Randomized, Prospective Evaluation of the Toad Brace in Plantar Ulcer Off-loading and Healing

Not Applicable

• Conditions: Diabetic Foot; Pedal Ulcers
• Interventions: Device: Optimal Medical Therapy Debridement + Toad Brace; Other: Optimal Medical Therapy - Debridement

• Registration Number: NCT02052817
• Lead Sponsor: Toad Medical Corporation

Brief Summary

The TOAD Medical Corporation Brace is a novel device that completely off-loads the foot and has been shown to heal ulcers at a rapid rate in preliminary experience in patients with plantar ulcers. This trial will attempt to show the efficacy of the Toad Brace and is based on the hypothesis that the Toad brace completely offloads the foot and hastens healing rates of diabetic ulcers. The trial will randomize 74 patients with diabetic pedal ulcers to the Toad Brace or conventional therapy. . Quantitative assessment of ulcer rate healing rates will be determined clinically and by blinded, computer-assisted planimetry of digital images over a 12 week period. The pressure on the plantar surface will be measured via a pressure sensor in a subset of patients. The trials will attempt to show markedly reduced pressure on the plantar surface and significantly higher ulcer healing rates with using the Toad Brace.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-12
• Status Verified: 2014-01
• Study First Submitted: 2014-01-20
• Study First Submitted QC: 2014-01-30
• Last Update Submitted: 2014-01-30
• Study First Posted: 2014-02-03
• Last Update Posted: 2014-02-03
• Primary Completion: 2014-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 74

Inclusion Criteria

• Men or women >18 years old
• One or more foot ulcers without clinical evidence of osteomyelitis
• Diagnosis of Diabetes Mellitus*
• University of Texas Grade 1A, 1C, 2A, or 2C ulcer15
• ABI >0.7 and Toe pressure >30mmHg

Exclusion Criteria

• Limited life-expectancy
• Wounds on calf or shin that would be in contact with the TAG Brace
• Gangrene, active infection
• Osteomyelitis of the foot with the ulcer
• Chronically bedridden/Non ambulatory
• Unable to keep research appointments
• Wide spread malignancy or systemically immunocompromising disease
• Ipsilateral revascularization procedure within the last 30 days.
• Unreliable, unwilling or unable to comprehend informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Toad Brace	Optimal Medical Therapy Debridement + Toad Brace	Debridement and fitting of Toad Brace
Control	Optimal Medical Therapy - Debridement	Debridement and standard of care in off-loading on control patients

Primary Outcome Measures

Name	Time	Method
Change from baseline measured wound area	Every 3 weeks for a period of 12 weeks	We are taking repeated measures of wound area healing for pedal ulcers over a period of 12 weeks.

Trial Locations

Locations (1)

UH Hospitals of Cleveland d/b/a University Hospitals Case Medical; 🇺🇸 Cleveland, Ohio, United States