The effect of combination therapy of oral methylene blue and platelet-rich plasma-fibrin glue in patients with non-healing diabetic foot ulcer: a pilot study

Mashhad University of Medical Sciences0 个研究点目标入组 20 人开始时间: 待定最近更新: 2023年3月13日

适应症

试验速览

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•Having a Diabetic ulcer grade II and IV based on Wagner's classification on the sole, medial, or lateral part of the foot (including all surfaces of the toes)
•Having a single ulcer on the feet and extremities (toes, soles, heels) with no significant reduction in ulcer size (<20%) despite the use of best treatment methods for at least four weeks
•If there is more than one non-healing wound, choose the largest wound
•The size of the wound surface (length × width) between 2 cm2 and 20 cm2
•No smoking, alcohol and drug addiction based on the patient's self-report
•Not taking drugs that may interfere with wound healing, such as Corticosteroids, immunosuppressants, and cytotoxic agents
•Not having a concurrent chronic disease that may cause problems in wound healing, such as cancers, vasculitis, no history of known severe kidney, liver, and heart disease, such as liver cirrhosis, active hepatitis, dialysis, etc.
•Not taking antidepressants
•Insensitivity to milk lactose
•Not having Glucose 6-phosphate dehydrogenase (G6PD) deficiency
•Confirmed, informed, signed consent form
•Ankle Brachial Index (ABI) higher than or equal to 0.7

•Do not be treated with methylene blue
•Confirmed presence of osteomyelitis, or if there is suspicion of osteomyelitis
•The subject is pregnant or intends to become pregnant during the test period
•The patient is known to have mental, developmental, physical, and emotional disorders
•The occurrence of certain medical conditions
•The presence of a wound with a clear and severe infection, which is characterized by significant purulent secretions or extensive cellulitis, or gangrene requiring amputation
•Evidence of venous, ischemic, neurotrophic ulcers (numbness, tingling, lack of Achilles tendon reflex) and traumatic wounds in the patient
•Failure to refer the patient more than two times to the mentioned center for follow-up and dressing change
•Hypersensitivity reaction to methylene blue
•Platelet count less than 100,000
•The patient's lack of consent to continue cooperation

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