Phase
Condition
Diabetes Mellitus Types I And Ii
Ulcers
Diabetes And Hypertension
Treatment
System VULNOFAST® plus / VULNOLIGHT® in addition to Usual Care
Usual Care alone
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Main Inclusion Criteria:
Able and willing to give voluntary written informed consent. The ICF, must be signedbefore any study-related procedures and/or assessments are performed.
Outpatients or inpatients (male and female) of any ethnic origin, aged 18 years orover, diagnosed with type 1 or type 2 diabetes mellitus.
Glycaemic control confirmed by a glycated haemoglobin (HbA1c) levels ≤10% (86mmol/mol), evaluated in the 3 months before enrolment or at Visit 1.
Fasting plasma glucose (FPG) less than 300 mg/dl.
A chronic diabetic foot ulcer (DFU) below the malleolus, with an area ≥ 2 and ≤ 40cm2 and with a maximum diameter/length ≤ 10 cm measured by MolecuLight i:X medicaldevice [note: chronic wound is defined as a wound that, after the normal clinicalpractice, does not start healing within 4 weeks or does not heal within 8 weeks].
A diabetic foot wound with a depth equal or higher to grade 2 according to thecategory "Depth/tissue loss" of PEDIS, but not involving bone, diagnosed by clinicalexamination.
Presence of infected foot ulcer of grade 2 according to the category "Infection" ofPEDIS, diagnosed by clinical examination.
Able to take oral medications.
Patients must be willing and able to comply with the protocol and study procedures.
Exclusion
Main Exclusion Criteria:
Patients unable to give written informed consent.
Females who are pregnant or lactating.
Females who are of child bearing potential and not taking adequate contraceptiveprecautions are excluded from the trial. Females of child bearing potential takingacceptable contraceptive precautions can be included.
Participation in any other clinical trial or currently receiving any otherinvestigational product(s) within 30 days prior to Visit 1.
Ankle brachial systolic blood pressure index < 0.5 (Winsor Index) in the infectedlimb.
Ulcer probe to bone positive.
Any surgery planned during the study period (from ICF signature to last plannedfollow-up visit).
Clinical diagnosis of peripheral vascular disease (PVD) requiring percutaneous orsurgical revascularization.
Transcutaneous oximetry (TcPo2) measurement < 30 mmHg.
Use of any antibiotics (local or systemic) within 48h before Visit 1.
Patient for whom punch biopsy is contraindicated.
Patients that cannot take amoxicillin and clavulanic acid (background antibiotictherapy) at the dosage stated in the protocol and according to the current Summaryof Product Characteristics (SPC).
Patients that cannot be treated with topical antiseptic containing Iodopovidoneand/or with iodopovidone impregnated gauze according to the contraindicationavailable in the current Summary of Product Characteristics (SPC).
Study Design
Study Description
Connect with a study center
U.O.C. Diabetologia e Malattie Metaboliche, Ospedale San Donato
Arezzo,
ItalyActive - Recruiting
Unit Piede Diabetico, SODc Diabetologia e Malattie del Metabolismo, Azienda Ospedaliero-Universitaria Careggi
Firenze,
ItalyActive - Recruiting
Centro di Assistenza Vulnologica, Ospedale Villa Scassi
Genova, 16149
ItalyActive - Recruiting
Unità di Diabetologia, Endocrinologia e Malattie Metaboliche, IRCSS Centro Cardiologico Monzino
Milano, 20138
ItalyActive - Recruiting
U.O. Malattie Endocrine del Ricambio e della Nutrizione, Azienda Ospedaliero-Universitaria Policlinico Giaccone
Palermo,
ItalyActive - Recruiting
Dipartimento di Endocrinologia e Malattie Metaboliche, Centro Piede Diabetico, Ospedale S. Maria della Misericordia
Perugia,
ItalyActive - Recruiting
SOS Diabetologia, Presidio Ospedaliero San Jacopo
Pistoia,
ItalyActive - Recruiting

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