Nonhealing Venous Leg Ulcers Treated With a Standard of Care (SoC) Alone or Standard of Care and Dehydrated Human Placenta Tissue (dHPT) With Crossover
EVOLVE
A Multicenter, Randomized Trial Evaluating Dehydrated Human Placenta Tissue (dHPT) and Standard of Care Versus Standard of Care Alone in Nonhealing Venous Leg Ulcers With Crossover for Subjects Randomized to Standard of Care
1 other identifier
interventional
70
0 countries
N/A
Brief Summary
The purpose of this study is to determine how well our dHPT (Dehydrated Human Placental Tissue) Product and Standard of Care work when compared to Standard of Care alone in achieving complete closure of venous leg ulcers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jan 2026
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
November 13, 2025
CompletedFirst Posted
Study publicly available on registry
November 17, 2025
CompletedStudy Start
First participant enrolled
January 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2027
December 16, 2025
December 1, 2025
1.9 years
November 13, 2025
December 9, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Venous Leg Ulcers with Complete Wound Closure
The percentage of VLU target ulcers achieving complete wound closure. Closure is defined as 100% re-epithelialization of the ulcer surface without detectable exudate.
1-10 weeks
Secondary Outcomes (3)
Time to Complete Closure for Ulcer
1-10 weeks
Percentage of Wound Area Change for Target Ulcer
1-10 weeks
Incidents of Adverse Events
1-10 weeks
Other Outcomes (1)
Changes in Pain Associated with the Target Ulcer
1-10 weeks
Study Arms (2)
Standard of Care
ACTIVE COMPARATORBeginning at the screening visit, participants will receive weekly treatment with standard of care (cleaning, debridement, ulcer moisture balance, and offloading) until ulcer closure, or a maximum of 10 weeks, whichever occurs first.
AIC and Standard of Care
EXPERIMENTALParticipants with a venous leg ulcer (VLU) will receive treatment with an Amnion-Intermediate-Chorion (AIC) sheet product, a dehydrated multilayer human placental tissue derived from donated human tissue, and weekly treatment with standard of care (cleaning, debridement, ulcer moisture balance, and offloading) until ulcer closure, or a maximum of 10 weeks, whichever occurs first.
Interventions
Dehydrated human placental multilayer allograft derived from donated human tissue. AIC contains amnion and chorion layers as well as basement membrane and trophoblast.
Standard of care is to establish a clean, healthy wound bed and optimize the wound environment to have the best chance of healing the wound. This is achieved through wound cleansing, debridement, offloading and moisture balance.
Eligibility Criteria
You may qualify if:
- Participants are required to meet all the following criteria for enrollment into the study:
- years of age or older.
- Hemoglobin A1c (HbA1c) level is \<12% (108 mmol/mol).
- Target ulcer with a surface area of between 1.0 cm 2 and 25.0 cm 2 measured post debridement at randomization.
- Target ulcer must have been present for a minimum of 4 weeks with standard of care prior to the initial screening visit.
- Affected limb must have adequate perfusion confirmed by vascular assessment performed within 90 days of screening visit. Any of the following methods are acceptable:
- ABI ≥ 0.7 and ≤ 1.3;
- TBI ≥ 0.6;
- TCOM ≥ 40 mmHg;
- PVR: biphasic or triphasic.
You may not qualify if:
- The participant must agree to attend the weekly study visits required by the protocol.
- The participant must be willing and able to participate in the informed consent process
- Participants meeting any of the following criteria will be excluded from enrollment:
- Known life expectancy of \<6 months.
- Target ulcer is infected or there is cellulitis in the surrounding skin.
- Evidence of osteomyelitis complicating the target ulcer.
- Participant requires systemic antibiotic therapy or has used within the last 7 days.
- Receiving immunosuppressants (including systemic corticosteroids at doses greater than 10 mg of Prednisone per day or equivalent), receiving cytotoxic chemotherapy, or taking medications that the investigator believes will interfere with wound healing (e.g., biologics).
- Topical application of steroids to the ulcer surface within 30 days of screening.
- Target ulcer exposes tendon or bone.
- Surface area of the target ulcer decreases by more than 20% during the 2-week screening phase.
- Mini Nutritional Assessment (MNA) score of less than 17.
- Participants of child bearing potential who are pregnant, considering becoming pregnant within the next 6 months, and/or are unwilling to utilize an appropriate form of contraception.
- Currently requiring dialysis or planning to start within 6 months.
- Medical or psychological condition that, in the opinion of the investigator, may interfere with study assessments.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Research Director
Cellution Biologics
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 13, 2025
First Posted
November 17, 2025
Study Start
January 1, 2026
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
December 16, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share