Nocardia Cell Wall Skeleton for the Treatment of Diabetic Foot Ulcer Wounds

NCT ID: NCT05368142

Last Updated: 2022-05-10

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

PHASE4

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-20

Study Completion Date

2023-12-31

Brief Summary

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This study was to investigate the efficacy and safety of Nocardia rubra Cell Wall Skeleton (NCWS) in the treatment of diabetic foot ulcer wounds. The study was a prospective, randomized, controlled, multicentre study . The subjects were randomly divided into two groups: NCWS group and control group(silver ions dressing), with a total of 116 cases and 58 cases in each group. Patients in the NCWS group received nocardia rubra cell wall skeleton for external use, in parallel with silver ions dressing treatment. The efficacy and side effects were observed, with a primary endpoint of 30-days wound healing rate.

Detailed Description

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Conditions

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Diabetic Foot Ulcer Therapy, Directly Observed

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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N-CWS treatment group

Patients with N-CWS treatment

Group Type EXPERIMENTAL

Nocardia rubra Cell Wall Skeleton

Intervention Type DRUG

Nocardia rubra cell wall skeleton for external application

Control group( treatment with Silver Ion-releasin)

Patients with Silver Ion-releasin

Group Type PLACEBO_COMPARATOR

Silver ions dressing

Intervention Type DRUG

Silver ions dressing for external application

Interventions

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Nocardia rubra Cell Wall Skeleton

Nocardia rubra cell wall skeleton for external application

Intervention Type DRUG

Silver ions dressing

Silver ions dressing for external application

Intervention Type DRUG

Other Intervention Names

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Treatment group Control group

Eligibility Criteria

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Inclusion Criteria

* ages 18 to 80 years old (including 18 and 80 years of age), gender not limited;
* in patients with type 2 diabetic foot, in 1999 the WHO diagnostic criteria, diabetic foot screening period or three months before randomization glycated hemoglobin (HbA1C) was detected in 10% or less;
* the target body ankle brachial index of at least 0.8, without intermittent claudication walkers;
* the target ulcer must have the following characteristics: A) according to the Wagner ulcer classification system for level 1 or level 2 B) ulcer is located in the foot, ankle and shin before; C) wound area of 2-5 cm2; D) has existed at least 4 weeks before randomization; E) if you have multiple wounds, select into the set standard and area is one of the biggest intervention and evaluation of the wound.The rest of the wound conventional treatment is not included in the study;If there are two or more wounds are the biggest, choose the worst into classification research;If there are two or more wound area and the classification, choice wound area are the longest study; F) without visible pus and necrotic material;
* voluntary to participate in this clinical study, cooperate a doctor to conduct research, and sign the informed consent.

Exclusion Criteria

* with clear surgical indications, such as vascular occlusion, bone exposed, abscess, osteomyelitis, etc;
* into the group of the first 3 months of vascular reconstruction or angioplasty;
* impaired liver function (ALT and AST 3 times more than normal limit, AST, aspartate amino transferase;ALT: alanine aminotransferase);
* serum creatinine greater than 2 times the upper limit of normal value;
* serum albumin \< 2.0 g/dL;
* is undergoing immunosuppressive medication;
* Various malignant tumor patients ;
* of pregnant women, nursing mothers, or in the near future with family planning; ● with nerve, mental disorders and can't cooperation or unwilling to partners, has a history of alcoholism, drug abuse, and failed to quit;
* into the group of the first 3 months participated in other clinical subjects; Cartesian bacteria cell wall
* to use red, skeleton or silver products are taboo, allergies or known allergies;
* researchers believe that patients should not participate in this study to other situations.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gulou Hospital Affiliated to Medical College of Nanjing University

UNKNOWN

Sponsor Role collaborator

Suzhou Municipal Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Nantong University

OTHER

Sponsor Role collaborator

Affiliated Hospital of Jiangnan University

OTHER

Sponsor Role collaborator

Huai'an First People's Hospital

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Xuzhou Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Caiqi Shen

Role: CONTACT

86-15062128691

Yixian Shan

Role: CONTACT

86-15062121367

Other Identifiers

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XYFY2021-KL151-01

Identifier Type: -

Identifier Source: org_study_id

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