Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06939686

Randomized Trial of Miro3D Wound Matrix Plus Standard Care Versus Standard Care Alone for Wagner Grade 1 Diabetic Foot Ulcers and Wound Dehiscence

Led by Reprise Biomedical, Inc. · Updated on 2025-12-24

30

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

Sponsors

R

Reprise Biomedical, Inc.

Lead Sponsor

B

Barry University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of Miro3D Wound Matrix combined with standard wound care compared to standard care alone in treating Wagner Grade 1 diabetic foot ulcers and wound dehiscence. Sponsored by Reprise Biomedical, Inc., this prospective, randomized controlled trial aims to determine whether adding Miro3D, a three-dimensional acellular porcine-derived wound matrix, improves early wound healing and overall outcomes in an outpatient setting. The study focuses on wound area reduction and granulation tissue formation at four weeks as predictors of healing by twelve weeks. Participants will be randomized into two groups: one receiving Miro3D plus standard of care (SOC) and the other receiving SOC alone. In the Miro3D group, the device is applied weekly for four weeks, then biweekly if needed, for up to twelve weeks. The SOC group receives usual wound care like cleansing, debridement, dressings, and offloading. If wounds remain unhealed after twelve weeks in the SOC group, participants may crossover to receive Miro3D treatment for an additional twelve weeks following the same schedule. Participants will be followed weekly for up to twelve weeks, with wound measurements, imaging, pain assessments, and quality of life evaluations at each visit. Those who heal will have confirmation visits at two and four weeks post-closure. The study will measure wound area reduction, granulation tissue, pain levels, and quality of life changes. Safety monitoring will document adverse events and device-related issues throughout, with additional observation for crossover participants. The trial aims to provide clinical evidence supporting Miro3D's role in enhancing wound healing in diabetic patients.

CONDITIONS

Brief Title

Miro3D Wound Matrix Study for Diabetic Foot Ulcers and Wound Healing

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old and able to give informed consent
  • Have a full- or partial-thickness Wagner Grade 1 foot ulcer or wound
  • If wound involves malleolus, no more than 50% above midpoint of medial malleolus
  • Wound size between 1 cm² and 20 cm² after cleaning
  • Wound present for at least 4 weeks before screening
  • Adequate circulation shown by ABI 0.7-1.2, TBI ≥ 0.7, TCPO2 ≥ 40 mmHg, or Doppler waveforms
  • Other wounds at least 2 cm away from the target wound
  • Previous infections treated per guidelines
  • Agree to offloading/compression and follow-up visits
  • Consent to digital imaging
  • For Miro3D group: wound base clean and free of dead tissue at product application
Not Eligible

You will not qualify if you...

  • Wound area reduced ≥ 30% after 2 weeks of standard care from screening to baseline
  • Poorly controlled diabetes (HbA1c ≥ 12%)
  • Active, untreated or uncontrolled bone infection (osteomyelitis)
  • Cancer or vasculitis at wound site
  • Receiving chemotherapy
  • On dialysis
  • Use of investigational drugs or therapies in past 30 days
  • Conditions affecting study participation or adherence
  • Known allergy to porcine materials
  • Third-degree burns
  • Worsening poor blood flow or gangrene at screening
  • History of radiation to wound area
  • Exposed internal fixation, implants, or hardware in wound
  • Transitioning to palliative or comfort care

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Run-in Period

Duration - Up to 2 weeks

Participants undergo a run-in period with standard of care wound treatment before randomization.

1 visit (in-person) during screening

Randomization and Baseline Assessment

Duration - 1 day

Participants confirm eligibility, are randomized, and have baseline wound measurements and assessments completed.

1 visit (in-person)

Treatment

Duration - Up to 12 weeks

Participants receive assigned treatment: Miro3D Wound Matrix plus standard of care or standard of care alone. Wounds are evaluated weekly with wound imaging, measurements, and clinical assessments.

Weekly visits for up to 12 weeks

Crossover Treatment Phase

Duration - Up to 12 weeks

Participants in the standard of care arm with unhealed wounds at 12 weeks may cross over to receive Miro3D treatment plus standard of care following the same application schedule.

Weekly visits for up to 12 weeks during crossover

Follow-up

Duration - 4 weeks

Participants who achieve wound healing have confirmation visits to validate sustained closure.

2 visits (at 2 and 4 weeks post-closure)

Trial Site Locations

Total: 3 locations

1

West Boca Center for Wound Healing

Coconut Creek, Florida, United States, 33073

Not Yet Recruiting

2

Barry University Clinical Research

Tamarac, Florida, United States, 33321

Actively Recruiting

3

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Not Yet Recruiting

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Research Team

M

Maria Swartz

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Differentiating diabetic foot ulcers that are unlikely to heal by 12 weeks following achieving 50% percent area reduction at 4 weeks.

Robert A Warriner, Robert J Snyder, Matthew H Cardinal

https://pubmed.ncbi.nlm.nih.gov/21951763

A post-hoc analysis of reduction in diabetic foot ulcer size at 4 weeks as a predictor of healing by 12 weeks.

Robert J Snyder, Matthew Cardinal, Damien M Dauphinée...

https://pubmed.ncbi.nlm.nih.gov/20368673

Pressure Ulcers in the United States' Inpatient Population From 2008 to 2012: Results of a Retrospective Nationwide Study.

Karen Bauer, Kathryn Rock, Munier Nazzal...

https://pubmed.ncbi.nlm.nih.gov/27861135