LeucoPatch™ Study A Multicenter Study on the Effect of LeucoPatch™ in Diabetic Foot Ulcers
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Purpose
The LeucoPatch™ study goal is to investigate whether the fully autologous growth factor-containing dressing LeucoPatch™ has a positive effect on healing rates of diabetic foot ulcers. The study seeks to gather data for comparison with previous data from similar wounds (historical controls). By subgrouping of the treated wounds (similar to the historical controls used) an assessment of which of the patient and wound-related factors that might indicate a beneficial effect of LeucoPatch™ is sought.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetic Foot Ulcers |
Device: LeucoPatch device |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | LeucoPatch™ Study. A Multicenter Study on the Effect of LeucoPatch™ in Diabetic Foot Ulcers |
- The primary endpoint is time to complete healing. [ Time Frame: 20 weeks from treatment start ] [ Designated as safety issue: No ]Treatment will be performed weekly
- the secondary endpoint is change in wound size [ Time Frame: 20 weeks from treatment start ] [ Designated as safety issue: No ]
| Enrollment: | 62 |
| Study Start Date: | October 2010 |
| Study Completion Date: | January 2013 |
| Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: LeucoPatch treatment of diabetic foot ulcers
Weekly treatment
|
Device: LeucoPatch device
weekly treatment
|
Detailed Description:
Summary: Treatment Study
The goal of the LeucoPatch ™ study is to investigate the effect of LeucoPatch ™ in diabetic foot ulcer. LeucoPatch ™ is a biologically active dressings which are made solely by the patient's own blood (autologous). It is produced in the CE mark LeucoPatch™ Device and contains no additives. In this treatment study up to 75 typical diabetic patients with foot ulcers are included. These wounds are typically chronic and lead to reduced quality of life and ability to work, and extensive treatment costs. Furthermore, these wounds often lead to amputations.The study is a multicenter study in which up to 10 wound clinics are expected to be involved.
The primary endpoint is time to complete healing, the secondary endpoint is change in wound size.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age > 18 years
- Type I or Type II Diabetes
- Age of wounds > 6 weeks
- Wound area <10 cm2
- Wounds: Texas degree ≤ type IIa
- Perfusion status: toe pressure> 30 mmHg, or transcutaneous oxygen measurement (TcPO2)> 30 mmHg on the foot (measured within the last 3 months) or palpable foot pulse (equivalent to> 60 mmHg)
- Diabetes control: HbA1c <12%
- Adequate off-loading (Walker, therapy sandals etc.)
- The patient can adhere to the treatment protocol and is expected to conclude the study
- Written informed consent
Exclusion Criteria:
- Non-Danish or Swedish speaking
- Dementia
- Pregnant or nursing women
- The patient cannot tolerate blood donation
- Hemoglobin : < 6,5 mmol/l or 105 g/l
- Haemophilia, Sickle cell anemia, severe thrombocytopenia, and leukemia or blood dyscrasias.
- Patient on dialysis
- Clinical signs of infection - including osteomyelitis (probe to bone).
- Necrosis of the wound
- 40% change (+/-) in ulcer area in a 2-week run-in period with optimal therapy.
- Blood vessel reconstruction within the last 4 weeks.
- Participation in other clinical wound healing studies in the last 30 days.
- Failure to comply with study protocol in the 2-week run-in period.
Contacts and Locations| Denmark | |
| Knowledge Center for woundhealing, Bispebjerg Hospital | |
| Copenhagen, Denmark, 2400 | |
| Steno Diabetes Center | |
| Gentofte, Denmark, 2820 | |
| Herlev Hospital, Orthopaedic Surgery Infirmary, Wound Clinic | |
| Herlev, Denmark, 2730 | |
| Vascular Center, Wound Clinic Kolding Hospital | |
| Kolding, Denmark, 6000 | |
| University center for woundhealing, Odense Hospital | |
| Odense, Denmark, 5000 | |
| Sweden | |
| Skane University Hospital, Dept. of Endocrinology, Diabetes Foot Ulcer Clinic | |
| Lund, Sweden | |
| Ängelholm Hospital, Dept. of Medicine, Diabetic Foot Ulcer Clinic | |
| Ängelholm, Sweden, 262 81 | |
| Principal Investigator: | Tonny Karlsmark, Senior Consultant, MD | Dept. of Dermatology D, Bispebjerg Hospital, |
| Study Director: | Bo Joergensen, MD | Dept. of Dermatology D, Bispebjerg Hospital,Denmark |
| Study Director: | Anna Marie Nielsen, MD | University Center for Wound Healing, Odense University Hospital, Denmark |
| Study Director: | Lise Tarnow, MD,MDSc | Steno Diabetes Center, Niels Steensensvej 2, 2820 Gentofte, Denmark |
| Study Director: | Mariusz Zakrzewski, MD | Vascular Center, wound clinic,Kolding Hospital, Skovvangen 2-8,6000 Kolding, Denmark |
| Study Director: | Niels Ejskjær, PhD Senior Medical Officer | Medical Afd.M Endocrinology, Aarhus University Hospital,. Noerrebrogade 44,8000 Århuc C, Denmark |
| Study Director: | Morten Michelsen, Senior Medical Officer | Orthopaedic Surgery Infirmary, Sårcenter. Herlev Hospital,Herlev Ringvej 75,2730 Herlev, Denmark |
| Study Director: | Magnus Löndahl, Consultant, PhD | Skane University Hospital, Department of Endocrinology, Diabetes Foot Ulcer Clinic, Hudhuset Getingevägen 4, Lund, Sweden |
| Study Director: | Anders Nilsson, Consultant | Ängelholm Hospital, Department of Medicine, Diabetes Foot Ulcer Clinic, 262 81 Ängelholm Sweden |
More Information
No publications provided
| Responsible Party: | Reapplix |
| ClinicalTrials.gov Identifier: | NCT01454401 History of Changes |
| Other Study ID Numbers: | H-4-2010-090 |
| Study First Received: | October 14, 2011 |
| Last Updated: | January 16, 2013 |
| Health Authority: | Denmark: Ethics Committee Sweden: Regionala etikprövningsnämnden in Lund |
Additional relevant MeSH terms:
|
Ulcer Foot Ulcer Diabetic Foot Pathologic Processes Foot Diseases Skin Diseases Leg Ulcer Skin Ulcer |
Diabetic Angiopathies Vascular Diseases Cardiovascular Diseases Diabetes Complications Diabetes Mellitus Endocrine System Diseases Diabetic Neuropathies |
ClinicalTrials.gov processed this record on June 13, 2013