Status:
ACTIVE_NOT_RECRUITING
Inforatio Technique to Promote Wound Healing of Diabetic Foot Ulcers
Lead Sponsor:
Zealand University Hospital
Collaborating Sponsors:
Steno Diabetes Center Sjaelland
Conditions:
Diabetic Foot Ulcer
Diabetes
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This randomized clinical trial will examine the effect of inforatio technique on healing of diabetic foot ulcers (DFUs). Inforatio technique is a novel procedure developed by the research group. The ...
Detailed Description
BACKGROUND 15-25% of diabetic patients develop chronic foot ulcers - a serious comorbidity that widely affects quality of life and is associated with increased mortality and morbidity. 50-60% of DFUs...
Eligibility Criteria
Inclusion
- INCLUSION CRITERIA
- Age ≥ 18 years
- Diabetes mellitus
- Non-surgical ulcer located distal to the malleoli
- Wound diameter \>4 millimeters
- Patient-reported wound duration ≥ 6 weeks
- Only one ulcer will be included from each participant. If a patient has more than one eligible ulcer, the largest ulcer is included. In case of equally sized ulcers, the ulcer with the most recent onset is included.
- EXCLUSION CRITERIA
- Dementia or other reasons that cause inability to give informed consent
- Malignant disease
- Current treatment with systemic immunosuppressive drugs.
- Exclusion criteria related to the index extremity:
- Diagnosed with or awaiting evaluation of suspected acute phase Charcot arthropathy or osteomyelitis
- Non-palpable pulse in both arteria dorsalis pedis and arteria tibialis posterior accompanied by systolic toe pressure \<30 mmHg in the index foot.
- Amputation at midfoot level or proximal to midfoot level
- Revascularization procedure awaits or has been undertaken within the last 8 weeks or the patient awaits a vascular surgeons' decision on revascularization
- Gangrene
- Exclusion criteria related to the index ulcer
- Infection of the ulcer defined according to IWGDF/IDSA (International Working Group on the Diabetic Foot/ Infectious Diseases Society of America system) classification as presence of at least 2 of the following; 1) local swelling or induration; 2) erythema \>0.5 to ≤2 cm around the ulcer; 3) local tenderness or pain; 4) local warmth; or 5) purulent discharge. Current antibiotic treatment due to infection of the index ulcer will also be considered as an ongoing infection regardless of presence of clinical signs of infection.
- Positive probe-to-bone test
- Exposed joint or tendon
- The soft tissue layer covering bone or joint is evaluated to be too thin to allow for inforatio technique anywhere in the wound bed.
- Interdigital ulcer location
Exclusion
Key Trial Info
Start Date :
March 10 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
February 1 2025
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT05189470
Start Date
March 10 2022
End Date
February 1 2025
Last Update
August 16 2024
Active Locations (4)
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1
Herlev University Hospital, Department of Orthopaedic Surgery
Herlev, Denmark, 2730
2
Zealand University Hospital, Department of Orthopaedic Surgery
Køge, Denmark, 4600
3
Nykoebing Falster Hospital
Nykøbing Falster, Denmark, 4800
4
Slagelse Hospital, Department of Orthopaedic Surgery
Slagelse, Denmark, 4200