NCT00958711

Brief Summary

The purpose of this study is to assess the mechanism of action of the Unite Biomatrix and compare its performance with the standard of care, saline moistened gauze, for the treatment of diabetic foot ulcers.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2009

Longer than P75 for not_applicable

Geographic Reach
1 country

11 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

January 1, 2009

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

August 11, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 13, 2009

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2012

Completed
7.6 years until next milestone

Results Posted

Study results publicly available

December 18, 2019

Completed
Last Updated

December 18, 2019

Status Verified

December 1, 2019

Enrollment Period

3.3 years

First QC Date

August 11, 2009

Results QC Date

September 3, 2019

Last Update Submit

December 3, 2019

Conditions

Outcome Measures

Primary Outcomes (4)

  • Percentage of Participants Not Healed by Number of Days After Procedure

    Time to complete healing was captured by Kaplan-Meier Plot showing percentage of participants not healed by number of days after procedure. Patients were considered healed at their first follow-up visit where the patient's would had healed.

    Day 20, Day 40, Day 60, Day 80

  • Percentage of Participants With Wounds Healed at 12 Weeks

    Week 12

  • Wound Healing Pathway Markers

    Day 0, 72 hours post-procedure, Week 1, Week 2, Week 4

  • Bacterial Burden

    Day 0, Week 1 - Week 12

Secondary Outcomes (7)

  • Percentage Mean of Original Wound Size From Baseline by Week

    Day 0, Week 4, Week 8, Week 12

  • Number of Participants With Ulcer Recurrence

    Week 1 to Week 24

  • Number of Device-related Adverse Events (AE)

    Week 1 to Week 24

  • Number of Procedure-related Adverse Events (AE)

    Week 1 to Week 24

  • Number of Device Failures

    Week 1 to Week 24

  • +2 more secondary outcomes

Study Arms (2)

Biologic - Unite Biomatrix

EXPERIMENTAL
Device: Unite Biomatrix

Saline and Gauze

ACTIVE COMPARATOR
Other: Saline and Gauze

Interventions

Collagen based, decellularized equine pericardial dressing for skin surface wounds

Biologic - Unite Biomatrix

gauze moistened with sterile saline

Saline and Gauze

Eligibility Criteria

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

You may qualify if:

  • A full thickness diabetic foot ulcer with a viable wound bed free of necrotic material (grade 1 on Wagner scale).
  • Diagnosis of diabetes mellitus (type I or II) adequately controlled.
  • The ulcer is greater than 4 weeks duration.
  • Three or fewer ulcers separated by \> 3.0 cm distance.
  • Post-debridement, the ulcer size must be between 1 and 10 sq cm2.
  • Ankle/brachial index is between 0.7 to 1.2 and or one of the following must be present:
  • transcutaneous partial pressure oxygen (TcPO2) \> 30 mmHg at the ankle
  • toe pressure of \>40mm Hg or a Doppler waveform consistent with adequate flow in the foot (biphasic or triphasic)
  • At least 18 years old.
  • Able and willing to provide a voluntary written informed consent.
  • Able and willing to wear an off-loading orthopedic shoe.
  • Able and willing to attend scheduled follow-up visits and study related exams.

You may not qualify if:

  • Greater than 30% reduction in wound size during first week of observation by the investigator.
  • Ulcer with exposed tendon or bone.
  • Gross clinical infection at the study ulcer site including cellulitis and osteomyelitis.
  • Gangrene.
  • Active Charcot's disease as determined by clinical and radiographic examination.
  • Ulcer of a non-diabetic pathophysiology (e.g., rheumatoid, radiation-related, and vasculitis related ulcers).
  • Known severe anemia.
  • Known serum albumin \< 2.5.
  • Renal failure with Creatinine \> 2.5.
  • Rheumatoid arthritis (and other collagen vascular disease), vasculitis, sickle cell disease, HIV.
  • Severe liver disease as defined by the treating physician or patient's primary care physician.
  • Malignancy at or near the ulcer site.
  • Any condition judged by the investigator that would cause the study to be detrimental to the patient.
  • Presence of a hematology, clinical, chemistry or other test obtained within 7 days of screening that is outside the normal range for the laboratory and is determined to be clinically significant by the investigator.
  • Received another investigational device or drug within 30 days of Day 0.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

University of California - San Diego

San Diego, California, 92103, United States

Location

University of Miami, Miller School of Medicine

Miami, Florida, 33136, United States

Location

Aiyan Diabetes Center

Evans, Georgia, 30809, United States

Location

Foot & Ankle Associates of Central Illinois, LLC

Springfield, Illinois, 62704, United States

Location

Eastern Carolina Foot and Ankle

Greenville, North Carolina, 27834, United States

Location

Foot and Ankle East

Greenville, North Carolina, 27834, United States

Location

Carolina East Family Medicine

Greenville, North Carolina, 27858, United States

Location

Family Foot & Ankle Physicians

Greenville, North Carolina, 27858, United States

Location

Comprehensive Wound Care Thoracic & Vascular Associates of Kinston P.A.

Kinston, North Carolina, 28504, United States

Location

The Foot & Ankle Associates of North Carolina, PLLC

Rocky Mount, North Carolina, 27804, United States

Location

Martin Foot and Ankle

York, Pennsylvania, 17403, United States

Location

MeSH Terms

Conditions

Diabetic Foot

Interventions

Sodium Chloride

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Limitations and Caveats

Study initially sponsored by Synovis Surgical Innovation, and product now licensed with Biomed Design. Unable to obtain all data for study. Clinical Study Report not located and results summarized from an abbreviated Statistical Analysis Report.

Results Point of Contact

Title
Baxter Clinical Trials Disclosure Call Center
Organization
Baxter Healthcare

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 11, 2009

First Posted

August 13, 2009

Study Start

January 1, 2009

Primary Completion

May 1, 2012

Study Completion

May 1, 2012

Last Updated

December 18, 2019

Results First Posted

December 18, 2019

Record last verified: 2019-12

Locations