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Efficacy of Soluble Beta-1,3/1,6-Glucan Compared to Placebo on Chronic Leg Ulcers in Diabetes Patients

Primary Purpose

Foot Ulcer

Status
Completed
Phase
Phase 2
Locations
Russian Federation
Study Type
Interventional
Intervention
Soluble beta-1,3/1,6-glucan
Sponsored by
Biotec Pharmacon ASA
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Foot Ulcer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Type 1 or Type 2 diabetes mellitus Age>= 18 years Study wound is a Wagner Grade 1 partial thickness or Grade 2 full thickness lesion but without exposed tendon, joint, or bones Study wound located on the foot or lower leg Study wound must have been present for at least 4 weeks prior to Day 0 but not longer than 2 years Adequate circulation to the foot, evidenced by a palpable pulse on the study foot Study wound > 1.0cm2 but < 20.0cm2 Written informed consent Exclusion Criteria: Pregnancy, lactation or absence of adequate contraception for fertile women Ankle/Brachial Index < 0.7 Severe malnutrition Clinical evidence of gangrene on any part of the foot with the study wound Active or extensive cellulitis extending more than 1 cm beyond wound margin and/or presence of cellulitis with purulent discharge on day 0 One or more medical condition(s) that in the opinion of the investigator would make the patient an inappropriate candidate for the study Active osteomyelitis of the foot with the study wound Necrotic toes on the foot with the study wound Surgical procedure (other than debridement) on the foot with the study wound the last 21 days prior to screening Study wound over a Charcot's joint Evidence of deep tissue infection of the study wound at day 0 Non-study wound on the study foot that is located within 5.0cm from the study wound at day 0 Random blood sugar reading > 450 mg/dL Alcohol or drug abuse Participation in other clinical studies in the last 4 weeks

Sites / Locations

  • Municipal Healthcare Institution 1st City Clinical Hospital
  • St. Petersburg State Institution Saint Martyr Elezabeth Hospital

Outcomes

Primary Outcome Measures

- Time to healing

Secondary Outcome Measures

Number of patients with complete healing of treated ulcers after 12 weeks of treatment
Percentage reduction in ulcer area of treated ulcers after 12 weeks of treatment
Percentage weekly reduction in ulcer area in treated ulcers
Safety

Full Information

First Posted
February 7, 2006
Last Updated
October 17, 2006
Sponsor
Biotec Pharmacon ASA
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1. Study Identification

Unique Protocol Identification Number
NCT00288392
Brief Title
Efficacy of Soluble Beta-1,3/1,6-Glucan Compared to Placebo on Chronic Leg Ulcers in Diabetes Patients
Official Title
A Double-Blind Therapeutic Exploratory Clinical Study to Evaluate the Efficacy of Soluble Beta-1,3/1,6-Glucan Compared to Placebo on Chronic Leg Ulcers in Diabetes Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2006
Overall Recruitment Status
Completed
Study Start Date
June 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
September 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Biotec Pharmacon ASA

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy of soluble beta-1,3/1,6-glucan compared to placebo on the healing of chronic leg ulcers in diabetes patients. Hypothesis: Through its ability to activate tissue macrophages and counteract diabetes-associated defects in macrophages, the soluble beta-1,3/1,6-glucan will promote the healing of leg ulcers in diabetic patients.
Detailed Description
Diabetes predisposes to ulceration of the foot through a variety of processes, including neuropathy and peripheral arterial disease. Once the skin is broken, healing is frequently delayed and the ulcer develops the biology of a chronic wound. The factors underlaying delayed healing in chronic wounds are not well understood but include the effects of repeated trauma, tissue ischemia, infection, defective white cell function, altered immune processes, and altered expression of tissue cytokines and enzymes. Management is based on regular cleansing and debridement, off-loading and treatment of intercurrent infection with antibiotics. There are no interventions in routine use, which target aspects of chronic wound biology directly.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Foot Ulcer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
60 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Soluble beta-1,3/1,6-glucan
Primary Outcome Measure Information:
Title
- Time to healing
Secondary Outcome Measure Information:
Title
Number of patients with complete healing of treated ulcers after 12 weeks of treatment
Title
Percentage reduction in ulcer area of treated ulcers after 12 weeks of treatment
Title
Percentage weekly reduction in ulcer area in treated ulcers
Title
Safety

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 1 or Type 2 diabetes mellitus Age>= 18 years Study wound is a Wagner Grade 1 partial thickness or Grade 2 full thickness lesion but without exposed tendon, joint, or bones Study wound located on the foot or lower leg Study wound must have been present for at least 4 weeks prior to Day 0 but not longer than 2 years Adequate circulation to the foot, evidenced by a palpable pulse on the study foot Study wound > 1.0cm2 but < 20.0cm2 Written informed consent Exclusion Criteria: Pregnancy, lactation or absence of adequate contraception for fertile women Ankle/Brachial Index < 0.7 Severe malnutrition Clinical evidence of gangrene on any part of the foot with the study wound Active or extensive cellulitis extending more than 1 cm beyond wound margin and/or presence of cellulitis with purulent discharge on day 0 One or more medical condition(s) that in the opinion of the investigator would make the patient an inappropriate candidate for the study Active osteomyelitis of the foot with the study wound Necrotic toes on the foot with the study wound Surgical procedure (other than debridement) on the foot with the study wound the last 21 days prior to screening Study wound over a Charcot's joint Evidence of deep tissue infection of the study wound at day 0 Non-study wound on the study foot that is located within 5.0cm from the study wound at day 0 Random blood sugar reading > 450 mg/dL Alcohol or drug abuse Participation in other clinical studies in the last 4 weeks
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tatyana Zykova, Dr.med.
Organizational Affiliation
Municipal Healthcare Institution 1st City Hospital, Department of Endocrinology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Municipal Healthcare Institution 1st City Clinical Hospital
City
Arkhangelsk
ZIP/Postal Code
163061
Country
Russian Federation
Facility Name
St. Petersburg State Institution Saint Martyr Elezabeth Hospital
City
St. Petersburg
ZIP/Postal Code
195257
Country
Russian Federation

12. IPD Sharing Statement

Citations:
PubMed Identifier
25411598
Citation
Zykova SN, Balandina KA, Vorokhobina NV, Kuznetsova AV, Engstad R, Zykova TA. Macrophage stimulating agent soluble yeast beta-1,3/1,6-glucan as a topical treatment of diabetic foot and leg ulcers: A randomized, double blind, placebo-controlled phase II study. J Diabetes Investig. 2014 Jul;5(4):392-9. doi: 10.1111/jdi.12165. Epub 2013 Dec 2.
Results Reference
derived

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Efficacy of Soluble Beta-1,3/1,6-Glucan Compared to Placebo on Chronic Leg Ulcers in Diabetes Patients

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