Umbilical Cord Blood Mononuclear Cell Gel in the Treatment of Refractory Diabetic Foot Ulcer

NCT ID: NCT04689425

Last Updated: 2022-09-29

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-30

Study Completion Date

2024-12-31

Brief Summary

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Umbilical cord blood mononuclear cells (MNC) may improve the wound repair ability. This study aims to investigate the role of MNC in refractory diabetic foot ulcer by comparing the combination of PRP and MNC with PRP alone.

Detailed Description

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The difficulty in the healing of diabetic foot is related to the loss of local repair microenvironment. The platelet rich plasma (PRP) can improve the repair ability, however, the requirement for wound bed preparation is strict, or treatment failure may occur. Umbilical cord blood mononuclear cells (MNC) may provide a better repair environment through paracrine action. This study aims to investigate the role of MNC in refractory diabetic foot ulcer by comparing the combination of PRP and MNC with PRP alone.

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

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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MNC+PRP

The combination of PRP and MNC

Group Type EXPERIMENTAL

Umbilical cord blood mononuclear cell gel(MNC)

Intervention Type DRUG

Local wound treatment by combination of PRP and MNC, once;

The platelet rich plasma(PRP)

Intervention Type DRUG

Local wound treatment by PRP alone, once.

PRP

PRP alone.

Group Type ACTIVE_COMPARATOR

The platelet rich plasma(PRP)

Intervention Type DRUG

Local wound treatment by PRP alone, once.

Interventions

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Umbilical cord blood mononuclear cell gel(MNC)

Local wound treatment by combination of PRP and MNC, once;

Intervention Type DRUG

The platelet rich plasma(PRP)

Local wound treatment by PRP alone, once.

Intervention Type DRUG

Other Intervention Names

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MNC+PRP PRP

Eligibility Criteria

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Inclusion Criteria

1. The age of the patients is 18-80 years old;
2. Diabetic foot is diagnosed and Wagner grade is above Ⅱ;
3. The duration of ulcer is 2 months or more, with no healing trend for 2 weeks or more.
4. Fasting blood glucose ≤ 9mmol / L, 2 hours postprandial blood glucose ≤ 13mmol / L;
5. The skin oxygen partial pressure around the wound is more than 20mmHg;
6. Sign written informed consent.

Exclusion Criteria

1. Acute spreading infection of the wound, e.g. massive exudation, redness, swelling, heat, pain.
2. Acute myocardial infarction, heart failure, hepatitis;
3. Active bleeding or hematoma in the wound;
4. Serum albumin \<25g/L;
5. Hemoglobin \<80g/L;
6. Platelets \<50×109/L;
7. Poor cooperate or compliance;The patient cannot cooperate or is.
8. Mentally disabled.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Long Zhang

Chief Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Long Zhang, Dr.

Role: PRINCIPAL_INVESTIGATOR

Peking University Third Hospital Wound Healing Center

Locations

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Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Long Zhang, Dr.

Role: CONTACT

+8613041210677

Wen-Hui Wang, Dr.

Role: CONTACT

+8618618269437

Facility Contacts

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long zhang, Dr.

Role: primary

13041210677

Other Identifiers

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Long2020-DFU-MNC

Identifier Type: -

Identifier Source: org_study_id

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