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| Name | Class |
|---|---|
| Professional Education and Research Institute | OTHER |
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The purpose of this clinical investigation is to evaluate the safety and efficacy of Amnion/Chorion/Amnion allograft , Amnion/Chorion allograft, and/or Amnion/Amnion allograft, plus Standard of Care (SOC) each versus SOC alone in the treatment of chronic non-healing diabetic foot ulcers (DFU) after 12 weeks of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| "Amnion/Chorion/Amnion" common/general allograft configuration | Experimental | Topical application of placental allograft on to surface of open chronic diabetic foot ulcer using a tri-layer dehydrated amniotic membrane allograft for the treatment of DFUs. Human amniotic membrane is a thin collagenous membrane derived from the submucosa of the placenta, the organ that connects the developing fetus to the mother's uterus. A human amniotic membrane consists of multiple layers including epithelial cells, a basement membrane, and a stromal matrix which provides a natural scaffold that allows cellular attachment or infiltration and growth factor storage. |
|
| Standard of Care | No Intervention | Standard of Care (SOC) for open chronic diabetic foot ulcer using a calcium alginate dressing and will have a silicone non-adherent dressing (MepitelTM or equivalent), a padded 3-layer dressing comprised of 4x4 gauze pads, soft roll, compressive wrap and Coban (Threeflex 3-layer or equivalent) applied. Offloading of the DFU (removable offloading boot or total contact casting [TCC] if the subject's foot is too large for a removable offloading boot), appropriate sharp or surgical debridement, and infection management. Graft provides a protective cover and supports the body's wound healing processes. This allograft is supplied sterile and not intended to be removed. | |
| "Amnion/Chorion" common/general allograft configuration | Other | Topical application of placental allograft on to surface of open chronic diabetic foot ulcer using a dehydrated human amniotic membrane allograft comprised of a tri-layer membrane (amnion/intermediate layer/chorion) which provides a natural scaffold that allows cellular attachment and infiltration. Human amniotic membrane is a thin collagenous membrane derived from the submucosa of the placenta. A human amniotic membrane consists of multiple layers including epithelial cells, a basement membrane, and a stromal matrix. Graft provides a protective cover and supports the body's wound healing processes. This allograft is supplied sterile and not intended to be removed. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Allograft | Other | Placental-based Allografts |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of DFUs healed at 12 weeks | Percentage of index ulcers (the ulcers being treated in the study) healed at 12 weeks | 12 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Total time to DFU wound closure | Length of time to complete wound closure of the indexed DFU | 12 Weeks |
| Percentage of Wound Area Reduction over time of study | Percentage area reduction by surface area for each indexed wound during the clinical investigation |
| Measure | Description | Time Frame |
|---|---|---|
| Cost of Treatment to Closure Diabetic Foot Ulcer Wound in Study | Following costs to treat and closure diabetic foot ulcers in investigational study arms | 12 Weeks |
Inclusion Criteria:
Potential subjects are required to meet all of the following criteria for enrollment into the study.
Exclusion Criteria:
Potential subjects meeting any of the following criteria will be excluded from enrollment and subsequent treatment.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Frank Burrows III, MBA, EMT, BCMAS, CWCA | Contact | 888-494-4441 | FBurrows@tidesmedical.com | |
| Mora Melican, PH.D. | Contact | 888-494-4441 | MMelican@tidesmedical.com |
| Name | Affiliation | Role |
|---|---|---|
| David G Armstrong, DPM, MD, PhD | Keck School of Medicine of USC | Study Chair |
| Frank Burrows, MBA, EMT, BCMAS, CWCA | Tides Medical | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Limb Preservation Platform Inc | Recruiting | Fresno | California | 93710 | United States |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D010335 | Pathologic Processes |
| D014456 | Ulcer |
| D012883 | Skin Ulcer |
| D003925 | Diabetic Angiopathies |
| D003924 | Diabetes Mellitus, Type 2 |
| D007871 | Leg Ulcer |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D014184 | Transplantation, Homologous |
| ID | Term |
|---|---|
| D014180 | Transplantation |
| D013514 | Surgical Procedures, Operative |
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|
| "Amnion/Amnion" common/general allograft configuration | Other | Topical application of placental allograft on to surface of open chronic diabetic foot ulcer using a dual layer dehydrated human amniotic membrane allograft. Human amniotic membrane is a thin collagenous membrane derived from the submucosa of the placenta, the organ that connects the developing fetus to the mother's uterus. A human amniotic membrane consists of multiple layers including epithelial cells, a basement membrane, and a stromal matrix which provides a natural scaffold that allows cellular attachment or infiltration and growth factor storage. This allograft provides a protective cover and supports the body's wound healing process. This allograft is supplied sterile and not intended to be removed. |
|
| 12 Weeks |
| Change in perceived patient wound pain levels over time. | Change in patient pain levels during the clinical investigation at the wound site using the pain assessment by questionnaire. The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). | 12 weeks |
| Angel City Research | Recruiting | Los Angeles | California | 90010 | United States |
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| Clemente Clinical Research | Recruiting | Los Angeles | California | 90033 | United States |
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| ILD Research Center | Recruiting | Vista | California | 92081 | United States |
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| Clever Medical Research | Recruiting | Miami | Florida | 33126 | United States |
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| Foot and Ankle Specialists of the Mid-Atlantic | Recruiting | Raleigh | North Carolina | 27609 | United States |
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| Lower Extremity Institute of Research and Therapy | Recruiting | Boardman | Ohio | 44512 | United States |
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| Brock Liden DPM | Recruiting | Circleville | Ohio | 43113 | United States |
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| Foot and Ankle Specialists of the Mid-Atlantic | Recruiting | Salem | Virginia | 24153 | United States |
|
| D017437 |
| Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003929 | Diabetic Neuropathies |
| D009750 | Nutritional and Metabolic Diseases |
| D013568 | Pathological Conditions, Signs and Symptoms |