CHEMfoot: DEBRICHEM® in Chronic Diabetic Foot Wounds
CHEMfoot
Clinical Evaluation of the Addition of DEBRICHEM® to the Routine Management of Chronic Diabetic Foot Wounds: an Open-label Randomized Controlled Trial (CHEMfoot Study)
1 other identifier
interventional
242
0 countries
N/A
Brief Summary
This multicenter, randomized controlled trial will evaluate the effectiveness and safety of DEBRICHEM®, a topical desiccant gel, when added to standard care for chronic diabetic foot wounds. Chronic diabetic foot ulcers affect up to 25% of people with diabetes and are associated with high risks of infection, hospitalization, amputation, and mortality. Biofilm formation plays a key role in wound chronicity and delayed healing. DEBRICHEM® is designed to chemically debride wounds by removing biofilm in a single topical application, potentially accelerating the healing process. A total of 242 adult patients with chronic diabetic foot ulcers (≥4 weeks, 0.5-10 cm²) will be randomized to receive either conventional wound care plus a single application of DEBRICHEM® or conventional wound care alone. The primary endpoint is the proportion of patients achieving complete wound healing at 20 weeks. Secondary outcomes include wound size reduction, infection rates, pain, quality of life, sleep, healthcare resource use, and safety.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2025
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
September 25, 2025
CompletedStudy Start
First participant enrolled
October 1, 2025
CompletedFirst Posted
Study publicly available on registry
October 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 23, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2027
October 3, 2025
October 1, 2025
1.2 years
September 25, 2025
October 1, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of patients with complete wound healing at 20 weeks
100% wound surface closure, complete re-epithelialization, and absence of exudate, confirmed by blinded investigator and adjudication committee review of wound photographs.
20 weeks
Secondary Outcomes (11)
wound healing wk 8
week 8
wound healing week 12
12 weeks
Proportion of patients with ≥50% wound surface reduction
20 weeks
wound area change
20 weeks
Incidence of wound infection
20 weeks
- +6 more secondary outcomes
Study Arms (2)
DEBRICHEM® + conventional wound care
EXPERIMENTALSingle topical application of DEBRICHEM® (desiccant gel for chemical debridement) at inclusion, then standard wound dressings and care.
Conventional wound care only
NO INTERVENTIONMechanical debridement and wound dressing per standard of care
Interventions
Single topical application of DEBRICHEM® (desiccant gel for chemical debridement) at inclusion, then standard wound dressings and care.
Eligibility Criteria
You may qualify if:
- Adults ≥18 years.
- Diabetic foot ulcer (toe, dorsal, plantar, or lateral foot) persisting ≥4 weeks without improvement.
- Requires debridement.
- Wound size 0.5-10 cm².
- Texas classification 0-IIC (controlled neuro-ischemic ulcers, localized infection only).
- HbA1c ≤10% in last 3 months. Peripheral arterial disease controlled, no critical limb ischemia (toe pressure \>50 mmHg OR ankle pressure \>70 mmHg OR TcPO2 \>30 mmHg).
You may not qualify if:
- Allergy to DEBRICHEM® components.
- Active malignancy, osteomyelitis, fasciitis, exposed cartilage.
- Revascularization \<4 weeks prior.
- Systemic infection.
- Pregnant or breastfeeding women.
- Vulnerable populations under legal protection.
- Participation in another clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ariane Sultan, MD
University Hospital, Montpellier
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2025
First Posted
October 3, 2025
Study Start
October 1, 2025
Primary Completion (Estimated)
December 23, 2026
Study Completion (Estimated)
February 1, 2027
Last Updated
October 3, 2025
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share