A Multi-center, Randomized, Parallel, Crossover Design Study of Non-healing Diabetic Foot Ulcers, Treated With Cryopreserved, Umbilical Cord Allograft (NEOX® CORD 1K) Versus Standard of Care That Are Followed for 12 Weeks
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 18
- 试验地点
- 3
- 主要终点
- Complete wound closure
研究概览
简要总结
In this randomized, multi-center, cross-over study, the efficacy and safety of NEOX® CORD 1K will be evaluated in patients suffering from non-healing diabetic foot ulcers. NEOX® CORD 1K is a cryopreserved human Amniotic Membrane and Umbilical Cord (AM/UC) matrix intended for use as a wound covering for dermal ulcers and defects. It is designated as a Human Cell & Tissue Product (HCT/P) by the U.S. FDA.
详细描述
Patients identified for the study will have a non-healing diabetic ulcer, between 1-25cm² in size. The patient's wound(s) will be monitored for 2 weeks to document the wound pathology. Patients with less than 30% wound area reduction during the 2 week screening period and who meet all of the inclusion and none of the exclusion criteria, will be enrolled in the study. All patients will be assigned to a study or control group and undergo sharp debridement. NEOX® CORD 1K matrix will be applied to the treatment group on the day of debridement, covered with a wound veil, and standard dressing. Both groups will be monitored weekly, and the % decrease in wound size will be recorded at Baseline and Weeks 1, 2, 3, 4, 6, 8 and 12. If the wound is not progressing, additional application of NEOX® CORD 1K may be applied. The time to complete closure will be recorded for both groups. The study duration will be 12 weeks. Subjects in the control group that continue to suffer a non-healing wound at the week 12 visit will be offered an opportunity to cross-over to NEOX treatment and followed for an additional 12 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Between 18 years and 80 years of age inclusive
- •Confirmed diagnosis of Type I or Type II Diabetes
- •Males and Females diagnosed with a diabetic foot ulcer that is 1-25cm²
- •At least one foot ulcer that is UT Grade IA
- •Evidence of proper circulation which includes: An Index Ulcer defined as chronic (presence of wound for > 4 weeks) but not present for more than 52 weeks at the Screening Visit
- •The Index Ulcer is located below the malleoli on the plantar or dorsal surface of the foot
- •The Index Ulcer extends into the dermis or subcutaneous tissue with no evidence of exposed muscle, tendon, bone, or joint capsule
- •Wound is free of necrotic debris and clinical signs of infection
- •Patient has adequate circulation to the foot
- •In patients with non-compressible ankle vessels there is adequate flow to the foot.
排除标准
- •The Index Ulcer is of non-diabetic pathophysiology and/or over an active Charcot deformity
- •The Index Ulcer is UT Grade IB or higher (worsening)
- •Gangrene is present on any part of the affected foot
- •The longest dimension of the Index Ulcer exceeds 5 cm at the Baseline Visit
- •Patient is currently receiving renal dialysis
- •Patient has a glycated hemoglobin A1c (HbA1c) level of > 12%
- •Patient has significant renal impairment
- •Chronic oral steroid use > 7.5 mg daily
- •Requiring intravenous (IV) antibiotics to treat the index wound infection
- •Patient has an ulcer within 15cm of the Index Ulcer identified for study consideration
- •Patient is receiving oral or parenteral corticosteroids, immunosuppressive or cytotoxic agents
- •Patient is Human Immunodeficiency Virus (HIV) positive or has Acquired Immune Deficiency Syndrome (AIDS)
- •Current evidence of osteomyelitis, cellulitis, or other evidence of infection including fever or purulent drainage from the wound site
- •Patient has active malignancy other than non-melanoma skin cancer
- •Patient's Index Ulcer has decreased by ≥ 30% during 2-week screening period
- •Patient has untreated alcohol or substance abuse at the time of screening
- •Pregnant women
- •Patient is currently enrolled or participated in another investigational device, drug, or biologic trial within 60 days of screening
- •Patient has allergy to primary or secondary dressing materials used in this trial
- •Patient has an allergy to amphotericin-B or Dulbecco's Modified Eagle Medium (DMEM)
- •Patient has had within the last 30 days, or is currently undergoing, or is planning for wound treatments with enzymes, growth factors, living skin, dermal substitutes or other advanced biological therapies
研究组 & 干预措施
NEOX® CORD 1K
Cryopreserved, umbilical cord allograft (NEOX® CORD 1K) with off-loading instructions.
干预措施: NEOX® CORD 1K (Other)
Pressure bandage
Standard of Care Pressure bandage with off-loading instructions
干预措施: Standard of Care (Pressure Bandage) (Procedure)
Standard of Care Cross over to NEOX
Subjects in the Standard of Care (pressure bandage) group that have not healed greater than 50% at the Week 12 visit, or have a wound that is worsening, will be offered participation in the cross-over arm of the trial. The cross-over arm of the study will be treated with NEOX CORD 1K and followed for 12 weeks.
干预措施: NEOX® CORD 1K (Other)
Standard of Care Cross over to NEOX
Subjects in the Standard of Care (pressure bandage) group that have not healed greater than 50% at the Week 12 visit, or have a wound that is worsening, will be offered participation in the cross-over arm of the trial. The cross-over arm of the study will be treated with NEOX CORD 1K and followed for 12 weeks.
干预措施: Standard of Care (Pressure Bandage) (Procedure)
结局指标
主要结局
Complete wound closure
时间窗: 12 weeks
Complete closure of the index wound, defined as 100% re-epithelialization as determined by the Investigator
Number of participants with adverse events
时间窗: 12 weeks
Number of participants with adverse events will be compared between the two groups.
次要结局
- Blinded Reader Assessment(12 weeks and 24 weeks)
- Time to Initial Wound Closure(Up to 12 weeks or 24 weeks (Crossover))
- Number of applications(12 weeks)