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Related Concept Videos

Gene Therapy00:59

Gene Therapy

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Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
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Related Experiment Video

Updated: Jan 12, 2026

Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
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Anatomically Directed Lower Extremity Gene Therapy for Ulcer Healing: A Double-Blind, Randomized, Placebo-Controlled

David G Armstrong1, Michael S Conte2, Joseph L Mills3

  • 1Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles (D.G.A.).

Circulation. Cardiovascular Interventions
|November 4, 2025
PubMed
Summary
This summary is machine-generated.

AMG0001, a novel therapy for chronic limb-threatening ischemia, significantly accelerated wound healing in patients with neuroischemic ulcers. This approach offers a promising nonsurgical option for this underserved patient population.

Keywords:
hemodynamicsoxygenplasmidsulcerwound healing

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Area of Science:

  • Vascular Medicine
  • Regenerative Medicine
  • Clinical Trials

Background:

  • Chronic limb-threatening ischemia (CLTI) lacks FDA-approved therapies for wound healing, presenting a significant unmet medical need.
  • Existing biologic studies in CLTI often focus on end-stage patients with amputation-free survival as the primary outcome.
  • This trial investigated AMG0001, a plasmid encoding hepatocyte growth factor (HGF), for promoting ulcer healing in CLTI patients.

Purpose of the Study:

  • To evaluate the efficacy of intramuscular AMG0001 in promoting ulcer healing in patients with CLTI and neuroischemic ulcers.
  • To assess the safety and effectiveness of AMG0001 compared to placebo.
  • To determine the optimal dosage and timing for AMG0001 administration.

Main Methods:

  • The LEGenD-1 trial was a double-blind, randomized, placebo-controlled Phase II study at 22 US sites.
  • Seventy-five participants with neuroischemic ulcers and specific perfusion criteria were randomized to AMG0001 (4 mg or 8 mg) or placebo.
  • Intramuscular injections were administered along a guided artery path on days 0, 28, 56, and 84.

Main Results:

  • Median time to complete ulcer healing was significantly shorter with AMG0001 versus placebo (84 vs. 280 days; P=0.007).
  • By 6 months, 63.3% of AMG0001-treated participants achieved healing compared to 38.5% with placebo (P=0.053).
  • Healing rates at 12 months were 77.6% for AMG0001 versus 46.2% for placebo (P=0.010), with similar adverse events across groups.

Conclusions:

  • Anatomically targeted intramuscular delivery of AMG0001 significantly accelerated healing in patients with moderate CLTI and neuroischemic ulcers.
  • AMG0001 represents a promising nonsurgical therapeutic strategy for CLTI-related wound healing.
  • Further investigation into AMG0001 could lead to new treatment options for patients with CLTI.