NCT06442865

Brief Summary

This is retrospectively-prospective clinical trial with medical device AMNIODERM+ intended for the non-healing wounds. Retrospective data will contain information about the subject's history and wound treatment by SoC. Prospective data will contain information about wound treatment by AMNIODERM+®.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Nov 2022

Shorter than P25 for all trials

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 16, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2023

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

May 23, 2024

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 4, 2024

Completed
Last Updated

June 5, 2024

Status Verified

June 1, 2024

Enrollment Period

4 months

First QC Date

May 23, 2024

Last Update Submit

June 4, 2024

Conditions

Keywords

medical deviceAMNIODERM+non-healing woundsDFU

Outcome Measures

Primary Outcomes (1)

  • Non-healing wounds measuring

    Analyses of primary and secondary endpoints: The error rate During data collection, a change was made to the CIP regarding complete wound closure (wound heal). Whether a wound was healed was determined by the opinion of the investigator and not by the size of the wound as measured by Imito® application. The error rate of the Imito® measuring application in determining the size of the wound was 10 %, i.e. based on that and clinical experience the threshold of 0.1 cm2 was determined. Wounds smaller than or equal to 0.1 cm2 were considered as complete closure. The investigator confirmed the wound closure in an accompanying comment in the eCRF.

    6 + 12 weeks

Study Arms (2)

Retrospective data

Subjects with a diabetic neuropathic or neuroischemic wounds, anywhere on the leg, ranging in size between 2 cm2 and 16 cm2, that has not healed at least 20% after the 6 weeks of the standard of care (SoC) with the known therapeutic history ≥ 6 weeks and ≤ 104 weeks prior to clinical trial inclusion. Retrospective data will contain information about the subject's history and wound treatment by SoC.

Device: AMNIODERM+

Prospective data

Subjects with a diabetic neuropathic or neuroischemic wounds, anywhere on the leg, ranging in size between 2 cm2 and 16 cm2, that has not healed at least 20% after the 6 weeks of the standard of care (SoC) with the known therapeutic history ≥ 6 weeks and ≤ 104 weeks prior to clinical trial inclusion. Prospective data will contain information about wound treatment by AMNIODERM+®.

Device: AMNIODERM+

Interventions

A common surgical approach in chronic wound treatment aims at the promotion of epithelization by a combination of debridement manipulations (removal of non-vital tissues) and infection/inflammation management using antibacterial wound dressings (antibiotics or silver covering). The advantages of biomaterials can be attributed to their unique mechanical, immunological, and regenerative properties. The product will be evaluated in the subjects not responding to SoC.

Prospective dataRetrospective data

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Subjects with a diabetic neuropathic or neuroischemic wounds, anywhere on the leg, ranging in size between 2 cm2 and 16 cm2, that has not healed at least 20% after the 6 weeks of the standard of care (SoC) with the known therapeutic history ≥ 6 weeks and ≤ 104 weeks prior to clinical trial inclusion.

You may qualify if:

  • Males and females over 18 years of age
  • Type 1 or Type 2 diabetes mellitus
  • Presence of a diabetic neuropathic or neuroischemic wound, anywhere on the leg, that has not healed at least 20% after the 6 weeks of the standard of care (SoC)
  • Size of a wound to be evaluated 2 to 16 cm2
  • Wound treatment can be provided either on an inpatient or outpatient basis, based on the doctor's decision
  • The subject agrees to periodic visits to the clinical trial site during their participation in the clinical trial
  • The subject is able to understand the clinical trial information
  • Signed informed consent form
  • Data on previous wound care are available in the subject medical documentation

You may not qualify if:

  • Necrotic wound requiring surgical treatment
  • Pregnancy or breastfeeding
  • Venous etiology of ulceration
  • Burns or chemical burns
  • Clinical manifestations of systemic infection
  • Undermined wound edges
  • The wound involves deeper structures (bone, tendons, joints)
  • Inadequately controlled diabetes mellitus with HbA1c \> 12 % (DCCT) diabetes mellitus
  • Renal insufficiency with eGF \< 30ml/min/1.73m2
  • Infected ulceration either Stage ≥2 according to EWMA Position Document (2006) (Appendix II) or with CRP \>10
  • Topical treatment with any growth factor-based products

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Národní Endokrinologický a Diabetologický ústav

Ľubochňa, Slovakia

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

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 23, 2024

First Posted

June 4, 2024

Study Start

November 16, 2022

Primary Completion

March 30, 2023

Study Completion

March 30, 2023

Last Updated

June 5, 2024

Record last verified: 2024-06

Locations