NCT04233580

Brief Summary

The Investigators plan to evaluate healing in two cohorts of patients with diabetic foot wounds (n=20) that receive optimal treatment including serial wound debridement and off-loading with a boot or postop shoe and AmnioEXCEL+. In one cohort, AmnioEXCEL+ will be applied weekly at study visits and in the second cohort, AmnioEXCEL+ will be applied maximum every 2 weeks (PRN, in the case that the wound requires debridement at a visit not intended for AE+ application, the wound will be treated as SOC). In addition, the Investigators will collect data on other potential confounding factors that could affect healing such as antibiotic, anti-fungal and anti-infective medications, tobacco, comorbidities, diabetes control, infection, perfusion, and activity. Wound healing, including wound size and adverse events will be evaluated.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

January 14, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 18, 2020

Completed
6 months until next milestone

Study Start

First participant enrolled

July 9, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 6, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 6, 2021

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

September 22, 2022

Completed
Last Updated

July 24, 2023

Status Verified

July 1, 2023

Enrollment Period

9 months

First QC Date

January 14, 2020

Results QC Date

May 31, 2022

Last Update Submit

July 20, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Who Healed

    Number of participants whose wounds healed during the study timeframe. Reported as dichotomous yes/no.

    12 weeks

Secondary Outcomes (3)

  • Wound Volume

    Baseline

  • Wound Area

    Baseline

  • Tissue Oxygenation (StO2) of the Dorsal Foot

    Baseline

Study Arms (2)

Weekly AmnioEXCEL+ group

ACTIVE COMPARATOR

AmnioEXCEL+ will be applied weekly at study visits

Device: Amnio Excel + weekly

PRN AmnioEXCEL+ group

ACTIVE COMPARATOR

AmnioEXCEL+ will be applied maximum every 2 weeks (PRN, in the case that the wound requires debridement at a visit not intended for AE+ application, the wound will be treated as SOC)

Device: Amnio Excel + max every 2 weeks

Interventions

Amnio Excel + weekly

Weekly AmnioEXCEL+ group

Amnio Excel + max every 2 weeks

PRN AmnioEXCEL+ group

Eligibility Criteria

Age21 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Criteria for Inclusion of Subjects: * 21-90 years of age * Able to provide informed consent * Chronic foot ulceration below the ankle - persistent for \>30 days but \<6 months Criteria for Exclusion of Subjects: * \<21 or \>90 years of age * Unable to provide informed consent * History of poor compliance in the opinion of the investigator * Gangrene * Untreated osteomyelitis * Widespread malignancy * Active alcohol or substance abuse such as cocaine, heroin, or methamphetamines that in the opinion of the investigator will impact the subject's participation in the study * Pregnancy

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (1)

UT Southwestern Medical Center at Dallas

Dallas, Texas, 75390, United States

Location

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

Limitations and Caveats

Enrollment was limited due to Covid-19 pandemic. Occasional missed visits occurred when patients were quarantined and not allowed to present to clinic.

Results Point of Contact

Title
Tara Kristof
Organization
University of Texas Southwestern Medical Center

Study Officials

  • Lawrence Lavery, DPM MPH

    University of Texas Southwestern Medical Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor and Director of Research

Study Record Dates

First Submitted

January 14, 2020

First Posted

January 18, 2020

Study Start

July 9, 2020

Primary Completion

April 6, 2021

Study Completion

April 6, 2021

Last Updated

July 24, 2023

Results First Posted

September 22, 2022

Record last verified: 2023-07

Locations