About this trial
The purpose of this study is to evaluate the efficacy of dehydrated human amnion membrane (dhAM) and standard of care (SOC) versus SOC alone in the closure of nonhealing diabetic foot ulcers (DFUs).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects must be at least 18 years of age or older.
Subjects must have a diagnosis of type 1 or 2 Diabetes mellitus.
At randomization subjects must have a target ulcer with a minimum surface area of 1.0 cm2 and a maximum surface area of 5.0 cm2 measured post debridement.
The target ulcer must have been present for a minimum of 4 weeks and a maximum of 52 weeks of standard of care prior to the initial screening visit.
Disqualifiers
The subject must consent to using the prescribed offloading method for the duration of the study.
The subject must agree to attend the weekly study visits required by the protocol.
The subject must be willing and able to participate in the informed consent process.
A subject known to have a life expectancy of < 6 months is excluded.
Trial design
Parallel
Treatments tested in this trial
Standard of Care
Other interventionBeginning 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 12 weeks, whichever occurs first.
Axolotl DualGraft + SOC
Other interventionParticipants will receive weekly applications of Axolotl DualGraft and Standard of Care until ulcer closure, or a maximum of 12 weeks, whichever occurs first.
Treatment groups
Trial outcomes
Primary outcomes
Efficacy of dhAM + SOC vs SOC
To determine the efficacy of dhAM plus SOC versus SOC alone in achieving complete closure of nonhealing diabetic foot ulcers over 12 weeks.
Secondary outcomes
Time to closure for the target ulcer
To determine the proportion of ulcers that heal over 12 weeks for dhAM plus SOC versus SOC alone (Time to closure).
Percent area reduction
To determine the percent area reduction (PAR) of the ulcer over the 12-week treatment period.
Adverse events
To demonstrate a reduction in adverse events in subjects receiving dhAM plus SOC versus SOC alone.
Determine improvement in quality of life using Wound Quality of Life questionnaire
Quality of Life is assessed using the Wound Quality of Life (wQOL) checklist at TV1, TV3, TV7, TV11, and TV12. This assessment will be used to compare patients receiving dhAM + SOC vs SOC.
Other outcomes
Proportion of ulcers that heal in patients 65 years and older
To determine the proportion of ulcers that heal in patients 65 years or older for dhAM plus SOC versus SOC alone.
Determine the effect of chronic inhibitory bacterial load (CIBL) on wound closure
To determine the effect of chronic inhibitory bacterial load (CIBL) as assessed by fluorescence imaging on wound closure. Fluorescent imaging will be assessed at TV1, TV4, TV8, and TV12.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Axolotl Biologix
Lead sponsor
SerenaGroup, Inc.
Collaborator