- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07701590
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
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Marissa Docter, RN, BSN, MD
- Numéro de téléphone: 512-571-2966
- E-mail: mdocter@capsicure.com
Lieux d'étude
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California
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San Diego, California, États-Unis, 92104
- Recrutement
- North Park Podiatry
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Contact:
- Marbella Lara
- Numéro de téléphone: 619-283-2097
- E-mail: marbella.npp1@gmail.com
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Chercheur principal:
- Trent Brookshier
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Florida
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Coral Gables, Florida, États-Unis, 33134
- Recrutement
- Solutions Medical Research
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Contact:
- Liliana Lorenzo
- Numéro de téléphone: 305-425-1238
- E-mail: lorenzo@solutionsmedicalresearch.com
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Chercheur principal:
- Francisco Jose Oliva
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Miami, Florida, États-Unis, 33176
- Recrutement
- Nova Medical Services - Research Division LLC
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Contact:
- Valmys Ortiz
- Numéro de téléphone: 786-715-9183
- E-mail: Valmys.Ortiz@novamedicalcare.com
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Chercheur principal:
- Sandor Romero
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Miami, Florida, États-Unis, 33135
- Recrutement
- NAR Medical and Research
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Contact:
- Lianne Batista
- Numéro de téléphone: 786-803-8986
- E-mail: lbatista@narmedicalresearchgroup.com
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Chercheur principal:
- Julio Arronte
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Indiana
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Indianapolis, Indiana, États-Unis, 46202
- Recrutement
- Indiana University Health Methodist Hospital
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Contact:
- Bryce Hockman
- Numéro de téléphone: 317-278-2715
- E-mail: bbhockma@iu.edu
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Chercheur principal:
- Mithun Sinha
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Missouri
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St Louis, Missouri, États-Unis, 63128
- Recrutement
- St. Louis Foot and Ankle, LLC
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Contact:
- Bonnie Weiss
- Numéro de téléphone: 314-596-9670
- E-mail: blsweiss.practicemanager@gmail.com
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Chercheur principal:
- Raymond Abdo
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Texas
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Houston, Texas, États-Unis, 77054
- Recrutement
- HOPE Vascular and Podiatry
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Contact:
- Jeena RoshanRaj
- Numéro de téléphone: 346-541-6421
- E-mail: jroshanraj@hcic.io
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Chercheur principal:
- Brian Lepow
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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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|
Expérimental: 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.)
|
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,
Autres noms:
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Aucune intervention: 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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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Wound Reduction
Délai: 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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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Wound Percent Area Reduction
Délai: 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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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Directeur d'études: Windy Cole, DPM, Capsicure, LLC
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système endocrinien
- Maladies vasculaires
- Maladies cardiovasculaires
- Blessures et Blessures
- Blessures aux jambes
- Diabète sucré
- Angiopathies diabétiques
- Complications du diabète
- Maladies de la peau
- Ulcère de la peau
- Ulcère de jambe
- Neuropathies diabétiques
- Ulcère du pied
- Maladies de la peau et du tissu conjonctif
- Pied diabétique
- Blessures aux pieds
Autres numéros d'identification d'étude
- CAMPR-II RWE
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
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