About this trial
The purpose of this clinical investigation is to evaluate the safety and efficacy of Amnion/Chorion/Amnion allograft , Amnion/Chorion allograft, and/or Amnion/Amnion allograft, plus Standard of Care (SOC) each versus SOC alone in the treatment of chronic non-healing diabetic foot ulcers (DFU) after 12 weeks of treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years old, inclusive.
Presence of a DFU, Wagner Grade 1, extending through the dermis provided it is below the medial aspect of the malleolus.
The index ulcer (ulcer to be evaluated in the study) will be the largest ulcer if two or more DFUs are present with the same Wagner grade and will be the only one evaluated in the study. If other ulcerations are present on the same foot, they must be more than 2 cm distant from the index ulcer.
Index ulcer has been present for greater than 4 weeks prior to SV1 and less than 1 year, as of the date the subject consents for study.
Disqualifiers
Index ulcer(s) deemed by the investigator to be caused by a medical condition other than diabetes
Index ulcer, in the opinion of the investigator, is suspicious for cancer and should undergo an ulcer biopsy to rule out a carcinoma of the ulcer
Index ulcer is infected
Subjects with a history of more than two weeks of treatment with immune-suppressants (including systemic corticosteroids >10mg daily dose), cytotoxic chemotherapy, or application of topical steroids to the ulcer surface within 1-month prior to first SV1, or who receive such medications during the screening period or who are anticipated to require such medications during the course of the study
Trial design
Parallel
Treatments tested in this trial
Allograft
Other interventionPlacental-based Allografts
Treatment groups
Trial outcomes
Primary outcomes
Percentage of DFUs healed at 12 weeks
Percentage of index ulcers (the ulcers being treated in the study) healed at 12 weeks
Secondary outcomes
Total time to DFU wound closure
Length of time to complete wound closure of the indexed DFU
Percentage of Wound Area Reduction over time of study
Percentage area reduction by surface area for each indexed wound during the clinical investigation
Change in perceived patient wound pain levels over time.
Change in patient pain levels during the clinical investigation at the wound site using the pain assessment by questionnaire. The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').
Other outcomes
Cost of Treatment to Closure Diabetic Foot Ulcer Wound in Study
Following costs to treat and closure diabetic foot ulcers in investigational study arms
Sponsors and contacts
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Tides Medical
Lead sponsor
Professional Education and Research Institute
Collaborator