Although major improvements in the management and treatment of diabetic foot ulcers have been made, the clinical and financial burden of such long-term wounds is still high and is likely to increase as the general population ages. The large population affected by diabetic foot ulcers and the high rates of failure ending with amputation even with the best therapeutic regimens have resulted in the development of new therapies. I-020201 is a bioactive therapy intended for topical treatment of hard-to-heal diabetic foot ulcers, stimulating the granulation tissue formation. This study aims to evaluate the safety and efficacy of I-020201 in adjunct to good standard of care in patients with chronic diabetic foot ulcer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
211
Procedural treatment twice per week
Topical fibrin as an adjunct to GSoC twice per week
Topical treatment with 3 different concentrations as an adjunct to GSoC twice per week
Diabetologické centrum, I. Interní klinika FN Hradec Králové, Fakultní nemocnice Hradec Králové (21)
Hradec Králové, Czechia
Interní klinika 2. Lékařské fakulty UK a FN Motol, Fakultní nemocnice Motol (22)
Prague, Czechia
Oddelení diabetologie - Podiatricka ambulance Krajská zdravotní a.s.- Masarykova nemocnice v Ústí nad Labem o.z. (23)
Ústí nad Labem, Czechia
Lékařský dum Ormiga Angiologická a diabetologická ambulance (20)
Zlín, Czechia
Klinikum Sindelfingen-Böblingen (01)
Böblingen, Germany
Percentage reduction in ulcer surface area
Time frame: 4 weeks after treatment start
Incidence of complete wound closure (full re-epithelialization with confirmation 4 weeks afterwards)
Time frame: At 12 and 16 weeks after treatment start
Incidence of complete wound closure (full re-epithelialization with confirmation 4 weeks afterwards)
Time frame: Within the whole study period (28 weeks after treatment start)
Time to complete wound closure (full re-epithelialization with confirmation 4 weeks afterwards).
Time frame: At any time during the study
Incidence of treatment failure defined as <30% decrease in ulcer size
Time frame: After 8 weeks of treatment
Incidence of patients with ulcer recurrence
Time frame: Up to 16 and 28 weeks after treatment start
Incidence of treatment-related adverse events (systemic and at the target ulcer) and all AEs/SAEs
Time frame: During the whole study period
Changes in systemic PDGF-AB and antibody levels against TG-PDGF.AB and aprotinin
Time frame: At 1, 4, 12, 16 and 20 weeks after treatment start
Changes in vital signs, body weight, physical examination and laboratory parameters
Time frame: Throughout the study and 28 weeks after treatment start
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SRH Klinikum Karlsbad-Langensteinbach (04)
Karlsbad, Germany
Klinikum Stuttgart Bürgerhospital (03)
Stuttgart, Germany
Universitätsklinik Tübingen Chirugische Poliklinik (02)
Tübingen, Germany
Budai Irgalmasrendi Közhasznú Non-Profit Kft (35)
Budapest, Hungary
Fõvárosi Önkormányzat Egyesített Szent István és Szent László Kórház - Rendelõintézet Sebészeti Osztály (32)
Budapest, Hungary
...and 24 more locations