Evidence map›Paper›PMID 39838970›Full record

ArticleTherapeutic advances in endocrinology and metabolism2024

Multi-target gene therapy AUP1602-C to improve healing and quality of life for diabetic foot ulcer patients: a phase I, open-label, dose-finding study.

Christoph Schindler, Jacek Mikosiński, Pawel Mikosiński, Hanna-Riikka Kärkkäinen, Mirka Sanio, Jere Kurkipuro, Igor Mierau, Wesley Smith, Aki Vartiainen, Laurent Décory and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04281992 (A Phase 1/2A Clinical Study to Evaluate the Safety, Tolerability and Efficacy of Single and Repeated Doses of AUP1602-C as Topical Treatment of Diabetic Foot Ulcers), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04281992 phase1 / phase2completednot on this map

A Phase 1/2A Clinical Study to Evaluate the Safety, Tolerability and Efficacy of Single and Repeated Doses of AUP1602-C as Topical Treatment of Diabetic Foot Ulcers

TypeinterventionalSponsorAurealis OyRan2020 to 2023Enrolled26ConditionsDiabetic Foot UlcerArmsAUP1602-C
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. The dual role of the microbiome in chronic wound management.Cell communication and signaling : CCS · 2026
    Review
  2. Review
  3. Developing anACS pharmacology & translational science · 2025
    Article
  4. Skin microbiota and diabetic foot ulcers.Frontiers in microbiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Christoph SchindlerCenter for Clinical Trials and Center for Pharmacology and Toxicology, Hannover Medical School, Hannover, Germany.
Jacek MikosińskiMIKOMED Sp., Lodz, Poland.
Pawel MikosińskiMIKOMED Sp., Lodz, Poland.
Hanna-Riikka KärkkäinenAurealis Therapeutics, Zug, Switzerland.
Mirka SanioAurealis Therapeutics, Zug, Switzerland.
Jere KurkipuroAurealis Therapeutics, Zug, Switzerland.
Igor MierauAurealis Therapeutics, Zug, Switzerland.
Wesley SmithAurealis Therapeutics, Zug, Switzerland.
Aki VartiainenAurealis Therapeutics, Zug, Switzerland.
Laurent DécoryAurealis Therapeutics, Zug, Switzerland.
Dirk WeberAurealis Therapeutics, Zug, Switzerland.
Thomas WirthAurealis Therapeutics, Zug, Switzerland.
Juha YrjänheikkiAurealis Therapeutics, Zug, Switzerland.
Sebastian SchellongStädtisches Klinikum Dresden, Dresden, Germany.
Haritha SamaranayakeAurealis Therapeutics, Microkatu 1, Kuopio 70210, Finland.ORCID https://orcid.org/0000-0001-7009-1671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic foot ulcer (DFU) is a common and highly morbid complication of diabetes with high unmet medical needs. AUP1602-C, a topical four-in-one gene therapy medicinal product (GTMP), consisting of a Objectives: The aim of this first-in-human study was to investigate whether AUP1602-C is safe and effective in improving wound healing and quality of life (QoL) in patients with non-healing DFU (nhDFU), and to determine the recommended phase II dose. Design: Phase I, single-arm, open-label, uncontrolled, dose escalation study. Methods: The study consisted of four cohorts of patients receiving AUP1602-C as a single dose of 2.5 × 10 Results: In total, 16 patients aged 53-80 years were included, 3 each in the safety and low dose, 4 in the medium dose, and 6 in the high-dose cohort. AUP1602-C demonstrated a favorable safety profile with almost 100% dosing compliance. The most frequently reported side effect related to treatment was skin maceration. No serious adverse reactions, systemic toxicity, deaths, or side effects suggestive of immunogenicity, hypersensitivity, allergic reaction, or dose-limiting toxicities related to treatment were reported. No biodistribution events were observed and shedding-related events were rare and did neither show accumulation nor dose dependency. The recommended phase II dose of 2.5 × 10 Conclusion: AUP1602-C was safe and well tolerated and demonstrated dose-dependent efficacy in patients with nhDFU. Data supports further clinical development of AUP1602-C. Trial registration: The study was registered in ClinicalTrials.gov (NCT04281992) and ClinicalTrialsRegister.eu (2018-003415-22).

Indexed as

advanced therapy medicinal productbacterial vector used as gene therapychronic non-healing ulcersdiabetic foot ulcergenetically engineered bacteriaLactococcus cremorislive biotherapeuticsmulti-target gene therapyphase I studywound healing

Identifiers

PMID39838970
PMCPMC11748067

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.