Clinical Study in Adult Patients with Purulent-inflammatory Processes of the Skin and Soft Tissues, Phase I-II of the Wound Process

Last updated: November 13, 2024
Sponsor: Research Institute for Physical Chemical Problems of the Belarusian State University
Overall Status: Active - Not Recruiting

Phase

2/3

Condition

Diabetes And Hypertension

Deep Vein Thrombosis

Venous Thrombosis

Treatment

Povidon-iodine

Foscelantan

Clinical Study ID

NCT06232421
OLENKRON-01
  • Ages 18-70
  • All Genders

Study Summary

The purpose of this study is to estimate efficiency, tolerance, safety of "Foscelantan, medicinal plate 4.0x5.0 cm in package No. 1" among adult patients who have purulent-inflammatory processes of the skin and soft tissues due to the neuropathic form of diabetic foot syndrome or chronic venous insufficiency, phase I-II of the wound process.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • The presence of purulent-inflammatory processes of the skin and soft tissues due tothe neuropathic form of diabetic foot syndrome (Main diagnosis: Diabetes mellitustype I or II, clinical metabolic compensation/subcompensation, class I - IIaccording to the Wagner classification) or chronic venous insufficiency (Maindiagnosis: Varicose veins dilatation of the veins of the lower extremities, class C6according to the CEAP classification), phase I-II of the wound process

  • The size of the ulcerative defect is from 1 cm² to 20 cm²

  • Secondary type of wound healing

  • Absence of exposed bones and tendons in the wound

  • Absence of severe concomitant diseases in the stage of decompensation, oncologicaldiseases, as well as diseases requiring steroid therapy

  • Availability of written informed consent from the patient to participate in thestudy

  • The patient's ability to follow the instructions of the research physician andcomply with the study regimen

Exclusion

Exclusion Criteria:

  • Individual intolerance or hypersensitivity reactions to the components of the drugFoscelantan

  • Neuroischemic form of diabetic foot syndrome

  • The presence of serious concomitant pathology (severe form of renal and hepaticfailure, systemic connective tissue diseases, severe cardiovascular insufficiency),history and current mental illness

  • The need to constantly take drugs from the list of prohibited therapies

  • Participation of the patient in another clinical trial within 3 months before thecurrent clinical trial

  • Acute bleeding

  • Level of peripheral blood leukocytes less than 1.5 × 109 per l, platelets less than 75.0 × 109 per l.

  • Hemoglobin less than 80g per l.

  • Positive tests for syphilis, human immunodeficiency virus (HIV), hepatitis B, orhepatitis C

  • Severe liver dysfunction - AST or ALT levels exceed the upper limit of normal by 5times or more, bilirubin ≥ 2.0 mg/dL (34.2 µmol/L).

  • Severe renal dysfunction - creatinine 2 times higher than reference values

  • Diabetes mellitus in a state of clinical and metabolic decompensation

  • Pregnant and breastfeeding women

  • At one's own request without explaining the reasons for the action.

  • At the request of the research physician, if the research subject violates theprotocol requirements for diet, consumption of alcoholic beverages, and medicationswithout the prescription of the research physician.

  • For reasons independent of the study subject and the research physician, when astudy subject develops drug intolerance and other life-threatening or requiringemergency pharmacotherapy adverse reactions to the administration of the study drug.

  • The need to prescribe drugs from the list of prohibited treatments.

Study Design

Total Participants: 224
Treatment Group(s): 2
Primary Treatment: Povidon-iodine
Phase: 2/3
Study Start date:
January 01, 2025
Estimated Completion Date:
December 31, 2025

Study Description

Diabetes takes the third place in the World in terms of its medical and social significance. Diabetes is often complicated with such urulent-inflammatory processe as diabetic foot syndrome. Urulent-inflammatory processes treatment takes a long time and medications due to microcirculation disorders, metabolic disorders, progressive hypoxia and a number of other factors. A moist wound environment, conducive to the natural process of wound cleansing (autolysis), regeneration of damaged tissue, and reduction of pain, irreversible sorption of excess exudate and toxic components and easy removal of the drug from the surface of the wound without additional trauma or damage are yhe main conditions of successful wound healing.Wound dressings made of fibrous polysaccharides modyfied with drugs meet these requirements. Foscelantan has prolonged antimicrobial, analgesic and reparative action, has the ability to transform on the wound surface into an amorphous gel-like mass, irreversibly bind wound detritus and pathological exudate, and provide optimal conditions for the process of wound healing.

Connect with a study center

  • 10th CITY CLINICAL HOSPITAL

    Minsk, 220096
    Belarus

    Site Not Available

  • Health care institution Vitebsk Regional Clinical Hospital

    Vitebsk, 210037
    Belarus

    Site Not Available

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