This study will compare the proportion of patients who have wound closure within 12 weeks as well as the time to wound closure in patients receiving Artacent™ versus standard of care for treatment of non-healing lower extremity wounds. The recurrence of healed wounds will be assessed at 6 months via a telephone survey
This study is to document the efficacy of Artacent™ Human Amniotic Membrane (Artacent) in the treatment of diabetic and vascular lower extremity ulcers. The study will add to the currently available literature by also assessing the impact of treatment on quality of life and on heal economic outcomes. Finally the study will follow patients for longer than previous studies and will obtain data on healing and recurrence at 6 months. The objectives of this study are 1) to compare Artacent to standard of care (SOC) in the treatment of non-healing lower extremity ulcers and 2) to evaluate the impact of treatment on patient quality of life. Health economic outcomes will also be collected. The proportion of patients receiving Artacent who have wound closure with 12 weeks will be compared to those patients receiving SOC only will be compared. A comparison of time to wound closure will also be compared between the two populations. Patients who are randomized to the SOC group (control) and require further treatment at 12 weeks due to incomplete wound healing, may receive treatment with Artacent if the investigator determines that to be a potentially beneficial option.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
134
Double layer dehydrated amnion product
Off loading with a cast walker, non-adherent dressings, debridement and moisture retentive dressings
Global Podiatry Partners, Inc
Arcadia, California, United States
RECRUITINGIberia Medical Center
New Iberia, Louisiana, United States
RECRUITINGOchsner Clinic Foundation
New Orleans, Louisiana, United States
Wound closure
100% re-epithelialization of the wound without drainage or need for use of a dressing
Time frame: 12 weeks
Time to wound closure
\# of days to 50% or greater closure
Time frame: 12 weeks
Ulcer recurrence
Telephone survey to capture number of ulcer recurrences and treatment
Time frame: 6 months
Quality of Life
EQ-5D survey
Time frame: 12 weeks
Impact of Treatment on Return to Work
Employment status e.g. full-time, part-time, retired, unemployed, etc.
Time frame: 12 weeks
Time to full weight bearing status
Ability of the subject to bear full weight and the time to full weight bearing
Time frame: 12 weeks
Adverse Events and Secondary Treatments
Time frame: 12 weeks
Number of grafts and graft size(s)
Number and size of grafts used at each application will be collected.
Time frame: 12 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Foot & Ankle Center of Nebraska
Omaha, Nebraska, United States
COMPLETEDLivingston Podiatry Associates PLLC
Bellmore, New York, United States
RECRUITINGFoot & Ankle Physicians of Ohio
Grove City, Ohio, United States
RECRUITINGSouthwest Austin Foot & Ankle Clinic, PLLC
Austin, Texas, United States
RECRUITING