Open-Label Study in Diabetic Foot Ulcers (DFU), to Evaluate Safety of 0.03% DSC127 Topical Gel in Chronic Use

Last updated: December 8, 2017
Sponsor: Integra LifeSciences Corporation
Overall Status: Terminated

Phase

3

Condition

Ulcers

Diabetes Mellitus Types I And Ii

Diabetes Mellitus, Type 2

Treatment

N/A

Clinical Study ID

NCT01840085
DSC127-2012-05
  • Ages > 18
  • All Genders

Study Summary

To evaluate the safety of topical 0.03% DSC127 Gel when used for one or more continuous treatment periods on a chronic Wagner Grade 1 or 2 foot ulcer(target ulcer) or multiple ulcers in diabetic subjects. The maximum duration of any treatment period is 24 weeks.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female ambulatory subjects who are at least 18 years of age at screening

  2. Have at least one ulcer:

  3. chronic ( present >1month)

  4. Wagner Grade 1 or Grade 2 ulcer (i.e. Partial- or full- thickness and notinvolving bone, tendon or capsule (probing to tendon or capsule) and/orpenetrating to tendon or capsule.)

  5. with no sign of infection or osteomyelitis, and

  6. is located below the malleolus.

  7. Have an ABI > 0.7, or have a TcPO2 > 40 mm Hg or great toe systolic pressure > 50 mmHgto ensure healing potential.

  8. Have Type I or Type II diabetes under metabolic control as confirmed by glycosylatedhemoglobin (HbA1c) of ≤ 14%, obtained at enrollment or within 30 days prior to studyenrollment.

  9. Female subjects of child-bearing potential must have a negative pregnancy test at thetime of enrollment and at the initiation of each study treatment period.

  10. Female subjects of child-bearing potential must be willing to use a medicallyacceptable method of birth control, such as Essure®, hormonal contraception (oralpills, implantable device or skin patch), intrauterine device, tubal ligation, doublebarrier, or abstinence during the treatment periods of study participation.

  11. Ability and willingness to understand and comply with study procedures and to givewritten informed consent prior to enrollment in the study or initiation of studyprocedures

Exclusion

Exclusion Criteria:

  1. Has a known hypersensitivity to any of the study medication components.

  2. Exposure to any investigational product within 30 days of entry into study.

  3. Has active malignant disease of any kind (with the exception of basal cell carcinoma).A subject, who has had a malignant disease in the past, was treated and is currentlydisease-free, may be considered for study entry. Disease-free is defined as inremission for at least 5 years.

  4. Chronic liver dysfunction evidenced by transaminase levels > 2.5 times higher than theupper level of normal on two occasions.

  5. Has a history of additional risk factors for TdP (eg. heart failure, hypokalemia,family history of Long QT Syndrome) or taking medication which are known to prolongQT/QTc (Appendix G)

  6. Receiving hemodialysis or chronic ambulatory peritoneal dialysis (CAPD) therapy.

  7. Prior radiation therapy of the foot with the ulcer under study.

  8. Current use of systemic corticosteroids or immunosuppressants within 8 weeks prior toenrollment into the study

  9. Sickle-cell anemia, Raynaud's or other peripheral vascular disease.

  10. Subjects receiving a biologic agent to include growth factors and skin equivalents (Regranex, Apligraft, or Dermagraft) in the 7 days prior to exposure to DSC127.

  11. Subject who, in the opinion of the investigator, has uncontrolled hypertension

  12. Subject has an ulcer which is determined to be clinically infected and requiresantimicrobials or agents known to affect wound healing or has been taking systemicantibiotics for more than 7 days for any reason. (Subjects with infection at theinitial visit of the Screening Period can be re-screened three weeks later after asingle course of antibiotic therapy (occurring concurrently - within three weeks ofthe initial visit, the antibiotic treatment must have completed and some washout (7days) must have elapsed); if after that time infection is still present, the subjectwill be excluded.)

  13. Subjects who, in the opinion of the investigator, have clinically significant anemia

Study Design

Total Participants: 261
Study Start date:
December 01, 2015
Estimated Completion Date:
December 31, 2015

Study Description

All eligible subjects enrolled will begin daily Treatment with topical 0.03% DSC127 gel until complete wound closure (defined as skin re-epithelialization without drainage or dressing requirement) or 24 weeks, whichever occurs first.

If a patient has multiple ulcers on one foot, all may be treated, within the maximum of 24 weeks. If the ulcer does not heal, after a wash out period of 1 week, a new treatment period of up to 24 weeks may be initiated. Ulcer may be retreated if it recurs or if a new ulcer develops that meets study criteria.

For the entire duration of each treatment period the standard of care for DFU will be maintained.

Connect with a study center

  • Physician's Resource Group

    Dothan, Alabama 36305
    United States

    Site Not Available

  • WILMAX Clinical Research

    Mobile, Alabama 36608
    United States

    Site Not Available

  • NEA Baptist Clinic

    Jonesboro, Arkansas 72401
    United States

    Site Not Available

  • Reliance Institute of Clinical Research

    Chino, California 91710
    United States

    Site Not Available

  • Limb Preservation Platform (LPP)

    Fresno, California 93720
    United States

    Site Not Available

  • Roy O. Kroeker, DMP, Inc.

    Fresno, California 93710
    United States

    Site Not Available

  • Foot and Ankle Clinic

    Los Angeles, California 90010
    United States

    Site Not Available

  • Center for Clinical Research, Inc.

    San Francisco, California 94115
    United States

    Site Not Available

  • Olive View - UCLA Medical Center

    Sylmar, California 91342
    United States

    Site Not Available

  • Orange County Research Center

    Tustin, California 92780
    United States

    Site Not Available

  • Advanced Research Institute of Miami

    Homestead, Florida 33030
    United States

    Site Not Available

  • UF Health Orthopaedic Surgery Clinic

    Jacksonville, Florida 32209
    United States

    Site Not Available

  • Miami Dade Medical Research Institute

    Miami, Florida 33176
    United States

    Site Not Available

  • Phoenix Medical Research, LLC

    Miami, Florida 33165
    United States

    Site Not Available

  • GF Professional Research

    Miami Lakes, Florida 33016
    United States

    Site Not Available

  • Barry University Clinical Research

    North Miami Beach, Florida 33169
    United States

    Site Not Available

  • Professional Health Care of Pinellas

    Saint Petersburg, Florida 33713
    United States

    Site Not Available

  • Professional Health Care of Pinellas

    St. Petersburg, Florida 33713
    United States

    Site Not Available

  • Advanced Wound Management Clinic / Joseph M. Still Burn and Wound Clinic

    Augusta, Georgia 30909
    United States

    Site Not Available

  • Dr. Osh and Associates Foot & Leg Clinic/ APSMO

    Macon, Georgia 31204
    United States

    Site Not Available

  • Lafayette Regional Research Group

    Lafayette, Indiana 47905
    United States

    Site Not Available

  • Jefferson City Medical Group

    Jefferson City, Missouri 65109
    United States

    Site Not Available

  • Heartland Regional Medical Center

    St. Joseph, Missouri 64506
    United States

    Site Not Available

  • Eastern Carolina Foot & Ankle Specialists

    Greenville, North Carolina 27834
    United States

    Site Not Available

  • O'Malley Foot and Ankle

    Wilmington, North Carolina 28411
    United States

    Site Not Available

  • Wound Institute and Research Center

    Dunmore, Pennsylvania 18512
    United States

    Site Not Available

  • Martin Foot & Ankle

    York, Pennsylvania 17402
    United States

    Site Not Available

  • Carolina Musculoskeletal Institute

    Aiken, South Carolina 29801
    United States

    Site Not Available

  • Forth Worth Diagnostic Clinic

    Forth Worth, Texas 76132
    United States

    Site Not Available

  • Westbury Medical Center

    Houston, Texas 77005
    United States

    Site Not Available

  • Endeavor Clinical Trials

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Professional Education and Research Institute

    Roanoke, Virginia 24016
    United States

    Site Not Available

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