Electrical Stimulation to Accelerate Wound Healing

NCT ID: NCT03821675

Last Updated: 2022-05-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-28

Study Completion Date

2021-10-08

Brief Summary

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A clinical study at the Baylor College of Medicine, Division of Vascular Surgery and Endovascular Therapy, is being proposed to test the efficacy of a novel electrical stimulation platform named the Tennant Biomodulator designed by AVAZZIA to accelerate wound healing, relieve pain and improve mobility in patients with diabetic foot ulcers.

Detailed Description

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Electrical stimulation may offer a unique treatment option to heal complicated and recalcitrant wounds, improve flap and graft survival, and even reduce the likelihood of ulceration. Electrical stimulation has been suggested to reduce infection, improve cellular immunity, increase perfusion, relieve pain, improve plantar sensation, and accelerate wound healing.

Electrical stimulation could have positive effect on not only increasing skin perfusion in patients with diabetes but also could improve mobility and balance via enhancing plantar sensation as demonstrated in our recent study. Thus, plantar stimulation not only may be beneficial to accelerate wound healing in diabetic foot ulcer (DFU) patients but also may assist to improve mobility and reduce the likelihood of recurrence of ulcers.

This study is proposed to examine the effectiveness of an innovative portable electrical stimulation platform (Tennant Biomodulator by AVAZZIA) to accelerate wound healing in DFU patients. It is hypothesized that 1) electrical stimulation will have an immediate effect on increasing skin perfusion (immediate benefit) and 2) daily use of the Tennant Biomodulator for 4 consecutive weeks is effective to speed up wound healing, increase skin perfusion, reduce pain, and improve balance and mobility in DFU patients (long term benefit)

Conditions

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Diabetes Diabetic Foot Ulcer Peripheral Neuropathy Peripheral Arterial Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Caregivers
Devices may be active or sham.

Study Groups

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Electrical Stimulation - Active

Subjects will receive an active electrical stimulation device to wear for 1 hour daily for 4 weeks.

Group Type ACTIVE_COMPARATOR

Electrical Stimulation - Active

Intervention Type DEVICE

Subjects will receive an active electrical stimulation device to wear for 1 hour daily for 4 weeks.

Electrical Stimulation - Sham

Subjects will receive a sham electrical stimulation device to wear for 1 hour daily for 4 weeks.

Group Type SHAM_COMPARATOR

Electrical Stimulation - Sham

Intervention Type DEVICE

Subjects will receive a sham electrical stimulation device to wear for 1 hour daily for 4 weeks.

Interventions

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Electrical Stimulation - Active

Subjects will receive an active electrical stimulation device to wear for 1 hour daily for 4 weeks.

Intervention Type DEVICE

Electrical Stimulation - Sham

Subjects will receive a sham electrical stimulation device to wear for 1 hour daily for 4 weeks.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Able to provide informed consent
* 18-85 years old
* Clinically confirmed diabetes (ADA criteria)
* Clinically confirmed Peripheral Neuropathy
* One or more active non-infected ulcers
* Subject or responsible caregiver is willing and to maintain the required offloading (as applicable the location of the ulcer) and applicable dressing changes and electrical stimulation application.

Exclusion Criteria

* Subject has a demand-type cardiac pacemaker, implanted defibrillator or other implanted electronic device
* Is pregnant
* Is nursing or actively lactating
* Has Renal Disease
* Active wound infection
* Active Charcot foot
* Non-ambulatory (unable to walk 40 feet with or without assistive device)
* Bilateral AK/BK amputation
* Active drug/alcohol abuse
* Dementia or impaired cognitive function
* Excessive lymphedema
* Osteomyelitis and/or gangrene
* Unable to comply with research appointments (e.g. long travel) Wide spread malignancy or systemically imumno-compromising disease
* Subject has a history of or any intercurrent illnesses or conditions that would compromise the safety of the subject according to judgement of a qualified wound specialist.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Avazzia, Inc

INDUSTRY

Sponsor Role collaborator

Baylor College of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Bijan Najafi, PhD

Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Baylor College of Medicine

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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H-44704

Identifier Type: -

Identifier Source: org_study_id

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