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Actively Recruiting

Phase Not Applicable
Age: 50Years - 85Years
All Genders
ID06420245

Clinical Utility of an Amniotic Membrane Allograft for Diabetic Foot Ulcer Wound Management A Prospective, Post-market Randomized Controlled Trial to Demonstrate Use of Orion17 in Diabetic Foot Ulcer Management

Led by Legacy Medical Consultants · Updated on 2026-06-05

240

Participants Needed

8

Research Sites

34 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the use of Orion17, a dual-layer amniotic membrane allograft, in addition to standard wound care for people over 50 years old with diabetic foot ulcers. The study aims to compare the healing outcomes between those receiving standard wound care alone and those receiving standard care plus the amniotic membrane allograft. The main goal is to determine the rate of complete wound closure after 12 weeks of treatment. Participants will be randomly assigned to one of two groups one receiving standard wound care, which includes surgical cleaning, infection screening, weekly collagen alginate dressings, and off-loading devices and another receiving the same standard care plus weekly applications of the Orion17 amniotic membrane allograft. The treatment period lasts 12 weeks, during which wound healing progress is closely monitored. Throughout the study, participants will visit their doctor weekly for wound assessments and to complete quality of life questionnaires. Researchers will measure outcomes such as incidence and time to complete wound closure, changes in wound size, quality of life improvements, and record any adverse events. Follow-up monitoring continues for six months after treatment to track wound recurrence and other health events, ensuring comprehensive evaluation of the treatments over time.

CONDITIONS

Brief Title

Clinical Utility of an Amniotic Membrane Allograft for Diabetic Foot Ulcer Wound Management

Who Can Participate

Age: 50Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ambulatory patients aged 50 to 85 years
  • Able and willing to provide informed consent and comply with study requirements
  • Presence of Wagner grade 1 or superficial Wagner grade 2 diabetic foot ulcer extending at least through the dermis and located below the medial ankle bone
  • Largest ulcer selected if multiple ulcers present, must be visible and measurable with eKare Insights
  • Non-study ulcers must be more than 2 cm away from the selected ulcer
  • Ulcer identified at least 4 weeks before screening and less than 52 weeks from informed consent
  • Ulcer size between 1.0 cm2 and 25 cm2 at screening and first wound management visit
  • Ulcer offloaded according to standard care during run-in period before randomization
  • Under care of a clinician for diabetes and other medical conditions
  • Adequate foot circulation confirmed by specific tests within 30 days of screening
Not Eligible

You will not qualify if you...

  • Foot ulcer caused by a condition other than diabetes
  • Five or more ulcers on the target limb
  • Ulcer related to Charcot neuroarthropathy
  • Use of antibiotic impregnated dressing within 4 weeks before screening
  • Ulcer suspected or confirmed to be cancerous
  • Ulcer site previously treated with radiation therapy
  • Presence of venous leg ulcers
  • Active infection near or at ulcer site
  • Ulcer area reduced by 20% or more after 4-week run-in period
  • Active bone infection within 30 days of run-in period start
  • Raynaud's disease
  • Severe arterial ischemia preventing healing
  • Use of immunosuppressants or systemic corticosteroids recently or anticipated
  • Active cancer treatment or chemotherapy within 30 days before run-in or anticipated during study
  • Poor metabolic control with HbA1c 12.0% or higher
  • Current or recent participation in other investigational studies
  • Use of advanced skin substitutes on the ulcer within 60 days before run-in
  • Use of prohibited topical therapies or immune modulators on ulcer during study
  • Use of COX-2 inhibitors such as celecoxib or valdecoxib
  • Serum creatinine over 2.5 mg/dL within 30 days before run-in
  • Autoimmune connective tissue disease
  • End stage renal disease
  • Any condition compromising ability to complete study
  • History of poor adherence to medical therapy or clinic visits
  • Pregnancy or planning pregnancy during study
  • Life expectancy less than one year

Research Team

C

Cyaandi Dove, DPM

C

Christopher Schultz, BS, CCRA, ACRP-PM

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