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| Name | Class |
|---|---|
| ASKLEP Inc. | INDUSTRY |
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The objective of this study is to evaluate the efficacy and safety of CSTC1 in patient with diabetic foot ulcers.
This study was designed as a randomized, double-blind, vehicle-controlled, multiple-center, and parallel trial to evaluate the efficacy and safety of CSTC1 in patients with diabetic foot ulcers (DFU). In each study site, eligible patients were randomized in a 4:1 ratio to receive either one of the topical applications of CSTC1 or CSTC1 matched vehicle, topical application on target diabetic foot ulcer (DFU), 2 times daily.
The treatment duration for each subject was 12 weeks or up to confirmed complete ulcer closure, whichever comes first. That was, subjects would receive treatment for at most 12 weeks, which consists of 8 visits located at weeks 1, 2, 3, 4, 6, 8, 10, and 12. Subjects who achieved confirmed complete ulcer closure during the treatment period would be arranged for a 12 week post-treatment follow-up. Subjects failed to achieve complete ulcer closure at week-12 visit would be arranged for 4 weeks of safety follow-up. If confirmation of complete ulcer closure was reached at a week-14 visit, the subject would continue the post-treatment follow-up visit until week-24 visit. Otherwise, the subject would be arranged for safety follow-up until week-16 visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CSTC1 | Active Comparator | CSTC1 (vapor fraction from seeds of Glycine max (L.) Merr. and composition thereof), topical, two times daily |
|
| CSTC1 Matched vehicle | Placebo Comparator | Matched vehicle, topical, two times daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CSTC1 | Drug | vapor fraction from seeds of Glycine max (L.) Merr. and composition thereof |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Complete Ulcer Closure During the Treatment Period | Complete ulcer closure is defined as 100% skin re-epithelialization without drainage or dressing requirements confirmed at the coming visits 2 weeks apart. The treatment period is until 12 weeks or up to confirmation of complete ulcer closure. Subjects with complete ulcer closure at Week 12 and confirmed at Week 14 were considered as success. | Baseline to 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The Ulcer Closure Time | Defined as the time to complete ulcer closure. | 24 weeks |
| The Accumulated Participant Counts With Complete Ulcer Closure | Complete ulcer closure is defined as 100% skin re-epithelialization without drainage or dressing requirements observed for at the last two consecutive study visits 2 weeks apart. The count of participants with complete ulcer closure at each post-treatment visit is provided. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events | An AE is any untoward medical occurrence in a patient or clinical investigation participant administered a study medication and that does not necessarily have a causal relationship with this treatment. An AE can, therefore, be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study medication, whether or not related to the study medication. AE data was collected from Screening visit to Final visit (up to 24 weeks). |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Su-Shin Lee, MD | Kaohsiung Medical University Chung-Ho Memorial Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung City | Taiwan |
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The planned sample size was determined to be 80 versus 20 subjects (4:1 ratio) for treatment versus vehicle groups, 100 subjects in total. To ensure the completion of 100 evaluable subjects, around 125 subjects were planned to be recruited. In the actual trial, a total of 137 subjects were screened, with 124 meeting the criteria followed by randomization to CSTC1 group (n = 98) or Vehicle group (n = 26).
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| ID | Title | Description |
|---|---|---|
| FG000 | CSTC1 | CSTC1 (vapor fraction from seeds of Glycine max (L.) Merr. and composition thereof), topical, two times daily |
| FG001 | CSTC1 Matched Vehicle | Matched vehicle, topical, two times daily |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
The baseline analysis population was based on ITT population.
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| ID | Title | Description |
|---|---|---|
| BG000 | CSTC1 | CSTC1 (vapor fraction from seeds of Glycine max (L.) Merr. and composition thereof), topical, two times daily |
| BG001 | CSTC1 Matched Vehicle | Matched vehicle, topical, two times daily |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Complete Ulcer Closure During the Treatment Period | Complete ulcer closure is defined as 100% skin re-epithelialization without drainage or dressing requirements confirmed at the coming visits 2 weeks apart. The treatment period is until 12 weeks or up to confirmation of complete ulcer closure. Subjects with complete ulcer closure at Week 12 and confirmed at Week 14 were considered as success. | All randomized subjects who have received at least one dose of study medication. | Posted | Count of Participants | Participants | Baseline to 14 weeks |
|
AE data was collected from Screening visit to Final visit (up to 24 weeks)
All enrolled subjects were used for the analysis of AE and SAE
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | CSTC1 | CSTC1 (vapor fraction from seeds of Glycine max (L.) Merr. and composition thereof), topical, two times daily |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cellulitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cataract | Eye disorders | MedDRA (19.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| R&D associate | Charsire Biotechnology Corp. | +886-6-702-0817 | cs42@charsire.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 23, 2017 | Nov 16, 2021 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D003920 | Diabetes Mellitus |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
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| CSTC1 Matched vehicle |
| Drug |
|
| 24 weeks |
| Percentage Change in Ulcer Size for Each Post-treatment Visit | The proportion of ulcer closure is calculated as (Ulcer size at post-treatment visit - Ulcer size at baseline)/(Ulcer size at baseline). This proportion was then multiplied by 100 to calculate the percentage change in ulcer size for each post-treatment visit. The percentage change in ulcer size for each post-treatment visit are presented. | baseline and 24 weeks |
| 24 weeks |
| Number of Participants With Physical Abnormality Finding at the Visits | Physical examinations in this study included the following items: general appearance, skin, eyes, ears, nose, throat, head and neck, heart, joints, chest and lungs, abdomen, lymph nodes, musculoskeletal, nervous system, and others. Physical examinations were conducted from Screening visit to Final visit (up to 24 weeks). If at least one of physical examinations was identified in the subject, the subject was included in physical abnormalities calculation. | 24 weeks |
| Number of Participants With Relieved, Unchanged, or Worsen Values in Laboratory Test at Week 12 Compared to Baseline | Laboratory examination to be measured in this study consisted of hematology (hemoglobin, hematocrit, RBC, platelet, WBC with differential counts) and biochemistry (Aspartate Transaminase (AST), Alanine Transaminase (ALT), fasting glucose, HbA1c, serum creatinine, blood urea nitrogen (BUN), albumin). The laboratory examinations were conducted at the Screening visit, baseline, and Week 12. Patients' laboratory change from baseline to Week 12 was documented as relieved, unchanged, worsened (MH), or worsened (AE). The "worsened" means that the laboratory values were normal or non clinically significant (NCS) at baseline but change to clinically significant at Week 12. If the worsen situation was found, the clinically significant worsening changes were classified as related to medical history (MH) or adverse events (AE). | baseline and 12 weeks |
| Blood Pressure Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, blood pressure (systolic/diastolic) were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | baseline and 24 weeks |
| Pulse Rate Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, pulse rates were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | baseline and 24 weeks |
| Body Temperature Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, body temperature were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | baseline and 24 weeks |
| Respiratory Rate Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, respiratory rate were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | baseline and 24 weeks |
| Ulcer became worse |
|
| Physician Decision |
|
| Lost to Follow-up |
|
| Protocol Violation |
|
| Prohibited Medication Administration or Condition Worsening |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Baseline Diabetic Foot Target Ulcer Size | Count of Participants | Participants |
|
| Maximum Grade of Foot Ulcers | The target ulcer is classified as Grade 0 ~ 5 according to modified Wagner system. The Wagner system assesses ulcer depth and the presence of osteomyelitis or gangrene by using the following grades: grade 0 (pre-or postulcerative lesion), grade 1 (partial/full thickness ulcer), grade 2 (probing to tendon or capsule), grade 3 (deep with osteitis), grade 4 (partial foot gangrene), and grade 5 (whole foot gangrene). Higher grades were considered worse. | Count of Participants | Participants |
|
| Baseline Target Ulcer Size | Mean | Standard Deviation | cm^2 |
|
Matched vehicle, topical, two times daily |
|
|
| Secondary | The Ulcer Closure Time | Defined as the time to complete ulcer closure. | All randomized subjects who have received at least one dose of study medication. | Posted | Mean | Standard Error | Days | 24 weeks |
|
|
|
| Secondary | The Accumulated Participant Counts With Complete Ulcer Closure | Complete ulcer closure is defined as 100% skin re-epithelialization without drainage or dressing requirements observed for at the last two consecutive study visits 2 weeks apart. The count of participants with complete ulcer closure at each post-treatment visit is provided. | All randomized patients who have received at least one dose of study medication. | Posted | Count of Participants | Participants | 24 weeks |
|
|
|
| Secondary | Percentage Change in Ulcer Size for Each Post-treatment Visit | The proportion of ulcer closure is calculated as (Ulcer size at post-treatment visit - Ulcer size at baseline)/(Ulcer size at baseline). This proportion was then multiplied by 100 to calculate the percentage change in ulcer size for each post-treatment visit. The percentage change in ulcer size for each post-treatment visit are presented. | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | percent change | baseline and 24 weeks |
|
|
|
| Other Pre-specified | Number of Participants With Adverse Events | An AE is any untoward medical occurrence in a patient or clinical investigation participant administered a study medication and that does not necessarily have a causal relationship with this treatment. An AE can, therefore, be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study medication, whether or not related to the study medication. AE data was collected from Screening visit to Final visit (up to 24 weeks). | All randomized patients who have received at least one dose of study medication. | Posted | Count of Participants | Participants | 24 weeks |
|
|
|
| Other Pre-specified | Number of Participants With Physical Abnormality Finding at the Visits | Physical examinations in this study included the following items: general appearance, skin, eyes, ears, nose, throat, head and neck, heart, joints, chest and lungs, abdomen, lymph nodes, musculoskeletal, nervous system, and others. Physical examinations were conducted from Screening visit to Final visit (up to 24 weeks). If at least one of physical examinations was identified in the subject, the subject was included in physical abnormalities calculation. | All randomized patients who have received at least one dose study medication. | Posted | Number | participants | 24 weeks |
|
|
|
| Other Pre-specified | Number of Participants With Relieved, Unchanged, or Worsen Values in Laboratory Test at Week 12 Compared to Baseline | Laboratory examination to be measured in this study consisted of hematology (hemoglobin, hematocrit, RBC, platelet, WBC with differential counts) and biochemistry (Aspartate Transaminase (AST), Alanine Transaminase (ALT), fasting glucose, HbA1c, serum creatinine, blood urea nitrogen (BUN), albumin). The laboratory examinations were conducted at the Screening visit, baseline, and Week 12. Patients' laboratory change from baseline to Week 12 was documented as relieved, unchanged, worsened (MH), or worsened (AE). The "worsened" means that the laboratory values were normal or non clinically significant (NCS) at baseline but change to clinically significant at Week 12. If the worsen situation was found, the clinically significant worsening changes were classified as related to medical history (MH) or adverse events (AE). | All randomized patients who have received at least one dose study medication. | Posted | Count of Participants | Participants | baseline and 12 weeks |
|
|
|
| Other Pre-specified | Blood Pressure Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, blood pressure (systolic/diastolic) were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | mmHg | baseline and 24 weeks |
|
|
|
| Other Pre-specified | Pulse Rate Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, pulse rates were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | beats/min | baseline and 24 weeks |
|
|
|
| Other Pre-specified | Body Temperature Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, body temperature were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | degrees Celsius | baseline and 24 weeks |
|
|
|
| Other Pre-specified | Respiratory Rate Change From Baseline to Week 24 | Vital signs measurement consisted of blood pressures, pulse rate, respiratory rate, and body temperature. Among them, respiratory rate were obtained after the subject has been at rest for at least 5 minutes in a sitting position. The vital sign data was collected from Screening visit to Final visit (up to 24 weeks). The mean changes of Final visit to baseline in vital signs were presented (value at 24 weeks minus value at baseline). | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | breaths/min | baseline and 24 weeks |
|
|
|
| Post-Hoc | Time to Achieve ≥ 50% Reduction in Target Ulcer Size | The proportion of ulcer closure is calculated as (Ulcer size at post-treatment visit - Ulcer size at baseline)/(Ulcer size at baseline). Time to achieve ≥ 50% reduction in target ulcer size was measured from Screening visit to Final visit (up to 24 weeks). | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | Days | 24 weeks |
|
|
|
| Post-Hoc | The Response Rate of the Target Ulcer Size Reduction ≥ 50% | The proportion of ulcer closure is calculated as (Ulcer size at post-treatment visit - Ulcer size at baseline)/(Ulcer size at baseline). A subject who had target ulcer closure ≥ 50% was counted as a responder. The non-responders included subjects whose target ulcer closure size less than 50% before 12 weeks. | All randomized patients who have received at least one dose of study medication. | Posted | Count of Participants | Participants | 12 weeks |
|
|
|
| Post-Hoc | Time to Achieve ≥90% Reduction in Target Ulcer Size | The proportion of ulcer closure is calculated as (Ulcer size at post-treatment visit - Ulcer size at baseline)/(Ulcer size at baseline). Time to achieve ≥ 90% reduction in target ulcer size was analyzed in the subjects. | All randomized patients who have received at least one dose of study medication. | Posted | Mean | Standard Deviation | Days | 24 weeks |
|
|
|
| Post-Hoc | The Response Rate of the Target Ulcer Size Reduction ≥ 90% | Subjects with ulcer closure size ≥ 90% compared to the baseline at a Week 12 were considered as a responder. A subject whose target ulcer size reduction was less than 90% was counted as a non-responder. The percentage of repsonders and non-responders were presented. | All randomized patients who have received at least one dose of study medication. | Posted | Count of Participants | Participants | 12 weeks |
|
|
|
| 2 |
| 98 |
| 20 |
| 98 |
| 44 |
| 98 |
| EG001 | CSTC1 Matched Vehicle | Matched vehicle, topical, two times daily | 1 | 26 | 3 | 26 | 13 | 26 |
| Abdominal sepsis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Nephrolithiasis | Renal and urinary disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Wound sepsis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Diabetic gangrene | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Acute myocardial infarction | Cardiac disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Orthostatic hypotension | Nervous system disorders | MedDRA (19.0) | Non-systematic Assessment |
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| Peripheral arterial occlusive disease | Vascular disorders | MedDRA (19.0) | Non-systematic Assessment |
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| Pulmonary sepsis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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| Application site cellulitis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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| Pyelonephritis acute | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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| Osteomyelitis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Impaired healing | General disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Cardiac arrest | Cardiac disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Streptococcal sepsis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Septic shock | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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| Bacteraemia | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Application site erosion | General disorders | MedDRA (19.0) | Non-systematic Assessment |
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| Peripheral swelling | General disorders | MedDRA (19.0) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA (19.0) | Non-systematic Assessment |
|
| Skin abrasion | Injury, poisoning and procedural complications | MedDRA (19.0) | Non-systematic Assessment |
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| Wound complication | Injury, poisoning and procedural complications | MedDRA (19.0) | Non-systematic Assessment |
|
| Skin wound | Injury, poisoning and procedural complications | MedDRA (19.0) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Non-systematic Assessment |
|
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| D007871 |
| Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| > 2 ~ 3 cm^2 |
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| > 3 ~ 4 cm^2 |
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| > 4 ~ 5 cm^2 |
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| > 5 ~ 10 cm^2 |
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| > 10 ~ 15 cm^2 |
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| > 15 ~ 20 cm^2 |
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| > 20 cm^2 |
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| Week 3 |
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| Week 12 |
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| Week 24 |
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| Week 12 |
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| Unchanged |
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| Worsened (MH) |
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| Worsened (AE) |
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| Neutrophils (%) |
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| Eosinophils (%) |
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| Basophils (%) |
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| Lymphocytes (%) |
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| Aspartate Aminotransferase (U/L) |
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| Alanine Aminotransferase (U/L) |
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| Creatinine (umol/L) |
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| Glucose (mg/dL) |
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