Evaluating Cyclical Topical Wound Oxygen Therapy with Compression Dressings
for Healing Chronic Venous Leg Ulcers in Adults
Led by AOTI Ltd. · Updated on 2025-11-19
212
Participants Needed
1
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the efficacy, safety, and economic benefits of Cyclical Pressure Topical Wound Oxygen TWO2 Therapy in treating chronic venous leg ulcers VLU. These ulcers are caused by chronic venous insufficiency and affect about 2% of the global population, with many developing into long-lasting wounds. The trial addresses the high burden VLUs place on patients, caregivers, and healthcare systems, aiming to improve healing outcomes and quality of life by comparing TWO2 therapy with standard care.
Participants will use standard multilayer compression dressings combined with either the active TWO2 device or a sham device that does not deliver oxygen or compression. Both groups will apply the device for at least 120 minutes a day, five times a week, during a treatment phase lasting up to 16 weeks. This is preceded by a 2-week run-in period with standard care. After the treatment phase, a long-term follow-up period of 52 weeks will monitor wound healing and recurrence.
Throughout the study, participants will attend bi-weekly clinic visits to assess wound progress, safety, and treatment adherence. Researchers will measure wound closure rates, pain levels, infection elimination, quality of life, and adverse events up to 52 weeks. The total time commitment for participants is about one year, including treatment and follow-up, with ongoing clinical care maintained alongside study participation.
CONDITIONS
Brief Title
Trial to Evaluate Cyclical Topical Wound Oxygen Therapy in the Treatment of Chronic Venous Leg Ulcers
Research Team
D
Despina Herodotou, MRCPod, DABPMi
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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
Cyclical Topical Wound Oxygen Device
Sham Control Topical Wound Oxygen Device
What it is
A medical device that supplies cyclical oxygen pressure directly to the wound site through a sealed chamber, aiming to enhance healing in chronic venous leg ulcers.
A sham version of the device providing only topical room air to the wound within a sealed environment, intended to serve as a placebo for trial comparison.
Role in the trial
Tested as the active intervention to determine if cyclical topical oxygen improves venous leg ulcer healing compared to sham.
Serves as the placebo control arm, mimicking the treatment process without delivering therapeutic oxygen.
Primary use
Intended to promote healing of chronic venous leg ulcers in adults who have persistent wounds despite prior compression therapy.
Used as a sham comparison to assess the effect of the active device, with no expected therapeutic benefit.
How it is given or performed
Applied to the ulcer site in a sealed environment, cyclically delivering supplemental oxygen.
Applied in the same way as the active device, but only delivers room air instead of therapeutic oxygen.
Evidence status
Randomized controlled trials in diabetic foot and venous ulcer patients suggest topical wound oxygen therapy may improve wound healing and technical outcomes compared to standard treatments, but results are variable and context-specific.
No proven therapeutic effect; serves as placebo for direct comparison. Outcomes reflect only placebo response and standard wound care.
Important limitations
The device requires specialized equipment, frequent dressing changes, and patient adherence. Wider adoption may be limited by device availability, insurance coverage, and patient ability to attend clinic visits.
No expected therapeutic wound healing benefit. Placebo design may not mirror effects of standard compression therapy outside trial.
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.
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Adults 18 years or older able to provide written informed consent
Chronic venous leg ulcer below the knee at or above the malleolus due to venous disease
Venous reflux of at least 500 milliseconds in superficial veins or 1 second in deep veins, or venous mapping after vascular intervention
Venous leg ulcer size between 1.5 cm2 and 50 cm2 after debridement at screening
Cluster wounds combined area must be 50 cm2 or less
Current ulcer present for at least 6 weeks but no more than 5 years prior to study entry
Treated with conventional compression dressing of at least 30 mmHg for 6 weeks or more before screening
Adequate blood flow to the limb shown by specific tests (ABPI 0.75-1.24, TcpO2 > 30 mmHg, or other measures)
Wound size reduction of 30% or less during 2-week run-in period
Willing and able to participate in study visits and follow-ups
Signed informed consent form before screening procedures
You will not qualify if you...
Allergy to study treatments or intolerance to multilayer compression therapy
Acute thrombophlebitis or deep vein thrombosis within 3 months before study entry
Scheduled for venous ablation or less than 30 days post ablation
Surgery within 3 months before study entry (abdominal, gynecological, hip, or knee replacement)
Wounds from unclear causes or with inflammatory ulceration conditions like lupus or vasculitis
Evidence of bone infection (osteomyelitis) in affected limb
Ulcer exposing bone, muscle, or tendon
Severe or uncontrolled wound infection requiring hospitalization or surgery
Body mass index over 45
Uncontrolled diabetes with HbA1c over 12% within 60 days before screening
Kidney dialysis or very low kidney function (EGFR less than 30 mg/dl)
Severe heart failure (NYHA Class IV)
Recent arterial surgery on affected limb within 30 days
Use of medications interfering with the study treatment (e.g., high-dose steroids, immunosuppressants)
Active cancer treatment
Radiation history at ulcer site
Growth factor therapy within 14 days before screening
Participation in another investigational trial within 4 weeks prior to study
Pregnancy or breastfeeding at time of treatment
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 16 weeks
Participants use the Topical Wound Oxygen or Sham Control device at home for a minimum of 120 minutes a day, 5 times a week over multilayered compression dressings and a wound contact layer to treat chronic venous leg ulcers.
Bi-weekly clinic visits for wound assessment and safety monitoring
Follow-up
Duration - Up to 36 weeks
Participants receive standard care according to their clinician's recommendation and are observed for wound healing, recurrence, and safety outcomes after the treatment phase ends.
Visits at weeks 20, 26, and 52 for wound monitoring and safety assessments
How is the study designed?
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A Multinational, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Efficacy of Cyclical Topical Wound Oxygen (TWO2) Therapy in the Treatment of Chronic Diabetic Foot Ulcers: The TWO2 Study.
Robert G Frykberg, Peter J Franks, Michael Edmonds...
Technical and clinical outcome of topical wound oxygen in comparison to conventional compression dressings in the management of refractory nonhealing venous ulcers.