Evaluating the Efficacy of NeoThelium FT in the Treatment of Pressure Injuries

Evaluation of the Efficacy of NeoThelium FT in the Healing of Chronic Pressure Ulcers: A Randomized Controlled Multicenter Trial

This is a randomized controlled trial evaluating the efficacy of NeoThelium FT in conjunction with standard of care vs. standard of care alone in treating pressure injuries.

Study Overview

• Status: Not yet recruiting
• Conditions: Pressure Injury
• Intervention / Treatment: Other: Standard of Care; Other: NeoThelium FT

Detailed Description

This research will take place across multiple medical centers, where both researchers and participants will know which treatment is being used (open label). Patients who agree to participate and meet the study requirements during screening will be randomly assigned to one of two groups: either standard of care alone, or standard of care plus NeoThelium FT. As this is a post-marketing study, it will gather information about how effective the treatment is in treating pressure injuries. All subjects will complete two week screening phase prior to being randomized into a treatment arm. Treatment arms will consist of NeoThelium FT in conjunction with standard of care, vs. standard of care alone. The primary endpoint will be the percentage of target ulcers that achieve complete wound closure within 16 weeks. Secondary endpoints consist of wound area reduction rates, time to closure, follow-up closure, and pain assessment.

• Study Type: Interventional
• Enrollment (Estimated): 148
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Angelina Ferguson, DNP; Phone Number: (985) 629-4013; Email: info@sygnola.com
• Study Contact Backup: Name: Sarah Moore, MBE; Phone Number: (985) 629-4013; Email: info@sygnola.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Male or Female, 18 years of age or older
2. Subject has a medical diagnosis of Pressure Injury/Ulcer located on the pelvis or lower extremity
3. Subject has a Pressure Injury/Ulcer present for 4 weeks or greater (documented in medical record), and less than 12 months duration if being treated with continuous SOC
4. Subject has a Pressure Injury/Ulcer with a historical wound measurement showing less than 50% healing within 30 days prior to randomization
5. Subject has a Pressure Injury/Ulcer with screening wound measurement showing less than 25% healing within 14 days prior to randomization
6. Subject has a Pressure Injury/Ulcer Stage 2, 3, and 4 without infection or clinically visible exposed bone
7. Index ulcer is a minimum of 1cm2 and a maximum of 25cm2 at first treatment visit
8. Index ulcer has a maximum depth of 1cm at first screening visit
9. Pressure Injury/Ulcer is treated with offloading therapy while standing, sitting and lying down (if applicable to wound location) for 14 days prior to randomization
10. Adequate circulation of ulcer demonstrated by an ABI of >0.7 and <1.3, or TBI of >0.6 within 30 days prior to randomization
11. Index ulcer is free of infection prior to randomization and during screening phase.
12. Index ulcer is free of necrotic debris prior to [insert product/device] application
13. Female subjects of childbearing potential having a negative pregnancy test prior to randomization
14. Index ulcer is free of infection prior to randomization and during screening phase noted with the NERDS Assessment. Infection must be adequately treated and controlled prior to randomization.
15. Having a Mini Nutritional Assessment Score of 12 or higher indicated a normal nutritional status
16. Subject is able and willing to follow the protocol requirements
17. Subject had signed informed consent
18. If 2 or more ulcers are present, the ulcers must be separated by at least 1 cm

Exclusion Criteria:

1. Subject has a known life expectancy of <1 year
2. Subject is unable to comply with protocol treatment
3. Subject has major uncontrolled medical disorders in the opinion of the investigator, such as serious cardiovascular, renal, liver, pulmonary, autoimmune, palliative care, or inherited blood disorders that may affect wound healing
4. Subject actively being treated for malignant disease or history of malignancy or radiation therapy at the site of wound
5. Subject has comorbid conditions that may compromise subject safety in the opinion of the investigator
6. Known contraindications to tissue-engineered allograft
7. Concurrent participation in alternative clinical trial that involves investigational drug or product interfering with wound treatment and/or healing
8. Wound reduces in area by ≥25% after 14 days of SOC prior to randomization
9. Subject is pregnant or breastfeeding
10. Subject with history of immunosuppressant treatment (systemic corticosteroids >10mg daily dose), cytotoxic chemotherapy, or topical steroid application to the ulcer surface for >2 weeks duration within 30 days prior to randomization; or anticipated use of the above during the course of the study
11. Wound previously treated with CAMPs, tissue engineered, or scaffold materials within 30 days prior to randomization
12. Pressure Injury/Ulcer of Stage 4 grade with active osteomyelitis or exposed visible bone
13. Wound depth with visible exposed bone
14. HBOT within 14 days prior to randomization
15. Revascularization surgery on the index ulcer leg within 30 days of screening phase
16. Index ulcer suspicious of neoplasm in the opinion of the principal investigator

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: No Intervention: Standard of Care; Wound cleansing, Sharps debridement, Dressing for moisture balance, Offloading	Other: Standard of Care; Wound cleansing, Sharps debridement, Dressing for moisture balance, Offloading
Experimental: Intervention: NeoThelium FT & Standard of Care; Wound cleansing, sharps debridement, NeoThelium FT application, Dressing for moisture balance, Offloading	Other: NeoThelium FT; NeoThelium FT is a dehydrated wound covering derived from donated human placental tissue. NeoThelium FT is a dual-layer membrane with amnion and chorion combination layers.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Complete Wound Closure	The primary endpoint will be the percentage of target ulcers that achieve complete wound closure.	1-16 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Follow-Up Closure	Number of wounds remaining closed during the 2-week follow-up	2 weeks
Percentage Wound Area Change	The percentage change in wound area from TV-1 to TV-13 will be measured weekly using digital photographic planimetry and physical examination.	1-16 weeks
Time to Closure	Average number of grafts and/or weeks used to achieve wound closure	1-16 weeks
Pain Assessment	Change in pain associated with the target ulcer will be assessed using the Numeric Pain Rating Scale at designated time points	Day 0, Day 14, Day 35, Day 56, Day 77, Day 98, Day 112

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wound closure rate in comparison to initial area	Wound healing rate vs wound area categories 0.5-1 cm2, >1-3cm2, >3-5cm2, etc.	Day 0 through Day 112
Adverse Events and Serious Adverse Events	The number and nature of adverse events (AEs) and series adverse events (SAEs) occurring during the study will be tracked and reported.	Day -14 through 126 days

Collaborators and Investigators

• Sponsor: NuScience Medical Biologics, LLC
• Collaborators: SygNola, LLC
• Investigators: Study Director: Angelina Ferguson, DNP, SygNola, LLC

Study record dates

Study Major Dates

• Study Start (Estimated): July 1, 2026
• Primary Completion (Estimated): March 1, 2028
• Study Completion (Estimated): May 1, 2028

Study Registration Dates

• First Submitted: March 31, 2025
• First Submitted That Met QC Criteria: April 8, 2025
• First Posted (Actual): April 9, 2025

Study Record Updates

• Last Update Posted (Actual): April 7, 2026
• Last Update Submitted That Met QC Criteria: April 6, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Chronic wounds; Cellular, Acellular, Matrix-like Product (CAMP); Cellular and/or Tissue Product (CTP); Dehydrated Complete Human Placental Membrane (dCHPM); Wound Medicine
• Additional Relevant MeSH Terms: Skin Diseases; Skin Ulcer; Skin and Connective Tissue Diseases; Pressure Ulcer; Health Services Administration; Health Care Quality, Access, and Evaluation; Quality of Health Care; Quality Indicators, Health Care; Standard of Care
• Other Study ID Numbers: PROTECT

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No