Evaluating the Efficacy of NeoThelium FT in the Treatment of Pressure Injuries

Inclusion Criteria: 1. Male or Female, 18 years of age or older 2. Subject has a medical diagnosis of Pressure Injury/Ulcer located on the pelvis or lower extremity 3. Subject has a Pressure Injury/Ulcer present for 4 weeks or greater (documented in medical record), and less than 12 months duration if being treated with continuous SOC 4. Subject has a Pressure Injury/Ulcer with a historical wound measurement showing less than 50% healing within 30 days prior to randomization 5. Subject has a Pressure Injury/Ulcer with screening wound measurement showing less than 25% healing within 14 days prior to randomization 6. Subject has a Pressure Injury/Ulcer Stage 2, 3, and 4 without infection or clinically visible exposed bone 7. Index ulcer is a minimum of 1cm2 and a maximum of 25cm2 at first treatment visit 8. Index ulcer has a maximum depth of 1cm at first screening visit 9. Pressure Injury/Ulcer is treated with offloading therapy while standing, sitting and lying down (if applicable to wound location) for 14 days prior to randomization 10. Adequate circulation of ulcer demonstrated by an ABI of \>0.7 and \<1.3, or TBI of \>0.6 within 30 days prior to randomization 11. Index ulcer is free of infection prior to randomization and during screening phase. 12. Index ulcer is free of necrotic debris prior to \[insert product/device\] application 13. Female subjects of childbearing potential having a negative pregnancy test prior to randomization 14. Index ulcer is free of infection prior to randomization and during screening phase noted with the NERDS Assessment. Infection must be adequately treated and controlled prior to randomization. 15. Having a Mini Nutritional Assessment Score of 12 or higher indicated a normal nutritional status 16. Subject is able and willing to follow the protocol requirements 17. Subject had signed informed consent 18. If 2 or more ulcers are present, the ulcers must be separated by at least 1 cm Exclusion Criteria: 1. Subject has a known life expectancy of \<1 year 2. Subject is unable to comply with protocol treatment 3. Subject has major uncontrolled medical disorders in the opinion of the investigator, such as serious cardiovascular, renal, liver, pulmonary, autoimmune, palliative care, or inherited blood disorders that may affect wound healing 4. Subject actively being treated for malignant disease or history of malignancy or radiation therapy at the site of wound 5. Subject has comorbid conditions that may compromise subject safety in the opinion of the investigator 6. Known contraindications to tissue-engineered allograft 7. Concurrent participation in alternative clinical trial that involves investigational drug or product interfering with wound treatment and/or healing 8. Wound reduces in area by ≥25% after 14 days of SOC prior to randomization 9. Subject is pregnant or breastfeeding 10. Subject with history of immunosuppressant treatment (systemic corticosteroids \>10mg daily dose), cytotoxic chemotherapy, or topical steroid application to the ulcer surface for \>2 weeks duration within 30 days prior to randomization; or anticipated use of the above during the course of the study 11. Wound previously treated with CAMPs, tissue engineered, or scaffold materials within 30 days prior to randomization 12. Pressure Injury/Ulcer of Stage 4 grade with active osteomyelitis or exposed visible bone 13. Wound depth with visible exposed bone 14. HBOT within 14 days prior to randomization 15. Revascularization surgery on the index ulcer leg within 30 days of screening phase 16. Index ulcer suspicious of neoplasm in the opinion of the principal investigator