Trial Outcomes & Findings for The Mechanism of Action of the Unite Biomatrix in Diabetic Foot Ulcer (NCT NCT00958711)

NCT ID: NCT00958711

Last Updated: 2019-12-18

Results Overview

Time to complete healing was captured by Kaplan-Meier Plot showing percentage of participants not healed by number of days after procedure. Patients were considered healed at their first follow-up visit where the patient's would had healed.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

90 participants

Primary outcome timeframe

Day 20, Day 40, Day 60, Day 80

Results posted on

2019-12-18

Participant Flow

Participant milestones

Participant milestones
Measure
Biologic - Unite Biomatrix
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
Saline and Gauze: gauze moistened with sterile saline
Overall Study
STARTED
42
48
Overall Study
COMPLETED
29
27
Overall Study
NOT COMPLETED
13
21

Reasons for withdrawal

Reasons for withdrawal
Measure
Biologic - Unite Biomatrix
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
Saline and Gauze: gauze moistened with sterile saline
Overall Study
Withdrawal by Subject
0
4
Overall Study
Physician Decision
5
7
Overall Study
Lost to Follow-up
4
1
Overall Study
Other
2
5
Overall Study
Death
1
2
Overall Study
Adverse Event
1
2

Baseline Characteristics

The Mechanism of Action of the Unite Biomatrix in Diabetic Foot Ulcer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Total
n=90 Participants
Total of all reporting groups
Age, Continuous
58.1 Years
STANDARD_DEVIATION 10.7 • n=5 Participants
54.9 Years
STANDARD_DEVIATION 10.2 • n=7 Participants
56.39 Years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
34 Participants
n=7 Participants
66 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
24 Participants
n=5 Participants
24 Participants
n=7 Participants
48 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
11 Participants
n=5 Participants
19 Participants
n=7 Participants
30 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 20, Day 40, Day 60, Day 80

Population: Intent-to-Treat (ITT): all randomized participants who provided consent..

Time to complete healing was captured by Kaplan-Meier Plot showing percentage of participants not healed by number of days after procedure. Patients were considered healed at their first follow-up visit where the patient's would had healed.

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Percentage of Participants Not Healed by Number of Days After Procedure
Day 20
0.97 Percentage of Participants
1.0 Percentage of Participants
Percentage of Participants Not Healed by Number of Days After Procedure
Day 40
0.91 Percentage of Participants
0.95 Percentage of Participants
Percentage of Participants Not Healed by Number of Days After Procedure
Day 60
0.74 Percentage of Participants
0.74 Percentage of Participants
Percentage of Participants Not Healed by Number of Days After Procedure
Day 80
0.61 Percentage of Participants
0.65 Percentage of Participants

PRIMARY outcome

Timeframe: Week 12

Population: ITT

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Percentage of Participants With Wounds Healed at 12 Weeks
Healed
42.9 Percentage of participants
29.2 Percentage of participants
Percentage of Participants With Wounds Healed at 12 Weeks
Not Healed
57.1 Percentage of participants
70.8 Percentage of participants

PRIMARY outcome

Timeframe: Day 0, 72 hours post-procedure, Week 1, Week 2, Week 4

Population: Source document notes "no data provided." Limited information available since product no longer licensed with Baxter.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Day 0, Week 1 - Week 12

Population: Source document notes "no data provided." Limited information available since product no longer licensed with Baxter.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 0, Week 4, Week 8, Week 12

Population: ITT

The percent of original wound size was calculated using the following formula: measure at baseline minus measure at follow-up visit divided by measure at baseline. In cases when the baseline depth was reported as 0cm, the minimum non-zero value in the sample (0.1cm) was imputed so a percent reduction measure could be calculated.

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Percentage Mean of Original Wound Size From Baseline by Week
Week 12 Width
0.323 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.465 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 8 Length
0.705 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.695 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 8 Width
0.650 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.671 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 4 Length
0.879 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.754 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 4 Width
0.809 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.750 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 4 Depth
0.820 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
1.082 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 4 Area
0.807 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.732 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 8 Depth
1.612 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
1.365 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 8 Area
0.546 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.592 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 12 Length
0.381 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.567 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 12 Depth
0.304 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
1.347 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
Percentage Mean of Original Wound Size From Baseline by Week
Week 12 Area
0.341 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.
0.433 Percentage mean of wound size
Standard Deviation NA
Study sponsored by other company, and only abbreviated results available without this data point.

SECONDARY outcome

Timeframe: Week 1 to Week 24

Population: ITT

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Number of Participants With Ulcer Recurrence
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Week 1 to Week 24

Population: ITT

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Number of Device-related Adverse Events (AE)
0 Events
0 Events

SECONDARY outcome

Timeframe: Week 1 to Week 24

Population: ITT

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Number of Procedure-related Adverse Events (AE)
2 Events
0 Events

SECONDARY outcome

Timeframe: Week 1 to Week 24

Population: ITT

Includes failure to heal the ulcer by the 12-week visit under the Intent-to-Treat principle.

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Number of Device Failures
24 Devices
34 Devices

SECONDARY outcome

Timeframe: Week 1 to Week 24

Population: ITT

Device removal is included in device failure under ITT. Subjects who experienced procedure-related events were also device failures under ITT. This endpoint is equivalent to device failure rates reported above.

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 Participants
Saline and Gauze: gauze moistened with sterile saline
Number of Device Removals
24 Devices
34 Devices

SECONDARY outcome

Timeframe: Week 1 to Week 12

Population: ITT. Note: Limited information available since product no longer licensed with Baxter. The only stats analysis information available provides data for Unite Biomatrix treatment arm, and will need to assume analysis was not performed for control arm.

Ease of usage on a 5-point scale where 1=greatest ease of use and 5=greatest difficult

Outcome measures

Outcome measures
Measure
Biologic - Unite Biomatrix
n=42 Participants
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
Saline and Gauze: gauze moistened with sterile saline
Ease of Dressing Use
Ease of Preparation
1.4 Score on a Scale
Standard Deviation 0.6
Ease of Dressing Use
Handling
1.2 Score on a Scale
Standard Deviation 0.6
Ease of Dressing Use
Comfortability
1.5 Score on a Scale
Standard Deviation 0.7
Ease of Dressing Use
Securability
1.4 Score on a Scale
Standard Deviation 0.6

Adverse Events

Biologic - Unite Biomatrix

Serious events: 9 serious events
Other events: 6 other events
Deaths: 1 deaths

Saline and Gauze

Serious events: 8 serious events
Other events: 7 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Biologic - Unite Biomatrix
n=42 participants at risk
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 participants at risk
Saline and Gauze: gauze moistened with sterile saline
Skin and subcutaneous tissue disorders
Cellulitis
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Musculoskeletal and connective tissue disorders
Osteomyelitis
7.1%
3/42 • Number of events 3 • Day -12 through Day 180
Source vocabulary unknown.
4.2%
2/48 • Number of events 2 • Day -12 through Day 180
Source vocabulary unknown.
Infections and infestations
Infection
9.5%
4/42 • Number of events 4 • Day -12 through Day 180
Source vocabulary unknown.
4.2%
2/48 • Number of events 2 • Day -12 through Day 180
Source vocabulary unknown.
Investigations
Death
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Cardiac disorders
Congestive Heart Failure
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Vascular disorders
Hypertension
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Surgical and medical procedures
Foot amputation
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
General disorders
Abdominal Pain
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
General disorders
Vomiting
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
Blood and lymphatic system disorders
Hyperglycemia
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
Vascular disorders
Hypotension
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.

Other adverse events

Other adverse events
Measure
Biologic - Unite Biomatrix
n=42 participants at risk
Unite Biomatrix: Collagen based, decellularized equine pericardial dressing for skin surface wounds
Saline and Gauze
n=48 participants at risk
Saline and Gauze: gauze moistened with sterile saline
Infections and infestations
Infection
4.8%
2/42 • Number of events 3 • Day -12 through Day 180
Source vocabulary unknown.
6.2%
3/48 • Number of events 4 • Day -12 through Day 180
Source vocabulary unknown.
Endocrine disorders
Ulcer
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
4.2%
2/48 • Number of events 2 • Day -12 through Day 180
Source vocabulary unknown.
Musculoskeletal and connective tissue disorders
Osteomyelitis
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Skin and subcutaneous tissue disorders
Cellulitis
0.00%
0/42 • Day -12 through Day 180
Source vocabulary unknown.
2.1%
1/48 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
Injury, poisoning and procedural complications
Blister
4.8%
2/42 • Number of events 2 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
Respiratory, thoracic and mediastinal disorders
Influenza
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.
Injury, poisoning and procedural complications
Back Injury
2.4%
1/42 • Number of events 1 • Day -12 through Day 180
Source vocabulary unknown.
0.00%
0/48 • Day -12 through Day 180
Source vocabulary unknown.

Additional Information

Baxter Clinical Trials Disclosure Call Center

Baxter Healthcare

Phone: (224) 948-7359

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60