AzTrials
AzTrials

Diabetic Foot UlcersCMSNCT02071979

Registry Trial of the Effectiveness of Platelet Rich Plasma for Chronic Non-Healing Wounds

A study testing Autologous PRP Gel, Autologous PRP Injections and Autologous PRP Gel plus PRP Injections in people with Diabetic Foot Ulcers and Venous Ulcers, run by Arteriocyte, Inc. at 6 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This study will examine differences in the process of wound-healing in patients treated with platelet rich plasma (a concentration of proteins derived from a patients own blood) applied to the wound as a gel; injected into the wound or surrounding tissue; or both; compared to patients treated with usual medical… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Autologous PRP Gel, Autologous PRP Injections and Autologous PRP Gel plus PRP Injections
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,500 participants
Where
6 sitesUnited States
Study dates
Apr 2014to Jan 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Medicare Eligible
  • Written informed consent obtained from either the subject or the subject's legally acceptable representative prior to screening activities
  • Male or female ≥ 18 years of age
  • Duration of Diabetic Foot Ulcers (DFU),Venous Ulcers (VU), or Pressure Ulcers (PU) is greater than 30 days at first visit/subject screening
  • DFU is classified as Wagner 1 -2 on the Wagner classification system
  • If more than one non-healing wound is present, the largest of the wounds that is classified as a Wagner 1 - 2.
Show all 11Show fewer
  • If a subject has multiple eligible wounds, the largest wound will be selected. There must be at least 4 cm between the index wound and other wounds; if all wounds are closer than 4 cm, the subject should not be enrolled (screen failure).
  • The ulcer must be clinically non-infected
  • Able and willing to comply with the procedures required by the protocol. Subjects may be managed as either inpatient or outpatient.
  • If a female of childbearing potential, the subject must have a negative urine pregnancy test at screening and must agree to use adequate contraception methods for the duration of the study.
  • Ankle Brachial Index (ABI) greater than or equal to 0.7.

Who cannot join

  • Subjects with known sensitivity to components of the Arteriocyte BioBandage™ (calcium chloride, thrombin, acid citrate dextrose solution A (ACDA)).
  • Current treatment of another chronic wound in the same limb (defined as arm or leg).
  • Wound is not of DFU, PU, or VU pathophysiology.
  • PU is classified as late stage III or stage IV.
  • Confirmed presence of osteomyelitis, or if osteomyelitis is suspected.
  • Received systemic corticosteroids or immunosuppressive agents, hyperbaric oxygen therapy (HBOT), electrostimulation, growth factors, or any cell or tissue-derived products for wounds during the 30 days preceding the screening visit.
Show all 18Show fewer
  • Any chronic condition requiring the use of systemic corticosteroids 30 days prior to study entry and anytime during the course of the study.
  • Received radiation therapy or chemotherapy within previous 6 months.
  • Any malignancy other than non-melanoma skin cancer.
  • Patient has radiographic evidence consistent with diagnosis of neuropathic osteoarthropathy (Charcot foot) in the treatment limb.
  • Ulcer area decreases by greater than or equal to 30% during screening period
  • Subjects who are cognitively impaired and do not have a healthcare proxy.
  • Subject has inadequate venous access for repeated blood draw required for PRP preparation.
  • Subject has sickle cell anemia.
  • Subject is pregnant or plans to become pregnant during the duration of the trial.
  • Concurrent participation in a clinical trial in which an investigational agent is used.
  • Females who are nursing.
  • Subjects with Thrombocytopenia < 100,000 platelets/µL.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Good Samaritan Wound Care Center

    Bakersfield, California, 93313

  • Heritage Valley Health System

    Beaver, Pennsylvania, 15009

  • Total Foot Care

    Cleveland, Ohio, 44107

  • Wound Care Center, Englewood Hospital and Medical Center

    Englewood, New Jersey, 07631

  • Sunnyside Foot and Ankle

    Idaho Falls, Idaho, 83404

  • Comprehensive Wound Healing Center and Hyperbarics

    Lake Success, New York, 11042

Other trials in United States

About this study

Official title: Effectiveness of Autologous Platelet Rich Plasma in the Treatment of Chronic Skin Wounds

This study will examine differences in the process of wound-healing in patients treated with platelet rich plasma (a concentration of proteins derived from a patients own blood) applied to the wound as a gel; injected into the wound or surrounding tissue; or both; compared to patients treated with usual medical treatment . This study seeks to enroll patients who are 18 or older with a non-healing skin wound that is at least 30 days old. Only patients with Diabetic Foot Ulcers, Venous Ulcers, or Pressure Ulcers will be included in the study.

Read the detailed description

The proposed investigation is designed to solicit a large number of patients (N=1,500) with non-healing wounds (Diabetic Foot Ulcers, Venous Ulcers, or Pressure Ulcers) that have not responded to standard wound care in the previous 30 days or more. A prospective, interventional, single-blinded, controlled, registry trial will be used. Data will be analyzed to compare patients who received PRP therapy (PRP gel application, PRP injection, or both) and standard wound care (usual customary care) with patients who received standard wound care (usual customary care), only. Wound size, rate of healing, quality of life, and recurrence of wound will be measured during the 16-week period at usual office visits.

Hypotheses to be tested:

  1. Treatment of a chronic wound with standard of care and autologous platelet rich plasma (PRP) will increase the velocity of healing (rate of wound closure) over a twenty week period as compared to patients receiving standard wound care only (Control Group), which results in the patient's ability to return to previous function and resumption of normal activities.
  2. Treatment of a chronic wound with standard of care and autologous platelet rich plasma (PRP) will result in complete wound healing within twenty weeks, whereas complete wound healing will not be observed within twenty weeks in patients receiving standard wound care only (Control Group).
Being tested
Autologous PRP Gel, Autologous PRP Injections, Autologous PRP Gel plus PRP Injections, Standard Wound Care
Keywords
Chronic, Non-healing, Wounds
Medical subject headings
Diabetic Foot, Varicose Ulcer, Pressure Ulcer, Bronchiolitis Obliterans Syndrome, Wounds and Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Autologous PRP GelDevice

    Autologous PRP Gel is prepared using the Arteriocyte Magellan® System (510(k) approved), an Autologous Platelet Separator Instrument, which is a microprocessor-controlled centrifuge designed to be used in the clinical laboratory or intraoperatively at point of care for the safe and rapid preparation of platelet poor plasma and platelet concentrate (platelet rich plasma) from a small sample of blood. The Arteriocyte Magellan® automatically and quickly separates PRP from anticoagulated blood and dispenses it into a separate sterile syringe. The prepared PRP is then activated (by mixing with thrombin and calcium chloride) and sprayed directly on the area to be treated.

  • Autologous PRP InjectionsDevice

    Autologous PRP Gel is prepared using the Arteriocyte Magellan® System (510(k) approved), an Autologous Platelet Separator Instrument, which is a microprocessor-controlled centrifuge designed to be used in the clinical laboratory or intraoperatively at point of care for the safe and rapid preparation of platelet poor plasma and platelet concentrate (platelet rich plasma) from a small sample of blood. The Arteriocyte Magellan® automatically and quickly separates PRP from anticoagulated blood and dispenses it into a separate sterile syringe. The prepared PRP is then drawn into multiple small syringes and injected directly into the wound bed or the skin surrounding it.

  • Autologous PRP Gel plus PRP InjectionsDevice

    Autologous PRP Gel is prepared using the Arteriocyte Magellan® System (510(k) approved), an Autologous Platelet Separator Instrument, which is a microprocessor-controlled centrifuge designed to be used in the clinical laboratory or intraoperatively at point of care for the safe and rapid preparation of platelet poor plasma and PRP from a small sample of blood. The Arteriocyte Magellan® automatically and quickly separates PRP from anticoagulated blood and dispenses it into a separate sterile syringe. The prepared PRP is then divided into equal parts and half is drawn into multiple small syringes and injected directly into the skin surrounding the wound bed, half is activated (by mixing with thrombin and calcium chloride) and sprayed the wound bed.

  • Standard Wound CareProcedure or surgery

    Subjects in the control group will receive Standard Wound Care treatment for chronic wounds according to accepted medical practices.

Study groups in NCT02071979
Study groupRoleWhat they receive
Autologous PRP GelExperimentalThe method of application for PRP treatment will be decided by the clinician in accordance with the appearance of the wound bed. The application of topical PRP gel may be used in chronic wounds possessing an open, moist wound bed according to following treatment schedule: Baseline/Week 0, Week 1, Week 2, Week 3, Week 7, and Week 11. The Arteriocyte Magellan® System (510(k) cleared) will be used to prepare the autologous PRP gel. For data analysis, the data from these patients will be classified as PRP Treatment Group (Topical application) data.
Receives: Device: Autologous PRP Gel; Procedure: Standard Wound Care
Autologous PRP InjectionsExperimentalThe method of application for PRP treatment will be decided by the clinician in accordance with the appearance of the wound bed. Autologous PRP Injections may be used where chronic wounds possess a raised, hyperproliferative wound margin and/or plaque, according to following treatment schedule: Baseline/Week 0, Week 1, Week 2, Week 3, Week 7, and Week 11. The Arteriocyte Magellan® System (510(k) cleared) will be used to prepare Autologous PRP for injections. For data analysis, the data from these patients will be classified as PRP Treatment Group (Direct Injection) data.
Receives: Device: Autologous PRP Injections; Procedure: Standard Wound Care
Autologous PRP Gel plus PRP InjectionsExperimentalThe method of application for PRP treatment will be decided by the clinician in accordance with the appearance of the wound bed. Some wounds may be suitable for both Autologous PRP Gel plus PRP Injections. Autologous PRP injections into, or to the periphery of, a moist wound bed in which no scarification or raised wound margin is apparent (where autologous PRP Gel can also be used) may further augment wound healing by addressing wound healing in multiple areas, following the treatment schedule: Baseline/Week 0, Week 1, Week 2, Week 3, Week 7, and Week 11. The Arteriocyte Magellan® System (510(k) cleared) will be used to prepare the autologous PRP gel. For data analysis, the data from these patients will be classified as PRP Treatment Group (Topical and Direct) data.
Receives: Device: Autologous PRP Gel; Device: Autologous PRP Injections; Device: Autologous PRP Gel plus PRP Injections; Procedure: Standard Wound Care
Standard Wound CareNo interventionSubjects in the control group will receive Standard Wound Care treatment for chronic wounds according to accepted medical practices. For data analysis, the data from these patients will be classified as Control (Standard of Care) Group data

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Wound Size

    Wound size will be measured with ruler/probe for length, width and depth as well as with digital imaging. Wound size will be assessed in digital images taken of the wound.

    Measured: 16 Weeks

Secondary outcomes (4)
  1. Rate of wound closure (change in wound size over time)

    The ratio of wound percent change over time will be used

    Measured: 16 weeks

  2. Complete wound healing

    Complete wound healing is determined when the wound shows no sign of drainage for two consecutive visits (over two weeks)

    Measured: 16 weeks

  3. Health Related Quality of Life

    The Center for Disease Control (CDC) Health Related Quality of Life (HRQoL)-14, "Healthy Days Measure" will be administered

    Measured: 16 weeks

  4. Wound recurrence

    Incidence of wound recurrence over the course of 16 weeks

    Measured: 16 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2014 (estimated)
  2. Study startApr 2014
  3. Primary completionJan 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02071979
Sponsor's protocol ID
ART-13-006
Other IDs
CAG-00190R3
Acronym
CMS
Status last verified
Jan 2018
First submitted
20 Feb 2014
Last updated
16 Jan 2018
Results posted
No
Data monitoring committee
No

Publications

  • Mustoe TA, O'Shaughnessy K, Kloeters O. Chronic wound pathogenesis and current treatment strategies: a unifying hypothesis. Plast Reconstr Surg. 2006 Jun;117(7 Suppl):35S-41S. doi: 10.1097/01.prs.0000225431.63010.1b.

    PubMed 16799373
  • Martinez-Zapata MJ, Marti-Carvajal AJ, Sola I, Exposito JA, Bolibar I, Rodriguez L, Garcia J. Autologous platelet-rich plasma for treating chronic wounds. Cochrane Database Syst Rev. 2012 Oct 17;10:CD006899. doi: 10.1002/14651858.CD006899.pub2.

    PubMed 23076929
  • Lacci KM, Dardik A. Platelet-rich plasma: support for its use in wound healing. Yale J Biol Med. 2010 Mar;83(1):1-9.

    PubMed 20351977
  • Crovetti G, Martinelli G, Issi M, Barone M, Guizzardi M, Campanati B, Moroni M, Carabelli A. Platelet gel for healing cutaneous chronic wounds. Transfus Apher Sci. 2004 Apr;30(2):145-51. doi: 10.1016/j.transci.2004.01.004.

    PubMed 15062754
  • Mazzucco L, Medici D, Serra M, Panizza R, Rivara G, Orecchia S, Libener R, Cattana E, Levis A, Betta PG, Borzini P. The use of autologous platelet gel to treat difficult-to-heal wounds: a pilot study. Transfusion. 2004 Jul;44(7):1013-8. doi: 10.1111/j.1537-2995.2004.03366.x.

    PubMed 15225241
  • Shan GQ, Zhang YN, Ma J, Li YH, Zuo DM, Qiu JL, Cheng B, Chen ZL. Evaluation of the effects of homologous platelet gel on healing lower extremity wounds in patients with diabetes. Int J Low Extrem Wounds. 2013 Mar;12(1):22-9. doi: 10.1177/1534734613477113.

    PubMed 23509083
  • Yang HS, Shin J, Bhang SH, Shin JY, Park J, Im GI, Kim CS, Kim BS. Enhanced skin wound healing by a sustained release of growth factors contained in platelet-rich plasma. Exp Mol Med. 2011 Nov 30;43(11):622-9. doi: 10.3858/emm.2011.43.11.070.

    PubMed 21847007
  • Driver VR, Hanft J, Fylling CP, Beriou JM; Autologel Diabetic Foot Ulcer Study Group. A prospective, randomized, controlled trial of autologous platelet-rich plasma gel for the treatment of diabetic foot ulcers. Ostomy Wound Manage. 2006 Jun;52(6):68-70, 72, 74 passim.

    PubMed 16799184

Questions about this trial

What is this clinical trial studying?

A study testing Autologous PRP Gel, Autologous PRP Injections and Autologous PRP Gel plus PRP Injections in people with Diabetic Foot Ulcers and Venous Ulcers, run by Arteriocyte, Inc. at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 16 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early. Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Wound Size (time frame: 16 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02071979, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jan 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in