A Clinical Intervention Study of Tangningtongluo on Diabetic Foot Ulcer

NCT ID: NCT05145140

Last Updated: 2022-03-18

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

PHASE1

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-15

Study Completion Date

2023-03-31

Brief Summary

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Purpose and significance:With the increasing incidence of Diabetes mellitus (DM), the incidence rate of Diabetic Foot (DF) is raised. DF is a foot infection, ulceration and / or deep tissue destruction caused by nerve abnormalities and varying degrees of vascular lesions in DM patients. The high incidence, disability and mortality rate of DF make it urgent to explore new ways to improve the cure rate, reduce the burden and elevate the quality of life. Previous studies have confirmed that traditional Miao ethic medicine Tangningtongluo(TNTL) can improve the remission rate of diabetes mellitus and diabetic foot disease, but the clinical research evidence is not sufficient. This study aims to provide effective clinical evidence for the treatment of diabetic foot patients with TNTL by observing growth rate of wound, prognosis and outcome.

Methods: From September 2021 to March 2023, a total of 80 diabetic foot ulcer patients admitted to Department of Endocrinology and Metabolism at the Affiliated Hospital of Nantong University were recruited. Participants are randomized in a ratio of 1: 1: 1:1 into four treatment groups of 20 participants: (i) standardized western medicine treatment group, (ii) standardized western medicine treatment+TNTL tablet+TNTL cream group , (iii) standardized western medicine treatment+TNTL tablet group, and (iiii) standardized western medicine treatment+TNTL cream group. Treatment with TNTL tablets: the oral administration of TNTL tablets, 4 tablets each time, 3 times a day. Treatment with TNTL cream: topical application of sterile TNTL cream on the wound surface, the dressing is continuously changed according to the wound healing. Anthropometric parameters, serum biochemical index, glycosylated hemoglobin, urinary microalbumin/creatinine ratio, islet-specific autoantibodies(ISAs), fat mass, and islet β-cell function were measured. The healing stage of the wound surface and the growth degree of granulation tissue were graded, and the time required for wound repairing to each healing stage was observed.

Type of study: randomized controlled, prospective,intervention study.

Detailed Description

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From September 2021 to March 2023, a total of 80 diabetic foot ulcer patients admitted to Department of Endocrinology and Metabolism at the Affiliated Hospital of Nantong University were recruited. Participants are randomized in a ratio of 1: 1: 1:1 into four treatment groups of 20 participants: (i) standardized western medicine treatment group, (ii) standardized western medicine treatment+TNTL tablet+TNTL cream group , (iii) standardized western medicine treatment+TNTL tablet group, and (iiii) standardized western medicine treatment+TNTL cream group. Treatment with TNTL tablets: the oral administration of TNTL tablets, 4 tablets each time, 3 times a day. Treatment with TNTL cream: topical application of sterile TNTL cream on the wound surface, the dressing is continuously changed according to the wound healing. Anthropometric parameters, serum biochemical index, glycosylated hemoglobin, urinary microalbumin/creatinine ratio, islet-specific autoantibodies(ISAs), fat mass, and islet β-cell function were measured. The healing stage of the wound surface and the growth degree of granulation tissue were graded, and the time required for wound repairing to each healing stage was observed.

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

NONE

Study Groups

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Standardized Western Medicine Treatment Group

All participants undergo a similar treatment protocol for the diabetic foot, based on the Infectious Diseases Society of America (IDSA).

Group Type ACTIVE_COMPARATOR

Standardized Western Medicine Treatment

Intervention Type DRUG

Standardized Western Medicine Treatment includes hypoglycemic, debridement and anti infection treatments.

Standardized Western Medicine Treatment +TNTL tablet+TNTL cream Group

Treatment with TNTL tablets:the oral administration of TNTL tablets, 4 tablets each time, 3 times a day. Treatment with TNTL cream: topical application of sterile TNTL cream on the wound surface, the dressing is continuously changed according to the wound healing.

Group Type EXPERIMENTAL

Standardized Western Medicine Treatment

Intervention Type DRUG

Standardized Western Medicine Treatment includes hypoglycemic, debridement and anti infection treatments.

Tangningtongluo tablet and cream

Intervention Type DRUG

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.There are two dosage forms: tablet and cream.

Standardized Western Medicine Treatment +TNTL tablet Group

Treatment with TNTL tablets:the oral administration of TNTL tablets, 4 tablets each time, 3 times a day.

Group Type EXPERIMENTAL

Standardized Western Medicine Treatment

Intervention Type DRUG

Standardized Western Medicine Treatment includes hypoglycemic, debridement and anti infection treatments.

Tangningtongluo tablet

Intervention Type DRUG

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.The participants in this arm use tablet.

Standardized Western Medicine Treatment +TNTL cream Group

Treatment with TNTL cream: topical application of sterile TNTL cream on the wound surface, the dressing is continuously changed according to the wound healing.

Group Type EXPERIMENTAL

Standardized Western Medicine Treatment

Intervention Type DRUG

Standardized Western Medicine Treatment includes hypoglycemic, debridement and anti infection treatments.

Tangningtongluo cream

Intervention Type DRUG

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.The participants in this arm use cream.

Interventions

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Standardized Western Medicine Treatment

Standardized Western Medicine Treatment includes hypoglycemic, debridement and anti infection treatments.

Intervention Type DRUG

Tangningtongluo tablet and cream

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.There are two dosage forms: tablet and cream.

Intervention Type DRUG

Tangningtongluo tablet

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.The participants in this arm use tablet.

Intervention Type DRUG

Tangningtongluo cream

Tangningtongluo(TNTL) , a traditional botanical ethnic medicine, composed of plantain, honeysuckle, agrimony, etc. It is famous for its effects of promoting blood circulation, dredging collaterals, reducing thirst and lowering glucose.The participants in this arm use cream.

Intervention Type DRUG

Other Intervention Names

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Classic Diabetic Foot Ulcer treatment Tangningtongluo Pian and Tangningtongluo Gao Tangningtongluo Pian Tangningtongluo Gao

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of Type 2 diabetes mellitus
* Clinical diagnosis of Diabetic Foot Ulcer

Exclusion Criteria

* Type 1 diabetes mellitus(T1DM), special type of diabetes, gestational diabetes mellitus, drug-induced hyperglycemia
* TNTL allergy
* Chronic kidney failure(eGFR≤30ml/min/1.73cm2), severe liver function damage (transaminase ≥ 3 times the normal value), acute or chronic pancreatitis, autoimmune disease, malignant tumors
* Recent acute complications of type 2 diabetes mellitus(ketoacidosis, hyperosmolar nonketotic diabetic coma, lactic acidosis etc.)or other emergency situations
* History of using glucocorticoids and immunosuppressants
* Mental illness and cognitive dysfunction or poor compliance, unable to take medication as required
* Malignant ulcer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Affiliated Hospital of Nantong University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Gu Yunjuan

Nantong, Jiangsu, China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Gu Yunjuan, M.D/Ph.D

Role: primary

+8615851207860

Other Identifiers

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TNTL on diabetic foot ulcer

Identifier Type: -

Identifier Source: org_study_id

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