Diabetic Foot Ulcer Clinical Trial
Official title:
A Multi-national, Multi-center, Prospective, Randomized, Double Blinded, Placebo-controlled Trial to Evaluate the Efficacy of HyperBox Cyclical Topical Wound Oxygen Therapy (TWO2) in the Treatment of Chronic Diabetic Foot Ulcers
The purpose of this study is to evaluate the efficacy, safety and economical benefits of Cyclical Pressure Topical Wound Oxygen (TWO2) Therapy in the treatment of chronic diabetic foot ulcers. Subjects will wear a standardized off-loading device and use advanced moist wound therapy (AMWT) dressings. Following a 2 week run-in period with the standardized care and after meeting all the eligibility criteria, half the subjects will use the TWO2 device, while the other half will use a sham device.
Subjects meeting the initial eligibility criteria will enter a 2 week run-in period with a
standardized off-loading device, advanced moist wound therapy (AMWT) dressings and will
receive sharp debridement. Subjects with wounds that do not decrease more than 30% at the end
of the 2 week run-in period and where all other eligibility criteria are met, will be
randomized to either the TWO2 device arm, or sham (placebo) device arm.
All subjects will use the TWO2/Sham device for 90 minutes a day at their home or nursing care
facility 5 times a week for the treatment phase of up to 12 weeks. Monitoring of the wound
will take place with weekly clinic visits for safety and compliance assessment and
documentation. Weekly wound photographs and measurements will be taken. Wounds that close at,
or before, 12 weeks will continue to use TWO2/sham device, off-loading and AMWT and have an
additional visit two weeks later to confirm wound closure. All subjects whether healed or not
will enter a follow up period of an additional 12 and 38 weeks.
The maximum duration for participation in the trial is 54 weeks. During the follow-up phase,
subjects will receive standard care according to the clinician's recommendation and will be
asked not to participate in another wound care trial during this period.
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