Chronic Ulcer of Lower ExtremityPOWERNCT05855499
Plasma On Chronic Wounds for Epidermal Regeneration
A study testing CPtcube, CPTpatch in people with Chronic Ulcer of Lower Extremity, run by Coldplasmatech at 8 sites in Germany.
Trial summary
Every year, 5 million people throughout Germany suffer from extensive, often chronic wounds. Cold plasma is an innovative therapeutic approach in the treatment of these persistent tissue defects. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Ulcer of Lower Extremity
- What is being tested?
- CPtcube, CPTpatch
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 8 sitesGermany
- Study dates
- 1 Oct 2021to 31 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Inclusion criteria are divided into patient-specific and wound-specific criteria.
- Patient Criteria:
- Patient must be at least 18 years old (legal age) and legally competent
- The patient has at least one diagnosed chronic (existing for at least 8 weeks), non-healing wound due to a UCA or UCV on the lower leg, below the knee
- There is a signed consent form dated by the patient's own hand
- Wound Criteria:
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- In case of multiple wounds, the largest wound by area will be included in the study if it meets all inclusion criteria and no exclusion criteria and is suitable for use of the investigational product. The target wound is at least 2 cm away from the other wound(s)
- The wound was diagnosed - at the time of planned inclusion - more than 8 weeks ago and classified as a chronic wound
- The initial wound area is 5 cm²-100 cm2
- The wound can be enclosed completely by the plasma applicator (10 cm x 10 cm)
- The wound is not undermined
- The wound is located on the lower leg
Who cannot join
- The exclusion criteria are divided into patient-specific and wound-specific criteria.
- Patient Criteria:
- The patient is younger than 18 years and/or lacks legal capacity
- The patient has already participated in this study
- The patient is already participating in another interventional study
- Pregnant or breastfeeding patients
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- The patient has an implanted pacemaker, defibrillator or other active implants
- The patient has a light/sun allergy
- The patient has a silicone allergy
- The patient has had a thrombosis within the last 3 months
- The patient has a systemic and/or chronic infectious disease (e.g., HIV, tuberculosis, hepatitis)
- The patient has a tumour disease
- An ongoing or recently completed chemotherapy or radiotherapy
- The patient is undergoing severe endogenous or drug immunosuppression
- The patient is receiving systemic antibiotic treatment or is receiving/needing antiseptic/antibiotic wound therapy in/near the wound
- The patient does not have the necessary revascularization (paVK)
- The patient requires vital instrumental monitoring in the sense of "basic monitoring": near-patient respiratory gas measurement (oxygen, carbon dioxide and inhalation anaesthetic), pulse oximeter, ECG monitoring, blood pressure measurement (non-invasive), an oscillometric blood pressure measurement with automatic mode
- Existing alcohol or drug abuse
- The patient requires dialysis
- Wound Criteria:
- The wound is not a chronic wound as defined by study protocol
- The wound is difficult to access or close to exposed vessels
- The wound is critically colonized or infected
- Acute infections in the wound area (radius 5 cm)
- The wound is bleeding profusely. This does not include bleeding immediately after debridement
- The wound is undermined
- The wound is located at the knee or above
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
Germany8 sites
Charité Universitätsmedizin Berlin
Berlin, State of Berlin, 10117
Katholisches Klinikum Bochum
Bochum, North Rhine-Westphalia, 44805
Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden
Dresden, Saxony, 01307
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Free and Hanseatic City of Hamburg, 20246
Zentrum Rothenaicher
München, Bavaria, 81927
Zentrum Regensburg
Regensburg, Bavaria, 93047
Verbund Thüringen-Kliniken "Georgius Agricola"
Saalfeld, Thuringia, 07318
Universitäts-Hautklinik Tübingen
Tübingen, Baden-Wurttemberg, 72076
About this study
Official title: Plasma On Chronic Wounds for Epidermal Regeneration - Randomized, Controlled Clinical Trial to Investigate the Efficacy of Plasma Therapy for the Treatment of Chronic, Non-healing Wounds in Comparison to Standard Wound Therapy -
Every year, 5 million people throughout Germany suffer from extensive, often chronic wounds. Cold plasma is an innovative therapeutic approach in the treatment of these persistent tissue defects. However, previous therapy options with cold plasma are very time-consuming, especially with increasing wound area, and are also strongly dependent on the skill of the practitioner.
This study investigates the effectiveness of a system for reproducible application of cold plasma on larger areas and observes the effect of a 4-week additional plasma treatment on wound healing of large chronic wounds. The patient-related benefit of such an additional treatment will also be evaluated. Both study arms will receive guideline-based wound therapy, which is the current gold standard.
Read the detailed description
The clinical trial investigates the efficacy of an additional 4-week initial plasma therapy (CAPT) in direct comparison to standard guideline-based wound therapy (SWT) alone. The reactivation of healing of chronic, non-healing wounds will be assessed. This reactivation is primarily measured by the reduction of wound area, a valid and clinically accepted parameter for wound healing. A large number of RCTs and cohort studies demonstrate a strong correlation between the reduction in wound area at 4 weeks and the therapy outcome at 12 and 20 weeks.
In addition to wound area reduction, other clinical parameters such as wound volume, wound closure, percentage of necrotic and fibrotic tissue, percentage of granulation tissue, wound exudate, and microflora are recorded. By recording these secondary endpoints, it is possible to closely track and analyse changes in wound condition induced by cold plasma.
Another focus of the clinical trial is the evaluation of patient-related outcomes such as frequency of occurrence of infections, perception of pain, occurrence of adverse events, frequency of hospitalization, and change in quality of life. These events are fully documented to evaluate the safety of the treatment and to rule out potential risks.
- Conditions
- Chronic Ulcer of Lower Extremity
- Being tested
- CPtcube, CPTpatch
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CPtcube, CPTpatchDevice
This study investigates the effectiveness of a system for reproducible application of cold plasma on larger areas and observes the effect of a 4-week additional plasma treatment on wound healing of large chronic wounds.
| Study group | Role | What they receive |
|---|---|---|
| Plasma (CAPT) | Experimental | Conventional wound treatment according to S3 guideline, 3 visits weekly for 4 weeks, additive plasma treatment during each visit. Receives: Device: CPtcube, CPTpatch |
| Standard wound treatment (SWT) | No intervention | conventional wound treatment according to S3 guideline, 3 visits weekly for 4 weeks |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in area of chronic wounds
Chronic wound area is measured in square centimeters (cm²) using the SilhouetteStar® computer-assisted image-based wound measurement system. The outcome is the absolute change in wound area from baseline to Day 25, calculated as wound area at Day 25 minus wound area at baseline.
Measured: 3 visits weekly for 4 weeks
Change from baseline in SF-12 Mental Component Summary score at Day 25
Mental health-related quality of life is measured using the Mental Component Summary score of the 12-Item Short Form Health Survey (SF-12). The outcome is the change in the SF-12 Mental Component Summary score from baseline to Day 25, expressed in points. The SF-12 scale ranges from 0 to 100, where 50 represents the population average and higher scores indicate a better health status.
Measured: 3 visits weekly for 4 weeks
Secondary outcomes (3)
Wound closures
Number of participants with wound closure during the 4-week active treatment phase and at the 3-month and 6-month follow-up assessments.
Measured: during the 4-week active treatment phase, after 3 and after 6 months
Change in wound pain
Change in wound pain during activity or at rest during the 6-month observation period. Pain was assessed using an NRS with values ranging from 0 to 10. Higher scores indicate worse pain.
Measured: during the 6-month observation period
Change in the amount of germs/bacteria in the wound bed
For this purpose, swabs are taken before and after treatment. The swabs are then examined in the laboratory with regard to the microflora (germ type and resistance). The bacterial load is measured on a logarithmic scale. Lower values indicate a lower bacterial load and therefore a better outcome.
Measured: during the 4-week active treatment phase
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 May 2023
- Study start1 Oct 2021
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Ulcer of Lower ExtremityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Coldplasmatech
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- German Federal Ministry of Education and Research
- Responsible party
- Sponsor
- Investigators
- Robert Banaschik, Dr., Study director, ColdplasmatechIsabel Zänker, Dr., Principal investigator, Thüringen-Kliniken
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05855499
- Sponsor's protocol ID
- CPT2019_01
- Acronym
- POWER
- Status last verified
- Sep 2026
- First submitted
- 24 Apr 2023
- Last updated
- 14 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Plasma On Chronic Wounds for Epidermal Regeneration - Randomized, Controlled Clinical Trial to Investigate the Efficacy of Plasma Therapy for the Treatment of Chronic, Non-healing Wounds in Comparison to Standard Wound Therapy -
- ClinicalTrials.gov ID
- NCT05855499
- Acronym / sponsor ID
- POWER / CPT2019_01
- Conditions
- Chronic Ulcer of Lower Extremity
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 120 participants (actual)
- Lead sponsor
- ColdplasmatechIndustry (pharma, biotech, devices)
- Collaborators
- German Federal Ministry of Education and Research
- Study start
- 1 Oct 2021 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 11 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Every year, 5 million people throughout Germany suffer from extensive, often chronic wounds. Cold plasma is an innovative therapeutic approach in the treatment of these persistent tissue defects. However, previous therapy options with cold plasma are very time-consuming, especially with increasing wound area, and are also strongly dependent on the skill of the practitioner.
This study investigates the effectiveness of a system for reproducible application of cold plasma on larger areas and observes the effect of a 4-week additional plasma treatment on wound healing of large chronic wounds. The patient-related benefit of such an additional treatment will also be evaluated. Both study arms will receive guideline-based wound therapy, which is the current gold standard.
Detailed description
The clinical trial investigates the efficacy of an additional 4-week initial plasma therapy (CAPT) in direct comparison to standard guideline-based wound therapy (SWT) alone. The reactivation of healing of chronic, non-healing wounds will be assessed. This reactivation is primarily measured by the reduction of wound area, a valid and clinically accepted parameter for wound healing. A large number of RCTs and cohort studies demonstrate a strong correlation between the reduction in wound area at 4 weeks and the therapy outcome at 12 and 20 weeks.
In addition to wound area reduction, other clinical parameters such as wound volume, wound closure, percentage of necrotic and fibrotic tissue, percentage of granulation tissue, wound exudate, and microflora are recorded. By recording these secondary endpoints, it is possible to closely track and analyse changes in wound condition induced by cold plasma.
Another focus of the clinical trial is the evaluation of patient-related outcomes such as frequency of occurrence of infections, perception of pain, occurrence of adverse events, frequency of hospitalization, and change in quality of life. These events are fully documented to evaluate the safety of the treatment and to rule out potential risks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Plasma (CAPT) | Experimental | Device: CPtcube, CPTpatchConventional wound treatment according to S3 guideline, 3 visits weekly for 4 weeks, additive plasma treatment during each visit. |
| Standard wound treatment (SWT) | No intervention | –conventional wound treatment according to S3 guideline, 3 visits weekly for 4 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Inclusion criteria are divided into patient-specific and wound-specific criteria.
- Patient must be at least 18 years old (legal age) and legally competent
- The patient has at least one diagnosed chronic (existing for at least 8 weeks), non-healing wound due to a UCA or UCV on the lower leg, below the knee
- There is a signed consent form dated by the patient's own hand
- In case of multiple wounds, the largest wound by area will be included in the study if it meets all inclusion criteria and no exclusion criteria and is suitable for use of the investigational product. The target wound is at least 2 cm away from the other wound(s)
Key exclusion criteria (27 listed)
- The exclusion criteria are divided into patient-specific and wound-specific criteria.
- The patient is younger than 18 years and/or lacks legal capacity
- The patient has already participated in this study
- The patient is already participating in another interventional study
- Pregnant or breastfeeding patients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CPtcube, CPTpatchThis study investigates the effectiveness of a system for reproducible application of cold plasma on larger areas and observes the effect of a 4-week additional plasma treatment on wound healing of large chronic wounds. | Device | Plasma (CAPT) |
Primary outcome
Change in area of chronic wounds
Time frame: 3 visits weekly for 4 weeks
Chronic wound area is measured in square centimeters (cm²) using the SilhouetteStar® computer-assisted image-based wound measurement system. The outcome is the absolute change in wound area from baseline to Day 25, calculated as wound area at Day 25 minus wound area at baseline.
Change from baseline in SF-12 Mental Component Summary score at Day 25
Time frame: 3 visits weekly for 4 weeks
Mental health-related quality of life is measured using the Mental Component Summary score of the 12-Item Short Form Health Survey (SF-12). The outcome is the change in the SF-12 Mental Component Summary score from baseline to Day 25, expressed in points. The SF-12 scale ranges from 0 to 100, where 50 represents the population average and higher scores indicate a better health status.
3 secondary outcomes
Wound closures
Time frame: during the 4-week active treatment phase, after 3 and after 6 months
Change in wound pain
Time frame: during the 6-month observation period
Change in the amount of germs/bacteria in the wound bed
Time frame: during the 4-week active treatment phase
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Banaschik, Dr. study director
Coldplasmatech
Isabel Zänker, Dr. principal investigator
Thüringen-Kliniken
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing CPtcube, CPTpatch in people with Chronic Ulcer of Lower Extremity, run by Coldplasmatech at 8 sites in Germany.
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 12 inclusion and 27 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: under way, not looking for participants, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Germany. 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?
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?
Change in area of chronic wounds (time frame: 3 visits weekly for 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Sep 2026.