Improving DFU Outcomes: Early Detection of Foot Ulcers Using Novel Technology
DFUMAT
4 other identifiers
interventional
20
1 country
1
Brief Summary
The investigator team will study the adherence of the participant cohort to a non significant risk device over a six month period. The device is a foot mat, which can detect changes in foot temperature that may predict foot ulceration in patients with diabetes mellitus. This mat, the Podimetrics Smart Mat, is FDA cleared.
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 Jul 2024
Shorter than P25 for not_applicable
1 active site
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
July 20, 2023
CompletedFirst Posted
Study publicly available on registry
August 1, 2023
CompletedStudy Start
First participant enrolled
July 3, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 3, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
April 3, 2025
CompletedResults Posted
Study results publicly available
April 30, 2026
CompletedApril 30, 2026
April 1, 2026
9 months
July 20, 2023
April 3, 2026
April 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adherence to Use of SmartMat
Participant adherence to use of SmartMat will be quantified by automated data collection. Adherence is defined as having conducted \>3 days foot scans per week (foot scans/week) over the six-month period. The median number of scans/week over a six-month period is reported.
Up to six months following intervention
Secondary Outcomes (2)
Use of Health Care Facilities
Up to six months following intervention
Occurrence of Diabetic Foot Ulcer (DFU)
Up to six months following intervention
Study Arms (1)
High risk Diabetic Foot Ulcer (DFU)
EXPERIMENTALPodimetrics smart map
Interventions
Participants receive training for stepping on SmartMat each day for 6 months. Monthly phone calls will be conducted to assess foot health and mat.
Eligibility Criteria
You may qualify if:
- Type 1 or Type 2 diabetes mellitus
- Prior treatment of DFU within 24 months
- Subject had at least one outpatient follow up with a provider after treatment for DFU
- No active ulcer at time of enrollment
- Male or female, aged 18-75 yrs
- Presence of Neuropathy
- Ambulatory
- Provision of signed and dated informed consent form
- Stated willingness to adhere with all study procedures and availability to participate for the duration of the study
You may not qualify if:
- Active diabetic foot ulcer (DFU)
- Unable to comply with study requirements
- Prior above-knee amputation (AKA) or below-knee amputation (BKA)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- American Diabetes Associationcollaborator
- Montefiore Medical Centerlead
- Podimetrics, Inc.collaborator
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)collaborator
Study Sites (1)
Montefiore Medical Center
The Bronx, New York, 10461, United States
Related Publications (8)
Armstrong DG, Holtz-Neiderer K, Wendel C, Mohler MJ, Kimbriel HR, Lavery LA. Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients. Am J Med. 2007 Dec;120(12):1042-6. doi: 10.1016/j.amjmed.2007.06.028.
PMID: 18060924BACKGROUNDCrocker RM, Palmer KNB, Marrero DG, Tan TW. Patient perspectives on the physical, psycho-social, and financial impacts of diabetic foot ulceration and amputation. J Diabetes Complications. 2021 Aug;35(8):107960. doi: 10.1016/j.jdiacomp.2021.107960. Epub 2021 May 23.
PMID: 34059410BACKGROUNDHoban C, Sareen J, Henriksen CA, Kuzyk L, Embil JM, Trepman E. Mental health issues associated with foot complications of diabetes mellitus. Foot Ankle Surg. 2015 Mar;21(1):49-55. doi: 10.1016/j.fas.2014.09.007. Epub 2014 Sep 22.
PMID: 25682407BACKGROUNDIsaac AL, Swartz TD, Miller ML, Short DJ, Wilson EA, Chaffo JL, Watson ES, Hu H, Petersen BJ, Bloom JD, Neff NJ, Linders DR, Salgado SJ, Locke JL, Horberg MA. Lower resource utilization for patients with healed diabetic foot ulcers during participation in a prevention program with foot temperature monitoring. BMJ Open Diabetes Res Care. 2020 Oct;8(1):e001440. doi: 10.1136/bmjdrc-2020-001440.
PMID: 33055233BACKGROUNDLavery LA, Higgins KR, Lanctot DR, Constantinides GP, Zamorano RG, Armstrong DG, Athanasiou KA, Agrawal CM. Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care. 2004 Nov;27(11):2642-7. doi: 10.2337/diacare.27.11.2642.
PMID: 15504999BACKGROUNDMargolis DJ, Malay DS, Hoffstad OJ, Leonard CE, MaCurdy T, de Nava KL, Tan Y, Molina T, Siegel KL. Incidence of diabetic foot ulcer and lower extremity amputation among Medicare beneficiaries, 2006 to 2008. 2011 Feb 17. In: Data Points Publication Series [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011-. Data Points #2. Available from http://www.ncbi.nlm.nih.gov/books/NBK65149/
PMID: 22049565BACKGROUNDRothenberg GM, Page J, Stuck R, Spencer C, Kaplan L, Gordon I. Remote Temperature Monitoring of the Diabetic Foot: From Research to Practice. Fed Pract. 2020 Mar;37(3):114-124.
PMID: 32317847BACKGROUNDSkafjeld A, Iversen MM, Holme I, Ribu L, Hvaal K, Kilhovd BK. A pilot study testing the feasibility of skin temperature monitoring to reduce recurrent foot ulcers in patients with diabetes--a randomized controlled trial. BMC Endocr Disord. 2015 Oct 9;15:55. doi: 10.1186/s12902-015-0054-x.
PMID: 26452544BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
This study has limitations. The absence of a control group precludes assessment of the mat's efficacy in predicting DFU occurrences, limiting causal inference, which may limit generalizability of adherence to broader high-risk populations. Participant's adherence to offloading instructions was not systematically assessed and may represent a key factor influencing ulcer development despite recommended offloading.
Results Point of Contact
- Title
- Dr. Johanna Daily
- Organization
- Montefiore Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Johanna Daily, MD
Montefiore Medical Center
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 20, 2023
First Posted
August 1, 2023
Study Start
July 3, 2024
Primary Completion
April 3, 2025
Study Completion
April 3, 2025
Last Updated
April 30, 2026
Results First Posted
April 30, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share