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Diabetic Foot Ulcer (DFU)Phase 3C6-PDT in DFUNCT07488247

Phase IIb and III Safety and Efficacy Study Chlorin E6 Gel Photodynamic Therapy for Diabetic Foot Ulcers:

A Phase 3 study testing Chlorin E6 Gel in people with Diabetic Foot Ulcer (DFU), run by United Medical and Dental College at 1 site in Pakistan.

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

Protocol No. CHLORIN E6-IIB/III-01/Protocol/1.1 Title:Single-Centre, open-labeled, randomized, Phase IIb and Phase III clinical studies to evaluate the safety, tolerability, and efficacy of Chlorin E6 (Gel Formation) as a photosensitizing agent for the management of Diabetic Foot Ulcers with Photodynamic Therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Foot Ulcer (DFU)
What is being tested?
Chlorin E6 Gel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 sitePakistan
Study dates
2 Apr 2026to Nov 2027
Phase
Phase 3
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

  • Patients with diagnosis of Diabetes mellitus, with diabetic foot ulcer.
  • Males and females subject of age 18 years and above.
  • HbA1c of less than 12% and random blood sugars of less than 350 mg/dl.
  • Vitally stable patient with no clinical signs of sepsis, a qSOFA (quick Sepsis-Related Organ Failure Assessment) score of <2.
  • ABI (Ankle Brachial Index) 0.7 to 1.2.
  • Lower extremity ulcer of more than 30 days duration and less than 2 years duration.
Show all 12Show fewer
  • Total wound surface area between 0.5 to 20 cm.
  • Deep wounds extending up to muscles (University of Texas Grade \& Stage 1A, 1B, 2A \& 2B) will be included.
  • Patients giving written informed consent to participate in the study after a full understanding of the implications and constraints of the study protocol.
  • Understand the content of the ICF, and voluntarily sign the ICF (If the participant is unable to sign the ICF on his/her own due to illiteracy, an impartial witness is needed).
  • The subject can understand the research process and is willing and able to comply with all research proposals and other requirements of the study.
  • Able to cooperate to complete the scheduled follow-ups till the end of the study

Who cannot join

  • The vital signs or physical examination are clinically significantly abnormal as determined by the investigators in screening.
  • A history of severe allergy (including drugs, vaccines, and foods) or allergy to any component of the experimental product.
  • Subjects diagnosed with a serious disease, congenital malformation or chronic disease (including but not limited to serious: respiratory disease, cardiovascular disease, serious cerebrovascular disease, kidney disease, serious or uncontrollable diabetes, autoimmune disease, thrombocytopenic purpura, thalassemia, malignant tumor, hereditary allergic constitution, etc.) that may interfere with the conduct or completion of the study;
  • Participating in or planning to participate in other clinical trials (drugs or vaccines) within 3 months prior to participating in this study;
  • Other circumstances considered by the investigator as inappropriate to participate in the study.
  • Vitally unstable patients with clinical signs and symptoms of sepsis, qSOFA score ≥2.
Show all 28Show fewer
  • More than 2 ulcers in the foot and leg.
  • Deep wounds extending into bone (UoT Criteria any Grade stage C \& D, Grade 3).
  • Subjects with moderate to severe obstruction on ABI (<0.7 or >1.3).
  • Patients with HbA1c more than 12% and random blood sugar of more than 350 mg /dl.
  • Subjects with evidence of cardiac disease or heart failure on ECG or echocardiography
  • Patients with eGFR (Estimated Glomerular Filtration Rate) of less than 60 ml/min/1.73 m2.
  • Pregnant or breast-feeding females or women of childbearing potential not using contraception.
  • Hypersensitivity to investigational product/Chlorophyll-driven compounds.
  • Diagnosed case of porphyria.
  • Ophthalmological disease requiring slit-lamp examination or Yag-laser within the next 30 days or anti-VEGF therapy/injection.
  • Patients who do not give written informed consent
  • Subjects unable or unwilling to meet protocol requirements.
  • Ulcer of non-diabetic etiology, such as venous, arterial, and burn wounds
  • Ulcer is less than 3 cm in distance from any other ulcer on the same extremity.
  • Ulcer presents with any of the following: osteomyelitis, exposed bone or gangrene.
  • Ulcer surface area has decreased > 40% between screening and at randomization (visit 1) as assessed by the imaging system
  • Has medically documented history of HIV
  • Has severe protein malnutrition as defined by Serum Albumin < 2.5 g/dL.
  • Has serum aspartate aminotransferase (AST, SGOT, GOT) or serum alanine aminotransferase (ALT, SGPT, GPT) levels greater than twice the upper limit of normal
  • Has a medically documented or self-reported history, within the previous 12 months from date of screening visit, of alcohol or substance abuse.
  • Has received previous treatment with the following during the 60 days prior to screening: immunosuppressive agents, radiation, chemotherapy, growth factors at the site of the Ulcer, split- or full-thickness skin graft at the site of the Ulcer, biologically active (or engineered) cellular or acellular product(s) at the site of the study ulcer, investigational drug or device
  • Has ESR > 70 mm/h and CRP > 100 mg/L at time of screening

Trial locations and contacts

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

Pakistan1 site, 1 recruiting
  • Creek General Hospital

    Karachi, Sindh, 07526

    Ovais M Syed, 03324622223, s.ovais@umdc.edu.pk

    Huma Touheed, 0300-9890921, humatouheed@umdc.edu.pk

    Recruiting

Other trials in Pakistan

About this study

Official title: Single-Centre, Open-labeled, Randomized, Phase IIb and Phase III Clinical Studies to Evaluate the Safety, Tolerability, and Efficacy of Chlorin E6 (Gel Formation) as a Photosensitizing Agent for the Management of Diabetic Foot Ulcers With Photodynamic Therapy.

Protocol No. CHLORIN E6-IIB/III-01/Protocol/1.1 Title:Single-Centre, open-labeled, randomized, Phase IIb and Phase III clinical studies to evaluate the safety, tolerability, and efficacy of Chlorin E6 (Gel Formation) as a photosensitizing agent for the management of Diabetic Foot Ulcers with Photodynamic Therapy.

Sponsor Synverdis GmbH, Heidelberg, Germany. Study Phase: Phase IIb(Completed) \& Phase III(Ongoing) Indication : Diabetic Foot Ulcers Study Population: This study will be conducted on diabetic participants who are 18 years of age or older, with a documented diagnosis of diabetes and foot ulceration that has been present for at least 4 weeks.

Read more

Sample Size of Phase IIb: 30 participants were enrolled. Phase III: 300 participants will be enrolled. Intervention Investigational Product: Chlorin E6 gel Specification: 1.0 mg/cm2 of Chlorin E6 1% W/V in gel-form Formulation: Gel Storage and Transportation: Store and ship at 2~8°C, avoiding freezing.

Standard of Care Treatment:

  1. Surgical Intervention: Debridement of the wound will be performed for all the participants. b. Medical Intervention: i. Antibiotics: Targeted to aerobic Gram-positive cocci in mild to moderate infections.
  • Moxifloxacin
  • Linezolid
  • Co-Amoxiclav
  • Piperacillin + Tazobactam
  • Clindamycin

Dosage \& Application Patients will receive 1.0 mg/cm2 of Chlorin E6 1% W/V in gel form by local application on the ulcer. Approximately 30 minutes after the study drug administration, the ulcer will be washed thoroughly with normal saline. Then it will be illuminated with light at 660 to 670 nm from an approved laser source with a calculated light dose of 100 J/cm2. Light will be applied to the entire surface of the ulcer for 11 minutes. The wound will then be illuminated with UV light to assess the effectiveness of Photodynamic Therapy (PDT) and a further 11 minutes of therapy will be carried out if required.

Study Objectives Phase IIb:

Primary Objectives:

  1. To determine the safety and efficacy of a local Chlorin E6-mediated Photodynamic Therapy in patients with diabetic foot ulcers.
  2. To determine the effect of Chlorin E6 on the healing of diabetic foot ulcers defined by a reduction in size and depth of the ulcer.
  3. To compare the efficacy and healing rates of Diabetic foot ulcers with and without local Chlorin E6-mediated Photodynamic Therapy along with standard of care (SOC) management.
  4. To determine the eradication ratio of pathogenic bacteria through the synergistic effect of local Chlorin E6-mediated Photodynamic Therapy.

Phase III:

Primary Objectives:

  1. To determine the safety and efficacy of a local Chlorin E6-mediated Photodynamic Therapy in patients with diabetic foot ulcers.
  2. To determine the effect of Chlorin E6 on the healing of diabetic foot ulcers defined by reduction in size and depth of ulcer.
  3. To compare the efficacy and rates of healing of Diabetic Foot Ulcer (DFU) with and without local Chlorin E6-mediated Photodynamic Therapy along with standard of care management.
  4. To determine the eradication ratio of pathogenic bacteria through the synergistic effect of local Chlorin E6-mediated Photodynamic Therapy.

Secondary Objectives:

  1. To determine the rates of recurrence of diabetic foot ulcers during 6 months after local Chlorin E6-mediated Photodynamic Therapy.
  2. To determine the reduction in rates of amputation during 6 months after local Chlorin E6-mediated Photodynamic Therapy. Study Endpoints Phase IIb: Primary endpoints: Safety:
  • Solicited local and systemic AEs within 30 minutes and 7 days after product administration/application; Secondary endpoints: Safety:
  • Unsolicited AEs within 28 days after product administration/application;
  • SAEs throughout 3 months after product administration/application;
  • Abnormal laboratory value analysis on Day 14 after product administration/application; Efficacy:
  • No growth on culture of wound base swab at 1 week after product administration/ application.
  • Rate of healing > 15 % in 1 week or >50% in 1 month Phase III: Primary endpoints: Safety:
  • Solicited local and systemic AEs within 30 minutes and 7 days after product administration/application; Secondary endpoints: Safety:
  • Unsolicited AEs within 28 days after product administration/application;
  • SAEs throughout 6 months after product administration/application;
  • Abnormal laboratory value analysis on Day 14 after product administration/application; Efficacy:
  • No growth on culture of wound base swab at 1 week after product administration/ application.
  • Rate of healing > 15 % in 1 week or >50% in 1 month. Phase IIB of this trial is completed and screening of Phase III is started on 31-Mar-2026.
Read the detailed description

This is a single-centre, open-label, randomized Phase IIb and Phase III clinical study designed to evaluate the safety, tolerability, and efficacy of Chlorin E6 gel as a photosensitizing agent in the management of diabetic foot ulcers (DFU) using Photodynamic Therapy (PDT).

Eligible participants are adults (≥18 years) with a documented diagnosis of diabetes and chronic foot ulceration present for at least 4 weeks. In Phase IIb, 30 participants were enrolled; Phase III will include 300 participants.

The investigational product, Chlorin E6 gel (1% W/V, 1.0 mg/cm²), is applied locally to the ulcer. After 30 minutes, the ulcer is washed with saline and illuminated with red light (660-670 nm) at a dose of 100 J/cm² for 11 minutes. If required, a second illumination is performed. Standard of care (SOC) management-including wound debridement, targeted antibiotics, and optimized glycemic control-is provided to all participants.

Primary objectives are to assess safety and efficacy of Chlorin E6-mediated PDT, evaluate ulcer healing (size and depth reduction), compare healing rates with SOC alone, and determine bacterial eradication. Secondary objectives include recurrence rates and reduction in amputations within 6 months.

Endpoints include solicited local/systemic adverse events (AEs), unsolicited AEs, serious adverse events (SAEs), abnormal laboratory values, wound culture results, and healing rates (>15% at 1 week or >50% at 1 month).

The study lasted 3 months per participant in Phase IIb (completed) and 6 months per participant in Phase III, was started in March 2026.

Being tested
Chlorin E6 Gel
Keywords
Diabetic Foot Ulcer, DFU, PDT, Photodynamic Therapy, Chlorin E6, Phase IIB of Chlorin E6, Chlorin E6 Gel
Medical subject headings
Diabetic Foot

What participants receive

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

  • Chlorin E6 GelCombination product

    The Group A participants in this study were received Chlorin E6 Gel-mediated Photodynamic Therapy for the management of Diabetic Foot Ulcers

Study groups in NCT07488247
Study groupRoleWhat they receive
Group A (IP+PDT+SOC)ExperimentalThis group will be provided with Standard of Care treatment for DFU, along with IP application and PDT
Receives: Combination Product: Chlorin E6 Gel
Group B (SOC Only)No interventionThis group will only receive the Standard of Care treatment for DFU

What is being measured

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

  1. Number of adverse event experienced by participants

    Adverse events will include those that are related to study intervention.

    Measured: 03 months

  2. Efficacy of Chlorin E6-mediated PDT

    To determine the effect of Chlorin E6 on the healing of diabetic foot ulcers, defined by a reduction in size and depth of ulcer

    Measured: 3 months

  3. Eradication Ratio of Pathogenic Bacteria

    To determine the eradication ratio of pathogenic bacteria through the synergistic effect of local Chlorin E6-mediated Photodynamic Therapy

    Measured: 03 months

Timeline

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

  1. First posted23 Mar 2026
  2. Study start2 Apr 2026
  3. Primary completionSep 2027 (estimated)
  4. Study completionNov 2027 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase IIB was conducted at creek general hospital and sponsored by Synverdis GmbH, Heidelberg, Germany is completed. Phase III was started on 31-Mar-2026.
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07488247
Sponsor's protocol ID
CHLORIN E6-IIB-III-01
Acronym
C6-PDT in DFU
Status last verified
Apr 2026
First submitted
11 Mar 2026
Last updated
7 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Schaper NC, Apelqvist J, Bakker K. The international consensus and practical guidelines on the management and prevention of the diabetic foot. Curr Diab Rep. 2003 Dec;3(6):475-9. doi: 10.1007/s11892-003-0010-4.

    PubMed 14611743
  • Oluwole DO, Coleman L, Buchanan W, Chen T, La Ragione RM, Liu LX. Antibiotics-Free Compounds for Chronic Wound Healing. Pharmaceutics. 2022 May 9;14(5):1021. doi: 10.3390/pharmaceutics14051021.

    PubMed 35631606
  • Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018 Jan;1411(1):153-165. doi: 10.1111/nyas.13569.

    PubMed 29377202
  • Armstrong DG, Boulton AJM, Bus SA. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017 Jun 15;376(24):2367-2375. doi: 10.1056/NEJMra1615439. No abstract available.

    PubMed 28614678
  • Borgia F, Giuffrida R, Caradonna E, Vaccaro M, Guarneri F, Cannavo SP. Early and Late Onset Side Effects of Photodynamic Therapy. Biomedicines. 2018 Jan 29;6(1):12. doi: 10.3390/biomedicines6010012.

    PubMed 29382133
  • Agostinis P, Berg K, Cengel KA, Foster TH, Girotti AW, Gollnick SO, Hahn SM, Hamblin MR, Juzeniene A, Kessel D, Korbelik M, Moan J, Mroz P, Nowis D, Piette J, Wilson BC, Golab J. Photodynamic therapy of cancer: an update. CA Cancer J Clin. 2011 Jul-Aug;61(4):250-81. doi: 10.3322/caac.20114. Epub 2011 May 26.

    PubMed 21617154

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Chlorin E6 Gel in people with Diabetic Foot Ulcer (DFU), run by United Medical and Dental College at 1 site in Pakistan.

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 28 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 7 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of adverse event experienced by participants (time frame: 03 months). The study lists 3 primary outcomes in all. 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 NCT07488247, which also lists 6 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 7 Apr 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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