A Safety and Efficacy Study of INTEGRA® Dermal Regeneration Template for the Treatment of Diabetic Foot Ulcers

NCT ID: NCT01060670

Last Updated: 2016-09-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

545 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2014-06-30

Brief Summary

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The objective of this study is to evaluate the safety and efficacy of the INTEGRA® Dermal Regeneration Template for the treatment of diabetic foot ulcers located distal to the malleolus in subjects with diabetes mellitus, neuropathy, and without significantly compromised arterial circulation.

Detailed Description

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Conditions

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Neuropathic Diabetic Ulcer - Foot

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dermal Replacement Device

Device: INTEGRA® Dermal Regeneration Template

Group Type EXPERIMENTAL

Integra® Dermal Regeneration Template

Intervention Type DEVICE

Application of Integra® Dermal Regeneration Template in diabetic foot ulcer

Moist Wound Therapy

0.9% Saline gel

Group Type ACTIVE_COMPARATOR

Conventional Wound Therapy

Intervention Type OTHER

Conventional Wound Therapy

Interventions

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Integra® Dermal Regeneration Template

Application of Integra® Dermal Regeneration Template in diabetic foot ulcer

Intervention Type DEVICE

Conventional Wound Therapy

Conventional Wound Therapy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Type I or Type II diabetes mellitus
* Glycosylated hemoglobin, HbA1c, ≤ 12%
* Negative serum pregnancy test at screening for female participants of child-bearing potential
* Willing and able to maintain the required off-loading (as applicable for the location for the ulcer) and applicable dressing changes
* At least one DFU that met the following criteria:

1. Ulcer was diagnosed as a full-thickness neuropathic DFU that was located distal to the malleolus (excluding ulcers between the toes but including those of the heel),
2. Minimum 2-cm margin between the qualifying study ulcer and any other ulcers on the specified foot (post debridement),
3. Area greater than or equal to 1 square centimeter and less than or equal to 12 square centimeters (post debridement at the time of randomization),
4. Wagner grade 1 or 2,
5. Depth less than or equal to 5 millimeters with no exposed capsule, tendon or bone and no tunneling, undermining or sinus tracts,
6. Duration of the study ulcer was at least 30 days at the time of the screening visit
* Adequate vascular perfusion of the affected limb

Exclusion Criteria

* Suspected or confirmed signs/symptoms of gangrene or wound infection on any part of the limb
* History of hypersensitivity to bovine collagen and/or chondroitin.
* Pregnancy
* Previous treatment under this clinical protocol
* Participation in another clinical trial involving a device or systematically administered investigational study drug or treatment within 30 days of the randomization visit.
* Receiving or scheduled to receive a medication or treatment which, in the opinion of the investigator, was known to interfere with, or affect the rate and quality of wound healing
* Any unstable condition or circumstance that could interfere with treatment regimen compliance
* Excessive lymphedema that could interfere with wound healing
* Unstable Charcot foot or Charcot with boney prominence
* Ulcers secondary to a disease other than diabetes
* Osteomyelitis with necrotic soft bone
* Chopart amputation
* History of bone cancer or metastatic disease of the affected limb, radiation therapy to the foot, or chemotherapy within the 12 months prior to randomization
* Treatment with wound dressings that include growth factors, engineered tissues, or skin substitutes within 30 days of randomization or scheduled to receive such treatment during the study
* Non-study ulcer requiring treatment that could not be treated during the study with moist wound therapy
* History of or intercurrent illnesses or conditions (other than diabetes) that would compromise the safety of the subject, or the normal wound healing process
* Employees or relatives of any member of the investigational site or sponsor
* Size of the study ulcer following debridement decreased by more than 30% during the run in period
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Integra LifeSciences Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Costal Clinical Research

Mobile, Alabama, United States

Site Status

Stockdale Podiatry Group

Bakersfield, California, United States

Site Status

Center for Clinical Research

Castro Valley, California, United States

Site Status

Diabetic Foot and Wound Treatment Center

El Centro, California, United States

Site Status

Sacramento Foot and Ankle Center

Fair Oaks, California, United States

Site Status

Advanced Foot Care and Clinical Research Center

Fresno, California, United States

Site Status

Center for Clinical Research

Fresno, California, United States

Site Status

California School of Podiatry Medicine at Samuel Merritt University

Oakland, California, United States

Site Status

Northern California Foot and Ankle Center

Santa Rosa, California, United States

Site Status

Bay Pines VA Healthcare System

Bay Pines, Florida, United States

Site Status

Advanced Pharma CR, LLC

Miami, Florida, United States

Site Status

South Florida Wound Care Group

Tamarac, Florida, United States

Site Status

C/O Center for Wound Care

Wellington, Florida, United States

Site Status

Village Podiatry Center

Atlanta, Georgia, United States

Site Status

Idaho Falls Infectious Diseases, PLLC

Idaho Falls, Idaho, United States

Site Status

Springfield Clinic

Springfield, Illinois, United States

Site Status

Infectious Disease of Indiana

Indianapolis, Indiana, United States

Site Status

Benchmark Research

Metarie, Louisiana, United States

Site Status

Boston Medical Center

Boston, Massachusetts, United States

Site Status

Cambridge Health Alliance

Cambridge, Massachusetts, United States

Site Status

Montana Medical Research

Missoula, Montana, United States

Site Status

Advanced Foot and Ankle Center

Las Vegas, Nevada, United States

Site Status

Excelsior Foundation of WNY

Amherst, New York, United States

Site Status

Private Practice

East Setauket, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Penn North Center For Advanced Wound Care

Erie, Pennsylvania, United States

Site Status

Temple University School of Podiatric Medicine

Philadelphia, Pennsylvania, United States

Site Status

Western Pennsylvania Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Limb Salvage Center

Dallas, Texas, United States

Site Status

Department of Plastic Surgery

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Foot and Ankle Institute

St. George, Utah, United States

Site Status

St. Elisabeth's Hospital

Willemstad, Curacao, Netherlands Antilles

Site Status

Countries

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United States Netherlands Antilles

Other Identifiers

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IDRT/DFU US - 2009-3

Identifier Type: -

Identifier Source: org_study_id

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