolled as two cohorts and randomized to receive pUDK-HGF treatment on days 0, 14, and 28. In the resting pain cohort, the proportion of patients with complete pain relief on day 180 after receiving pUDK-HGF injection, as the primary outcome, was significantly higher than that of the placebo group on the same day (p = 0.0148). More responders with >50% pain reduction were also observed in the pUDK-HGF groups than in the placebo groups (p = 0.0168). In the ulcer cohort of patients, pUDK-HGF treatment tended to be superior to the placebo in the percentage of patients with both complete ulcer healing and >50% ulcer healing. No significant differences in the incidence of adverse events (AEs) or serious AEs were observed among the groups. The mid-dose pUDK-HGF (6 mg) was the most efficacious, and is therefore an appropriate dose for use in a phase III clinical trial. This study was approved by the China Food and Drug Administration (2013L00637), China Clinical Trial Registry URL: www.chinadrugtrials.org.cn. Unique Identifier: 20130378.