NCT03078933

Brief Summary

The clinical trial will assess the delivery of Nitric Oxide topically to the diabetic foot ulcer wound and the surrounding wound area as it related to wound healing. The objective of the study is to assess the Nitric Oxide Therapy treatment time (the number of minutes to deliver the treatment) and frequency (number of days per week to treat) to determine the most optimal treatment time and frequency to develop a rationale for safety and efficacy for the final APT001 clinical study.

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
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2017

Geographic Reach
1 country

15 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

First Submitted

Initial submission to the registry

February 28, 2017

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 14, 2017

Completed
6 days until next milestone

Study Start

First participant enrolled

March 20, 2017

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2018

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2018

Completed
Last Updated

June 7, 2017

Status Verified

June 1, 2017

Enrollment Period

1.1 years

First QC Date

February 28, 2017

Last Update Submit

June 5, 2017

Conditions

Keywords

DFU

Outcome Measures

Primary Outcomes (1)

  • Wound Closure rate

    cm2 of epithelium coverage per week

    12 weeks of treatment

Study Arms (5)

Standard of Care

ACTIVE COMPARATOR

Standard of care for diabetic foot ulcer wound care

Device: Standard of Care

APT001NitricOxide tx 2x week 6 min+ SOC

EXPERIMENTAL

APT001 Nitric OxideTherapy 2x week for 6 min. treatment time plus standard of care

Device: Nitric Oxide Therapy 2x week 6 min. plus standard of care

APT001Nitric Oxide tx 2x week 12 min+SOC

EXPERIMENTAL

APT001Nitric Oxide Therapy 2x week for 12 min. treatment time plus standard of care

Device: Nitric Oxide Therapy 2x week 12 min. plus standard of care

APT001Nitric Oxide tx 4x week 6 min+SOC

EXPERIMENTAL

APT001 Nitric Oxide Therapy 4x week for 6 min. treatment time plus standard of care

Device: Nitric Oxide Therapy 4x week 6 min. plus standard of care

APT001Nitric Oxide tx 4x week 12 min+SOC

EXPERIMENTAL

APT001Nitric Oxide Therapy 4x week for 12 min. treatment time plus standard of care

Device: Nitric Oxide Therapy 4x week 12 min. plus standard of care

Interventions

Standard of Care arm which includes wound care, dressings and debridement.

Standard of Care

Active Therapy Nitric Oxide delivered topically to the wound twice a week for 6 minutes plus standard of care. Standard of care includes wound care, dressings and debridement.

APT001NitricOxide tx 2x week 6 min+ SOC

Active Therapy Nitric Oxide delivered topically to the wound twice a week for 12 minutes plus standard of care. Standard of care includes wound care, dressings and debridement.

APT001Nitric Oxide tx 2x week 12 min+SOC

Active Therapy Nitric Oxide delivered topically to the wound four times a week for 6 minutes plus standard of care. Standard of care includes wound care, dressings and debridement.

APT001Nitric Oxide tx 4x week 6 min+SOC

Active Therapy Nitric Oxide delivered topically to the wound four times a week for 12 minutes plus standard of care. Standard of care includes wound care, dressings and debridement.

APT001Nitric Oxide tx 4x week 12 min+SOC

Eligibility Criteria

Age22 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diabetes Type 1 or Type 2
  • Wound size greater than or equal to 1 cm2 and less than or equal to 16 cm2
  • HbA1c less than or equal to 12 %
  • Single full thickness DFU on the plantar aspect of toes or foot
  • Ankle Brachial Index greater than or equal to 0.7

You may not qualify if:

  • Infection of the ulcer
  • Active Charcot's disease
  • wound involves deeper tissues including bone or tendon
  • Negative pressure therapy on affected foot or Hyperbaric Oxygen Therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Clinical Site

Montgomery, Alabama, 36111, United States

RECRUITING

Clinical Site

Phoenix, Arizona, 85015, United States

RECRUITING

Clinical Site

Tucson, Arizona, 85634, United States

RECRUITING

Clinical Site

Fresno, California, 93721, United States

RECRUITING

Clinical Site

Los Angeles, California, 90001, United States

RECRUITING

Clinical Site

San Francisco, California, 94115, United States

RECRUITING

Clinical Site

Sylmar, California, 91342, United States

RECRUITING

Clinical Site

Cooper City, Florida, 33024, United States

RECRUITING

Clinical Site

Miami, Florida, 33031', United States

RECRUITING

Clinical Site

Miami, Florida, 33032, United States

RECRUITING

Clinical Site

Boston, Massachusetts, 02118, United States

RECRUITING

Clinical Site

West Columbia, South Carolina, 29033, United States

RECRUITING

Clinical Site

Corpus Christi, Texas, 78401, United States

RECRUITING

Clinical Site

San Antonio, Texas, 78229, United States

RECRUITING

Clinical Site

Webster, Texas, 78245, United States

RECRUITING

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

  • David Dantzker, MD

    Origin Inc.

    STUDY CHAIR
  • Terry Treadwell, MD

    Institute for Advanced Wound Care

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Katherine M Tranotti, BSN/MBA

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
Investigator will be blinded to photgraphs and punch biopsy results
Purpose
DEVICE FEASIBILITY
Intervention Model
FACTORIAL
Model Details: Two or more interventions, each alone and in combination, are evaluated in parallel against a control group
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 28, 2017

First Posted

March 14, 2017

Study Start

March 20, 2017

Primary Completion

May 1, 2018

Study Completion

July 1, 2018

Last Updated

June 7, 2017

Record last verified: 2017-06

Locations