Pilot Study of PHOENIX Wound Matrix® Impact on Chronic DFU Wound Microbiome

Launched by RENOVODERM · Jun 17, 2020

Keywords

ClinConnect Summary

The PHOENIX Wound Matrix® study is a research trial looking into how this treatment affects the bacteria and healing process in chronic diabetic foot ulcers (DFUs). If you or a loved one is aged 18 or older and has type 1 or type 2 diabetes with a specific type of foot ulcer that has been present for at least 4 weeks, you might be eligible to participate. To qualify, the ulcer needs to be a certain size and not show signs of infection, and participants must also be able to follow specific care instructions related to their ulcer.

This study will not start recruiting participants just yet, but for those who join, it will involve regular visits to assess how the wound is healing and how the treatment is working. It's important to note that there are some conditions that would exclude someone from participating, such as having a severe infection or recent antibiotic use. Overall, this trial aims to better understand how the PHOENIX Wound Matrix® can help improve healing for individuals with diabetic foot ulcers.

Gender

ALL

Eligibility criteria

• INCLUSION CRITERIA:
• • 1. Subject is able and willing to provide consent, and Informed Consent Form is signed and dated prior to the initiation of any study-related activities.
• • 2. 18 years of age or older.
• • 3. Type 1 or type 2 diabetes mellitus.
• 4. At least one DFU that meet the following criteria:
• • 1. Ulcer is diagnosed as a partial- or full-thickness DFU located on the anatomical foot, defined as a minimum of 50% of ulcer area extending distal to the medial malleolus, excluding ulcers between the toes but including those of the heel.
• • 2. Wound surface area is ≥ 1 cm2 and ≤ 25 cm2 post-debridement at the time of Study Visit 1.
• • 3. Duration of the study ulcer will be a minimum of 4 weeks and no longer than 52 weeks at the time of the Study Visit 1.
• • 4. In the case of multiple ulcers, the largest ulcer meeting the study criteria will be designated the index ulcer and the only one included in the study. If other ulcerations are present on the same leg, there must be a margin of ≥ 2 cm between the index ulcer and all other ulcers, post-debridement.
• • 5. Wagner grade 1 or 2; or Wagner grade 3 with resolved abscess or osteomyelitis (confirmed by plain x-ray, bone biopsy, magnetic resonance imaging or bone scan) or resolved joint sepsis.
• • 6. Adequate vascular perfusion of the affected limb, confirmed by normal ankle pulses (posterior tibial and dorsalis pedis arteries). If pulse character is abnormal, ABI is required. Acceptable ABI results are ≤ 6 months old and must be within the specified range to qualify: 0.8 \< ABI \< 1.2.
• • 5. Subject is willing and able to comply with offloading (as applicable for the location of the ulcer) or with use of appropriate footwear, as specified by the Investigator.
• • 6. Subject is willing and able to comply with the requirements of this study, as instructed by the Investigator in accordance with the study protocol.
• EXCLUSION CRITERIA:
• • 1. Presence of signs and symptoms of infection at the index ulcer site or affected limb, including but not limited to cellulitis, osteomyelitis, excessive exudate, gangrene or deep tissue infection at the time of Study Visit 1.
• • 2. Presence of diabetes with poor metabolic control as documented with an HbA1c ≥ 12.0 within 3 months of Study Visit 1.
• • 3. Continued use of systemic antibiotics or use of systemic antibiotics within 7 days of Study Visit 1.
• • 4. Females of childbearing potential.
• • 5. Previous treatment with PHOENIX Wound Matrix®.
• • 6. Participation in another clinical trial involving a device or systematically administered investigational study drug or treatment within 30 days of Study Visit 1 date.
• • 7. Receiving or scheduled to receive a medication or treatment which, in the opinion of the Investigator, is known to interfere with, or affect, the rate and quality of wound healing.
• • 8. History of bone cancer or metastatic disease of the affected limb, radiation therapy to the foot, or chemotherapy within the 12 months of Study Visit 1 date.
• • 9. Treatment with wound dressings that include growth factors, engineered tissues, or skin substitutes within 30 days of Study Visit 1, or scheduled to receive such treatment during the Study.
• • 10. Edema or lymphedema non-responsive to the standard of care.
• • 11. Treatment with hyperbaric oxygen within 5 days of Study Visit 1 or scheduled to receive this treatment during the Study.
• • 12. History of or intercurrent illnesses or conditions (other than diabetes) that would compromise the safety of the subject, or the normal wound healing process (i.e., end stage renal disease, immunosuppression, AIDS, bleeding disorders, etc.).