TruSkin®: Study for the Treatment of Chronic Diabetic Foot Ulcers
Primary Purpose
Diabetic Foot Ulcers
Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
TruSkin®
Wound Cover
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Foot Ulcers
Eligibility Criteria
Inclusion Criteria:
- Between 18 years and 80 years of age inclusive, as of the date of screening
- Confirmed diagnosis of Type 1 or Type 2 Diabetes
- An Index Ulcer that is chronic (defined as present for > 4 weeks, but not present for more than 52 weeks at the Screening Visit)
- Index Ulcer is located below the malleolus
- The Index Ulcer is a Diabetic Foot Ulcer (DFU) greater than 3 cm2, inclusive, at the Screening Visit
- The longest length and longest width measurements for the Index Ulcer are no less than 1 cm each at the Screening Visit
- The Index Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule
- Wound is free of necrotic debris
- Patient has adequate circulation to the foot as documented by ABI or TBI
Exclusion Criteria:
- Index Ulcer is of non-diabetic pathophysiology
- Gangrene is present on any part of the affected foot
- Index Ulcer is over a Charcot deformity
- Patient is currently receiving dialysis or planning to go on dialysis
- Patient has a glycated hemoglobin A1c (HbA1c) level of >12%
- Chronic oral steroid use >7.5 mg daily for longer than 3 months at the time of screening
- Patient is receiving IV corticosteroids, immunosuppressive or cytotoxic agents at the time of screening
- Requiring intravenous (IV) antibiotics to treat the index wound infection at the time of screening
- Patient has an ulcer within 5 cm of the Index Ulcer identified for study consideration
- Patient is Human Immunodeficiency Virus (HIV) positive or has Acquired Immune Deficiency Syndrome (AIDS)
- Current evidence of cellulitis, or other evidence of infection including fever or pus drainage from the wound site
- Current evidence of osteomyelitis or history of osteomyelitis within 30 days of screening
- Patient has active malignancy other than non-melanoma skin cancer
- Patient's Index Ulcer has decreased by ≥ 20% during 1-week screening period
- Patient's random blood sugar is > 450 mg/dl at screening
- Patient is unable to properly off-load the index wound as a part of standard of care
- Patient has untreated alcohol or substance abuse at the time of screening
- Pregnant women and women who are breastfeeding
- Patient is currently enrolled or participated in another investigational device, drug, or biological trial within 30 days of screening
- Patient has had within the last 30 days, or is currently undergoing, or is planning for wound treatments with growth factors, living skin, dermal substitutes or other advanced biological therapies
- Patient is an employee, or an immediate family member of an employee, of the sponsor company or site research staff conducting the study
- Patients who have already been randomized in Protocol 351 at any center may not be considered for screening or for re-entry into the trial at any center, even after the End of Study Visit
- Patients with a history of poor compliance, or an unwillingness or inability to adhere to the requirements of the protocol
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
TruSkin®
Wound Cover
Arm Description
Cryopreserved skin allograft
Active Comparator for Diabetic Foot Ulcers
Outcomes
Primary Outcome Measures
Proportion of Patients that achieve a 50% or greater reduction in wound size by 8 weeks
Secondary Outcome Measures
Proportion of patients that achieve complete closure of the index wound by 12 weeks
Proportion of Patients that achieve a 50% or greater reduction in wound size by 4 weeks
Time to initial wound closure
Number of product applications
Number of AEs
Number of patients with worsening of index wound defined by ≥ 50% increase in wound size
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02936115
Brief Title
TruSkin®: Study for the Treatment of Chronic Diabetic Foot Ulcers
Official Title
A Multicenter, Randomized, Single-Blind Study Comparing the Clinical Outcomes of TruSkin® and an Active Comparator for the Treatment of Chronic Diabetic Foot Ulcers
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Terminated
Why Stopped
Osiris decision
Study Start Date
July 2016 (undefined)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
April 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Osiris Therapeutics
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to compare the clinical outcomes of TruSkin® and an Active Comparator in patients with chronic diabetic foot ulcers.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcers
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TruSkin®
Arm Type
Experimental
Arm Description
Cryopreserved skin allograft
Arm Title
Wound Cover
Arm Type
Active Comparator
Arm Description
Active Comparator for Diabetic Foot Ulcers
Intervention Type
Other
Intervention Name(s)
TruSkin®
Intervention Type
Other
Intervention Name(s)
Wound Cover
Primary Outcome Measure Information:
Title
Proportion of Patients that achieve a 50% or greater reduction in wound size by 8 weeks
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Proportion of patients that achieve complete closure of the index wound by 12 weeks
Time Frame
12 weeks
Title
Proportion of Patients that achieve a 50% or greater reduction in wound size by 4 weeks
Time Frame
4 weeks
Title
Time to initial wound closure
Time Frame
Up to 84 days
Title
Number of product applications
Time Frame
Up to 84 days
Title
Number of AEs
Time Frame
Up to 84 days
Title
Number of patients with worsening of index wound defined by ≥ 50% increase in wound size
Time Frame
Up to 84 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Between 18 years and 80 years of age inclusive, as of the date of screening
Confirmed diagnosis of Type 1 or Type 2 Diabetes
An Index Ulcer that is chronic (defined as present for > 4 weeks, but not present for more than 52 weeks at the Screening Visit)
Index Ulcer is located below the malleolus
The Index Ulcer is a Diabetic Foot Ulcer (DFU) greater than 3 cm2, inclusive, at the Screening Visit
The longest length and longest width measurements for the Index Ulcer are no less than 1 cm each at the Screening Visit
The Index Ulcer extends into the dermis or subcutaneous tissue without evidence of exposed muscle, tendon, bone, or joint capsule
Wound is free of necrotic debris
Patient has adequate circulation to the foot as documented by ABI or TBI
Exclusion Criteria:
Index Ulcer is of non-diabetic pathophysiology
Gangrene is present on any part of the affected foot
Index Ulcer is over a Charcot deformity
Patient is currently receiving dialysis or planning to go on dialysis
Patient has a glycated hemoglobin A1c (HbA1c) level of >12%
Chronic oral steroid use >7.5 mg daily for longer than 3 months at the time of screening
Patient is receiving IV corticosteroids, immunosuppressive or cytotoxic agents at the time of screening
Requiring intravenous (IV) antibiotics to treat the index wound infection at the time of screening
Patient has an ulcer within 5 cm of the Index Ulcer identified for study consideration
Patient is Human Immunodeficiency Virus (HIV) positive or has Acquired Immune Deficiency Syndrome (AIDS)
Current evidence of cellulitis, or other evidence of infection including fever or pus drainage from the wound site
Current evidence of osteomyelitis or history of osteomyelitis within 30 days of screening
Patient has active malignancy other than non-melanoma skin cancer
Patient's Index Ulcer has decreased by ≥ 20% during 1-week screening period
Patient's random blood sugar is > 450 mg/dl at screening
Patient is unable to properly off-load the index wound as a part of standard of care
Patient has untreated alcohol or substance abuse at the time of screening
Pregnant women and women who are breastfeeding
Patient is currently enrolled or participated in another investigational device, drug, or biological trial within 30 days of screening
Patient has had within the last 30 days, or is currently undergoing, or is planning for wound treatments with growth factors, living skin, dermal substitutes or other advanced biological therapies
Patient is an employee, or an immediate family member of an employee, of the sponsor company or site research staff conducting the study
Patients who have already been randomized in Protocol 351 at any center may not be considered for screening or for re-entry into the trial at any center, even after the End of Study Visit
Patients with a history of poor compliance, or an unwillingness or inability to adhere to the requirements of the protocol
Facility Information:
City
Florida
State/Province
Florida
Country
United States
City
Illinois
State/Province
Illinois
Country
United States
City
Michigan
State/Province
Michigan
Country
United States
City
Texas
State/Province
Texas
Country
United States
City
Virginia
State/Province
Virginia
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
TruSkin®: Study for the Treatment of Chronic Diabetic Foot Ulcers
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