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Due to the product development strategy adjustment, the Sponsor terminated this study.
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The primary efficacy endpoint for this study is the proportion of subjects with complete closure of Target Ulcer during the 20-week Treatment Phase, which is assessed by the blinded independent evaluator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ON101 Cream plus Standard of Care | Experimental | ON101 cream will be applied twice daily for up to 20 weeks to the Target Ulcer. The SOC will include evaluation to ensure adequate blood flow, wound cleaning, removal of necrotic, infected and/or nonviable tissue by debridement, maintenance of a moist wound environment via regular dressing changes, and management of infection through oral antibiotics, if necessary. |
|
| Vehicle Cream plus Standard of Care | Placebo Comparator | Vehicle cream will be applied twice daily for up to 20 weeks to the Target Ulcer. The SOC will include evaluation to ensure adequate blood flow, wound cleaning, removal of necrotic, infected and/or nonviable tissue by debridement, maintenance of a moist wound environment via regular dressing changes, and management of infection through oral antibiotics, if necessary. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ON101 Cream | Drug | Active ingredients: Extracts of Plectranthus amboinicus and Centella Asiatica |
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with complete closure of Target Ulcer | The primary efficacy endpoint for this study is the proportion of subjects with complete closure of Target Ulcer during the 20-week Treatment Phase, which is assessed by blinded independent evaluators. | 20-week Treatment Phase |
| Measure | Description | Time Frame |
|---|---|---|
| Time to complete closure of Target Ulcer | Time to complete closure of Target Ulcer during the 20-week Treatment Phase, which is assessed by blinded independent evaluators. | 20-week Treatment Phase |
| The proportion of patients with Target Ulcer recurrence |
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Inclusion Criteria:
Subjects, male or female, aged 18 to 80 years (inclusive) with Type 1 or Type 2 diabetes undergoing therapy for glycemic control using available diabetes drugs including insulin.
Subject has a glycosylated hemoglobin, HbA1c ≦ 12%.
Presence of at least one diabetic foot ulcer that meets all of the following criteria:
Subject has adequate vascular perfusion of the affected limb, confirmed by Ankle-Brachial Index (ABI) > 0.8 and < 1.3, and transcutaneous pressure of oxygen (TcPO2) > 30 mmHg on at least one lead.
Subject, if female of child-bearing potential, has a negative serum pregnancy test at screening, must not be breastfeeding, and willing to use 2 medically accepted methods of contraception (e.g., barrier contraceptives [female condom, or diaphragm with a spermicidal gel], hormonal contraceptives [implants, injectables, combination oral contraceptives, transdermal patches, or contraceptive rings], and intrauterine devices) during the study (excluding women who are not of childbearing potential and/or who have been sterilized).
Subject should be able to walk and stand on the non-target ulcer limb.
Subject is willing to use an off-loading device for the target ulcer on the plantar while ambulation for the duration of the study.
Subject / identified caregiver trained on the study procedures is able and willing to comply with study procedures.
A signed and dated informed consent form has been obtained from the subject prior to any study-related procedures being performed.
Exclusion Criteria:
In response to standard of care, ulcer size reduction is > 30% during the two-week run-in Screening Period (between the first Screening Visit/V0 and Baseline/V2).
Ulcers with exposed bone or associated with osteomyelitis. Note: The osteomyelitis should be ruled out by clinical examination (probing of the wound) and X-ray findings.
Presence of necrosis, purulence or sinus tracts that cannot be removed by debridement.
Body mass index (BMI) > 42 kg/m2
Laboratory values at Screening of:
Presence of any clinically significant medical condition(s) in medical history during screening period that, in the opinion of the investigator, could interfere with wound healing, including but not limited to the following:
Subject is currently receiving (i.e., within 30 days of randomization visit) or scheduled to receive any of following medication or therapies, could interfere with wound healing during the study.
Subjects whose non-target ulcer limb is disabled or amputated above the ankle.
Subject's target ulcer is located on the plantar foot with all toes amputated.
Subjects who need to stand continuously for more than 4 hours / day and have difficulty complying with off-loading instruction.
A psychiatric condition (e.g., suicidal ideation), current or chronic alcohol or drug abuse, determined from the subject's medical history, which, in the opinion of the Investigator, may pose a threat to subject compliance.
Has any other factor which may, in the opinion of the investigator, compromise participation and/or follow-up in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Shyi-Gen Chen | Oneness Biotech Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oneness Investigational Site | Mesa | Arizona | 85206 | United States | ||
| Oneness Investigational Site |
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| Vehicle Cream | Other | ON101 Cream Placebo |
|
The proportion of patients with Target Ulcer recurrence during the Follow-Up Phase. |
| 12-week Follow-Up Phase |
| Mean change in EQ-5D-5L utility score | Mean change from baseline in EQ-5D-5L utility score at V12/EOT. | Day 141 |
| Carlsbad |
| California |
| 92009 |
| United States |
| Oneness Investigational Site | Castro Valley | California | 94546 | United States |
| Oneness Investigational Site | Fresno | California | 93710 | United States |
| Oneness Investigational Site | San Francisco | California | 94117 | United States |
| Oneness Investigational Site | Sylmar | California | 91342 | United States |
| Oneness Investigational Site | Miami | Florida | 33165 | United States |
| Oneness Investigational Site | Miami Lakes | Florida | 33016 | United States |
| Oneness Investigational Site | North Miami Beach | Florida | 33321 | United States |
| Oneness Investigational Site | Mount Prospect | Illinois | 60056 | United States |
| Oneness Investigational Site | O'Fallon | Illinois | 62269 | United States |
| Oneness Investigational Site | Springfield | Illinois | 62704 | United States |
| Oneness Investigational Site | Dallas | Texas | 75251 | United States |
| Oneness Investigational Site | McAllen | Texas | 78501 | United States |