A Study to Evaluate ENERGI-F703 GEL in Diabetic Foot Ulcer

Last updated: September 29, 2025
Sponsor: Energenesis Biomedical Co., Ltd.
Overall Status: Active - Recruiting

Phase

3

Condition

Diabetes Mellitus Types I And Ii

Diabetes And Hypertension

Ulcers

Treatment

ENERGI-F703 GEL

ENERGI-F703 matched vehicle

Clinical Study ID

NCT05930210
ENERGI-F703-04
  • Ages > 18
  • All Genders

Study Summary

This Phase 3 study is a randomized, double-blind, vehicle-controlled, multiple-center, parallel study to evaluate efficacy and safety of ENERGI-F703 GEL compared with vehicle control in subjects with Wagner Grade 1 to Grade 2 diabetic foot ulcers. Baseline target ulcer size (<16 cm2 vs ≥16 cm2 ) will be included as a stratification factor. Subjects will be randomized 1:1 to receive ENERGI-F703 GEL or vehicle control using an interactive web response system for randomization to automatically assign a unique subject randomization number. Total duration of the study will be up to 31 weeks including Screening visit (approximately 2 to 3 weeks), double-blind dosing/observation phase (16 weeks), and a safety follow-up of 12 weeks after the last administration of study treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subject must be at least 18 years old.

  2. Subject must have diagnosed with diabetes mellitus (DM), eg, currently under DMmedication treatment or subjects with naïve DM with duplicated hemoglobin A1c over 6.5% and fasting plasma glucose over 126 mg/dL measured at least 1 week apart beforescreening.

  3. Subject must have at least 1 cutaneous ulcer on the foot and not healing for atleast 4 weeks. The largest diabetic foot ulcer will be selected as target ulcer. If 2 or more ulcers have the largest size, the one with worst grade will be selected.If 2 or more ulcers have the largest size and grade, the one with longest durationwill be selected.

  4. The target ulcer is classified as Grade 1 to Grade 2 ulcer according to WagnerGrading System and with ulcer size of 1.5 cm2 to 25 cm2.

  5. Diabetic foot ulcers should be free of any necrosis or infection

  6. Subject has signed the written informed consent form

  7. Male subjects must be surgically sterile or commit to the use of a reliable methodof birth control (must agree to use double-barrier contraception in the event ofsexual activity) or be practicing abstinence for the duration of the study and for 30 days after study treatment administration.

  8. Female subjects are eligible only if all of the following apply:

  • Not pregnant with a negative serum pregnancy test at Screening visit andnegative urine pregnancy test within 24 hours before randomization (test notrequired for females of non-childbearing potential, defined as surgicallysterile [eg, hysterectomy or bilateral oophorectomy] or postmenopausal [amenorrheic for at least 1 year])

  • Not lactating

  • Not planning to become pregnant during the study

  • If of childbearing potential, commits to the use of a highly effective methodof contraception for the duration of the study and at least 30 days after studytreatment administration.

Exclusion

Exclusion Criteria:

  1. History or evidence of osteomyelitis as confirmed by the investigator. Anx-ray/pathology assessment of debridement or a probe-to-bone (PTB) test will be usedto determine presence of osteomyelitis. However, participants who have a history orevidence of osteomyelitis in other parts of their body are eligible to participatein the study. If the medical history of osteomyelitis was cured by antibiotictherapy, surgery or amputation for more than 1 year, and no recurrence, no findingto the current leg and foot after testing, the participant can be enrolled

  2. With target ulcer size decreased by at least 30% after at least 2 weeks of standardof care-only period between screening and randomization

  3. Subjects with highly exudated wounds which require dressing changes more than 3times a day may be enrolled, but heavily exudated wounds should not be selected astarget ulcers

  4. With poor nutritional status (serum albumin <2g/dL or prealbumin <10 mg/dL), poordiabetic control (hemoglobin A1c >12%), a leukocyte counts <2,000/mm3, abnormalliver function (aspartate aminotransferase, alanine aminotransferase >3 x upperlimit of normal range) within 21 days before Randomization visit

  5. Requiring treatment with systemic corticosteroids, immunosuppressive orchemotherapeutic agents

  6. With known or suspected hypersensitivity to any ingredients of study product andvehicle

  7. With coronary heart disease with myocardial infarction, coronary artery bypassgraft, or percutaneous transluminal coronary angioplasty within 3 months prior tostudy (patients who have undergone peripheral angioplasty should be excluded unlessthe surgery was performed at least 30 days prior to screening)

  8. Known or suspected history of drug abuse or a recent history of alcohol abuse (regularly drinks >4 units of alcohol per day: 1 unit = 8 oz. beer, 3 oz. wine, or 1oz. spirits) within 6 months prior to screening (within 6 months prior to screeningincludes both drug abuse and alcohol abuse)

  9. History or positive test results for HIV

  10. Malignancy in the last 2 years, with the exception of non-metastatic basal cell orsquamous cell carcinoma of the skin or localized carcinoma in situ of the cervix

  11. Ankle brachial index <0.8 or >1.4

  12. Enrollment in any investigational drug trial within 4 weeks before entering thisstudy

  13. With any condition judged by the investigator that entering the trial may bedetrimental to the subject -

Study Design

Total Participants: 230
Treatment Group(s): 2
Primary Treatment: ENERGI-F703 GEL
Phase: 3
Study Start date:
May 30, 2023
Estimated Completion Date:
March 31, 2026

Connect with a study center

  • Ditmanson Medical Foundation Chia-Yi Christian Hospital

    Chiayi City,
    Taiwan

    Site Not Available

  • Ditmanson Medical Foundation Chia-Yi Christian Hospital

    Chiayi City 1678836,
    Taiwan

    Active - Recruiting

  • Kaohsiung Medical University Hospital

    Kaohsiung,
    Taiwan

    Site Not Available

  • Kaohsiung Medical University Hospital

    Kaohsiung City 1673820,
    Taiwan

    Active - Recruiting

  • China Medical University Hospital

    Taichung,
    Taiwan

    Active - Recruiting

  • Kung Tien General Hospital

    Taichung,
    Taiwan

    Site Not Available

  • Taichung Veterans General Hospital

    Taichung,
    Taiwan

    Active - Recruiting

  • China Medical University Hospital

    Taichung 1668399,
    Taiwan

    Active - Recruiting

  • Kung Tien General Hospital

    Taichung 1668399,
    Taiwan

    Active - Recruiting

  • Taichung Veterans General Hospital

    Taichung 1668399,
    Taiwan

    Active - Recruiting

  • Chi Mei Medical Center

    Tainan,
    Taiwan

    Active - Recruiting

  • National Cheng Kung University Hospital

    Tainan,
    Taiwan

    Site Not Available

  • Chi Mei Medical Center

    Tainan City 1668355,
    Taiwan

    Active - Recruiting

  • National Cheng Kung University Hospital

    Tainan City 1668355,
    Taiwan

    Active - Recruiting

  • Cathay General Hospital

    Taipei,
    Taiwan

    Active - Recruiting

  • MacKay Memorial Hospital

    Taipei,
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital

    Taipei,
    Taiwan

    Active - Recruiting

  • Shin Kong Wu Ho Su Memorial Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei,
    Taiwan

    Active - Recruiting

  • Tri-Service General Hospital

    Taipei,
    Taiwan

    Active - Recruiting

  • Cathay General Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • MacKay Memorial Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • Shin Kong Wu Ho Su Memorial Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • Taipei Veterans General Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • Tri-Service General Hospital

    Taipei 1668341,
    Taiwan

    Active - Recruiting

  • Linkou Chang Gung Memorial Hospital

    Taoyuan,
    Taiwan

    Site Not Available

  • Linkou Chang Gung Memorial Hospital

    Taoyuan District 1667905,
    Taiwan

    Active - Recruiting

  • Alliance Research Institute

    Canoga Park, California 91304
    United States

    Site Not Available

  • A and D Doctor Center

    Miami, Florida 33135
    United States

    Active - Recruiting

  • Advanced Medical Research Institute

    Miami, Florida 33174-3201
    United States

    Active - Recruiting

  • Bioclinical Research

    Miami, Florida 33155
    United States

    Active - Recruiting

  • Century Research

    Miami, Florida 33173
    United States

    Site Not Available

  • Reliant Medical Research

    Miami, Florida 33165
    United States

    Active - Recruiting

  • New Horizons Research

    Palmetto Bay, Florida 33176
    United States

    Site Not Available

  • A and D Doctor Center

    Miami 4164138, Florida 4155751 33135
    United States

    Active - Recruiting

  • Advanced Medical Research Institute

    Miami 4164138, Florida 4155751 33174-3201
    United States

    Active - Recruiting

  • Bioclinical Research

    Miami 4164138, Florida 4155751 33155
    United States

    Active - Recruiting

  • Reliant Medical Research

    Miami 4164138, Florida 4155751 33165
    United States

    Active - Recruiting

  • New Horizons Research

    Palmetto Bay 4167634, Florida 4155751 33176
    United States

    Active - Recruiting

  • IACT Health

    Columbus, Georgia 31904
    United States

    Site Not Available

  • IACT Health

    Columbus 4188985, Georgia 4197000 31904
    United States

    Active - Recruiting

  • The Jackson Clinic PA

    Jackson, Tennessee 38305
    United States

    Site Not Available

  • The Jackson Clinic PA

    Jackson 4632595, Tennessee 4662168 38305
    United States

    Active - Recruiting

  • PanAmerican Clinical Research Brownsville

    Brownsville, Texas 78520
    United States

    Site Not Available

  • Mt. Olympus Medical Research

    Houston, Texas 77095
    United States

    Site Not Available

  • Mt. Olympus Medical Research

    Houston 4699066, Texas 4736286 77095
    United States

    Active - Recruiting

  • Wasatch Clinical Research

    Salt Lake City, Utah 84107
    United States

    Site Not Available

  • Wasatch Clinical Research

    Salt Lake City 5780993, Utah 5549030 84107
    United States

    Active - Recruiting

  • Salem Veterans Affairs Medical Center VAMC

    Salem, Virginia 24153-6404
    United States

    Site Not Available

  • 1Foot 2Foot

    Suffolk, Virginia 23434
    United States

    Site Not Available

  • Salem Veterans Affairs Medical Center VAMC

    Salem 4784112, Virginia 6254928 24153-6404
    United States

    Active - Recruiting

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