Preventing foot ulcers in patients with diabetes.
Nalini Singh, David G Armstrong, Benjamin A Lipsky
https://pubmed.ncbi.nlm.nih.gov/15644549/Actively Recruiting
Led by Washington University School of Medicine · Updated on 2026-01-20
70
Participants Needed
1
Research Sites
30 weeks
Total Duration
Researchers are evaluating the outcomes of patients with complex wounds managed with standard treatments alone versus standard treatments combined with Miro3D, a tissue scaffold designed to support wound healing. This prospective randomized controlled trial focuses on two types of wounds acute soft tissue wounds from conditions like fasciotomy or serious infections, and chronic pressure ulcers that have not improved after standard care. The study seeks to provide real-world data on healing quality, cost-effectiveness, and resource use over a 12-week period. Participants will be randomly assigned to receive either standard of care SOC wound treatment alone or SOC plus the Miro3D tissue scaffold. The trial includes two groups one for acute soft tissue wounds and another for chronic pressure ulcers. Outcomes will be assessed over 12 weeks, with some participants crossing over to different treatments to evaluate delayed wound preparation and scaffold application. Treatments will be delivered according to wound type and healing stage, with care including surgical debridement and offloading or compression as appropriate. During the study, participants will undergo regular assessments including digital wound photography and analysis of wound redness to monitor healing. Researchers will also track time to hospital discharge, use of antibiotics and negative pressure wound therapy, pain levels, tissue sampling, and patient-reported ability to care for themselves. The primary outcome is the percentage area reduction of wounds at 4 weeks. Safety and healing progress will be monitored throughout the 12-week treatment period and beyond until study completion in 2028.
CONDITIONS
Miro3D Randomized Controlled Trial (RCT)
A
Aaron Day, RN
S
Stacey Reese, RN, BSN
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Washington University School of Medicine
Lead 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 | Miro3D Matrix with Standard Wound Care | Standard Wound Care Alone |
|---|---|---|
| What is it? | A treatment combining the Miro3D tissue scaffold with standard wound care for large soft tissue defects or chronic pressure ulcers not ready for primary closure. | Standard wound care protocols for soft tissue wounds and chronic complex pressure ulcers, without the use of the Miro3D scaffold. |
| Role in the trial | Evaluates whether adding Miro3D matrix to standard care improves wound healing. | Serves as the comparison group, receiving only established wound care practices. |
| Primary use | Intended to promote healing and tissue regeneration in complex wounds not improved with standard care alone. | Standard wound care is provided to support natural healing, manage infection, and optimize wound environment. |
| How it is given or performed | Miro3D scaffold is applied to a clean wound base following surgical debridement and combined with ongoing standard wound care practices. | Standard wound care includes offloading, compression, infection management, regular dressing changes, and standard local care. |
| Evidence status | Efficacy and safety are currently being studied in this randomized trial. Broader clinical literature supports investigation of biomaterial scaffolds, but published results for Miro3D in this population are not yet available. | Standard wound care is supported by extensive published evidence for pressure ulcer and wound management. |
| Important limitations | Long-term healing benefits and risks of applying Miro3D in complex wounds are not yet confirmed and may require further validation as trial outcomes become available. | Standard care sometimes fails to achieve adequate healing, especially in large or refractory wounds. New approaches are needed when standard treatments are not effective. |
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 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 12 weeks
Participants receive either standard of care treatment alone or standard of care plus Miro3D wound matrix to manage their acute soft tissue wounds or chronic pressure ulcers.
Visits as needed for treatment application and wound assessment over 12 weeks
Duration - Up to 12 weeks including treatment period
Participants are monitored for healing progress, pain, use of negative pressure wound therapy, and functional ability during and after treatment.
Regular follow-up visits during the 12-week treatment period
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Lead Sponsor