Low Level Laser Therapy and Expression of VEGF, NO, VEGFR-2, HIF-1α in Diabetic Foot Ulcers
Effect of Low Level Laser With Ga-As (904 nm) on Expression of Angiogenic Factors (VEGF, VEGF Receptor-2,NO, HIF-1α), Oxygen Saturation of Peripheral Blood and Wound Surface Area in Ischemic Diabetic Foot Ulcers
1 other identifier
interventional
27
1 country
1
Brief Summary
The purpose of this study is to examine the changes of factors including Vascular Endothelial Growth Factor(VEGF), VEGFReceptor-2, Nitric Oxide and hypoxia-inducible factor-1α (HIF-1α), measurements of oxygen saturation in peripheral blood and wound surface area and ankle-brachial index (ABI) in ischemic diabetic foot ulcers after Low Level Laser Therapy(LLLT).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 10, 2015
CompletedFirst Posted
Study publicly available on registry
May 22, 2015
CompletedJune 1, 2015
May 1, 2015
1.4 years
May 10, 2015
May 29, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
The blood serum level of VEGF(pg/ml), VEGFR-2(pg/ml), HIF-1α(pg/ml) and NO (pg/ml)
measured from serum in initial and end sessions.
Change from Baseline in serum level of VEGF, VEGFR-2, HIF-1α and NO at 4 weeks
Secondary Outcomes (3)
Wound surface area(cm2)
Change from Baseline in wound surface area at 2 and 4 weeks
Oxygen saturation of peripheral blood
Change from Baseline with pulse oximeter at 2 and 4 weeks
Ankle Brachial Index(ABI)
Change from Baselineat 2 and 4 weeks
Study Arms (2)
Low Level Laser Therapy
ACTIVE COMPARATORIn laser therapy group, group who received interventions was the patients received laser with 2 Joule/centimeters2, 90 milliwatt , 3 days/week, for 4 weeks (12 sessions)
Placebo
PLACEBO COMPARATORIn the placebo group, the treatment procedure was the same as that the LLLT group, but the laser light was off and Guiding light was laser was on
Interventions
Low level laser therapy(904 nm Wavelength), 90 milliwatt, 2 Joule/centimeter2
Eligibility Criteria
You may qualify if:
- Ischemic diabetic foot ulcer
- Wagner classification DFU 2
- \<ABI\<0.9
- Mild to moderate diabetic neuropathy
You may not qualify if:
- Fracture in a lower limb
- A severe infection
- A malignancy
- Kidney failure
- Skin diseases
- Osteomyelitis
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tarbiat Modares University
Tehran, Iran
Related Publications (1)
Torkaman G, Hoseini-Sanati M, Hedayati M, Mofid M, Iranparvar Alamdari M. Effects of Photobiomodulation Therapy on the Expression of Hypoxic Inducible Factor, Vascular Endothelial Growth Factor, and Its Specific Receptor: A Randomized Control Trial in Patients with Diabetic Foot Ulcer. Photobiomodul Photomed Laser Surg. 2024 Apr;42(4):275-284. doi: 10.1089/photob.2023.0152. Epub 2024 Mar 27.
PMID: 38536106DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Giti Torkaman, PHD
Professor of Physical Therapy, Physical Therapy Department, Faculty of Medical Sciences, Tarbiat Modares Univercity
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of physical therapy, Physical therapy department, Faculty of medical sciences, Tarbiat modares univercity
Study Record Dates
First Submitted
May 10, 2015
First Posted
May 22, 2015
Study Start
June 1, 2013
Primary Completion
November 1, 2014
Study Completion
February 1, 2015
Last Updated
June 1, 2015
Record last verified: 2015-05