The Prospective, Double-blind, Multicenter, Placebo-controlled, Randomized, Comparative Clinical Trial
"Prospective, Double-blind, Multicenter, Placebo-controlled, Randomized, Comparative Clinical Study of the Efficacy and Safety of the Drug Neovasculgen® Lyophilisate for the Preparation of a Solution for Intramuscular Administration 1.2 mg", Manufacturer Federal State Budgetary Institution "NMITs of Hematology" of the Ministry of Health of the Russian Federation, Russia in Patients With Diabetic Foot Syndrome"
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Viktoria
- Phone Number: +79602952607
- Email: dorozhkova.viktoria@mail.ru
Study Locations
-
-
-
Moscow, Russia
- Recruiting
- Botkin Hospital
-
Contact:
- Surgeon
- Phone Number: +79602952607
- Email: dorozhkova.viktoria@mail.ru
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male and female patients aged 18 years and above inclusive (at the time of study entry) with neuroischemic form of diabetic foot syndrome.
- Type 1 or type 2 diabetes mellitus.
- Prolonged non-healing ulcerative defect on the background of standard therapy (at least 1 month), limited to the foot.
- Depth of ulcer defect according to Wagner Scale- 1 or 2 degrees.
- Oxygen tension in the tissues directly adjacent to the ulcer defect area, from 20 to 45 mm Hg.
- Patients with no urgent indications for limb amputation.
- Acceptable ankle- brachial index range of 1.3-0.25.
- Patient's willingness to comply with the requirements for examination and treatment.
- Availability of written informed consent from the patient.
- Patient's consent to follow the regimen of unloading the affected area throughout the study (for patients with plantar ulcer location)
Exclusion Criteria:
- Age under 18.
- Chronic ischemia of the lower limbs of non-atherosclerotic (other than diabetes mellitus) origin: vasculitis, systemic connective tissue diseases, Buerger's disease, congenital anomalies and vascular injuries, embolism.
- Calcaneal localization of the ulcer.
- Neuropathic form of diabetic foot syndrome.
- Severe neuroosteoarthropathic deformity of the foot or other deformity that has a significant impact on the healing process.
- Ischemia, threatening limb loss.
- Presence of clinical signs of an infectious process in the ulcer area that is not controlled by the ongoing antibacterial therapy.
- Presence of purulent-destructive lesions of the foot (abscess, phlegmon, osteomyelitis, etc.).
- Skin changes associated with venous pathology.
- Proliferative and terminal stages of diabetic retinopathy.
- The level of glycated hemoglobin at the entrance to the study is more than 11%.
- Diabetic ketoacidosis or diabetic precoma.
- Systemic use of glucocorticosteroids and/or other immunosuppressive drugs within the last 30 days before inclusion in the study.
- Recent (less than 1 month) surgery or endovascular intervention on the arteries of the lower extremities or recent (less than 1 month) deep vein thrombosis of the lower extremities.
- Recent (less than 3 months) cases of acute myocardial infarction, unstable angina, coronary artery bypass grafting or stenting of the coronary arteries, stroke or transient ischemic attacks.
- Planned major surgery in the next 6 months.
- Severe concomitant disease with life expectancy less than one year.
- Infectious diseases, septic conditions, HIV infection.
- Diagnosis of cancer within the last 5 years.
- Pregnancy, breastfeeding period.
- Positive pregnancy test in women of reproductive age.
- Alcohol or drug addiction.
- Any other disease (including mental) or clinical condition that, in the opinion of the researcher, may affect the patient's ability to participate in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: The investigational therapy group (Neovasculgen)
The diluted drug will be administered by 5-10 injections intramuscularly twice with an interval of 14 days, in the course dosage mode - 2.4 mg.
|
The diluted drug will be administered by 5-10 injections intramuscularly twice with an interval of 14 days, in the course dosage mode - 2.4 mg
|
|
Placebo Comparator: The placebo group
Placebo will be administered by 5-10 injections intramuscularly twice with an interval of 14 days
|
Placebo will be administered by 5-10 injections intramuscularly twice with an interval of 14 days
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of participants who achieved complete healing of the ulcer defect through study completion, an average of 6 months
Time Frame: Until the end of the study
|
Until the end of the study
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of participants with partial ulcer defect healing through study completion, an average of 6 months
Time Frame: Until the end of the study
|
Until the end of the study
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FootDiabEndocrin-05-2024
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.