Active, not recruiting
Not applicable
Proof of Concept Open Label, Clinical Trial to Evaluate the Safety and Efficacy of the "FITT" Device in Diabetic Foot Ulcers Patients
Condition(s) studied
Diabetic Foot Ulcer
Investigational drug(s) / intervention(s)
Study treatment administration (TriO FITT)Physical ExaminationVital SignsHematology Blood TestsBiochemistry Blood TestWound Digital PhotographyUrine pregnancy testVisual Analogue ScaleSF-36Wounds evaluation
Study treatment administration (TriO FITT): Patients will be treated with the study device 2-3 times per week (determined by their wagner score) for an hour at each visit. treatment will include a combination of methods (the exact details is patented by the company and can not be elaborated).
Physical Examination: physical examination will include an overall examination of the patient's body for any iregular findings and or physical changes from baseline.
Vital Signs: vital signs measurement will include blood pressure, pulse and oral temperature as well as hight and weight.
Hematology Blood Tests: complete CBC, coagulogram (PT, aPTT); D-dimer; C-reactive protein;; Ferritin; fibrinogen,
Biochemistry Blood Test: urea, creatinine, uric acid, sodium, potassium, chloride, calcium, glucose, glycated hemoglobin, alkaline phosphatase (FA), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin and fractions ( BTF), total proteins and fractions (PTF), lipid profile (total cholesterol, fractions and triglycerides).
Wound Digital Photography: 3 photographs of the wound taken before wash, after wash and after treatment.
Urine pregnancy test: for women with childbearing potential
Visual Analogue Scale: Visual Analogue Scale - visual scale scoring 1-10 measuring pain, 10 being worst pain.
SF-36: SF-36 - quality of life questionnaire scaling from 0-100, 100 being best quality of life.
Wounds evaluation: including size measurements and visual description.
Study summary
The TriO FITT device is designed to improve the symptoms of chronic diabetic ulcers.
The mechanism of action of the device optimizes and combines the administration known supproting treatments to chronic diabetic ulcers. The treatment is astimated to improve the wound conditions of acute and chronic diabetic wounds.
Eligibility
Inclusion Criteria:
* Males and females 18-80 years old
* Chronic Diabetes Mellitus type 1 and type 2 diagnosed at least 3 years before the screening
* Have a single non-infected diabetic hard-to-heal wound (ulcers/foot ulcers) ≤ 0.8-40 cm2 wound area at start of treatment, for period of at least for 3 months.
* Wagner classification stage 1 or 2 or post-debridement stage 3.
* At least moderate blood perfusion into the affected limb as defined by Ankle Brachial Index (ABI) ≥0.65
* Stable diabetic drugs 4 weeks before Screening
* Be available for the entire study period, and be able and willing to adhere to protocol requirements
* Provide written informed consent prior to admission into the study
Exclusion Criteria:
* Have a glycosylated hemoglobin (HbA1c) \> 10.5%
* Have more than one wound
* Have a body mass index (BMI) \> 40 kg/m2
* Have visible bone exposure at wound site
* Anemia (Hemoglobin \< 9 g/dL) or White Blood Cells count \> 11,000/μL or Platelets count \< 100,000/μL or liver function tests \> 3 times upper normal lab values or Creatinine \> 3 mg/dL; any indication of malnourishment (Albumin \< 3 g/dL); INR\>2 or any other clinically significant blood and urinalysis tests per the physician's discretion
* Patients with unstable hypertension
* Have any clinically significant chronic or acute illness during the 4 weeks prior to admission into the study, except diabetes type 1 or 2 or during screening period
* Females who are pregnant, lactating, of child-bearing potential, or post-menopausal for less than 2 years, not using a medically approved method of contraception (i.e., oral, transdermal, or implanted contraceptives, intrauterine device, diaphragm, condom, abstinence, or surgical sterility), or females who test positive on a urine-based pregnancy test
* Participation in a clinical study or use of an investigational drug within 30 days prior to admission to this study
* Patients with active Gangrenous foot ulcers
* Active osteomyelitis (Have any signs of infection in the wound (which could be linked to raised body temperature), abscess, cellulitis, necrosis, erythema, mild drainage or known osteomyelitis)
* Patients with uncontrolled hyperthyroidism
* Patients with history of collagen diseases
* Patients with known allergy to ozone
* Anxiety, Depression, history of Mental illness or patient under Guardian
* Any medical condition for which the investigator deems the subject unable to participate in the study
Primary outcome measure(s)
- Safety measured by number of patients who lack adverse events throughout the study. — 0 to 28 weeks
- Change in pain level between visits 1 and the last treatment evaluated by VAS scale — 0 to 28 weeks
pain levels will be measured by the precent of change in VAS pain raiting scale.
- Change in Quality of life (QoL) between visits 1 and the last treatment, measured by SF-36 — 0 to 28 weeks
score measures from 0 to 100, 100 being good quality of life.
- Change in wound size between V1 and the last treatment — 0 to 28 weeks
change in size (cm\^2)
Trial sites (1)
| Facility | City | Region | Status |
|---|
| Hilel Yafe Medical Center |
Hadera |
Israel |
|
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