About this trial
A Randomized Controlled Multicenter Clinical Trial, Evaluating the Efficacy of a Single Layer Placental-based Allograft and Standard of Care versus Standard of Care alone in the management of Nonhealing Diabetic Foot Ulcers
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 0.7 cm2 and a maximum surface area of 20.0 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 off-loading 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
SLAM + SOC
Other interventionWeekly Treatment visits for 12 weeks begin at day 0. SLAM applications with SOC until ulcer closure, or a maximum of 12 weeks, whichever occurs first.
SOC
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.
Treatment groups
Trial outcomes
Primary outcomes
The percentage of target ulcers achieving complete wound closure in 12 weeks.
The percentage of target ulcers achieving complete wound closure in 12 weeks.
Secondary outcomes
The time to heal for target ulcers.
Time to closure will be determined for each treatment group and compared to SOC.
Wound Area Reduction
Percentage wound area reduction from TV-1 to TV-13 measured weekly with digital photographic planimetry, using MolecuLight Imaging Device, and physical examination.
Adverse Events
Incidence of adverse events will be evaluated weekly from TV-1 to the healing confirmation visit (HCV).
Change in pain in the target ulcer
Change in pain in the target ulcer assessed using the PEG (pain, enjoyment in life, and general pain) scale. \[Time Frame: TV-1, 3 weeks, 6 weeks, 9 weeks, and 12 weeks or Final Visit\].
Other outcomes
Percentage of target ulcers achieving complete wound closure
Percentage of target ulcers achieving complete wound closure in 12 weeks for subjects 65 years of age or older.
Changes in chronic inhibitory bacterial load
Changes in chronic inhibitory bacterial load (CIBL) measured using fluorescence imaging.
Sponsors and contacts
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Applied Biologics, LLC
Lead sponsor
SerenaGroup, Inc.
Collaborator