NCT00823225

Brief Summary

The purpose of this study is to determine whether the additional therapy with low dose urokinase is more effective than only a conventional standard therapy concerning ulcer-healing, rate of major amputation and survival.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jun 2008

Shorter than P25 for phase_3

Geographic Reach
1 country

6 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2008

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

January 14, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 15, 2009

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2009

Completed
Last Updated

March 13, 2015

Status Verified

March 1, 2015

Enrollment Period

1 year

First QC Date

January 14, 2009

Last Update Submit

March 12, 2015

Conditions

Keywords

Diabetesurokinaseulcer healingmajor amputationsurvival

Outcome Measures

Primary Outcomes (1)

  • Major amputation free survival

    Within twelve months after randomisation

Secondary Outcomes (1)

  • Total survival, major amputation rate, rate of complete ulcer healing, rate of adverse events

    Within twelve month after randomisation

Study Arms (2)

A: Standard therapy

OTHER
Procedure: standard therapy

B: Urokinase

EXPERIMENTAL
Drug: Urokinase

Interventions

wound debridement, moist wound dressing

A: Standard therapy

Daily infusion up to 21 applications, dose dependent on fibrinogen level: \> 2,5g/l 1 000 000 IU, \< 2,5g/l 500 000 IU

B: Urokinase

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diabetic patients with angiopathic or angioneuropathic diabetic foot syndrome and criticial limb ischemia
  • No surgical or interventional treatment option
  • No healing tendency of ulcerations despite of antibiosis and wound debridement after two-week treatment
  • Fibrinogen \> 4.0 g/l
  • No previous major amputation

You may not qualify if:

  • Prior treatment of the current ulceration with urokinase
  • Need for dialysis and/or creatinine-clearance \< 20ml/min
  • INR \> 1,5 at screening
  • Proliferative retinopathy
  • Uncontrolled hypertension
  • Hemorraghic diathesis
  • Gastrointestinal bleeding
  • Pregnancy
  • No compliance and/or participation in another trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Franziskus Krankenhaus

Berlin, Germany

Location

Klinikum Dortmund Nord GmbH

Dortmund, Germany

Location

Krankenhaus Dresden-Neustadt

Dresden, Germany

Location

Universitätsklinik

Dresden, Germany

Location

Weißeritztal-Kliniken GmbH

Freital, Germany

Location

Klinikum Karlsbad Langensteinbach

Karlsbad, Germany

Location

MeSH Terms

Conditions

Diabetic FootArterial Occlusive DiseasesIschemiaDiabetes Mellitus

Interventions

Standard of CareUrokinase-Type Plasminogen Activator

Condition Hierarchy (Ancestors)

Diabetic AngiopathiesVascular DiseasesCardiovascular DiseasesFoot UlcerLeg UlcerSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesDiabetes ComplicationsEndocrine System DiseasesDiabetic NeuropathiesPathologic ProcessesPathological Conditions, Signs and SymptomsGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationSerine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesPlasminogen ActivatorsBlood Coagulation FactorsBlood ProteinsProteinsAmino Acids, Peptides, and Proteins

Study Officials

  • Sebastian Schellong, MD

    Krankenhaus Dresden-Friedrichstadt, Germany

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

January 14, 2009

First Posted

January 15, 2009

Study Start

June 1, 2008

Primary Completion

June 1, 2009

Study Completion

June 1, 2009

Last Updated

March 13, 2015

Record last verified: 2015-03

Locations