Title

TWB-103 for Adult Patients With Split-Thickness Skin Graft Donor Site Wounds
A Phase I/II Study to Evaluate the Safety and Efficacy of TWB-103 in Adult Patients With Split-Thickness Skin Graft Donor Site Wounds (DSW)
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Indication/Condition

    Donor Site Complication
  • Intervention/Treatment

    txb-103 ...
  • Study Participants

    48
Primary objective:

To evaluate the safety of TWB-103 in split-thickness skin graft donor site wounds (DSW) for Phase I in terms of Incidence of treatment-related AEs and SAEs (including infections and bleeding)
To evaluate the efficacy for Phase I+II of TWB-103 in split-thickness skin graft donor site wounds (DSW) in terms of The healing time from DSW creation to 100% re-epithelialization

Secondary objective:

To evaluate the efficacy of TWB-103 in split-thickness skin graft donor site wounds (DSW) in secondary efficacy endpoints
To evaluate the safety of TWB-103 in split-thickness skin graft donor site wounds (DSW) in secondary safety endpoints
The study was designed to evaluate the safety and efficacy of the TWB-103 in adult subjects with split-thickness skin graft donor site wounds (DSW). In Phase I proportion, eligible subjects were recruited sequentially with one week staggering of treatment. Eligible subjects were randomized into TWB-103 or Placebo groups in a 1:1 ratio. Phase I was planned to recruit 3 evaluable subjects each in TWB-103 and Placebo groups. Evaluable subjects in Phase I were (1) he/she who received at least one dose and had follow-up evaluation at least 14 days after the first dose or (2) he/she who received at least one dose and had early withdrawn due to safety reasons before Day 28. When all of those 6 evaluable subjects completed the planned treatment period (14 days or till first 100% re-epithelialization, which came first), the recruitment was temporarily stopped for 14 days for safety observation. The safety data before and on Day 28 Visit were reviewed by the sponsor and the principal investigator. If no safety issue was decided, the study would enter Phase II portion and eligible subjects would be randomized into a 1:1 ratio into one of the TWB-103 and Placebo groups. The dosing regimen designed in Phase II portion was the same as it was designed in Phase I portion.

Subjects were instructed to attend scheduled visits at Screening, Day 0 (treatment start the day), Day 3, Day 7, Day 10, and Day 14 (end of treatment). All subjects were scheduled to attend a follow-up visit on Day 28 to evaluate the status of the target wound and then enter a 360-day follow-up phase. During the 360-day follow-up, four follow-up visits were scheduled at 90±14 days, 180±14 days, 270±14 days, and 360±14 days following the subject's Day 28 visit (if no Day 42 visit) or Day 42 visit.
Study Started
Jul 06
2017
Primary Completion
May 07
2021
Study Completion
May 07
2021
Results Posted
Jul 28
2023
Last Update
Jul 28
2023

Drug TWB-103 Group

Each subject received TWB-103+Tegaderm for up to 10 days or to the day of 100% re-epithelialization, whichever comes first, followed by Tegaderm alone application from Day 10 to 14 if failing to achieve 100% re-epithelialization by Day 10.

  • Other names: TWB-103+Tegaderm

Drug Placebo Group

Each subject received Placebo+Tegaderm for up to 10 days or to the day of 100% re-epithelialization, whichever comes first, followed by Tegaderm alone application from Day 10 to 14 if failing to achieve 100% re-epithelialization by Day 10.

  • Other names: Placebo+Tegaderm

TWB-103 Group Experimental

Subjects will receive TWB-103 2 to 3 times till 100% re-epithelialization or up to 10 days (around once every 3 days).

Placebo Group Placebo Comparator

Subjects will receive placebo 2 to 3 times till 100% re-epithelialization or up to 10 days (around once every 3 days).

Criteria

Inclusion Criteria:

Female/male patients, aged 20-65 years old
Presenting a split-thickness skin graft donor site wound with a minimum size of 15 cm2 but no more than 100 cm2, with a minimum width of 3 cm and with an approximate thickness of 0.010~0.012 inches. The graft cannot be harvested from a site from which a skin graft was previously obtained.
If the primary wound is a result of a thermal or chemical burn, the total body surface area of the said wound must be less than 15%.
Females of childbearing potential must have a documented negative serum pregnancy test done at the screening visit, which is within 2 weeks prior the DSW creation and the treatment
Both male and female patients must agree to use highly effective contraceptives from signing informed consent to 30 days after the last dose administration.
Willing to comply with the study protocol and to sign the Informed Consent Form

Exclusion Criteria:

Female patients who are pregnant or lactating or planning a pregnancy and any male patient whose partner (wife) planning a pregnancy from signing informed consent to 30 days after the last dose administration.
Clinically significant disease or condition that may compromise graft take and/or donor site healing (e.g. the presence of a bleeding disorder, capillary fragility, venous or arterial disorder directly affecting the donor site to be treated, known or suspected systemic malignancies, human immunodeficiency virus infection, renal or liver disease, uncontrolled diabetes mellitus, thrombocytopenia, vasculitis, poor nutritional status).

Patients who are currently receiving or have received the following treatments within 4 weeks prior to study entry are excluded from the study:

systemic or inhaled corticosteroids or immunosuppressant agents; or
therapeutic doses of anticoagulants (e.g. Coumadin, Heparin, low molecular weight Heparin) for pre-existing medical conditions, for whom a dose interruption from Screening through the end of the study period is contraindicated.
Autoimmune disease, e.g. lupus erythematosus, multiple sclerosis.
Hematologic disease, malignancy or hypo-immunity.
History of HIV or congenital immunodeficiency.
History of alcoholism or drug abuse.
Have used any tobacco product within 1 week prior to Day 0.
Patients previously treated with any cell-based product, including autologous tissue at the treatment site.
Received an investigational drug, device or biological/bioactive treatment within 30 days prior to Screening Visit.
Any clinical condition or significant concurrent disease judged by the investigator to complicate the evaluation of the trial treatment.
History of sensitivity to bovine or porcine origin materials, or human serum albumin.
DSWs located in the face, over joints, lower legs or the buttocks
Any of the following hematologic abnormalities: (Hemoglobin < 10.0 g/dL, ANC < 1,500/μL, platelets < 75,000 /μL)
Any of the following serum chemistry abnormalities: (Total bilirubin > 1.5 × ULN, AST or ALT > 3 × ULN, gamma-GT > 2.5 x ULN, Alk-P > 2.5 x ULN, serum albumin < 2.7 g/dL, creatinine >1.5 x ULN, any other ≥ Grade 2 laboratory abnormality (based on CTCAE) at baseline (other than those listed above)
DSWs in area with active skin infection or with skin condition that is considered highly susceptible to infection judged by the investigator

Summary

TWB-103 add-on Tegaderm

Placebo+Tegaderm

All Events

Event Type Organ System Event Term TWB-103 add-on Tegaderm Placebo+Tegaderm

Number of Participants With Treatment-related AEs and SAEs (Including Infections and Bleeding)

The number of participants with treatment-related AEs and SAEs (including infections and bleeding) will be observed for the 7 patients in Phase I

TWB-103 Group

SAEs

Treatment-Related AEs

Placebo Group

SAEs

Treatment-Related AEs

The Healing Time From DSW Creation to the First 100% Re-epithelialization With Confirmation for at Least 10 Days Apart Assessed by the Investigator

The healing time from DSW creation to the first 100% re-epithelialization with confirmation for at least 10 days apart assessed by the investigator for all patients in Phase I and II.

TWB-103 Group

9.0
Healing Time [days] (Median)
95% Confidence Interval: 8.0 to 15.0

Placebo Group

10.0
Healing Time [days] (Median)
95% Confidence Interval: 8.0 to 15.0

Number of Participants Reached Confirmed Healing Within 28 Days.

The number of participants in Phase I and II reached confirmed healing by the investigator within 28 days.

TWB-103 Group

Placebo Group

The Healing Time From DSW Creation to the First 100% Re-epithelialization With Confirmation for at Least 10 Days Apart, Assessed by the First Additional Evaluator

The healing time from DSW creation to the first 100% re-epithelialization with confirmation for at least 10 days apart assessed by the investigator for all patients in Phase I and II. The first additional evaluator judged the healing status by looking at the photos of DSW.

TWB-103 Group

20.0
Healing Time [days] (Mean)
Standard Error: 2.2

Placebo Group

13.0
Healing Time [days] (Mean)
Standard Error: 0.7

Number of Participants With Complete Wound Closure at Day 7, 10 and 14 After DSW Creation.

Complete wound closure is defined as skin 100% re-epithelialization without drainage or dressing requirements. This endpoint will be in all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 4 (Day 7) with LOCF

Adjusted Visit 5 (Day 10) with LOCF

Adjusted Visit 6 (Day 14) with LOCF

Placebo Group

Adjusted Visit 4 (Day 7) with LOCF

Adjusted Visit 5 (Day 10) with LOCF

Adjusted Visit 6 (Day 14) with LOCF

The Healing Percentage of Wounds (Ratio of Healing Area and Original Area) at Days 7, 10 and 14 After DSW Creation

The healing percentage of wounds will be calculated based on the healing area measured on Day 7, 10 and 14, comparing to the original area measured on Day 0 for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 4 (Day 7) with LOCF

65.36
Healing Percentage (%) (Least Squares Mean)
Standard Error: 8.676

Adjusted Visit 5 (Day 10) with LOCF

89.2
Healing Percentage (%) (Least Squares Mean)
Standard Error: 5.111

Adjusted Visit 6 (Day 14) with LOCF

88.56
Healing Percentage (%) (Least Squares Mean)
Standard Error: 5.159

Placebo Group

Adjusted Visit 4 (Day 7) with LOCF

62.6
Healing Percentage (%) (Least Squares Mean)
Standard Error: 8.676

Adjusted Visit 5 (Day 10) with LOCF

83.74
Healing Percentage (%) (Least Squares Mean)
Standard Error: 5.111

Adjusted Visit 6 (Day 14) with LOCF

83.51
Healing Percentage (%) (Least Squares Mean)
Standard Error: 5.159

The Pain Change From Baseline to Post-wound Creation Visits Based on Short-form McGill Pain Questionnaire Score

All patients in Phase I and II will evaluate the pain based on Short-form McGill pain questionnaire at each visit. The visual analogue scale (VAS) for pain is a continuous scale comprised of a horizontal line, usually, 10 cm (= 100 mm) in length, scored from 0 (none) to 10 (extreme). On this scale, a higher score in VAS indicates the worse pain.

TWB-103 Group

Adjusted Visit 3 (Day 3)

1.79
VAS (0~10 cm) (Mean)
Standard Deviation: 2.137

Adjusted Visit 4 (Day 7)

0.82
VAS (0~10 cm) (Mean)
Standard Deviation: 1.313

Adjusted Visit 5 (Day 10)

0.8
VAS (0~10 cm) (Mean)
Standard Deviation: 0.763

Adjusted Visit 6 (Day 14)

0.38
VAS (0~10 cm) (Mean)
Standard Deviation: 0.522

Adjusted Visit 7 (Day 28)

0.37
VAS (0~10 cm) (Mean)
Standard Deviation: 0.713

Adjusted Visit 8 (Day 42)

0.45
VAS (0~10 cm) (Mean)
Standard Deviation: 0.636

Baseline

1.89
VAS (0~10 cm) (Mean)
Standard Deviation: 2.833

Visit 10 (FU 6 Months)

Visit 11 (FU 9 Months)

0.05
VAS (0~10 cm) (Mean)
Standard Deviation: 0.212

Visit 12 (FU 12 Months)

0.04
VAS (0~10 cm) (Mean)
Standard Deviation: 0.161

Visit 9 (FU 3 Months)

0.4
VAS (0~10 cm) (Mean)
Standard Deviation: 1.588

Placebo Group

Adjusted Visit 3 (Day 3)

1.58
VAS (0~10 cm) (Mean)
Standard Deviation: 2.091

Adjusted Visit 4 (Day 7)

0.4
VAS (0~10 cm) (Mean)
Standard Deviation: 0.701

Adjusted Visit 5 (Day 10)

1.02
VAS (0~10 cm) (Mean)
Standard Deviation: 1.731

Adjusted Visit 6 (Day 14)

1.48
VAS (0~10 cm) (Mean)
Standard Deviation: 2.062

Adjusted Visit 7 (Day 28)

0.35
VAS (0~10 cm) (Mean)
Standard Deviation: 0.943

Adjusted Visit 8 (Day 42)

Baseline

1.06
VAS (0~10 cm) (Mean)
Standard Deviation: 2.399

Visit 10 (FU 6 Months)

Visit 11 (FU 9 Months)

Visit 12 (FU 12 Months)

Visit 9 (FU 3 Months)

0.06
VAS (0~10 cm) (Mean)
Standard Deviation: 0.236

Number of Participants With AEs and SAEs

The number of participants with AEs and SAEs will be analyzed for all patients in Phase I and II.

TWB-103 Group

AE

AE Leading to Action Taken

AE Leading to Drug withdrawn

Death SAE

Death SUSAR

Grade≥3 AE

Grade ≥ 3 Treatment-Related AE

SAE

SUSAR

Treatment-Related AE

Placebo Group

AE

AE Leading to Action Taken

AE Leading to Drug withdrawn

Death SAE

Death SUSAR

Grade≥3 AE

Grade ≥ 3 Treatment-Related AE

SAE

SUSAR

Treatment-Related AE

Changes in Post-treatment General Laboratory Assessment-biochemistry-bilirubin Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-bilirubin will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

7.44
Bilirubin [umol/L] (Mean)
Standard Deviation: 3.842

Adjusted Visit 4 (Day 7)

8.39
Bilirubin [umol/L] (Mean)
Standard Deviation: 5.095

Adjusted Visit 5 (Day 10)

9.2
Bilirubin [umol/L] (Mean)
Standard Deviation: 5.590

Adjusted Visit 6 (Day 14)

14.3
Bilirubin [umol/L] (Mean)
Standard Deviation: 10.487

Adjusted Visit 7 (Day 28)

9.4
Bilirubin [umol/L] (Mean)
Standard Deviation: 6.565

Baseline

9.63
Bilirubin [umol/L] (Mean)
Standard Deviation: 4.824

Visit 8 (Day 42)

18.22
Bilirubin [umol/L] (Mean)
Standard Deviation: 8.829

Placebo Group

Adjusted Visit 3 (Day 3)

8.92
Bilirubin [umol/L] (Mean)
Standard Deviation: 6.039

Adjusted Visit 4 (Day 7)

8.73
Bilirubin [umol/L] (Mean)
Standard Deviation: 4.876

Adjusted Visit 5 (Day 10)

9.64
Bilirubin [umol/L] (Mean)
Standard Deviation: 4.470

Adjusted Visit 6 (Day 14)

9.03
Bilirubin [umol/L] (Mean)
Standard Deviation: 3.058

Adjusted Visit 7 (Day 28)

9.1
Bilirubin [umol/L] (Mean)
Standard Deviation: 2.873

Baseline

8.1
Bilirubin [umol/L] (Mean)
Standard Deviation: 4.975

Visit 8 (Day 42)

6.84
Bilirubin [umol/L] (Mean)
Standard Deviation: 2.419

Changes in Post-treatment Physical Examination Compared to Baseline

Changes in post-treatment physical examination will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3) (Multi-Selection by Body System)

1.0
Participant with Physical Abnormality

Adjusted Visit 4 (Day 7) (Multi-Selection by Body System)

1.0
Participant with Physical Abnormality

Adjusted Visit 5 (Day 10) (Multi-Selection by Body System)

Adjusted Visit 6 (Day 14) (Multi-Selection by Body System)

Adjusted Visit 7 (Day 28) (Multi-Selection by Body System)

1.0
Participant with Physical Abnormality

Visit 8 (Day 42) (Multi-Selection by Body System)

Placebo Group

Adjusted Visit 3 (Day 3) (Multi-Selection by Body System)

Adjusted Visit 4 (Day 7) (Multi-Selection by Body System)

Adjusted Visit 5 (Day 10) (Multi-Selection by Body System)

Adjusted Visit 6 (Day 14) (Multi-Selection by Body System)

Adjusted Visit 7 (Day 28) (Multi-Selection by Body System)

Visit 8 (Day 42) (Multi-Selection by Body System)

Changes in Post-treatment Vital Signs-pulse Rate Compared to Baseline

Changes in post-treatment vital signs-pulse rate will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

74.25
Pulse Rate [beats/min] (Mean)
Standard Deviation: 11.964

Adjusted Visit 4 (Day 7)

74.7
Pulse Rate [beats/min] (Mean)
Standard Deviation: 9.314

Adjusted Visit 5 (Day 10)

77.67
Pulse Rate [beats/min] (Mean)
Standard Deviation: 11.554

Adjusted Visit 6 (Day 14)

84.2
Pulse Rate [beats/min] (Mean)
Standard Deviation: 17.021

Adjusted Visit 7 (Day 28)

75.15
Pulse Rate [beats/min] (Mean)
Standard Deviation: 12.119

Baseline

71.95
Pulse Rate [beats/min] (Mean)
Standard Deviation: 10.359

Visit 8 (Day 42)

71.0
Pulse Rate [beats/min] (Mean)
Standard Deviation: 2.828

Placebo Group

Adjusted Visit 3 (Day 3)

78.2
Pulse Rate [beats/min] (Mean)
Standard Deviation: 13.332

Adjusted Visit 4 (Day 7)

73.55
Pulse Rate [beats/min] (Mean)
Standard Deviation: 11.821

Adjusted Visit 5 (Day 10)

72.33
Pulse Rate [beats/min] (Mean)
Standard Deviation: 8.732

Adjusted Visit 6 (Day 14)

82.4
Pulse Rate [beats/min] (Mean)
Standard Deviation: 7.092

Adjusted Visit 7 (Day 28)

74.79
Pulse Rate [beats/min] (Mean)
Standard Deviation: 12.376

Baseline

73.9
Pulse Rate [beats/min] (Mean)
Standard Deviation: 15.001

Visit 8 (Day 42)

76.0
Pulse Rate [beats/min] (Mean)
Standard Deviation: 2.828

Changes in Post-treatment Vital Signs-body Temperature Compared to Baseline

Changes in post-treatment vital signs-body temperature will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

36.54
Body Temperature [degree C] (Mean)
Standard Deviation: 0.463

Adjusted Visit 4 (Day 7)

36.47
Body Temperature [degree C] (Mean)
Standard Deviation: 0.455

Adjusted Visit 5 (Day 10)

36.72
Body Temperature [degree C] (Mean)
Standard Deviation: 0.529

Adjusted Visit 6 (Day 14)

36.44
Body Temperature [degree C] (Mean)
Standard Deviation: 0.358

Adjusted Visit 7 (Day 28)

36.35
Body Temperature [degree C] (Mean)
Standard Deviation: 0.363

Baseline

36.29
Body Temperature [degree C] (Mean)
Standard Deviation: 0.315

Visit 8 (Day 42)

36.3
Body Temperature [degree C] (Mean)
Standard Deviation: 0.141

Placebo Group

Adjusted Visit 3 (Day 3)

36.33
Body Temperature [degree C] (Mean)
Standard Deviation: 0.412

Adjusted Visit 4 (Day 7)

36.52
Body Temperature [degree C] (Mean)
Standard Deviation: 0.465

Adjusted Visit 5 (Day 10)

36.29
Body Temperature [degree C] (Mean)
Standard Deviation: 0.289

Adjusted Visit 6 (Day 14)

36.36
Body Temperature [degree C] (Mean)
Standard Deviation: 0.207

Adjusted Visit 7 (Day 28)

36.33
Body Temperature [degree C] (Mean)
Standard Deviation: 0.333

Baseline

36.21
Body Temperature [degree C] (Mean)
Standard Deviation: 0.415

Visit 8 (Day 42)

36.35
Body Temperature [degree C] (Mean)
Standard Deviation: 0.212

Changes in Post-treatment Vital Signs-systolic Blood Pressure Compared to Baseline

Changes in post-treatment vital signs-systolic blood pressure will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

123.45
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 16.794

Adjusted Visit 4 (Day 7)

118.85
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 12.783

Adjusted Visit 5 (Day 10)

117.44
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.436

Adjusted Visit 6 (Day 14)

119.8
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 17.584

Adjusted Visit 7 (Day 28)

124.6
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 10.928

Baseline

116.8
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 17.665

Visit 8 (Day 42)

140.0
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 12.728

Placebo Group

Adjusted Visit 3 (Day 3)

120.3
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 21.293

Adjusted Visit 4 (Day 7)

121.95
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 15.278

Adjusted Visit 5 (Day 10)

117.11
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 15.584

Adjusted Visit 6 (Day 14)

120.0
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.304

Adjusted Visit 7 (Day 28)

121.21
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 11.622

Baseline

116.65
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 15.792

Visit 8 (Day 42)

122.0
Systolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 5.657

Changes in Post-treatment Vital Signs-diastolic Blood Pressure Compared to Baseline

Changes in post-treatment vital signs-diastolic blood pressure will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

71.5
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 12.705

Adjusted Visit 4 (Day 7)

69.1
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 6.439

Adjusted Visit 5 (Day 10)

68.22
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 11.745

Adjusted Visit 6 (Day 14)

77.6
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 7.893

Adjusted Visit 7 (Day 28)

71.35
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 11.820

Baseline

71.25
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.325

Visit 8 (Day 42)

89.5
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 24.749

Placebo Group

Adjusted Visit 3 (Day 3)

69.15
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 10.282

Adjusted Visit 4 (Day 7)

76.15
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.374

Adjusted Visit 5 (Day 10)

70.0
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.739

Adjusted Visit 6 (Day 14)

78.4
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 11.014

Adjusted Visit 7 (Day 28)

77.95
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 13.323

Baseline

69.9
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 9.910

Visit 8 (Day 42)

95.0
Diastolic Blood Pressure [mmHg] (Mean)
Standard Deviation: 2.828

Changes in Post-treatment General Laboratory Assessment-hematology-white Blood Cells Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-white blood cells will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

7.0
10^9 cells /L (Mean)
Standard Deviation: 1.840

Adjusted Visit 4 (Day 7)

7.2
10^9 cells /L (Mean)
Standard Deviation: 1.638

Adjusted Visit 5 (Day 10)

6.27
10^9 cells /L (Mean)
Standard Deviation: 0.877

Adjusted Visit 6 (Day 14)

9.27
10^9 cells /L (Mean)
Standard Deviation: 4.634

Adjusted Visit 7 (Day 28)

6.52
10^9 cells /L (Mean)
Standard Deviation: 2.110

Baseline

7.93
10^9 cells /L (Mean)
Standard Deviation: 2.107

Visit 8 (Day 42)

4.63
10^9 cells /L (Mean)
Standard Deviation: 1.025

Placebo Group

Adjusted Visit 3 (Day 3)

7.44
10^9 cells /L (Mean)
Standard Deviation: 2.064

Adjusted Visit 4 (Day 7)

7.26
10^9 cells /L (Mean)
Standard Deviation: 2.835

Adjusted Visit 5 (Day 10)

7.19
10^9 cells /L (Mean)
Standard Deviation: 1.425

Adjusted Visit 6 (Day 14)

7.3
10^9 cells /L (Mean)
Standard Deviation: 0.780

Adjusted Visit 7 (Day 28)

6.99
10^9 cells /L (Mean)
Standard Deviation: 1.760

Baseline

7.4
10^9 cells /L (Mean)
Standard Deviation: 1.785

Visit 8 (Day 42)

6.63
10^9 cells /L (Mean)
Standard Deviation: 1.605

Changes in Post-treatment General Laboratory Assessment-biochemistry-aspartate Aminotransferase Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-aspartate aminotransferase will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

33.37
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 46.940

Adjusted Visit 4 (Day 7)

24.75
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 15.210

Adjusted Visit 5 (Day 10)

26.44
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 16.883

Adjusted Visit 6 (Day 14)

45.0
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 43.052

Adjusted Visit 7 (Day 28)

19.05
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 6.060

Baseline

22.55
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 10.773

Visit 8 (Day 42)

32.5
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 23.335

Placebo Group

Adjusted Visit 3 (Day 3)

20.0
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 5.648

Adjusted Visit 4 (Day 7)

24.4
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 9.762

Adjusted Visit 5 (Day 10)

21.33
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 6.837

Adjusted Visit 6 (Day 14)

22.4
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 12.876

Adjusted Visit 7 (Day 28)

22.0
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 8.931

Baseline

21.85
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 8.177

Visit 8 (Day 42)

19.5
Aspartate Aminotransferase [U/L] (Mean)
Standard Deviation: 3.536

Changes in Post-treatment General Laboratory Assessment-hematology-neutrophils Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-neutrophils will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

4.61
10^9 cells /L (Mean)
Standard Deviation: 1.604

Adjusted Visit 4 (Day 7)

4.54
10^9 cells /L (Mean)
Standard Deviation: 1.431

Adjusted Visit 5 (Day 10)

3.93
10^9 cells /L (Mean)
Standard Deviation: 0.808

Adjusted Visit 6 (Day 14)

6.62
10^9 cells /L (Mean)
Standard Deviation: 4.944

Adjusted Visit 7 (Day 28)

3.94
10^9 cells /L (Mean)
Standard Deviation: 1.733

Baseline

5.36
10^9 cells /L (Mean)
Standard Deviation: 1.950

Visit 8 (Day 42)

2.17
10^9 cells /L (Mean)
Standard Deviation: 0.826

Placebo Group

Adjusted Visit 3 (Day 3)

4.71
10^9 cells /L (Mean)
Standard Deviation: 1.577

Adjusted Visit 4 (Day 7)

4.37
10^9 cells /L (Mean)
Standard Deviation: 2.322

Adjusted Visit 5 (Day 10)

4.06
10^9 cells /L (Mean)
Standard Deviation: 0.747

Adjusted Visit 6 (Day 14)

4.71
10^9 cells /L (Mean)
Standard Deviation: 0.523

Adjusted Visit 7 (Day 28)

4.19
10^9 cells /L (Mean)
Standard Deviation: 1.128

Baseline

4.65
10^9 cells /L (Mean)
Standard Deviation: 1.542

Visit 8 (Day 42)

3.44
10^9 cells /L (Mean)
Standard Deviation: 0.074

Changes in Post-treatment General Laboratory Assessment-hematology-Hemoglobin Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-hemoglobin will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

13.28
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.981

Adjusted Visit 4 (Day 7)

13.38
Hemoglobin [g/dL] (Mean)
Standard Deviation: 2.033

Adjusted Visit 5 (Day 10)

12.72
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.796

Adjusted Visit 6 (Day 14)

13.22
Hemoglobin [g/dL] (Mean)
Standard Deviation: 2.565

Adjusted Visit 7 (Day 28)

13.35
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.726

Baseline

13.47
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.436

Visit 8 (Day 42)

14.05
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.344

Placebo Group

Adjusted Visit 3 (Day 3)

13.79
Hemoglobin [g/dL] (Mean)
Standard Deviation: 2.220

Adjusted Visit 4 (Day 7)

13.69
Hemoglobin [g/dL] (Mean)
Standard Deviation: 2.002

Adjusted Visit 5 (Day 10)

13.56
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.890

Adjusted Visit 6 (Day 14)

13.82
Hemoglobin [g/dL] (Mean)
Standard Deviation: 2.572

Adjusted Visit 7 (Day 28)

13.73
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.665

Baseline

13.84
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.741

Visit 8 (Day 42)

13.3
Hemoglobin [g/dL] (Mean)
Standard Deviation: 1.697

Changes in Post-treatment General Laboratory Assessment-hematology-Hematocrit Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-hematocrit will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

40.01
Hematocrit [%] (Mean)
Standard Deviation: 5.410

Adjusted Visit 4 (Day 7)

40.35
Hematocrit [%] (Mean)
Standard Deviation: 5.706

Adjusted Visit 5 (Day 10)

38.07
Hematocrit [%] (Mean)
Standard Deviation: 4.537

Adjusted Visit 6 (Day 14)

39.84
Hematocrit [%] (Mean)
Standard Deviation: 6.529

Adjusted Visit 7 (Day 28)

40.43
Hematocrit [%] (Mean)
Standard Deviation: 4.206

Baseline

40.6
Hematocrit [%] (Mean)
Standard Deviation: 3.886

Visit 8 (Day 42)

41.45
Hematocrit [%] (Mean)
Standard Deviation: 1.768

Placebo Group

Adjusted Visit 3 (Day 3)

41.57
Hematocrit [%] (Mean)
Standard Deviation: 6.565

Adjusted Visit 4 (Day 7)

41.34
Hematocrit [%] (Mean)
Standard Deviation: 5.591

Adjusted Visit 5 (Day 10)

40.07
Hematocrit [%] (Mean)
Standard Deviation: 5.525

Adjusted Visit 6 (Day 14)

40.8
Hematocrit [%] (Mean)
Standard Deviation: 7.005

Adjusted Visit 7 (Day 28)

41.33
Hematocrit [%] (Mean)
Standard Deviation: 4.312

Baseline

42.0
Hematocrit [%] (Mean)
Standard Deviation: 4.920

Visit 8 (Day 42)

42.05
Hematocrit [%] (Mean)
Standard Deviation: 2.192

Changes in Post-treatment General Laboratory Assessment-hematology-platelets Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-platelets will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

290.95
10^9 platelets/L (Mean)
Standard Deviation: 63.692

Adjusted Visit 4 (Day 7)

308.5
10^9 platelets/L (Mean)
Standard Deviation: 50.055

Adjusted Visit 5 (Day 10)

311.44
10^9 platelets/L (Mean)
Standard Deviation: 67.930

Adjusted Visit 6 (Day 14)

314.8
10^9 platelets/L (Mean)
Standard Deviation: 81.174

Adjusted Visit 7 (Day 28)

268.42
10^9 platelets/L (Mean)
Standard Deviation: 68.664

Baseline

298.95
10^9 platelets/L (Mean)
Standard Deviation: 69.549

Visit 8 (Day 42)

248.5
10^9 platelets/L (Mean)
Standard Deviation: 88.388

Placebo Group

Adjusted Visit 3 (Day 3)

278.7
10^9 platelets/L (Mean)
Standard Deviation: 79.961

Adjusted Visit 4 (Day 7)

279.1
10^9 platelets/L (Mean)
Standard Deviation: 67.043

Adjusted Visit 5 (Day 10)

247.22
10^9 platelets/L (Mean)
Standard Deviation: 51.575

Adjusted Visit 6 (Day 14)

225.6
10^9 platelets/L (Mean)
Standard Deviation: 26.885

Adjusted Visit 7 (Day 28)

260.11
10^9 platelets/L (Mean)
Standard Deviation: 50.326

Baseline

284.6
10^9 platelets/L (Mean)
Standard Deviation: 63.444

Visit 8 (Day 42)

290.5
10^9 platelets/L (Mean)
Standard Deviation: 19.092

Changes in Post-treatment General Laboratory Assessment-hematology-red Blood Cells Compared to Baseline

Changes in post-treatment general laboratory assessment-hematology-red blood cells will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

4.54
10^12 cells/L (Mean)
Standard Deviation: 0.729

Adjusted Visit 4 (Day 7)

4.59
10^12 cells/L (Mean)
Standard Deviation: 0.763

Adjusted Visit 5 (Day 10)

4.19
10^12 cells/L (Mean)
Standard Deviation: 0.476

Adjusted Visit 6 (Day 14)

4.3
10^12 cells/L (Mean)
Standard Deviation: 0.842

Adjusted Visit 7 (Day 28)

4.6
10^12 cells/L (Mean)
Standard Deviation: 0.586

Baseline

4.61
10^12 cells/L (Mean)
Standard Deviation: 0.558

Visit 8 (Day 42)

4.41
10^12 cells/L (Mean)
Standard Deviation: 0.198

Placebo Group

Adjusted Visit 3 (Day 3)

4.82
10^12 cells/L (Mean)
Standard Deviation: 0.824

Adjusted Visit 4 (Day 7)

4.83
10^12 cells/L (Mean)
Standard Deviation: 0.811

Adjusted Visit 5 (Day 10)

4.58
10^12 cells/L (Mean)
Standard Deviation: 0.892

Adjusted Visit 6 (Day 14)

4.48
10^12 cells/L (Mean)
Standard Deviation: 0.832

Adjusted Visit 7 (Day 28)

4.83
10^12 cells/L (Mean)
Standard Deviation: 0.639

Baseline

4.86
10^12 cells/L (Mean)
Standard Deviation: 0.674

Visit 8 (Day 42)

5.21
10^12 cells/L (Mean)
Standard Deviation: 0.488

Changes in Post-treatment General Laboratory Assessment-biochemistry-alanine Aminotransferase Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-alanine aminotransferase will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

32.79
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 42.926

Adjusted Visit 4 (Day 7)

29.25
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 24.512

Adjusted Visit 5 (Day 10)

31.89
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 29.570

Adjusted Visit 6 (Day 14)

62.2
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 54.509

Adjusted Visit 7 (Day 28)

21.63
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 16.780

Baseline

25.3
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 18.374

Visit 8 (Day 42)

54.5
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 62.933

Placebo Group

Adjusted Visit 3 (Day 3)

22.95
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 14.125

Adjusted Visit 4 (Day 7)

27.15
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 15.301

Adjusted Visit 5 (Day 10)

26.22
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 15.619

Adjusted Visit 6 (Day 14)

25.2
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 23.868

Adjusted Visit 7 (Day 28)

28.28
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 24.826

Baseline

28.2
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 16.776

Visit 8 (Day 42)

28.0
Alanine Aminotransferase [U/L] (Mean)
Standard Deviation: 2.828

Changes in Post-treatment General Laboratory Assessment-biochemistry-serum Creatinine Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-serum creatinine will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

58.39
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 14.422

Adjusted Visit 4 (Day 7)

60.51
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 15.129

Adjusted Visit 5 (Day 10)

54.42
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 17.045

Adjusted Visit 6 (Day 14)

57.64
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 19.016

Adjusted Visit 7 (Day 28)

62.44
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 12.363

Baseline

62.68
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 14.386

Visit 8 (Day 42)

56.58
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 5.001

Placebo Group

Adjusted Visit 3 (Day 3)

61.75
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 18.310

Adjusted Visit 4 (Day 7)

63.78
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 19.811

Adjusted Visit 5 (Day 10)

60.21
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 17.133

Adjusted Visit 6 (Day 14)

63.12
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 37.742

Adjusted Visit 7 (Day 28)

64.63
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 18.637

Baseline

62.01
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 17.022

Visit 8 (Day 42)

66.3
Serum Creatinine [umol/L] (Mean)
Standard Deviation: 6.251

Changes in Post-treatment General Laboratory Assessment-biochemistry-blood Urea Nitrogen Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-blood urea nitrogen will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

11.58
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 2.234

Adjusted Visit 4 (Day 7)

14.46
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.956

Adjusted Visit 5 (Day 10)

13.02
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.938

Adjusted Visit 6 (Day 14)

14.12
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 5.304

Adjusted Visit 7 (Day 28)

12.82
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.873

Baseline

13.59
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 4.838

Visit 8 (Day 42)

11.9
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 2.970

Placebo Group

Adjusted Visit 3 (Day 3)

13.23
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.779

Adjusted Visit 4 (Day 7)

14.72
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 5.427

Adjusted Visit 5 (Day 10)

13.54
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 2.967

Adjusted Visit 6 (Day 14)

14.48
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.189

Adjusted Visit 7 (Day 28)

13.13
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 2.537

Baseline

14.06
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 4.271

Visit 8 (Day 42)

16.5
Blood Urea Nitrogen [mg/dL] (Mean)
Standard Deviation: 3.536

Changes in Post-treatment General Laboratory Assessment-biochemistry-Albumin Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-albumin will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

3.99
Albumin [g/dL] (Mean)
Standard Deviation: 0.540

Adjusted Visit 4 (Day 7)

4.12
Albumin [g/dL] (Mean)
Standard Deviation: 0.586

Adjusted Visit 5 (Day 10)

3.86
Albumin [g/dL] (Mean)
Standard Deviation: 0.529

Adjusted Visit 6 (Day 14)

4.02
Albumin [g/dL] (Mean)
Standard Deviation: 0.585

Adjusted Visit 7 (Day 28)

4.31
Albumin [g/dL] (Mean)
Standard Deviation: 0.401

Baseline

4.24
Albumin [g/dL] (Mean)
Standard Deviation: 0.411

Visit 8 (Day 42)

4.45
Albumin [g/dL] (Mean)
Standard Deviation: 0.212

Placebo Group

Adjusted Visit 3 (Day 3)

3.87
Albumin [g/dL] (Mean)
Standard Deviation: 0.526

Adjusted Visit 4 (Day 7)

4.09
Albumin [g/dL] (Mean)
Standard Deviation: 0.528

Adjusted Visit 5 (Day 10)

3.98
Albumin [g/dL] (Mean)
Standard Deviation: 0.377

Adjusted Visit 6 (Day 14)

4.3
Albumin [g/dL] (Mean)
Standard Deviation: 0.200

Adjusted Visit 7 (Day 28)

4.33
Albumin [g/dL] (Mean)
Standard Deviation: 0.387

Baseline

4.08
Albumin [g/dL] (Mean)
Standard Deviation: 0.492

Visit 8 (Day 42)

4.5
Albumin [g/dL] (Mean)
Standard Deviation: 0.283

Changes in Post-treatment General Laboratory Assessment-biochemistry-gamma-glutamyl Transferase Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-gamma-glutamyl transferase will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

37.16
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 31.597

Adjusted Visit 4 (Day 7)

37.6
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 29.674

Adjusted Visit 5 (Day 10)

44.11
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 33.572

Adjusted Visit 6 (Day 14)

56.2
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 36.072

Adjusted Visit 7 (Day 28)

28.47
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 19.234

Baseline

37.65
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 36.863

Visit 8 (Day 42)

32.5
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 24.749

Placebo Group

Adjusted Visit 3 (Day 3)

37.25
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 26.479

Adjusted Visit 4 (Day 7)

39.65
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 30.275

Adjusted Visit 5 (Day 10)

49.44
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 39.170

Adjusted Visit 6 (Day 14)

47.8
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 43.200

Adjusted Visit 7 (Day 28)

38.22
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 33.676

Baseline

38.75
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 26.754

Visit 8 (Day 42)

21.5
Gamma-Glutamyl Transferase [U/L] (Mean)
Standard Deviation: 0.707

Changes in Post-treatment General Laboratory Assessment-biochemistry-alkaline Phosphatase Compared to Baseline

Changes in post-treatment general laboratory assessment-biochemistry-alkaline phosphatase will be analyzed for all patients in Phase I and II.

TWB-103 Group

Adjusted Visit 3 (Day 3)

97.95
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 63.847

Adjusted Visit 4 (Day 7)

104.63
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 70.811

Adjusted Visit 5 (Day 10)

156.22
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 74.933

Adjusted Visit 6 (Day 14)

138.8
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 101.935

Adjusted Visit 7 (Day 28)

108.16
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 84.534

Baseline

102.65
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 74.944

Visit 8 (Day 42)

156.5
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 118.087

Placebo Group

Adjusted Visit 3 (Day 3)

101.35
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 73.382

Adjusted Visit 4 (Day 7)

102.85
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 71.589

Adjusted Visit 5 (Day 10)

158.89
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 79.899

Adjusted Visit 6 (Day 14)

196.4
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 91.694

Adjusted Visit 7 (Day 28)

114.0
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 82.523

Baseline

107.65
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 79.693

Visit 8 (Day 42)

73.5
Alkaline Phosphatase [U/L] (Mean)
Standard Deviation: 7.778

Number of Participants With Treatment-related AEs and SAEs (Including Infections and Bleeding)

The number of participants with treatment-related AEs and SAEs (including infections and bleeding) will be observed for all patients in Phase I and II

TWB-103 Group

SAEs

Treatment-Related AEs

Placebo Group

SAEs

Treatment-Related AEs

The Number of Censored Subjects Assessed by the Investigator and the First Additional Evaluator

The number of censored subjects in Phase I and II assessed by the investigator and the first additional evaluator. The first additional evaluator judged the healing status by looking at the photos of DSW. If the 100% re-epithelialization was not observed by Day 28 visit, the healing time was censored on the day of the last visit up to Day 28 visit. If the 100% re-epithelialization was observed by Day 28 visit but no confirmation was made, the healing time was censored on day of the last visit up to Day 28 visit.

TWB-103 Group

First Additional Evaluator

Investigator

Placebo Group

First Additional Evaluator

Investigator

Total

40
Participants

Age, Continuous

43.5
years (Mean)
Standard Deviation: 14.41

Baseline Donor Site Wound (DSW) Size

47.14
cm^2 (Mean)
Standard Deviation: 19.863

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

TWB-103 Group

Placebo Group