Diabetic Foot Ulcers Clinical Trial
Official title:
Effectiveness of Autologous Platelet Rich Plasma in the Treatment of Chronic Skin Wounds
This study will examine differences in the process of wound-healing in patients treated with platelet rich plasma (a concentration of proteins derived from a patients own blood) applied to the wound as a gel; injected into the wound or surrounding tissue; or both; compared to patients treated with usual medical treatment . This study seeks to enroll patients who are 18 or older with a non-healing skin wound that is at least 30 days old. Only patients with Diabetic Foot Ulcers, Venous Ulcers, or Pressure Ulcers will be included in the study.
The proposed investigation is designed to solicit a large number of patients (N=1,500) with
non-healing wounds (Diabetic Foot Ulcers, Venous Ulcers, or Pressure Ulcers) that have not
responded to standard wound care in the previous 30 days or more. A prospective,
interventional, single-blinded, controlled, registry trial will be used. Data will be
analyzed to compare patients who received PRP therapy (PRP gel application, PRP injection, or
both) and standard wound care (usual customary care) with patients who received standard
wound care (usual customary care), only. Wound size, rate of healing, quality of life, and
recurrence of wound will be measured during the 16-week period at usual office visits.
Hypotheses to be tested:
1. Treatment of a chronic wound with standard of care and autologous platelet rich plasma
(PRP) will increase the velocity of healing (rate of wound closure) over a twenty week
period as compared to patients receiving standard wound care only (Control Group), which
results in the patient's ability to return to previous function and resumption of normal
activities.
2. Treatment of a chronic wound with standard of care and autologous platelet rich plasma
(PRP) will result in complete wound healing within twenty weeks, whereas complete wound
healing will not be observed within twenty weeks in patients receiving standard wound
care only (Control Group).
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