ABSOLVE Biologic Wound Matrix is a combination of recombinant human platelet-derived growth factor BB homodimer (rhPDGF-BB) and a bovine type I collagen wound dressing matrix. ABSOLVE is under development for the treatment of chronic and acute wounds. This study investigates the safety and efficacy of ABSOLVE in chronic diabetic foot ulcers (DFUs).
Patients with diabetes are at risk for developing serious health problems that may affect the feet, eyes, kidneys, skin and heart. Foot ulcerations are of great significance to the lives of millions of diabetic patients, representing one of the most common and serious complications in these patients. Up to 25% of diabetics will develop a diabetic foot ulcer (DFU) at some point in their lifetime. The prevalence of DFUs among diabetics is 4% to 10%. More than half of all foot ulcers will become infected requiring hospitalization and 1 in 5 will require amputation. Foot ulcers account for 85,000 non-trauma related lower limb amputations annually in the USA. Every 20 seconds, somewhere in the world, a limb is lost as a consequence of diabetes. Moreover, 85% of leg amputations are preceded by DFUs and more than 60% of non-traumatic lower extremity amputations (LEA) performed in the United States each year occurs secondary to complications of diabetes mellitus. After a major amputation, 50% of patients will have another limb amputated within two years. Mortality rates subsequent to amputation are alarmingly high - up to 40% at 1 year and 80% at 5 years. Patients with a history of a DFU have a 40% greater mortality rate compared to patients with diabetes alone. Improved treatments for DFUs are clearly a matter of great significance. In this study, the investigation will be focused on the safety and efficacy of ABSOLVE in treating diabetic foot ulcers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
Centro Medico Militar
Guatemala City, Guatemala
RECRUITINGIncidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
Determine safety and tolerability of ABSOLVE on patients having a poorly healing diabetic foot ulcer.
Time frame: Week 0 - 24
Successful wound healing for at least two consecutive measurements. (Efficacy)
Successfully healed wound must remain closed for at least two consecutive measurements, one of which will be at the 12-week examination.
Time frame: Week 12
Wound Size
The percent change in wound size (closure) over time.
Time frame: Week 0 - 24
Wound Closure
Percent incidence of complete wound closure over time.
Time frame: Week 0 - 24
Complication rate
Reduction in complications.
Time frame: Week 0 - 24
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