Comparison Between the Effect of Ultrasound Debridement and Conventional Treatment in Diabetic Foot Ulcers (DFU).

NCT ID: NCT04716790

Last Updated: 2021-04-28

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-20

Study Completion Date

2023-06-23

Brief Summary

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The investigators aimed to elucidate the effects of ultrasound debridement on the area and healing of diabetic foot ulcers compared to their conventional treatment.

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

A randomized and controlled parallel clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators
The clinician who performs the cures, photographs and data collection is different from the clinician who performs the application of ultrasound debridement. Therefore, the evaluator will be blinded.

Study Groups

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Ultrasounds once a week

Patients will undergo the application of ultrasound therapy with a frequency of once a week.

Group Type EXPERIMENTAL

Ultrasound Debridement

Intervention Type PROCEDURE

Ultrasounds debridement is performed using an SONOCA 185 device (Söring GmbH, Germany). The ultrasounds device generates an ultrasound low frequency of 25kHz and is equipped with three instruments with different sonotrode shapes. The choice of sonotrode depends on wound depth. The ultrasounds instrument piezoelectrically transforms the electrical energy delivered from the ultrasound device into mechanical oscillations in the sonotrode tip.

Ultrasounds once every two weeks

Patients will undergo the application of ultrasound therapy with a frequency of once every two weeks.

Group Type EXPERIMENTAL

Ultrasound Debridement

Intervention Type PROCEDURE

Ultrasounds debridement is performed using an SONOCA 185 device (Söring GmbH, Germany). The ultrasounds device generates an ultrasound low frequency of 25kHz and is equipped with three instruments with different sonotrode shapes. The choice of sonotrode depends on wound depth. The ultrasounds instrument piezoelectrically transforms the electrical energy delivered from the ultrasound device into mechanical oscillations in the sonotrode tip.

Standard of care

Patients will be treated using the conventional treatment established by the protocol of the Diabetic Foot Unit of the University Podiatry Clinic of Complutense University of Madrid.

Group Type ACTIVE_COMPARATOR

Conventional Treatment

Intervention Type PROCEDURE

Conventional Treatment based on international guidelines for diabetic foot

Interventions

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Ultrasound Debridement

Ultrasounds debridement is performed using an SONOCA 185 device (Söring GmbH, Germany). The ultrasounds device generates an ultrasound low frequency of 25kHz and is equipped with three instruments with different sonotrode shapes. The choice of sonotrode depends on wound depth. The ultrasounds instrument piezoelectrically transforms the electrical energy delivered from the ultrasound device into mechanical oscillations in the sonotrode tip.

Intervention Type PROCEDURE

Conventional Treatment

Conventional Treatment based on international guidelines for diabetic foot

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Male and female patients ≥18 years old.
* Type 1 or type 2 diabetes mellitus with HbA1c ≤ 10%.
* DFU grades IA, IIA, IB, IIB, IC, IIC, ID, IID, according to the University of Texas Classification.
* DFU grades PEDIS 1-Absence of Infection, PEDIS 2-Mild infection and PEDIS 3-Moderate infection, according to the PEDIS-IDSA Classification.
* Wound size between 1 cm² and 30 cm².
* Evolution time DFU between 1 and 24 months.
* Ankle-brachial index (ABI) ≤0.9 and ankle systolic blood pressure (ASBP) ≥70mmHg, or toe systolic blood pressure (TSBP) ≥50mmHg, ABI\>0.9, TSBP ≥50mmHg and toe-brachial index (TBI) ≤0.7

Exclusion Criteria

* Critical limb ischemia patients with ABI≤0.5 and ASBP\<70mmHg or TSBP\<50mmHg.
* Clinical suspicion of osteomyelitis.
* Pregnant or lactating women or women of childbearing potential who are not using effective contraception.
* Patients diagnosed with hepatitis or human immunodeficiency virus (HIV)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yolanda García Álvarez

UNKNOWN

Sponsor Role collaborator

Francisco Javier Álvaro Afonso

UNKNOWN

Sponsor Role collaborator

Universidad Complutense de Madrid

OTHER

Sponsor Role lead

Responsible Party

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Sebastian Flores Escobar

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yolanda García Álvarez

Role: PRINCIPAL_INVESTIGATOR

Universidad Complutense de Madrid

Locations

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Complutense University

Madrid, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Sebastián Flores Escobar

Role: CONTACT

667857971 ext. +34

Francisco Javier Alvaro Afonso

Role: CONTACT

91 394 1535 ext. +34

Facility Contacts

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Sebastián Flores

Role: primary

667857971 ext. +34

Other Identifiers

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20/738-EC_P

Identifier Type: OTHER

Identifier Source: secondary_id

Ultrasound Debridement

Identifier Type: -

Identifier Source: org_study_id

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