Cesca Therapeutics
Inc. KOOL, an autologous cell-based regenerative medicine company,
today announced that it has received a letter from the U.S. Food and Drug
Administration responding to the Company's investigational device exemption
("IDE") application for its pivotal CLIRST III clinical trial. The IDE
application, filed on November 20, 2014, sought approval to begin a pivotal,
randomized, placebo-controlled study of 224 late stage CLI patients at up to
60 clinical sites in the United States and India. In its letter, the FDA noted
several deficiencies in the Company's submission, requesting, among other
things, additional information on characterization of the output of the
SurgWerks™ - CLI and VXP system, a plan for testing device output for
conformity to predefined intra-operative release criteria prior to
administration, modifications to the management of potential adverse events
and a strengthening of the language in the risk clauses in the Informed
Consent Document.
"The clarity of the feedback from the FDA is very helpful and we are now in
the process of addressing the various points raised in their letter,"
commented Robin Stracey, Chief Executive Officer of Cesca. "We anticipate
completing that work and submitting our amended IDE application sometime in
February 2015," he continued.
In its letter, the FDA noted no deficiencies relating to the Company's overall
trial design, including the patient population size of 224, the 3:1
randomization and the use of a blinded independent committee for determination
of amputation decisions. The Company believes that, upon FDA approval, its
study will be one of the first CLI trials to use a blinded independent
committee review to assess the primary endpoint. Cesca included this element
in its trial design specifically to overcome the trial bias observed in
previous pivotal CLI trials with major amputation free survival rates as the
primary endpoint.
Ken Harris, Cesca's President and the leader of the Company's clinical
programs, commented, "Taken as a whole, we believe the questions and comments
received from the FDA confirm that we have designed a sound clinical trial. We
look forward to addressing the Agency's remaining concerns and resubmitting
our application. If the amended application is approved by the FDA, we hope to
be able to begin enrolling patients as early as April 2015."
CLI is the most severe form of Peripheral Arterial Disease ("PAD") affecting
over two million patients in the United States. It is often associated with
chronic foot and leg ulcers, leading to approximately two hundred thousand
amputations per year. A diagnosis of CLI statistically results in a 25%
mortality rate and a 25% amputation rate within one year.
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