Nanodica 先进抗菌伤口敷料治疗糖尿病足溃疡安全性和有效性的随机双盲试验 (NM2023)
一项随机、双盲、主动对照、平行组临床试验,旨在评估 Nanoordica 抗菌伤口敷料在 DFU 患者中的安全性和有效性
This clinical trial evaluates the safety and efficacy of the Nanordica Advanced Antibacterial Wound Dressing (AAWD) in patients suffering from diabetic foot ulcers. At least 136 participants will be randomly allocated to be treated either with AAWD or Aquacel Ag+ Extra wound dressing for a 4-week active phase (intervention) followed by an 8-week standard of care period.
研究概览
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习地点
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Harju
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Tallinn、Harju、爱沙尼亚
- East Tallinn Central Hospital
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Tallinn、Harju、爱沙尼亚
- North Estonia Medical Centre Foundation
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Tartu
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Tartu、Tartu、爱沙尼亚
- Tartu University Hospital
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-
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Madrid、西班牙
- Hospital Ramón y Cajal
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Madrid、西班牙
- Hospital Universitario Fundación Alcorcón
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San Sebastián、西班牙
- Hospital Universitario de Donostia
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Cádiz
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Arcos de la Frontera、Cádiz、西班牙
- Centro de Salud de Arcos de la Frontera
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Cadiz、Cádiz、西班牙
- Hospital Puerta del Mar
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Jerez de la Frontera、Cádiz、西班牙
- Centro de Salud San Benito
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León
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León、León、西班牙
- Hospital de León
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Madrid
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Madrid、Madrid、西班牙
- Clínica Universitaria de Podología de la Universidad Complutense de Madrid
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Voluntary, written informed consent obtained prior to any study related activities.
- Males and females aged ≥18 years.
- DFU(s) present for more than 4 weeks with a maximum diameter of 4 cm.
- IWGDF/IDSA Wound infection grades 1 (absent) or 2.
- Patients willing and able to comply with scheduled visits, laboratory sampling and study procedures.
- Ankle-brachial index (ABI) 0.9-1.4 or ABI between 0.6-0.9 with ankle pressure ≥ 70 mmHg.
Exclusion Criteria:
- Ssystemic or topical antibiotic therapy within 7 days before the enrolment.
- Any wound with known associated osteomyelitis or positive probe-to-bone test.
- Previous randomization in this clinical trial.
- Surgical procedures in the same leg as the index ulcer(s) (e.g., radical debridement, ulcerectomy, skin grafting, exostectomy, amputation) within the past four weeks, or planned to during the study.
- Use of other advanced therapies directly involving the index ulcer(s) (e.g. skin substitutes, matrices, cellbased therapies or products) within the past four weeks.
- Patients suffering cardiac disorders grade NYHA IV.
- Patients suffering hepatic disorders grade Child-Pugh C.
- Stage 4 cancer.
- Women of childbearing potential who are pregnant, breast-feeding or not using adequate contraceptive methods.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:先进的抗菌伤口敷料
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For the first 4 weeks, wound dressing will be changed twice weekly. Subsequently, dressing selection and change frequency will be managed by the investigator as part of the standard of care for another 8 weeks. |
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有源比较器:Aquacel Ag+ 额外
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For the first 4 weeks, wound dressing will be changed twice weekly. Subsequently, dressing selection and change frequency will be managed by the investigator as part of the standard of care for another 8 weeks. |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Composite Wound Healing Response at 12 weeks
大体时间:12 weeks
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Composite Wound Healing Response (CWHR) defined as either a wound area reduction (WAR) of more than 50% at 4 weeks relative to baseline (WAR50/4) and/or complete wound closure (CWC) at 12 weeks (CWC/12) |
12 weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Wound area reduction at 4 weeks
大体时间:4 weeks
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Wound area reduction at 4 weeks expressed as percent change from baseline measured using the transparent film method |
4 weeks
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Adverse events
大体时间:12 weeks
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Number and severity of adverse events |
12 weeks
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CWC at 12 weeks
大体时间:12 weeks
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Complete wound closure at 12 weeks |
12 weeks
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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