Pexiganan Versus Placebo Control for the Treatment of Mild Infections of Diabetic Foot Ulcers

NCT ID: NCT01594762

Last Updated: 2017-06-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-07-31

Brief Summary

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The purpose of this study is to establish the clinical superiority and the safety of topical pexiganan cream 0.8% plus standard local wound care as compared to placebo cream plus standard local wound care, in the treatment of mildly infected diabetic foot ulcers.

Detailed Description

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Conditions

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Diabetic Foot Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Topical placebo control

Drug: Topical placebo cream

Group Type PLACEBO_COMPARATOR

Topical placebo cream

Intervention Type DRUG

14 days of treatment

Standard wound care

Intervention Type OTHER

14 days of treatment

Topical pexiganan cream 0.8%

Drug: Topical pexiganan cream 0.8%

Group Type EXPERIMENTAL

Topical pexiganan cream 0.8%

Intervention Type DRUG

14 days of treatment

Standard wound care

Intervention Type OTHER

14 days of treatment

Interventions

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Topical pexiganan cream 0.8%

14 days of treatment

Intervention Type DRUG

Topical placebo cream

14 days of treatment

Intervention Type DRUG

Standard wound care

14 days of treatment

Intervention Type OTHER

Other Intervention Names

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MSI-78

Eligibility Criteria

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Inclusion Criteria

1. Diabetes mellitus.
2. Male or female at least 18 years old.
3. Subject must agree to adhere to all protocol procedures and return for all scheduled visits, and must be willing and able to provide written informed consent.
4. Subject is to be treated on an outpatient basis.
5. Full thickness ulcer or a partial thickness ulcer on the foot distal to the malleoli with a surface area ≥ 1 cm2 after the wound has undergone appropriate debridement.
6. Localized mild infection of the ulcer.
7. The diagnosis of mild infection must be confirmed immediately following debridement at Baseline.
8. Subject must have plain radiographs taken within 2 days prior to entry showing no evidence of bony abnormalities consistent with osteomyelitis, or gas compatible with tissue crepitus, in the affected foot.

Exclusion Criteria

1. IDSA-defined moderate infection, including cellulitis extending \> 2 cm; lymphangitis; spread beneath the fascia; deep tissue abscess; gangrene; muscle, joint, or bone involvement.
2. IDSA-defined severe infection, including systemic toxicity or metabolic instability.
3. Infected diabetic foot ulcer that is associated with local wound complications such as prosthetic materials or protruding surgical hardware.
4. \> 1 infected foot ulcer.
5. Subject is currently receiving topical antimicrobial treatment for a localized infection of the study ulcer and whose infection is improving in response to treatment.
6. Subject has received a systemic antibiotic within 48 hours prior to Screening.
7. Concurrent or expected to require systemic antimicrobials during the study period for any infection, including diabetic foot ulcer.
8. Bone or joint involvement is suspected based on clinical examination or plain X-ray.
9. Clinically significant peripheral arterial disease requiring vascular intervention.
10. Subject is expected to be unable to care for the ulcer or return for all scheduled visits because of hospitalization, vacation, disability, etc. during the study period, or is unable to safely monitor the infection status at home.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dipexium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael H. Silverman, MD

Role: STUDY_DIRECTOR

Biostrategics Consulting Ltd

Locations

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Phoenix, Arizona, United States

Site Status

Tucson, Arizona, United States

Site Status

Jonesboro, Arkansas, United States

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Castro Valley, California, United States

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Davis, California, United States

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Los Angeles, California, United States

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Napa, California, United States

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San Francisco, California, United States

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Santa Rosa, California, United States

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Sylmar, California, United States

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Vacaville, California, United States

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Norwalk, Connecticut, United States

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Coral Gables, Florida, United States

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Doral, Florida, United States

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Hialeah, Florida, United States

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Homestead, Florida, United States

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Jacksonville, Florida, United States

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Largo, Florida, United States

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Miami, Florida, United States

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Miami Lakes, Florida, United States

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Miami Shores, Florida, United States

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Pinellas Park, Florida, United States

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Evans, Georgia, United States

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North Chicago, Illinois, United States

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Hutchinson, Kansas, United States

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New Orleans, Louisiana, United States

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Mineola, New York, United States

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Charlotte, North Carolina, United States

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Wilmington, North Carolina, United States

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Duncansville, Pennsylvania, United States

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York, Pennsylvania, United States

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Columbia, South Carolina, United States

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El Paso, Texas, United States

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Fort Worth, Texas, United States

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Lewisville, Texas, United States

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Salt Lake City, Utah, United States

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St. George, Utah, United States

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Roanoke, Virginia, United States

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Richland, Washington, United States

Site Status

Countries

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United States

References

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You Y, Liu H, Zhu Y, Zheng H. Rational design of stapled antimicrobial peptides. Amino Acids. 2023 Apr;55(4):421-442. doi: 10.1007/s00726-023-03245-w. Epub 2023 Feb 12.

Reference Type DERIVED
PMID: 36781451 (View on PubMed)

Other Identifiers

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DPX-306

Identifier Type: -

Identifier Source: org_study_id

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