NCT00859599

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of monochromatic phototherapy (Biolight®) on foot ulcers in diabetic patients, in comparison of placebo phototherapy as a complementary to standard diabetic foot ulcer therapy. The study initiated with a four week long Run In Period to eliminate spontaneous healing ulcer to be included. Treatment with monochromatic phototherapy (Biolight® or placebo) will be given locally, additional to standard care, three times weekly during the first four weeks and twice weekly the following sixteen weeks or until the ulcer is completely healed, according to a pre-determined treatment plan. The area of the ulcer will be measured once weekly for 20 weeks or until the ulcer is completely healed.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
107

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Aug 2008

Typical duration for phase_3

Geographic Reach
1 country

7 active sites

Status
unknown

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

August 1, 2008

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

February 27, 2009

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 11, 2009

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2012

Completed
Last Updated

June 8, 2011

Status Verified

June 1, 2011

Enrollment Period

3.3 years

First QC Date

February 27, 2009

Last Update Submit

June 7, 2011

Conditions

Keywords

Monochromatic PhototherapyDiabetic Foot UlcersWound healingBacterial colonisation

Outcome Measures

Primary Outcomes (1)

  • Number of subjects who completely healed and time to 100% wound reduction.

    24 weeks

Secondary Outcomes (1)

  • Time to 50% wound reduction, Subjects with increased ulcer and/or wound reduction less than 20%, Wound status, Elimination of gram-positive and anaerobic bacteria from the wound, Hospitalization caused of foot ulcer, Presence and level of amputation

    24 weeks

Study Arms (2)

1

ACTIVE COMPARATOR

At the study start, the patient will be given a subject number according to a fixed randomisation list. The investigator/study nurse will be instructed to log in at the Biolight® website to get the patient-number and treatment code, with the information which treatment model (i.e. marked A \& B, E \& F, X \& Y) the randomised patient shall receive. Up to 44 monochromatic Phototherapy treatment sessions (Biolight® or placebo) will be given, additional to standard care treatment. The treatment session schedule compromise of three times weekly during the first four weeks and twice weekly during the following weeks or until the ulcer is completely healed.

Device: Monochromatic phototherapy, Biolight®Device: Monochromatic phototherapy

2

PLACEBO COMPARATOR

At the study start, the patient will be given a subject number according to a fixed randomisation list. The investigator/study nurse will be instructed to log in at the Biolight® website to get the patient-number and treatment code, with the information which treatment model (i.e. marked A \& B, E \& F, X \& Y) the randomised patient shall receive. Up to 44 monochromatic Phototherapy treatment sessions (Biolight® or placebo) will be given, additional to standard care treatment. The treatment session schedule compromise of three times weekly during the first four weeks and twice weekly during the following weeks or until the ulcer is completely healed.

Device: Monochromatic phototherapy, Biolight®Device: Monochromatic phototherapy

Interventions

Monochromatic phototherapy (Biolight®) will be given locally, additional to standard care, three times weekly during the first four weeks and twice weekly the following sixteen weeks or until the ulcer is completely healed, according to a pre-determined treatment plan.

Also known as: Biolight® Care Device (BCD), Biolight® Wound Care Device (WCD), Monochromatic Light Therapy, Monochromatic phototherapy
12

Monochromatic phototherapy (Biolight®) will be given locally, additional to standard care, three times weekly during the first four weeks and twice weekly the following sixteen weeks or until the ulcer is completely healed, according to a pre-determined treatment plan.

12

Eligibility Criteria

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

You may qualify if:

  • Wagner grade 1-2 (superficial or deep ulcer)
  • Size of ulcer 1 -25 cm2
  • Localisation of the ulcer below the ankle
  • Systolic ankle blood pressure \>80 mmHg or
  • Systolic toe blood pressure \>45 mmHg equal to and higher than or only
  • Type 1 or II diabetes - Previously known diabetes according to WHO criteria
  • HbA1c \<12
  • \> 18 year
  • Willing and able to fulfil the study requirements
  • Written informed consent

You may not qualify if:

  • Earlier participation in this study
  • Life-threatening malignancy
  • Systemic, oral use of corticosteroid preparations (\> 7.5 mg Prednisolon)
  • Immunosuppressive treatment such as cytostatic drugs and TNF-antagonists
  • Kidney insufficiency (Creatinine \>250 micromol/l)
  • Clinical signs of infections
  • Antibiotic treatment the last two weeks
  • Suspected venous genesis
  • More than two ulcers per foot
  • Wagner grade 3-5
  • Location of ulcers making treatment or evaluation not feasible
  • Photosensitivity or other sensitivity to electromagnetic radiation
  • Pregnancy or breastfeeding
  • Participation in any clinical study the last three month

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Department of Medicine

Ängelholm, Skåne County, SE-452 80, Sweden

RECRUITING

Frölunda Specialistsjukhus

Gothenburg, SE-421 22, Sweden

TERMINATED

Regional Hospital, Halmstad

Halmstad, SE-301 85, Sweden

RECRUITING

Karolinska University Hospital

Huddinge, SE-141 86, Sweden

TERMINATED

Lund University Hospital

Lund, SE-221 85, Sweden

RECRUITING

Malmö University Hospital

Malmo, SE-205 02, Sweden

RECRUITING

Uddevalla Hospital

Uddevalla, SE-451 80, Sweden

TERMINATED

MeSH Terms

Conditions

Diabetic Foot

Condition Hierarchy (Ancestors)

Diabetic AngiopathiesVascular DiseasesCardiovascular DiseasesFoot UlcerLeg UlcerSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System DiseasesDiabetic Neuropathies

Study Officials

  • Jan Apelqvist, M.D., Ph.D.

    Malmö University Hospital, Department of Endocrinology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

February 27, 2009

First Posted

March 11, 2009

Study Start

August 1, 2008

Primary Completion

December 1, 2011

Study Completion

April 1, 2012

Last Updated

June 8, 2011

Record last verified: 2011-06

Locations