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Pressure Ulcers Stage IINCT05496296

Comparison of Transforming Powder Dressing to NPIAP Recommended Standard of Care Therapies in Stage 2, 3 and 4 Pressure Injuries

A study testing Altrazeal® Transforming Powder Dressing in people with Pressure Ulcers Stage II and Pressure Ulcers Stage III, run by ULURU Inc. at 14 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Pressure injuries, commonly known as pressure ulcers, affect over 2.5 million people in the United States. Pressure injuries are classified into four escalating stages, from intact skin to full thickness wounds with deep tissue loss and exposed bone. Read more about this study

Who is it for?
Ages 18 to 85 yearsHealthy volunteers can take part
What is being tested?
Altrazeal® Transforming Powder Dressing
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
14 sitesUnited States
Study dates
30 Apr 2023to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 18 to 85 years of age;
  • Stage 2, 3, or 4 Pressure Injuries;
  • Wound exudate is mild to moderate;
  • No clinically active wound infection (clinical diagnosis);
  • Able and willing to provide written (not proxy) informed consent;
  • Clinically stable, as determined by assessment of medical history, vital signs, physical examination, and laboratory testing prior to enrollment.

Who cannot join

  • Known allergy or hypersensitivity to TPD or its components;
  • Pressure injuries classified as unstageable, deep tissue pressure injury, or Stage 1;
  • Heavily exudative wounds;
  • Wound infection as defined as the presence of a least two of the following: local swelling or in duration, erythema >0.5cm around the ulcer in any direction, local tenderness or pain local warmth and purulent discharge;
  • Poorly controlled diabetes with HgbA1C >12 (as documented in the last 3 months);
  • Body Mass Index (BMI) >45 kg/m2;
Show all 25Show fewer
  • Venous stasis disease or lymphedema in the affected limb (if wound is located on the limb);
  • Moderate to severe chronic limb ischemia Ankle Brachial Index (ABI) <0.7 on the affected limb, if wound is located on the limb);
  • Received immunosuppression or biologics in the last six weeks and/or is expected to receive either at any point during the study;
  • Selected concurrent treatments (e.g., hyperbaric oxygen, topical oxygen therapy, electrical stimulation, ultrasound, cellular or acellular skin substitutes) during study period that may impact study outcomes;
  • Wounds with necrosis unable to undergo prior definitive debridement;
  • Fistulas;
  • Active gangrene;
  • Untreated HIV;
  • Currently pregnant or lactating;
  • Impending organ transplant;
  • Vulnerable populations including prisoners, pediatrics, cognitively impaired, unconscious, and illiterate patients;
  • Unwilling or unable to comply with offloading recommendations;
  • If, in the opinion of the clinical investigator, a subject is a poor candidate for this study because:
  • Unable to keep research appointments;
  • Poorly controlled incontinence which may impact study outcomes (e.g., depending on the location of the wound);
  • Participated in another investigative study within 3 months of enrollment that could interfere with study outcomes;
  • Active alcohol or substance abuse (cocaine, heroin, or other substances) that may interfere with healing or subject compliance with visit schedules;
  • Concurrent clinical condition(s) that could pose a health risk to patient or influence outcome of study;
  • Not suitable for study participation. -

Trial locations and contacts

14 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Susan St. John, MSN contact

sstjohn@altrazeal.com

14 sites in 1 country

United States14 sites, 13 recruiting
  • Medstar Franklin Square Medical Center

    Baltimore, Maryland, 21237

    Paul Carroll, DPM, (443) 777-7000, paul.j.carroll@medstar.net

    Sariat Ibrahim, (443) 777-7000, Sariat.Ibrahim@medstar.net

    Recruiting
  • Medstar Good Samaritan Hospital

    Baltimore, Maryland, 21239

    Lumanti Manandhar, (443) 444-8000, lumanti.Manandhar@medstar.net

    Mia Hamm, (443) 444-8000, Mia.A.Hamm@Medstar.net

    Recruiting
  • Northwestern Medicine

    Chicago, Illinois, 60611

    Active, not recruiting
  • VA North Texas Healthcare System

    Dallas, Texas, 75243

    David Truong, DPM, 214-857-2602, David.Truong1@va.gov

    Morgan Williams, 214-857-2602, Morgan.Williams5@va.gov

    Recruiting
  • Michael E. DeBakey Houston VAMC

    Houston, Texas, 77030

    Aimee Garcia, MD, 512-387-1876, Aimee.Garcia@va.gov

    Felipe Salinas Martinez, 512-387-1876, Felipe.SalinasMartinez@va.gov

    Recruiting
  • Northwell Health System/Zucker School of Medicine

    Lake Success, New York, 11042

    Sally Kaplan, RN, 516-233-3781, skaplan2@northwell.edu

    Farisha Baksh, 516-233-3781, fbaksh@northwell.edu

    Recruiting
  • NYU Langone Hospital-Long Island

    Mineola, New York, 11501

    Scott Gorenstein, MD, 516-663-8498, Scott.gorenstein@nyulangone.org

    Monica Benitez, 516-663-8498, Monica.Benitez@nyulangone.org

    Recruiting
  • Rutgers New Jersey Medical School, Ambulatory Care Center-Wound Care Clinic

    Newark, New Jersey, 07103

    Mark Granick, MD, 973-972-1129, mgranickmd@njms.rutgers.edu

    Saharsh Patel, ssp186@gsbs.rutgers.edu

    Recruiting
  • University of Pittsburgh Medical Center (UPMC) Presbyterian

    Pittsburgh, Pennsylvania, 15213

    Cecilia Zamarripa, PhD, RN, CWON, 412-647-7728, zamarripaca@upmc.edu

    Bradley Good, 412-647-7728, goodb@upmc.edu

    Recruiting
  • San Diego VA

    San Diego, California, 92161

    Henry York, MD, 858-552-8585, Henry.York@va.gov

    Emily Sears, 858-552-8585, esears@vmrf.org

    Recruiting
  • James J. Peters VA Medical Center

    The Bronx, New York, 10468

    Galea Marinella, MD, 718-584-9000 ext. 5431, Marinella.Galea@va.gov

    Katherine Bolanos Roldan, RN, 718-584-9000 ext. 5431, Katherine.BolanosRoldan@va.gov

    Recruiting
  • Westchester Medical Center, 100 Woods, Road, Taylor Care Pavillion

    Valhalla, New York, 10595

    Carlo Gwardschaladse, PA, 914-493-3047, Carlo.Gwardschaladse@wmchelath.org

    Falyn Katzman, MPH, Falyn.Katzman@wmchealth.org

    Recruiting
  • Medstar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

    Deanna Curbeam, 202 444 8751, Deanna.Curbeam@medstar.net

    Kenneth Fan, MD

    Recruiting
  • MedStar National Rehabilitation Hospital

    Washington D.C., District of Columbia, 20010

    Suzanne L Groah, MD, (202) 877-1000, Suzanne.L.Groah@medstar.net

    Ana Valeria Aguirreguemez, MD, (202) 877-1000, anavaleria.aguirreguemez@medstar.net

    Recruiting

Other trials in United States

About this study

Official title: Randomized, Controlled, Open-Label, Parallel Group, Multi-Center, Prospective Phase 4 Study Comparing the Efficacy of Transforming Powder Dressing to NPIAP Recommended Standard of Care Therapies in Stage 2, 3 and 4 Pressure Injuries

Pressure injuries, commonly known as pressure ulcers, affect over 2.5 million people in the United States. Pressure injuries are classified into four escalating stages, from intact skin to full thickness wounds with deep tissue loss and exposed bone. This study will compare current standard of care treatment (as recommended by the National Pressure Injury Advisory Panel) to treatment with Altrazeal® in patients with stage 2, stage 3 and stage 4 pressure injury wounds. Altrazeal® is a Class 1, 501(k) exempt medical device listed with the FDA as a "dressing, wound, hydrogel" and has an extended wear time of up to 30 days. Subjects can be enrolled in the study either as an outpatient, or while hospitalized. Half of the subjects will be randomized to standard of care treatment, and the other half will be randomized to Altrazeal®. There are a total of up to 12 study visits taking place over 12 weeks.

Read the detailed description

Pressure injuries, commonly known as pressure ulcers, affect over 2.5 million people in the United States. Pressure injuries are classified into four escalating stages, from intact skin with redness to full thickness wounds with deep tissue loss and exposed bone.

This study will focus on patients with stage 2, stage 3 and stage 4 pressure injury wounds. It will compare current standard of care treatment (as recommended by the National Pressure Injury Advisory Panel) to treatment with Altrazeal® Transforming Powder Dressing (TPD). Altrazeal® is a Class 1, 501(k) exempt medical device listed with the FDA as a "dressing, wound, hydrogel" and has an extended wear time of up to 30 days. Altrazeal® is a powder dressing that conforms to the wound, covering and protecting it, shielding the wound from bacteria. Altrazeal® is used in conjunction with a secondary dressing when needed.

The primary aim of the study is to evaluate whether dressing changes can be reduced during treatment of pressure injuries. The study will also compare wound healing between the group receiving Altrazeal® and the group receiving standard of care dressings, as well as complications, pain, quality of life, and overall costs between the two groups.

Subjects will be randomized into 2 groups, standard of care and Altrazeal®. Half of the subjects will receive current standard of care treatment, and the other half will receive treatment with Altrazeal®. This is an open-label study, meaning that both the subject and the treatment provider will know what study group the subject has been randomized to.

The first visit will be the screening visit to ensure patients meet eligibility criteria. Patients can be either an outpatient or hospitalized. Written informed consent will be obtained during this visit. A wound evaluation will be performed, and laboratory work ordered, if not done recently.

Once identified as meeting study criteria, the next visit is Baseline Visit, where randomization will occur and the first treatment will take place. Participants will be evaluated for 12 additional consecutive weeks, receiving wound evaluation, measurements, and getting treatment for the wound. A pain evaluation, quality of life survey related to having a wound, questionnaire regarding additional wound care performed between study visits. Participants will also answer questions regarding how much offloading devices or maneuvers were utilized, medications taken, and if any complications developed related to their wound care.

If the wound is healed prior to 12 weeks, the study will end when the wound is healed. Otherwise, the study will go on for 12 consecutive weeks. At the end of the study, the participant will be asked to complete a Subject Satisfaction Survey, answering questions regarding how the wound dressing worked for them. The surveys should take 5-10 minutes to complete.

Being tested
Altrazeal® Transforming Powder Dressing
Keywords
Wound care, Quality of life, Pain
Medical subject headings
Pressure Ulcer, Pain

What participants receive

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

  • Altrazeal® Transforming Powder DressingDevice

    Also called Standard of Care wound dressings (such as foam, hydrocolloid, collagen, etc)

    Pressure injury wounds will be evaluated at each study visit (cleaned, photographed, measured) and a dressing will be applied according to the study arm

Study groups in NCT05496296
Study groupRoleWhat they receive
Standard of Care Dressing for Pressure InjuryActive comparatorStandard wound dressings recommended by the National Pressure Injury Advisory Panel (NPIAP), according to the wound stage, will be utilized to treat pressure injuries. These include hydrocolloid, hydrogel, polymeric membranes, foam, collagen dressings, and negative pressure wound therapy. Dressings will be changed according to wound conditions, and type of dressing selected.
Receives: Device: Altrazeal® Transforming Powder Dressing
Altrazeal® Transforming Powder DressingActive comparatorAltrazeal® Transforming Powder Dressing will be applied during the Baseline visit. It should be left in place for up to 30 days, and topped off (additional powder applied if needed) at each subsequent visit. Secondary dressing, including a contact layer over the Altrazeal® and a secondary dressing (like gauze or foam) may be applied over the contact layer.
Receives: Device: Altrazeal® Transforming Powder Dressing

What is being measured

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

  1. Number of wound dressing changes

    The number of primary dressing changes for each treatment group will be compared.

    Measured: 12 weeks

Secondary outcomes (4)
  1. Wound healing

    Wound healing will be measured by using a ruler each week to report length and width of the wound. Percentage of wound area reduction will be calculated for each treatment group and compared.

    Measured: 12 weeks

  2. Complications (problems) from treating the pressure wound

    Subjects will be asked to report, will be questioned and observed (by the researchers) each study visit for any complications, problems or adverse events related to the study wound that they experience, such as maceration around the wound from the drainage, moisture, or dressing. Complications and adverse events will be compared during the course of the study

    Measured: 12 weeks

  3. Pain in the wound and from dressing changes.

    Subjects with sensation in the area of the wound will be asked to complete a validated visual analogue scale. This is a simple validated test asking the subject to rate their pain on a 0-10 point level, where 10 is the worst and 0 is no pain. Mean and median pain scores will be compared for each treatment group during the course of the study

    Measured: 12 weeks

  4. Wound Quality of Life

    Mean and median changes in validated Wound Quality of Life scores will be measured between groups during the course of the study

    Measured: 12 weeks

Timeline

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

  1. First posted11 Aug 2022
  2. Study start30 Apr 2023
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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
Factorial
Model description
Randomized, Prospective, Controlled, Open-label, Parallel Group, Multicenter
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05496296
Sponsor's protocol ID
U-C-TPD-2022-01
Status last verified
Nov 2025
First submitted
8 Aug 2022
Last updated
20 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. Emily Haesler (ed.). EPUAP/NPIAP/PPPIA: 2019.

  • Mervis JS, Phillips TJ. Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019 Oct;81(4):881-890. doi: 10.1016/j.jaad.2018.12.069. Epub 2019 Jan 18.

    PubMed 30664905
  • Essex HN, Clark M, Sims J, Warriner A, Cullum N. Health-related quality of life in hospital inpatients with pressure ulceration: assessment using generic health-related quality of life measures. Wound Repair Regen. 2009 Nov-Dec;17(6):797-805. doi: 10.1111/j.1524-475X.2009.00544.x.

    PubMed 19903301
  • Sebba Tosta de Souza DM, Veiga DF, Santos ID, Abla LE, Juliano Y, Ferreira LM. Health-Related Quality of Life in Elderly Patients With Pressure Ulcers in Different Care Settings. J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):352-9. doi: 10.1097/WON.0000000000000142.

    PubMed 26135820
  • https://www.ahrq.gov/patient safety/settings/hospital/resource/pressureulcer/tool/pu1.html#:~:text=Cost%3A%20Press ure%20ulcers%20cost%20%249.1,related%20to%20pressure%20ulcers%20annually.

Questions about this trial

What is this clinical trial studying?

A study testing Altrazeal® Transforming Powder Dressing in people with Pressure Ulcers Stage II and Pressure Ulcers Stage III, run by ULURU Inc. at 14 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 6 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 20 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Kerry Wallace (513 702 7536, kwallace@altrazeal.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of wound dressing changes (time frame: 12 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 NCT05496296, which also lists 5 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 20 Nov 2025; AzTrials last refreshed its copy on 8 Nov 2026.

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