PHOTOFINISH: a Clinical Study To Evaluate The Efficacy And Safety Of the System VULNOFAST® Plus/VULNOLIGHT® In Addition To The Usual Care (UC) Vs UC Alone For The Treatment Of Infected Diabetic Foot Ulcers

Last updated: August 4, 2025
Sponsor: L.Molteni & C. dei F.lli Alitti-Soc. di Esercizio S.p.A.
Overall Status: Active - Recruiting

Phase

N/A

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

NCT05613985
MOLT-2019-01
  • Ages > 18
  • All Genders

Study Summary

The aim of this randomised, open-label, multicentre clinical trial is to evaluate the superiority of the treatment which foresees the addition of the system VULNOFAST® plus / VULNOLIGHT® to the Usual Care, versus the treatment with Usual Care alone, for the healing of chronic diabetic foot ulcer. VULNOFAST® plus is a sterile solution used in combination with a red light source VULNOLIGHT®. Usual Care is defined as procedures to apply to the foot ulcer, carried out in the order in which they are listed in the protocol.

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

Total Participants: 78
Treatment Group(s): 2
Primary Treatment: System VULNOFAST® plus / VULNOLIGHT® in addition to Usual Care
Phase:
Study Start date:
September 14, 2021
Estimated Completion Date:
June 30, 2026

Study Description

This study evaluates the superiority of the treatment which foresees the addition of the system VULNOFAST® plus / VULNOLIGHT® to the Usual Care, versus the treatment with Usual Care alone, for the healing of chronic diabetic foot ulcer.

Eligible patients are randomised in a 1:1 ratio to receive Usual Care and the system VULNOFAST® plus / VULNOLIGHT®, or Usual Care alone according the following scheme:

  • Arm A: Usual Care alone: 2 times a week (4 treatment weeks, 8 treatments).

  • Arm B: system VULNOFAST® plus / VULNOLIGHT® in addition to Usual Care: both treatments 2 times a week (4 treatment weeks, 8 treatments of Usual Care and 8 treatments of system VULNOFAST® plus / VULNOLIGHT®).

The Treatment period will be followed by a Follow up period: the study will last up to 57 days for each patient, including the screening period. Thirteen study visits are planned starting from the screening and including Treatment and Follow up periods.

All patients enrolled in this study:

  • are administered with amoxicillin and clavulanic acid treatment (as background antibiotic therapy) from Visit 1 until receipt of the antibiogram. Upon receipt of the antibiogram, the Investigator decides whether or not to continue the background therapy or to treat the patient with a different antibiotic treatment, according the clinical practice in the site.

  • use an appropriate off-loading system from Visit 1 to Visit 12

The primary objective is to assess clinical improvement after 2 weeks of study treatment by evaluation of the following primary endpoint:

  • proportion of patients who had total bacterial load ≤ 1000 CFU/ml at Visit 5 (Visit 5 is the first visit of 3rd week of treatment), measured by punch biopsy.

The key secondary objective is also to assess clinical improvement after 4 weeks of study treatment reflected by the key secondary endpoint:

  • proportion of patients who had a reduction of the target ulcer area ≥ 40% from the baseline (Visit 1) to the first follow-up visit (Visit 9) after 4 weeks of study treatment, assessed by MolecuLight i:X medical device.

Further secondary objectives are evaluated in the study, and a pharmacoeconomic analysis is foreseen.

Connect with a study center

  • U.O.C. Diabetologia e Malattie Metaboliche, Ospedale San Donato

    Arezzo,
    Italy

    Active - Recruiting

  • Unit Piede Diabetico, SODc Diabetologia e Malattie del Metabolismo, Azienda Ospedaliero-Universitaria Careggi

    Firenze,
    Italy

    Active - Recruiting

  • Centro di Assistenza Vulnologica, Ospedale Villa Scassi

    Genova, 16149
    Italy

    Active - Recruiting

  • Unità di Diabetologia, Endocrinologia e Malattie Metaboliche, IRCSS Centro Cardiologico Monzino

    Milano, 20138
    Italy

    Active - Recruiting

  • U.O. Malattie Endocrine del Ricambio e della Nutrizione, Azienda Ospedaliero-Universitaria Policlinico Giaccone

    Palermo,
    Italy

    Active - Recruiting

  • Dipartimento di Endocrinologia e Malattie Metaboliche, Centro Piede Diabetico, Ospedale S. Maria della Misericordia

    Perugia,
    Italy

    Active - Recruiting

  • SOS Diabetologia, Presidio Ospedaliero San Jacopo

    Pistoia,
    Italy

    Active - Recruiting

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