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临床试验/CTRI/2025/10/096129
CTRI/2025/10/096129尚未招募Unknown

A Prospective, Open-Label, Non-Randomized, Non-Comparative Observational post marking surveillance study to test the safety and efficacy of Diperoxochloric Acid [DPOCL] topical solution in Subjects with diabetic neuropathic ulcers of skin and subcutaneous tissue.

Centaur Pharmaceuticals Pvt Ltd1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2025年10月27日最近更新:

试验速览

阶段
Unknown
状态
尚未招募
入组人数
30
试验地点
1
主要终点
1.Percentage of patients achieving Complete Wound Closure (CWC).

研究概览

简要总结

Diperoxochloric Acid Topical solution is indicated for wound healing in diabetic neuropathy ulcer of skin and subcutaneous tissue.

Overview of the Study Design

It will be a Prospective, Open-Label, Non-Randomized, Non- Comparative, Observational Post-Marketing Surveillance study to test the safety and efficacy of Diperoxochloric Acid [DPOCL] topical solution in patients with diabetic neuropathic ulcers of skin and subcutaneous tissue. The study will be conducted on 30 patients. The total duration of the clinical trial will be of 70 days. At day 0, patient/ patients guardian will be informed about the ‘’Observational Post-Marketing Surveillance’’. If the patient agrees and eligible as per inclusion and exclusion criteria, then his/ her sign will be taken on ICF and patient will be recruited. All the patients will be asked to revisit the clinical trial center for efficacy and safety assssment at day 7, day 14, day 28, day 42, day 56 and day 70 along with their lab reports of day 0 and day 70. For each visit, a grace period of ± 2 days will be given to patients and will not be considered as protocol deviation.

Study Objective(S):

Primary Objective

The primary objective of this study is to evaluate the safety of Diperoxochloric Acid [DPOCL] topical solution in patients with diabetic neuropathic ulcers of skin and subcutaneous tissue on the basis of AE/ SAE, clinical chemistry (safety lab) and complete physical examination.

Secondary Objective

The secondary objective of this study is to evaluate the efficacy of Diperoxochloric Acid [DPOCL] topical solution in patients with diabetic neuropathic ulcers of skin and subcutaneous tissue.

 Dosage:

Before applying to the wound dressing, Diperoxochloric Acid concentrate (Bottle A) has to be ‘’reconstituted’’ by mixing the contents of bottle A into the contents of bottle B as per the instructions provided below.

 Instructions for preparation of Diperoxochloric Acid Topical Solution “Reconstituted’’ solution and wound dressing.

 ·         Open ‘Bottle A’ and ‘Bottle B’.

·         Pour the contents of Bottle A into Bottle B.

·         Close the bottle B with bottle cap.

·         Discard the bottle A.

·         Mix the content by moving the bottle upside down for 5 times gently.

 Application

·         Wash hands thoroughly before applying DPOCL topical solution.

·         Take out the dropper from the plastic bag (provided in the pack) and fill it on the bottle B.

·         Apply 3.5 mL of this solution with help of the dropper on the 5 x 5 m dressing (inner gauze) to bring the dressing to earth moist conditions.

·         Do not touch dropper to the dressing or gauze.

·         Then apply this inner gauze on the wound.

·         Cover this inner gauze with outer gauze which will prevent the wound area from running dry.

·         Fix the gauze in position by rolling the bandage over the gauze and secure the ends by the microtape.

·         Daily remove the outer bandage and apply investigational product on inner bandage without removing the inner bandage form the wound.

·         Change the outer gauze daily and inner gauze on every alternate day

研究设计

研究类型
Observational

入排标准

年龄范围
18.00 Year(s) 至 80.00 Year(s)(—)
性别
All

入选标准

  • Patients diagnosed with either Type I or II diabetes mellitus.
  • Patients having random blood sugar [RBG] of Less than 250 mg/dL on standard anti-diabetic treatment 3)Patients having glycosylated hemoglobin of less than 12%.
  • Age: more than 18 years of either gender (Male/ Female).
  • Ulcers with wound surface area measured by greatest length, greatest width between 1 cm2 and 25 cm2 post debridement on the day
  • At least 1 but not more than 3 full thickness [i.e. extending into subcutaneous tissue or beyond] ulcer at foot or below malleolus with at least 4 weeks history and graded as stage I A, II A or I B on University of Texas wound classification system 7) Patients with Ankle-Brachial Pressure Index [ABPI] more than 0.7 8) All the patients willing to voluntarily participate in the clinical trial and signing on duly filled Informed Consent Form.

排除标准

  • Patients with more than 3 ulcers.
  • Patients with ulcers measuring wound surface area more than 25 cm
  • Ulcers caused by venous or arterial insufficiency or electrical or chemical burns.
  • Ulcers caused by surgery and especially amputation surgery.
  • Ulcers showing presence of necrosis, purulence or sinus tracts that cannot be removed by debridement.
  • Patients having history of active Charcoat’s foot of the study foot within 6 months of screening.
  • Patients having severe or poorly controlled diabetes mellitus with severe hyperglycemia (RBG more than 250 mg/dL).
  • Patients having glycosylated hemoglobin of more than 12%.
  • Patients having progressive weight loss.
  • Treatment with corticosteroids, immunosuppressive or chemotherapeutic agents, radiotherapy.
  • Other diseases, which can alter the course of diabetic foot ulcer such as connective tissue disease, renal failure (serum creatinine more than 3mg /dL) liver failure, malignancy.
  • Revascularization surgery performed less than 8 weeks before entry in the study.
  • Pregnant or nursing mothers.
  • Mentally or neurologically disabled patients that are considered not fit to approve their participation in the study.
  • Patients with Ankle-Brachial Pressure Index [ABPI] less than 0.7.

结局指标

主要结局

1.Percentage of patients achieving Complete Wound Closure (CWC).

时间窗: at every visit that | is week 1 week 2 | week 3 week 4 | week 6 week 8 | and week 10

2.Percentage reduction in the wound surface area at each visit.

时间窗: at every visit that | is week 1 week 2 | week 3 week 4 | week 6 week 8 | and week 10

3.Patients with more than or equal to 25% reduction in wound surface area will be continued in the treatment and will be defined under treatment responders.

时间窗: at every visit that | is week 1 week 2 | week 3 week 4 | week 6 week 8 | and week 10

4. An improvement in percentage change in wound surface area after 4 weeks (Day 28) of treatment is a strong predictor of complete healing.

时间窗: at every visit that | is week 1 week 2 | week 3 week 4 | week 6 week 8 | and week 10

5.No. of days taken for complete wound closure from onset of wound.

时间窗: at every visit that | is week 1 week 2 | week 3 week 4 | week 6 week 8 | and week 10

次要结局

  • 1. Clinical examination of ulcer – Wound Evaluation Score, which will consists of six parameters (erythema, edema, purulence, necrotic tissue, fibrin and pain) scored on 4 point visual analogue scale from 0 to 3 where 0 is no symptom, 1 is mild,2 is moderate and 3 is severe intensity symptom.(2. Quality of life will be assessed by Karnofsky Performance Status (KPS) Scale)

研究者

申办方类型
Pharmaceutical industry-Indian
责任方
Principal Investigator
主要研究者

Dr Mayuresh Kiran

Centaur Pharmaceuticals Pvt Ltd

研究点 (1)

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