Thinking of joining a study?

Register your interest

Become a volunteer?

NCT06674980 | NOT YET RECRUITING | Pathologic Processes

Randomized Trial Assessing Human Placental Membrane Products and Standard of Care (SOC) vs SOC Alone in Nonhealing Diabetic Foot Ulcers
Sponsor:

C5 Biomedical

Brief Summary:

The purpose of the study is to evaluate the efficacy of multiple human placental membrane products and Standard of Care (SOC) versus SOC alone in the management of nonhealing diabetic foot ulcers over 12 weeks using a modified platform trial design.

Condition or disease

Pathologic Processes

Diabetes Mellitus

Glucose Metabolism Disorders

Metabolic Diseases

Endocrine System Disease

Diabetic Angiopathies

Vascular Diseases

Cardiovascular Diseases

Leg Ulcer

Skin Ulcer

Skin Diseases

Diabetes Complications

Diabetic Neuropathies

Foot Diseases

Diabetic Foot

Foot Ulcer

Diabetes Mellitus, Type 2

Ulcer

Foot Ulcer Unhealed

Intervention/treatment

Standard of Care

AM/Single

AM/Double

Phase

NA

Detailed Description:

The C5CAMP trial is a multicenter, prospective, randomized controlled clinical trial to evaluate subjects that meet medical necessity criteria for cellular, acellular, and matrix-like products (CAMPs). The study utilizes a prospective modified platform design to evaluate two separate CAMPs, AM/Single and AM/Double in a single trial. The initial plan is to evaluate two CAMPs; however, the modified platform design permits the inclusion of additional CAMPs.

Study Type : INTERVENTIONAL
Estimated Enrollment : 136 participants
Masking : NONE
Masking Description : In addition to the principal investigator's determination of complete closure an independent assessment of the primary endpoint will be performed. Two wound care specialists not associated with the trial ("The Reviewers") will review the digital images of ulcers that have healed. They will review the closed visit and the closure confirmation visit. Deidentified digital images taken with the imaging device will be provided to the reviewers. Two reviewers will assess each photograph and be blinded to the arm in the study.
Primary Purpose : TREATMENT
Official Title : A Multicenter, Prospective, Randomized Controlled Modified Platform Trial Assessing the Efficacy of Human Placental Membrane Products and Standard of Care Versus Standard of Care Alone in the Management of Nonhealing Diabetic Foot Ulcers.
Actual Study Start Date : 2024-11-22
Estimated Primary Completion Date : 2026-11-22
Estimated Study Completion Date : 2027-01-22

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • 1. At least 18 years of age or older.
  • 2. Must have diagnosis of type 1 or 2 Diabetes mellitus.
  • 3. At enrollment, subject must have a target ulcer with a minimum surface area of 0.7 cm2 and a maximum surface area of 20.0 cm2 measured post debridement with the imaging device.
  • 4. Must have a target ulcer that has been present for a minimum of 4 weeks and maximum of 52 weeks of standard of care, prior to screening visit.
  • 5. Target ulcer located on the foot with at least 50% of the ulcer below the malleolus.
  • 6. Target ulcer that is Wagner 1 or 2 grade, extending at least through the dermis or subcutaneous tissue and may involve the muscle provided it is below the medial aspect of the malleolus. The ulcer may not include exposed tendon or bone.
  • 7. Subject's affected limb must have adequate perfusion confirmed by vascular assessment. Any of the following methods performed within 3 months of the first screening visit are acceptable
    • 1. ABI between 0.7 and \<= 1.3
    • 2. TBI \>= 0.6
    • 3. TCOM \>= 40 mmHg
    • 4. PVR: biphasic
    • 8. If subject has two or more ulcers, they must be separated by 2 cm. The largest ulcer satisfying the inclusion and exclusion criteria will be designated as the target ulcer.
    • 9. Target ulcer must be located on the plantar aspect of the foot and must be offloaded for at least 14 days prior to enrollment.
    • 10. Subject must consent to using the prescribed offloading method for the duration of the study.
    • 11. Subject must agree to attend weekly study visits.
    • 12. Subject must be willing and able to participate in the consent process.
    Exclusion Criteria
    • 1. Subject is known to have a life expectancy of \< 6 months.
    • 2. Subject's target ulcer is not secondary to diabetes.
    • 3. Target ulcer is infected or there is cellulitis in the surrounding skin.
    • 4. Target ulcer exposes tendon or bone.
    • 5. Evidence of osteomyelitis complicating the target ulcer.
    • 6. Infection in the target ulcer or in a remote location that requires systemic antibiotic therapy.
    • 7. The subject is receiving immunosuppressants (including systemic corticosteroids at doses greater than 10 mg of prednisone per day or equivalent) or cytotoxic chemotherapy or is taking medications that the PI believes will interfere with wound healing (e.g., biologics).
    • 8. Subject is taking hydroxyurea.
    • 9. Subject has applied topical steroids to the ulcer surface within one month of initial screening.
    • 10. Subject has a previous partial amputation on the affected foot that results in a deformity that impedes proper offloading of the target ulcer.
    • 11. Subject has a glycated hemoglobin (HbA1c) greater than or equal to 12% within 3 months of the initial screening visit.
    • 12. The surface area of the subject's target ulcer has reduced in size by more than 20% in the 2 weeks prior to the initial screening visit ("historical" run-in period). Imaging Device is not required for measurements taken during the historical run-in period (e.g., calculating surface area using length X width is acceptable).
    • 13. The surface area measurement of the subject's target ulcer decreases by 20% or more during the active 2-week screening phase.
    • 14. Subject has acute Charcot foot, or an inactive Charcot foot, which impedes proper offloading of the target ulcer.
    • 15. Subject is a woman who is pregnant or considering becoming pregnant in the next 6 months.
    • 16. Subject has end stage renal disease requiring dialysis.
    • 17. Subject has participated in a clinical trial involving treatment with an investigational product within the previous 30 days.
    • 18. The subject, in opinion of the Investigator, has a medical or psychological condition that may interfere with study assessments.
    • 19. Subject was treated with hyperbaric oxygen therapy or a Cellular, Acellular, Matrix-like Product (CAMP) in the 30 days prior to screening.
    • 20. Subject has a malnutrition indicator score \<17 as measured on the Mini Nutritional Assessment.
Randomized Trial Assessing Human Placental Membrane Products and Standard of Care (SOC) vs SOC Alone in Nonhealing Diabetic Foot Ulcers

Location Details

NCT06674980

Please Choose a site

How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

No Location Found