CAMPR-II RWE TRIAL: A Saline-hydrated Allogeneic Dual-layer Amniotic Membrane Product or a Synthetic, Resorbable Polymeric Wound Matrix to a Coarsened Exact Matched Retrospective Control Cohort of Hard to Heal DFUs and VLUs (CAMPR-II)
A Multicenter Hybrid Platform Trial Comparing the Effects of a Prospective Cohort Treated With a Saline-hydrated Allogeneic Dual-layer Amniotic Membrane Product or a Synthetic, Resorbable Polymeric Wound Matrix to a Coarsened Exact Matched Retrospective Control Cohort of Patients With Hard-to-heal DFUs and VLUs
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Marissa Docter, RN, BSN, MD
- Telefonní číslo: 512-571-2966
- E-mail: mdocter@capsicure.com
Studijní místa
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California
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San Diego, California, Spojené státy, 92104
- Nábor
- North Park Podiatry
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Kontakt:
- Marbella Lara
- Telefonní číslo: 619-283-2097
- E-mail: marbella.npp1@gmail.com
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Vrchní vyšetřovatel:
- Trent Brookshier
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Florida
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Coral Gables, Florida, Spojené státy, 33134
- Nábor
- Solutions Medical Research
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Kontakt:
- Liliana Lorenzo
- Telefonní číslo: 305-425-1238
- E-mail: lorenzo@solutionsmedicalresearch.com
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Vrchní vyšetřovatel:
- Francisco Jose Oliva
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Miami, Florida, Spojené státy, 33176
- Nábor
- Nova Medical Services - Research Division LLC
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Kontakt:
- Valmys Ortiz
- Telefonní číslo: 786-715-9183
- E-mail: Valmys.Ortiz@novamedicalcare.com
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Vrchní vyšetřovatel:
- Sandor Romero
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Miami, Florida, Spojené státy, 33135
- Nábor
- NAR Medical and Research
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Kontakt:
- Lianne Batista
- Telefonní číslo: 786-803-8986
- E-mail: lbatista@narmedicalresearchgroup.com
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Vrchní vyšetřovatel:
- Julio Arronte
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Indiana
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Indianapolis, Indiana, Spojené státy, 46202
- Nábor
- Indiana University Health Methodist Hospital
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Kontakt:
- Bryce Hockman
- Telefonní číslo: 317-278-2715
- E-mail: bbhockma@iu.edu
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Vrchní vyšetřovatel:
- Mithun Sinha
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Missouri
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St Louis, Missouri, Spojené státy, 63128
- Nábor
- St. Louis Foot and Ankle, LLC
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Kontakt:
- Bonnie Weiss
- Telefonní číslo: 314-596-9670
- E-mail: blsweiss.practicemanager@gmail.com
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Vrchní vyšetřovatel:
- Raymond Abdo
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Texas
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Houston, Texas, Spojené státy, 77054
- Nábor
- HOPE Vascular and Podiatry
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Kontakt:
- Jeena RoshanRaj
- Telefonní číslo: 346-541-6421
- E-mail: jroshanraj@hcic.io
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Vrchní vyšetřovatel:
- Brian Lepow
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Male or female 18 years of age and older
If a female is not currently pregnant or breastfeeding nor plans to become pregnant during the study and is either not of childbearing potential (defined as: postmenopausal [defined as amenorrhea for at least 1 year and serum follicle stimulating hormone (FSH) level >40 IU/L], or surgically sterile [bilateral oophorectomy, bilateral salpingectomy, hysterectomy, or tubal ligation at least 6 months prior to IP administration]), or is practicing one or more of the following medically acceptable methods of birth control throughout the study.
- Hormonal methods such as oral, implantable, injectable, vaginal ring, or transdermal contraceptives for a minimum of 1 full cycle (based on subject's usual menstrual cycle period) before Screening/Randomization Visit and must follow that product's package insert instructions including additional protection at times when hormonal contraceptive doses might be missed.
- Total abstinence from sexual activities that can lead to pregnancy for at least 6 months prior to Screening/Randomization Visit. Abstinence is acceptable when it is in line with the subject's preferred and usual lifestyle.
- Intrauterine device
- Vasectomized Partner (for at least 6 months)
- Double-barrier method (condoms and clerical cap with spermicidal jellies or cream or condoms and diaphragm with spermicidal jellies or cream or condoms and contraceptive foam).
- Negative pregnancy test for all subjects of childbearing potential
- Subjects having a non-healing venous leg ulcer or diabetic foot ulcer of >4 weeks duration.
- No visible signs of healing objectively, less than 50% reduction in wound size in the last 4 weeks
- Subjects' wound size is minimum of 2 cm2 and maximum of 24cm2
- If the subject has more than one eligible wound the largest wound will be selected (the index wound)
- Subject is able and willing to follow the protocol requirements
- Subject has signed informed consent.
Exclusion Criteria:
- Inability to adhere to the study protocol or study visit schedule
- Pregnancy
- Child-bearing potential without appropriate contraception
- Lactation
- Treatment of the wound with engineered tissue or other scaffold materials within 30 days preceding the first treatment visit.
- Visible signs of improvement in the four weeks before randomisation (defined objectively as a 50% reduction in surface area in the four weeks before enrolment)
- The subject has other concurrent conditions that in the opinion of the investigator may compromise subject safety
- Known contraindications to the use of either IP1 or IP2
- The index ulcer shows clinical signs and symptoms of wound infection needing treatment with local or systemic antimicrobials or antibiotics.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: IP1: Membrane Wrap - Hydro
The study will employ a platform umbrella design in which two studies will be run: one for diabetic foot ulcers and one for venous leg ulcers.
Each study will have two intervention groups and one common SOC group.
Subjects will be randomized to one of two interventions: IP1: BioLab Membrane Wrap Lite IP2: BioLab Tri-Membrane Wrap Subjects in the control group will be drawn from deidentified data sourced from the US Wound Registry.
The US Wound Registry (USWR) is recognized by CMS as a Qualified Clinical Data Registry (QCDR).
The matching of intervention to control groups will use coarsened exact matching (CSM) in which key variables are used to match: e.g., age, sex, baseline wound area, baseline wound age.
The desired control subject pool should be three times larger than the prospective group (at least 147 in wound type.)
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IP 1: Membrane Wrap - Hydro is a saline-hydrated allogeneic dual-layer amniotic membrane product that meets the criteria for regulation as a human cell, tissue, or cellular or tissue-based product (HCT/P) solely under section 361 of the Public Health Service (PHS) Act and 21 CFR part 1271.
The amnion allograft is screened, processed, labeled, and distributed in a manner that prevents transmission of disease and is an allograft derived from donated human birth tissue.
Membrane Wrap - Hydro amniotic membrane processing includes cleaning, rinsing, applying sterile mesh, folding to create a dual layer, drying then cutting, followed by hydration with sodium chloride solution 0.9%" and sterilization using irradiation.
Membrane Wrap - Hydro™ is intended to serve "as a supportive barrier and provides protective coverage from the surrounding environment to acute and chronic wounds.
Membrane Wrap-Hydro may be applied from the onset of the wound and for the duration of the wound.
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Experimentální: IP2: Microlyte®
This study will employ a platform umbrella design in which two studies will be run: one for diabetic foot ulcers and one for venous leg ulcers.
Each study will have two intervention groups and one common SOC group.
Subjects will be randomized to one of two interventions: IP1: BioLab Membrane Wrap Lite IP2: BioLab Tri-Membrane Wrap Subjects in the control group will be drawn from deidentified data sourced from the US Wound Registry.
The US Wound Registry (USWR) is recognized by CMS as a Qualified Clinical Data Registry (QCDR).
The matching of intervention to control groups will use coarsened exact matching (CSM) in which key variables are used to match: e.g., age, sex, baseline wound area, baseline wound age.
The desired control subject pool should be three times larger than the prospective group (at least 147 in wound type.)
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IP 2: Microlyte® is a sterile, single use absorbent polymeric wound matrix composed primarily of bioresorbable polyvinyl alcohol with a polymeric surface coating containing ionic and metallic silver.
It has very low amounts of silver, with a maximum of 0.16 mg/in2.
It absorbs wound fluid and forms a soft matrix that conforms to the wound surface and maintains a moist, wound-healing environment.
The matrix contains silver only to prevent or minimize microbial growth within the matrix.
Microlyte® Matrix is cleared by the U.S. Food and Drug Administration (FDA) under 510(k) [K153756] as a Class II device for the management of partial- and full-thickness wounds, including diabetic foot ulcers, venous stasis ulcers, pressure ulcers, surgical and traumatic wounds, and first- and second-degree burns and may be used over debrided and grafted partial-thickness wounds.
It is fully synthetic and cleared as an antimicrobial barrier.
The product is regulated under 21 CFR 878.4020 (dressing, wound,
Ostatní jména:
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Žádný zásah: Standard of Care
This study will employ a platform umbrella design in which two studies will be run: one for diabetic foot ulcers and one for venous leg ulcers.
Each study will have two intervention groups and one common SOC group.
Subjects will be randomized to one of two interventions: IP1: BioLab Membrane Wrap Lite IP2: BioLab Tri-Membrane Wrap Subjects in the control group will be drawn from deidentified data sourced from the US Wound Registry.
The US Wound Registry (USWR) is recognized by CMS as a Qualified Clinical Data Registry (QCDR).
The matching of intervention to control groups will use coarsened exact matching (CSM) in which key variables are used to match: e.g., age, sex, baseline wound area, baseline wound age.
The desired control subject pool should be three times larger than the prospective group (at least 147 in wound type.)
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Wound Reduction
Časové okno: 12 Weeks
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To demonstrate the clinical effectiveness of IP1 and IP2 as an adjunct to standard of care in supporting wound reduction compared to standard of care alone in venous leg ulcers and diabetic foot ulcers across the continuum of care.
Thus, the incidence of index ulcers obtaining complete wound reduction by 12 weeks will be collected.
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12 Weeks
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Wound Percent Area Reduction
Časové okno: Week 4, 8, and 12
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To demonstrate real world utilization and utility of two novel amniotic tissue grafts to support a variety of meaningful clinical outcomes in an at-risk patient population this study will collect wound percent area reduction at 4, 8, 12 weeks, change from baseline in quality of life, based on changes in index wound quality of life Wound-Q, and subject pain scores.
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Week 4, 8, and 12
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: Windy Cole, DPM, Capsicure, LLC
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- CAMPR-II RWE
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
produkt vyrobený a vyvážený z USA
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