Efficacy of LL-37 Cream on Bacteria Colonization, Inflammation Response and Healing Rate of Diabetic Foot Ulcers

NCT ID: NCT04098562

Last Updated: 2019-09-25

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

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-31

Study Completion Date

2020-01-31

Brief Summary

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Diabetic foot ulcer (DFU) is a common complication of diabetes with global prevalence of 6.3%. Treatment of diabetic foot ulcer (DFU) is challenging with disappointing outcome. Wound debridement, infection control, pressure relief and revascularization are main pillars of DFU management. Various substances and modalities are being investigated for their potential effects in treating DFU, one of which is LL-37.

In this randomized, controlled trial, 40 patients with uncomplicated DFU will be enrolled. Patients are randomly assigned to undergo twice a week treatment with 0.5 mg/mL LL-37 cream (treatment group) or placebo cream (control group) for 4 weeks in addition to standard wound care. The primary outcomes are the healing rate measured by wound area and granulation index and changes in patterns of aerobic bacteria colonization during the 4-week study duration and changes in concentrations of IL-α and TNF-α from fluid collected from DFU on the end of the second and third week of study compared to baseline.

Detailed Description

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Conditions

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Diabetic Foot Ulcer

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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Treatment

0.5 mg/mL LL-37 cream, administered twice a week for 4 weeks

Group Type EXPERIMENTAL

LL37

Intervention Type DRUG

cream

Standard Wound Care

Intervention Type PROCEDURE

Standard wound debridement

Placebo

Placebo cream, administered twice a week for 4 weeks

Group Type PLACEBO_COMPARATOR

Standard Wound Care

Intervention Type PROCEDURE

Standard wound debridement

Interventions

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LL37

cream

Intervention Type DRUG

Standard Wound Care

Standard wound debridement

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with DFU
* Ankle brachial index (ABI) 0.9 - 1.3
* Wound area 5 - 20 cm\^2
* Wound depth until subcutaneous tissue
* Without systemic infection, osteomyelitis, septic arthritis, or fasciitis
* Subjects are willing to participate by signing consent

Exclusion Criteria

* Gangrene
* On treatment with systemic corticosteroids within 7 days before the start of study
* On treatment with systemic antibiotics within 2 days before the start of study
* Patients with end stage renal disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fakultas Kedokteran Universitas Indonesia

OTHER

Sponsor Role lead

Responsible Party

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Eliza Miranda, MD

Staff of Tropical Infection Division, Department of Dermatology and Venereology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eliza Miranda, MD

Role: PRINCIPAL_INVESTIGATOR

Fakultas Kedokteran Universitas Indonesia

Locations

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RS Persahabatan

Jakarta, DKI Jakarta, Indonesia

Site Status

RS Pusat Angkatan Darat Gatot Soebroto

Jakarta Pusat, DKI Jakarta, Indonesia

Site Status

RSUPN dr. Cipto Mangunkusumo

Jakarta Pusat, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

Central Contacts

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Eliza Miranda, MD

Role: CONTACT

+628119001018

Facility Contacts

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Eliza Miranda, MD

Role: primary

+628119001018

Eliza Miranda, MD

Role: primary

+628119001018

Eliza Miranda, MD

Role: primary

+628119001018

References

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Miranda E, Bramono K, Yunir E, Reksodiputro MH, Suwarsa O, Rengganis I, Harahap AR, Subekti D, Suwarto S, Hayun H, Bardosono S, Baskoro JC. Efficacy of LL-37 cream in enhancing healing of diabetic foot ulcer: a randomized double-blind controlled trial. Arch Dermatol Res. 2023 Nov;315(9):2623-2633. doi: 10.1007/s00403-023-02657-8. Epub 2023 Jul 22.

Reference Type DERIVED
PMID: 37480520 (View on PubMed)

Other Identifiers

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19-09-1128

Identifier Type: -

Identifier Source: org_study_id

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