Study of Combined Topical Growth Factor and Protease Inhibitor in Chronic Wound Healing

NCT ID: NCT02845466

Last Updated: 2018-04-09

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-31

Study Completion Date

2020-09-30

Brief Summary

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Leg and foot ulcers due to venous disease or diabetes are chronic wounds that can take 6 or more months to heal. Growth factors have been used to try and improve this healing, however, many such studies have failed, and that is thought to be due enzymes in the wound that degrade the growth factors and prevent them from working. This is a proof of concept study that will evaluate the treatment of chronic leg ulcers with topically applied growth factors that are combined with a therapy to prevent their inactivation in the wound.

Detailed Description

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Conditions

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Venous Ulcer Foot Ulcer, Diabetic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Becaplermin/Promagran Dressing

Topical Becaplermin with a protease inhibitor wound dressing.

Group Type EXPERIMENTAL

Becaplermin

Intervention Type BIOLOGICAL

0.25 cm of 100 µg/g Becaplermin gel topically per 1cm² of ulcer area applied 3 times per week for 6 weeks.

Promagran Dressing

Intervention Type DEVICE

44% oxidized regenerated cellulose (ORC), 55% collagen and 1% silver-ORC wound dressing applied 3 times per week for 4 weeks.

Becaplermin/Placebo Dressing

Topical Becaplermin with a placebo wound dressing.

Group Type ACTIVE_COMPARATOR

Becaplermin

Intervention Type BIOLOGICAL

0.25 cm of 100 µg/g Becaplermin gel topically per 1cm² of ulcer area applied 3 times per week for 6 weeks.

Placebo Dressing

Intervention Type DEVICE

Inactive wound dressing.

Interventions

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Becaplermin

0.25 cm of 100 µg/g Becaplermin gel topically per 1cm² of ulcer area applied 3 times per week for 6 weeks.

Intervention Type BIOLOGICAL

Promagran Dressing

44% oxidized regenerated cellulose (ORC), 55% collagen and 1% silver-ORC wound dressing applied 3 times per week for 4 weeks.

Intervention Type DEVICE

Placebo Dressing

Inactive wound dressing.

Intervention Type DEVICE

Other Intervention Names

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Regranex Aquacel

Eligibility Criteria

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Inclusion Criteria

* Men and women aged ≥18 years
* Ulcer size 1-64 cm²
* Ulcer extends through both the epidermis and dermis, with no exposed tendon or bone
* Ulcer duration \>3 months
* Ulcer located between and including the knee and ankle
* For venous leg ulcers - Venous refilling time \<25s on photoplethysmography or abnormal venous insufficiency Duplex scan
* For diabetic foot ulcers - confirmed type 1 or type 2 diabetes mellitus with a haemoglobin A1C \< 12%
* Wounds have not been treated with Promogran in the previous 4 weeks
* Patients able to give informed consent

Exclusion Criteria

* Ankle-brachial index \<0.8
* Ulcer with local or systemic signs of infection
* Patients who have been previously treated with Becaplermin gel
* Receiving corticosteroids or immune suppressants
* History of autoimmune disease
* Uncontrolled diabetes (baseline haemoglobin A1C \> 12%)
* Severe rheumatoid arthritis
* Uncontrolled congestive heart failure
* Malnutrition (albumin \<2.5g/dL)
* Unable to adhere to the protocol
* Known sensitivities to the wound dressings used in the trial
* A history of any previous malignancy
* pregnant or lactating women
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Stacey, MBBS, Doctor of Surgery

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Locations

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Hamilton General Hospital

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

Central Contacts

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Steve Phillips, MSc

Role: CONTACT

905-521-2100 ext. 44167

Facility Contacts

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Steve Phillips, MSc

Role: primary

905-521-2100 ext. 44167

References

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Stacey M. Combined Topical Growth Factor and Protease Inhibitor in Chronic Wound Healing: Protocol for a Randomized Controlled Proof-of-Concept Study. JMIR Res Protoc. 2018 Apr 27;7(4):e97. doi: 10.2196/resprot.8327.

Reference Type DERIVED
PMID: 29703712 (View on PubMed)

Other Identifiers

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Lower Limb Ulcer Topical Ther

Identifier Type: -

Identifier Source: org_study_id

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