Open Multi-center Safety & Efficacy Study of Low Frequency Magnetic Fields to Treat Unresponsive Diabetic Foot Ulcers.

NCT ID: NCT02145962

Last Updated: 2014-05-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-31

Study Completion Date

2014-01-31

Brief Summary

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An open multicenter trial to document the efficacy and safety of two therapeutic Extremely Low Frequency Magnetic Fields stimulation devices to promote wound healing of Diabetic Foot Ulcers.

Detailed Description

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An open multi center trial to document the systemic effects and safety of Extremely Low Frequency Electromagnetic Fields (ELF-MF) stimulation on healing of Diabetic Foot Ulcers (DFU). The study will be performed in two sites: Monterrey, Nuevo Leon, with patients from Medical Services of the Autonomous University of Nuevo León, and Cuernavaca, Morelos with patients from Regional General Hospital of Cuernavaca N. 1 IMSS, and Health Services of Morelos.

Two ELF-MF investigational exposure systems will be used to stimulate blood at different anatomical regions to enhance wound healing upon peripheral blood mononuclear cell migration to the ulcer site. a) In Monterrey, Nuevo Leon, where DFU subjects should be exposed at either forearm with a sinusoidal oscillating magnetic field of 120 Hz with nominal ELF-MF amplitude of approximately 0.6mT-0.8mT (6-8 Gauss) RMS 2 hours/day, 2 times/week. and b) In Cuernavaca, Morelos, where DFU subjects would be exposed at the thorax with a stimulation system in a quasi-Helmholtz configuration, for 25 minutes/day, 2 times/week to a sinusoidal oscillating magnetic field of 120 Hz, with nominal ELF-MF amplitude of approximately 0.6mT-0.8mT (6-8 Gauss) RMS. Treatment period for both groups will be 14.2 weeks or upon a complete healing. In each treatment session, evolution of ulcer healing should be recorded photographically.

Efficacy and adverse effects will be searched for during treatment, short-term (\<1 year), and long-term follow-up in both groups (up to 7 years).

Conditions

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Neuropathic Diabetic Ulcer - Foot

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Forearm tissue exposure with ELF-MF

This study arm should include subjects with diabetic foot ulcers recruited at the medical services site of the Autonomous University of Nuevo Leon, Monterrey, Mexico. These study patients should receive treatment in the forearm region.

Group Type ACTIVE_COMPARATOR

Forearm tissue exposure with ELF-MF

Intervention Type DEVICE

The treatment was delivered 2 hours/day, 2 times/week and consisted of sinusoidal oscillating magnetic fields of 120 Hz using a solenoid, with nominal field amplitude of approximately 0.6-0.8 mT (6-8 Gauss) RMS at the center of the stimulation system. The amount of blood exposed to the therapeutic ELF-MF using the forearm device is approximately 30 ml/min or 3.6 lt/session.

Thorax tissue exposure with ELF-MF

This study arm should include subjects with diabetic foot ulcers recruited at the IMSS Regional General Hospital N. 1 and Servicios de Salud de Morelos, Cuernavaca, Mexico. These study patients received treatment in the thorax region.

Group Type ACTIVE_COMPARATOR

Thorax tissue exposure with ELF-MF

Intervention Type DEVICE

The treatment was delivered 25 minutes/day, 2 times/week and consisted of 120 Hz using a quasi-Helmholtz coil configuration, with nominal field amplitude of approximately 0.6-0.8 mT (6-8 Gauss) RMS at the center of the stimulation system. The amount of blood exposed to the therapeutic ELF-MF using the thorax device should be approximately 6,500 ml/min or 162.5 lt/session, which is approximately 45 times more blood volume stimulation per unit of time compared with the Forearm exposure system.

Interventions

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Forearm tissue exposure with ELF-MF

The treatment was delivered 2 hours/day, 2 times/week and consisted of sinusoidal oscillating magnetic fields of 120 Hz using a solenoid, with nominal field amplitude of approximately 0.6-0.8 mT (6-8 Gauss) RMS at the center of the stimulation system. The amount of blood exposed to the therapeutic ELF-MF using the forearm device is approximately 30 ml/min or 3.6 lt/session.

Intervention Type DEVICE

Thorax tissue exposure with ELF-MF

The treatment was delivered 25 minutes/day, 2 times/week and consisted of 120 Hz using a quasi-Helmholtz coil configuration, with nominal field amplitude of approximately 0.6-0.8 mT (6-8 Gauss) RMS at the center of the stimulation system. The amount of blood exposed to the therapeutic ELF-MF using the thorax device should be approximately 6,500 ml/min or 162.5 lt/session, which is approximately 45 times more blood volume stimulation per unit of time compared with the Forearm exposure system.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age older than 20 years old
* Presence of diabetic foot ulcers resistant to medical and/or surgical treatment
* Medical care prior to admission.

Exclusion Criteria

* Pregnant women
* Cancer diagnosis
* BMI \> 3
* Non-diabetic leg ulcers
* Infected wounds
* Skin autoimmune disease
* Vasculitis
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Autonoma de Nuevo Leon

OTHER

Sponsor Role collaborator

Instituto Mexicano del Seguro Social

OTHER_GOV

Sponsor Role collaborator

Autonomous University of Morelos

OTHER

Sponsor Role lead

Responsible Party

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Luis Enrique Alberto Cañedo Dorantes

Research Professor, MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luis E Canedo Dorantes, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Autonomous University of Morelos

Guillermo Cabrera Alvarez, MD

Role: STUDY_CHAIR

Instituto Mexicano del Seguro Social

Rogelio Salinas Dominguez, MD

Role: STUDY_CHAIR

Universidad Autonoma de Nuevo Leon

Locations

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Hospital General Regional No. 1 "Ignacio García Tellez" IMSS

Cuernavaca, Morelos, Mexico

Site Status

Medical Services of the Autonomous University of Nuevo Leon

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

References

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Canedo-Dorantes L, Garcia-Cantu R, Barrera R, Mendez-Ramirez I, Navarro VH, Serrano G. Healing of chronic arterial and venous leg ulcers through systemic effects of electromagnetic fields [corrected]. Arch Med Res. 2002 May-Jun;33(3):281-9. doi: 10.1016/s0188-4409(02)00357-0.

Reference Type BACKGROUND
PMID: 12031635 (View on PubMed)

Other Identifiers

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AVANCE-C2005-219

Identifier Type: OTHER

Identifier Source: secondary_id

ELF-MF-2006-001

Identifier Type: -

Identifier Source: org_study_id

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