Assessment of the Evolution of Wound Biomarkers in Venous Leg Ulcers Treated With KLOX Biophotonic System
Primary Purpose
Venous Leg Ulcer
Status
Unknown status
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
KLOX BioPhotonic System (single treatment)+SOC
KLOX BioPhotonic System (consecutive treatments)+SOC
Standard of Care (SOC)
Sponsored by
About this trial
This is an interventional treatment trial for Venous Leg Ulcer
Eligibility Criteria
Inclusion Criteria:
- Male or female 18 to 85 years of age, ambulatory or hospitalized patients;
- Patient agrees to participate in protocol schedule of visits, including follow-up evaluations;
- Patient to be enrolled must be able to adhere to the Standard of Care and to the treatments with the KLOX LumiHeal™ Gel and the KT-L Lamp described in the protocol;
- Patient or an authorised person must be able to read and understand informed consent, and sign or delegate signature of the informed consent form;
- Fitzpatrick skin type I to IV;
- Proven venous leg ulcer, clinically defined and confirmed by duplex, refilling time or venous hypertension;
- Ulcer to be treated must be measurable and with an area between 5 and 100 cm2 inclusively, with a maximum depth of 1 cm and maximum diameter less or equal to 10 cm;
- If applicable, patients (male a female) must be willing to adhere to a medically-accepted birth control method (verified by the Investigator);
- Stable wound surface area with an absolute change in wound area less than 30% as measured at Baseline Visit compared to the Screening Visit.
Exclusion Criteria:
- Venous leg ulcer presents for less than 4 weeks or more than 18 months at Screening;
- The patient has more than one ulcer in the treated leg and the ulcer(s) not being assessed are within 5 cm of the targeted ulcer;
- The ulcer to be treated requires operative debridement or revascularization;
- The ulcer has significant necrotic tissue, as defined by more than 20% of the ulcer area after debridement;
- Major uncontrolled medical disorders such as serious cardiovascular, renal, liver or pulmonary disease, palliative care, or other chronic diseases such as lupus or sickle cell anemia;
- Patient with known moderate to severe anemia;
- Patient with history of malignancy within the wound or patient with prior diagnosis of malignant disease who is less than one year disease-free;
- Patient who has experienced a hip fracture in the past 3 months;
- Patient with known osteomyelitis or active cellulitis;
- Patients who are immunosuppressed or on high dose of chronic steroid use (defined as oral dose of 7.5 mg or more of prednisone daily, or equivalent, for more than 28 days);
- Patient with active wound infection or with systemic infection (the patient is however eligible for re-screening after the active wound infection or the systemic infection has subsided);
- Successful revascularization surgery of the leg with the ulcer to be treated less than 8 weeks prior to Screening;
- Concurrent participation in another clinical trial that involves an investigational drug or device that would interfere with this study, or participation within the past 60 days in another interventional wound healing clinical trial;
- History of radiation therapy to the wound region;
- Pregnancy, or breast feeding;
- Patients with bleeding diathesis;
- Patients on an uncontrolled anti-coagulation therapy;
- The subject has any physical or psychiatric condition that, in the Investigator's opinion, would warrant exclusion from the study or prevent the subject from completing the study;
- Concurrent disease or drugs known to induce severe photosensitivity of the skin, such as porphyria;
- Patient has received biological-based therapy, skin grafts or Negative Pressure Wound Therapy in the ulcer to be treated within last 3 months prior to Baseline.
Sites / Locations
- Clinica Dermatologica Azienda Ospedaliero-Universitaria PisanaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
KLOX BioPhotonic System (single treatment)+SOC
KLOX BioPhotonic System (consecutive treatments)+SOC
Standard of Care
Arm Description
KLOX BioPhotonic System (LumiHeal Gel plus KLOX Multi-LED KT-L Lamp) will be administered twice weekly in association with SOC (10 patients)
KLOX BioPhotonic System (LumiHeal Gel plus KLOX Multi-LED KT-L Lamp) will be administered in two consecutive treatments (twice weekly on the first two weeks then once weekly) in association with SOC (10 patients)
SOC only (5 patients)
Outcomes
Primary Outcome Measures
Assessment of biomarkers expression in biopsies and exudates of the venous leg ulcers.
Comparison of the expression of biomarkers in biopsies and exudates of the venous leg ulcers in the three treatment groups.
Secondary Outcome Measures
Adverse events, Serious adverse events, device incidents and compliance.
Number of adverse events, serious adverse events, device incidents and missed treatment visits.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03593369
Brief Title
Assessment of the Evolution of Wound Biomarkers in Venous Leg Ulcers Treated With KLOX Biophotonic System
Official Title
A Prospective Controlled Randomized Clinical Study Exploring The Evolution Of Wound Biomarkers With TWO Dispensing Schedules Of The KLOX LumiHeal Gel And The KT-L Lamp Versus Standard Of Care In Venous Leg Ulcers
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 9, 2018 (Actual)
Primary Completion Date
March 2020 (Anticipated)
Study Completion Date
June 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
KLOX Technologies Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The main purpose of the study is to evaluate the effect of KLOX BioPhotonic System (composed of KLOX LumiHeal Gel and KT-L Lamp) on the expression of wound biomarkers in the treatment of venous leg ulcers (VLU). Patients will be randomized in three groups, two different dispensing schedules of KLOX BioPhotonic System in addition to Standard of Care (SOC) will be used, and SOC alone.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Venous Leg Ulcer
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
25 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
KLOX BioPhotonic System (single treatment)+SOC
Arm Type
Experimental
Arm Description
KLOX BioPhotonic System (LumiHeal Gel plus KLOX Multi-LED KT-L Lamp) will be administered twice weekly in association with SOC (10 patients)
Arm Title
KLOX BioPhotonic System (consecutive treatments)+SOC
Arm Type
Experimental
Arm Description
KLOX BioPhotonic System (LumiHeal Gel plus KLOX Multi-LED KT-L Lamp) will be administered in two consecutive treatments (twice weekly on the first two weeks then once weekly) in association with SOC (10 patients)
Arm Title
Standard of Care
Arm Type
Active Comparator
Arm Description
SOC only (5 patients)
Intervention Type
Device
Intervention Name(s)
KLOX BioPhotonic System (single treatment)+SOC
Intervention Description
KLOX BioPhotonic system (composed of LumiHeal Gel and KT-L Lamp). In this study arm one treatment will be assessed - two visits per week.
Standard of Care (SOC) for wound healing will be administered during the treatment and follow-up periods (20 weeks).
Intervention Type
Device
Intervention Name(s)
KLOX BioPhotonic System (consecutive treatments)+SOC
Intervention Description
In this study arm, two consecutive treatments during the same visit will be evaluated- two visits for the first two weeks, then one visit per week.
Standard of Care (SOC) for wound healing will be administered during the treatment and follow-up periods (20 weeks).
Intervention Type
Other
Intervention Name(s)
Standard of Care (SOC)
Intervention Description
Standard of Care (SOC) for wound healing will be administered during the treatment and follow-up periods (20 weeks).
Primary Outcome Measure Information:
Title
Assessment of biomarkers expression in biopsies and exudates of the venous leg ulcers.
Description
Comparison of the expression of biomarkers in biopsies and exudates of the venous leg ulcers in the three treatment groups.
Time Frame
Up to 20 weeks
Secondary Outcome Measure Information:
Title
Adverse events, Serious adverse events, device incidents and compliance.
Description
Number of adverse events, serious adverse events, device incidents and missed treatment visits.
Time Frame
Up to 20 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female 18 to 85 years of age, ambulatory or hospitalized patients;
Patient agrees to participate in protocol schedule of visits, including follow-up evaluations;
Patient to be enrolled must be able to adhere to the Standard of Care and to the treatments with the KLOX LumiHeal™ Gel and the KT-L Lamp described in the protocol;
Patient or an authorised person must be able to read and understand informed consent, and sign or delegate signature of the informed consent form;
Fitzpatrick skin type I to IV;
Proven venous leg ulcer, clinically defined and confirmed by duplex, refilling time or venous hypertension;
Ulcer to be treated must be measurable and with an area between 5 and 100 cm2 inclusively, with a maximum depth of 1 cm and maximum diameter less or equal to 10 cm;
If applicable, patients (male a female) must be willing to adhere to a medically-accepted birth control method (verified by the Investigator);
Stable wound surface area with an absolute change in wound area less than 30% as measured at Baseline Visit compared to the Screening Visit.
Exclusion Criteria:
Venous leg ulcer presents for less than 4 weeks or more than 18 months at Screening;
The patient has more than one ulcer in the treated leg and the ulcer(s) not being assessed are within 5 cm of the targeted ulcer;
The ulcer to be treated requires operative debridement or revascularization;
The ulcer has significant necrotic tissue, as defined by more than 20% of the ulcer area after debridement;
Major uncontrolled medical disorders such as serious cardiovascular, renal, liver or pulmonary disease, palliative care, or other chronic diseases such as lupus or sickle cell anemia;
Patient with known moderate to severe anemia;
Patient with history of malignancy within the wound or patient with prior diagnosis of malignant disease who is less than one year disease-free;
Patient who has experienced a hip fracture in the past 3 months;
Patient with known osteomyelitis or active cellulitis;
Patients who are immunosuppressed or on high dose of chronic steroid use (defined as oral dose of 7.5 mg or more of prednisone daily, or equivalent, for more than 28 days);
Patient with active wound infection or with systemic infection (the patient is however eligible for re-screening after the active wound infection or the systemic infection has subsided);
Successful revascularization surgery of the leg with the ulcer to be treated less than 8 weeks prior to Screening;
Concurrent participation in another clinical trial that involves an investigational drug or device that would interfere with this study, or participation within the past 60 days in another interventional wound healing clinical trial;
History of radiation therapy to the wound region;
Pregnancy, or breast feeding;
Patients with bleeding diathesis;
Patients on an uncontrolled anti-coagulation therapy;
The subject has any physical or psychiatric condition that, in the Investigator's opinion, would warrant exclusion from the study or prevent the subject from completing the study;
Concurrent disease or drugs known to induce severe photosensitivity of the skin, such as porphyria;
Patient has received biological-based therapy, skin grafts or Negative Pressure Wound Therapy in the ulcer to be treated within last 3 months prior to Baseline.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Stephane Fauverghe, MD
Phone
450-680-4389
Email
sfauverghe@kloxtechnologies.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Valentina Dini, MD
Organizational Affiliation
Azienda Ospedaliero, Universitaria Pisana
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinica Dermatologica Azienda Ospedaliero-Universitaria Pisana
City
Pisa
ZIP/Postal Code
56126
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Valentina Dini, MD
Email
dott.valentinadini@yahoo.it
12. IPD Sharing Statement
Learn more about this trial
Assessment of the Evolution of Wound Biomarkers in Venous Leg Ulcers Treated With KLOX Biophotonic System
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