Guidelines on interventions to enhance healing of foot ulcers in people with diabetes (IWGDF 2023 update).
Pam Chen, Nalini Campillo Vilorio, Ketan Dhatariya...
https://pubmed.ncbi.nlm.nih.gov/37232034/Actively Recruiting
Led by Estar Medical dba Medical Technologies, LTD · Updated on 2025-06-12
30
Participants Needed
2
Research Sites
13 weeks
Total Duration
Researchers are evaluating the safety and clinical performance of the Tropocells Autologous Platelet-rich Fibrin PRF system in treating mild to moderate neuroischemic diabetic chronic foot ulcers in adults aged 18 to 80 years with Type 1 or Type 2 Diabetes Mellitus. The study focuses on wound closure and safety outcomes in approximately 30 participants without a comparison group. The ulcers targeted are Grade 1 and 2, non-infected, and located below the ankle. The study begins with a 2-week run-in phase where participants receive standard wound care including nutritional supplements, wound cleansing, debridement, dressings, mild compression, and off-loading with a removable boot, attending weekly clinic visits. Participants who show less than 20% wound reduction during this phase may enter a 12-week active treatment phase, receiving weekly applications of the Tropocells Autologous PRF gel clot on the wound bed alongside standard care. After complete wound closure with two consecutive weekly assessments, participants enter a follow-up phase with evaluations at 1 and 3 months to monitor wound status. Participants will have wounds assessed weekly during treatment through photographs and measurements. Data collected includes wound area reduction and adverse events to evaluate safety. Follow-up visits after closure confirm if wounds remain closed. The study involves monitoring for safety issues throughout screening and treatment phases, with total participation lasting up to about 5 months including follow-up.
CONDITIONS
Evaluate Use of Tropocells(R) Autologous Platelet-rich Fibrin (PRF) for Wagner Grade 1 and Grade 2, Mild to Mod Neuroischemic Plantar Diabetic Foot Ulcer Wound Care.
M
Marcus L. Gitterle, MD, FACCWS
T
Tarek Ibrahim, MBA
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Estar Medical dba Medical Technologies, LTD
Lead Sponsor
WCG IRB
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Tropocells PRF (Investigational) | Standard Care for Diabetic Foot Ulcers |
|---|---|---|
| What it is | An autologous platelet-rich fibrin preparation applied to chronic, neuroischemic diabetic foot ulcers. Blood is drawn from the participant, processed, and the PRF matrix is placed on the wound surface during weekly clinic visits. | Standard wound care involves regular sharp debridement (removal of dead tissue), maintaining a moist wound environment, infection assessment and management, offloading (relief of pressure with specially fitted footwear or devices), and optimisation of diabetes and vascular health. |
| Role in the trial | Investigational therapy; all eligible participants receive Tropocells PRF in addition to background wound care for up to 12 weeks. | Guideline-recommended care outside of trials; used as the everyday clinical approach for people with similar diabetic foot ulcers. |
| Primary use | To promote complete wound closure and healing of neuroischemic diabetic foot ulcers that have not responded to prior standard care. | To facilitate healing of diabetic foot ulcers by optimising local and systemic factors and preventing complications such as infection or amputation. |
| How it is given or performed | Participants undergo blood draw, then Tropocells PRF is prepared and applied directly to the wound by clinical staff weekly, alongside background wound care measures such as offloading. | Standard care procedures are performed regularly and may include frequent clinic visits for debridement, wound assessment, dressing changes, infection monitoring, pressure relief, and optimisation of diabetes management. |
| Evidence status | Efficacy and safety for this device in the defined population are under current clinical evaluation; no trial results are yet published. | Multinational guidelines recommend standard wound care (debridement, dressings, offloading) as the foundation of diabetic foot ulcer management, based on systematic reviews and expert consensus. |
| Important limitations | As a single-arm study, the trial cannot directly compare outcomes with standard care alone. Long-term benefit, comparative effectiveness, and real-world usability remain unproven until results are published and additional studies are conducted. | Standard care alone can be insufficient for chronic, hard-to-heal ulcers with neuroischemia, and healing rates are often suboptimal without adjunctive therapies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 weeks
Participants are screened for eligibility to participate in the trial.
Weekly visits for 2 weeks (in-person)
Duration - 2 weeks
Participants receive standard of care including nutritional supplementation, wound assessment, cleansing, debridement, dressing, mild compression, and off-loading with a removable boot.
Weekly visits for 2 weeks (in-person)
Duration - 12 weeks
Participants who do not show sufficient wound area reduction enter the active treatment phase receiving weekly application of Tropocells Autologous Platelet-rich Fibrin in addition to standard of care.
Weekly visits for 12 weeks (in-person)
Duration - 3 months
Participants with complete wound closure are assessed at 1 and 3 months to confirm persistent closure with photos and measurements.
2 visits (in-person) at 1 and 3 months after closure
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/27483482/Estar Medical dba Medical Technologies, LTD
Lead Sponsor
WCG IRB
Collaborating Sponsor