- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07645495
Frequency Rhythmic Electrical Modulated Stimulation Therapy in Chronic Ulcers. (FREMS)
Chronic Ulcer Healing With Frequency Rhythmic Electrical Modulated Stimulation (FREMS)Therapy and Phenytoin Application in Diabetic Patients.
The goal of the study is to
- To measure wound size of chronic ulcers after using FREMS therapy and phenytoin application in the interventional group monthly till the end of the third month compared to baseline.
- To measure wound size of chronic ulcers after using standard of care in control group monthly till the end of the third month compared to baseline.
- To compare the results of the 2 groups and determine the significance of the treatment.
Studieoversigt
Detaljeret beskrivelse
Wound ulcers including diabetic foot ulcers impose a substantial and escalating economic burden on healthcare systems worldwide. In the United States alone, chronic wounds affect over 10 million people and account for annual healthcare costs ranging from $28.1 to $96.8 billion. Major challenges persist, including antibiotic resistance, high recurrence rates, delayed healing in patients with comorbidities, and limited evidence for many advanced therapies. Additionally, cost, access to specialized care, and the need for individualized, multidisciplinary management remain significant barriers to optimal outcomes. Using two effective modalities in cases that are resistant to all known treatments, whether they are conservative or adjuvant, is a promising technique to end the entrapment of a wound in a certain stage and avoid complications like further amputation. enrolled patients will be randomly assigned to one of either groups Group A: Intervention group that will receive 3 sessions /week of FERM with phenytoin application with spraying phenytoin topical 40 mg spray after each session according to ulcer size to cover the ulcer.
Group B: Control group that will receive standard of care and will be assessed at baseline and every month till they completed 3 months of treatment.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Ibtihal Nassar, Msc.
- Telefonnummer: +201151678506
- E-mail: ibtihalnassar@gothi.gov.eg
Studiesteder
-
-
-
Giza, Egypten
- National diabetes institute
-
Kontakt:
- Ibtihal Nassar, Msc.
- Telefonnummer: +201151678506
- E-mail: scholaribtihal@gmail.com
-
Kontakt:
- seham abdelmoghny, phd
- Telefonnummer: +201006920495
- E-mail: ibtihalnassar@gothi.gov.eg
-
Ledende efterforsker:
- Ibtihal Nassar, msc
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- chronic ulcers more than 3 months.
Exclusion Criteria:
- incapable of being in the clinic of diabetic ulcer during treatment period 3 days/ week for 3 months.
- severe ischemia that is indicated for a surgery.
- infection or osteomyelitis.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: chronic ulcers patients
FREMS therapy 3 sessions/week for 40 minutes with phenytoin spray 40mg.
|
frequency rhythmic electrical stimulation which is an electrical device specialized in diabetes complications like ulcers and neuropathies, with proven efficacy in neuropathies, and promising results in ulcers.
|
|
Ingen indgriben: ulcers patients
control group: SOC(debridement and basic wound care)
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
healing rate
Tidsramme: measuring once a month for 3 months.
|
wound size
|
measuring once a month for 3 months.
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- IDE00360
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Kroniske sår
-
Jules Bordet InstituteMacopharma; Belgian Hematological SocietyRekrutteringRefractory Chronic Graft Versus Host Disease (cGVHD)Belgien
-
Bahria UniversityIslamabad Medical and Dental CollegeAktiv, ikke rekrutterendeAlveolær knogletab Associated Chronic PeriodontitisPakistan
-
West China HospitalIkke rekrutterer endnuPTLD'er | CAEBV (Chronic Active Epstein-Barr Virus Infection) SyndromKina
-
Beijing Friendship HospitalIkke rekrutterer endnuEBV | Hæmofagocytiske lymfohistiocytoser | CAEBV (Chronic Active Epstein-Barr Virus Infection) SyndromKina
-
Novartis PharmaceuticalsLedigPrimær myelofibrose (PMF) | Polycytæmi Vera (PV) | Post polycytæmi myelofibrose (PPV MF) | Trombocytæmi myelofibrose (PET-MF) | Alvorlig/meget svær COVID-19 sygdom | Steroid Refractory Acute Graft Versus Host Disease (SR aGVHD) | Steroid Refractory Chronic Graft Versus Host Disease (SR cGVHD)
Kliniske forsøg med FREMS
-
Karolinska InstitutetRegion StockholmTilmelding efter invitation
-
University of Massachusetts, WorcesterAfsluttet
-
Liaocheng People's HospitalAfsluttetTotal knæarthroplastik
-
University of Colorado, DenverNational Institute on Drug Abuse (NIDA)Aktiv, ikke rekrutterende
-
Boston University Charles River CampusNational Institute of Mental Health (NIMH)Afsluttet
-
University of California, San FranciscoAfsluttetParæstesi | Nerveskade | Knoglebrud | Kirurgisk komplikation | Mandibulær Hypoplasi | Kæbenerveskader | Mandibular retrognatisme | Mandibulær prognathisme | Nerveindfangninger | Mandibulær hyperplasiForenede Stater
-
University of Sao PauloAfsluttetEndodontisk behandling af primære tænderBrasilien
-
University Hospital, GenevaElise Bakelants; Carine Stettler; Rene NKoulouAfsluttetPacing-induceret kardiomyopatiSchweiz
-
Bulent Ecevit UniversityAfsluttet
-
National University of SingaporeSingapore Health ServicesAktiv, ikke rekrutterende