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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02958072
Other study ID # LiDMUS
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date November 2016
Est. completion date November 2023

Study information

Verified date November 2023
Source Nordsjaellands Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

An International Multicenter study evaluation, off the effect of the fully autologous growth factor-containing patch LeucoPatch, on healing of recalcitrant malleoli ulcers. To compare the impact of LeucoPatch as part of usual care in multidisciplinary Foot clinic settings, versus usual care in the same clinics on malleoli ulcers healing.


Description:

Diabetic Foot Ulcers are a common and severe complication, that affects Patients Life Quality. Healing time is often long and the Diabetic foot ulcer is the dominating not traumatic reason for leg amputation. Treatment of a diabetic foot ulcer requires debridement, offloading, regularly foot care, specially tailored shoes, antimicrobial treatment, and sometimes even surgical interventions. Despite all these interventions the diabetic foot ulcer may not heal. Malleoli ulcers in patients without diabetes share several features of pathogenesis and lack of healing potentials with the Diabetic Ulcer. Like the features of pathogenesis and lack of healing potential and are therefore included in this study. Research has shown that other methods such as Growth factors may be a way to enhance the chance of healing. Growth Factors have been shown to have a positive effect in studies, but no products that are characterized as autologous have as yet obtained positive results in controlled studies. LeucoPatch is produced solely from a patient´s own blood without addition, and is autologous. LeucoPatch appears as an elastic membrane and can be fitted to the individual ulcer. LeucoPatch is shown to contain as many or more growth factors as existing products, and has a high concentration of fibrin, platelets and leukocytes. A non-controlled study was made on ulcers less than 10cm 2 and 52% had competed epithelization after 20 weeks. An International randomized multicenter trial is ongoing to evaluate the efficacy and safety of LeucoPatch on healing of hard to heal diabetic foot ulcers below the malleoli. This Study is designed to test the healing effect of the LeucoPatch on malleoli ulcers, the Patient will be randomized and the healing will be confirmed by a blinded observer.


Recruitment information / eligibility

Status Completed
Enrollment 20
Est. completion date November 2023
Est. primary completion date March 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Foot ulcer at the malleoli area between 0,25 cm² and 5,0 cm² - Foot ulcer duration more than 6 weeks - No need for arterial revascularisation- as judged by the Investigator - informed consent Exclusion Criteria: - Hemoglobin concentration under 6.5 mmol/l screening - Non-compliant with blood-letting - Clinically infected ulcer - Patient planned for or has had a revascularization procedure in the affected leg within the last 8 weeks - The ulcer have been treated with growth factors in the last 8 weeks - History of deep venous insufficiency, chronic venous leg ulcer or stasis dermatitis - Breast-feeding women or fertile women not agreeing to use an effective method of contraception - Participation in another clinical ulcer-healing study within the last 4 weeks - Patient has previously been randomized in this study - Judgement by the investigator that the patient is not able to participate in the study

Study Design


Related Conditions & MeSH terms


Intervention

Other:
LeucoPatch
LeucoPatch is an fully autologous growth factor-containing dressing

Locations

Country Name City State
Denmark Herlev-Gentofte Hospital Herlev
Denmark Nordsjaellands Hospital Hillerod Regionh
Denmark Bispebjerg hospital Kobenhavn Region Hovedstaden
Denmark Kolding Sygehus Kolding
Denmark Viborg Sygehus Viborg Region Midt
Sweden Skaane University Hospital Lund

Sponsors (3)

Lead Sponsor Collaborator
Nordsjaellands Hospital Reapplix, Skane University Hospital

Countries where clinical trial is conducted

Denmark,  Sweden, 

Outcome

Type Measure Description Time frame Safety issue
Primary Healing of malleoli ulcer (YES/NO) Confirmed by a blinded observer up to 24 weeks of treatment
Secondary Time to healing of malleoli ulcer Weeks from Inclusion to Wound healing 24 weeks
Secondary Ulcer area reduction based on Image J measured on acetate drawing 24 weeks
Secondary Health related quality of life questionnaire SF12 Short Form 12 questionnaire (quality of life)SF-12 week 0, week 12, and week 24
Secondary Health related quality of life questionnaire EQ-5D Euroquol-D5 questionnaire(mood and function) EQ-5D week 0, week 12, and week 24
Secondary Pain at ulcer location VAS Score (Visual Analogue Scale) week 0, week 6, week 12 and week 24
Secondary Z scores of combined plasma concentration of growth factors, cytokines and inflammatory markers 24 weeks