The effect of Wound Healer on the treatment of neuropathic and neuro-ischemic diabetic wounds in patients with diabetic foot
Design
The diabetic patients included in the study (n = 80) will be studied as Block Randomization. These groups will be matched for the nature of the wounds, the entry and exit factors, and other influencing factors. Patients will be evaluated weekly by the clinic for discharge, color, and size of the wound, and the results will be recorded in the relevant table. The first and last visit will be done by an endocrinologist or infectious disease specialist and the second, third and fourth visits by the trained person. Medicines will be delivered to patients each week and a blank package will be delivered the following week.
Settings and conduct
Diabetes Clinic of Diabetes Research Center
Participants/Inclusion and exclusion criteria
Inclusion criteria are:
1. Neuropathic, neuro-ischemic diabetic foot ulcer
2. Have signed informed consent to participate in the study
3. No skin diseases in the foot area
4- Diabetic foot ulcers with grade I, II and III lesions according to Wagner's diagnostic criteria
5. Age less than 70 years.
Exclusion criteria are:
1. Pregnancy and lactation
2- Having autoimmune diseases and cancer
Brachial leg index lower than 0.7
4- People with HbA1c greater than 8 to 9% (people with uncontrolled blood sugar)
Intervention groups
In this study, we aimed to investigate the therapeutic effect of Wound Healer on healing of infectious diabetic foot ulcers. We need two groups for this purpose:
1. People with infectious wounds who receive their usual antibiotic treatment.
2. People with infectious wounds who receive topical Wound Healer in addition to antibiotic treatment for 4 weeks daily.
Main outcome variables
1- Shortening the time of wound healing or closing
2-Symptoms of a wound infection can be resolved
3-Reduce the size of the wound by 50%
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20111228008551N3
Registration date:2019-11-26, 1398/09/05
Registration timing:registered_while_recruiting
Last update:2019-11-26, 1398/09/05
Update count:0
Registration date
2019-11-26, 1398/09/05
Registrant information
Name
mohamad ansari
Name of organization / entity
university medicine
Country
Iran (Islamic Republic of)
Phone
+98 21 8899 1593
Email address
ansarimo@sina.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-11-05, 1398/08/14
Expected recruitment end date
2020-05-05, 1399/02/16
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the effect of the herbal medicine Wound Healer on the healing of diabetic foot ulcers: A randomized double-blind clinical trial
Public title
The effect of Wound Healer on diabetic foot
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Neuropathic, neuro-ischemic diabetic foot ulcer
Signing informed consent to participate in the study
No foot skin disease
Diabetic foot patients with ulcer grades 1, 2, and 3 based on Wagner diagnostic criteria
Age less than 70 years
Exclusion criteria:
Pregnancy and lactation
Autoimmune diseases and cancer
َAnkle-Brachial Index less than 0.7
People with HbA1c greater than 8%
Age
To 70 years old
Gender
Both
Phase
3
Groups that have been masked
Participant
Care provider
Outcome assessor
Sample size
Target sample size:
80
Randomization (investigator's opinion)
Randomized
Randomization description
The sample randomization method will be based on the Block Randomization table. Patients with diabetic foot ulcer are divided into two groups of "control and medication" based on the block randomization table after examination and if they meet the inclusion criteria. The doctor and nurse will not play a role in determining the treatment group.
Blinding (investigator's opinion)
Double blinded
Blinding description
Regarding of how the patients are randomly selected and the principal that investigator is separated from the treatment team, physicians and nurse practitioners will not play a role in selecting patients for treatment groups, and patients will be unaware of their treatment grouping.
Placebo
Not used
Assignment
Parallel
Other design features
Patients with diabetic foot ulcer are divided into two groups of "control and medication" based on the block randomization table after examination and if they meet the inclusion criteria. The doctor and nurse will not play a role in determining the treatment group.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Endocrine & Metabolism Research Institute - Tehran University of Medical Science
Street address
Diabetes Clinic, Shahrivar St, North kargar Ave.
City
Tehran
Province
Tehran
Postal code
1411413137
Approval date
2019-07-17, 1398/04/26
Ethics committee reference number
IR.TUMS.EMRI.REC.1398.028
Health conditions studied
1
Description of health condition studied
Diabetic patient with infected foot ulcer
ICD-10 code
E11.6
ICD-10 code description
Type 2 diabetes mellitus with other specified complications
Primary outcomes
1
Description
50% reduction in wound size
Timepoint
weekly
Method of measurement
The size of the wound is measured with a graded ruler and digitally photographed, and finally the image will be analyzed by ImageJ software.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Diabetic patients with infectious wounds who receive topical "Wound Healer" daily in addition to antibiotic treatment for 4 weeks daily.
Category
Treatment - Drugs
2
Description
Control group:Diabetic patients with infectious wounds, who receive their usual antibiotic treatment.
Category
Treatment - Drugs
Recruitment centers
1
Recruitment center
Name of recruitment center
Diabetes Clinic of Diabetes Research Center
Full name of responsible person
Dr. Ensieh Nasli
Street address
Diabetes Clinic, Shahrivar St,North Kargar Ave.
City
Tehran
Province
Tehran
Postal code
1411413137
Phone
+98 21 8833 4195
Email
mramini@tums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr. Mohammad Ansari
Street address
Medicine Faculty, Keshavarz Bld.
City
Tehran
Province
Tehran
Postal code
1411413137
Phone
+98 21 4444 6226
Email
ansarimo@sina.tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Drug Company
Proportion provided by this source
90
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Persons
Person responsible for general inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr. Mohammad Reza Amini
Position
Researcher
Latest degree
Medical doctor
Other areas of specialty/work
General Practitioner
Street address
Shariati Hospital, North Kargar
City
Tehran
Province
Tehran
Postal code
1411413137
Phone
0089 21 88220037
Email
mramini@tums.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr. Mohammad Ansari
Position
Assistant Prof.
Latest degree
Ph.D.
Other areas of specialty/work
Biochemistry
Street address
Medicine Faculty, Keshvarz Bld.
City
Tehran
Province
Tehran
Postal code
1411413137
Phone
+98 21 4444 6226
Email
ansarimo@sina.tums.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mahsa Pilehvari
Position
Project Assistant
Latest degree
Master
Other areas of specialty/work
Biochemistry
Street address
No. 35, Aqiqi St, Kerman St, Resalat Hwy.
City
Tehran
Province
Tehran
Postal code
1634869461
Phone
+98 21 2631 2168
Email
M_pillehvari@yahoo.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available