Adjunctive Phototherapy Treatment of Infected Diabetic Ulcers
Withdrawn before enrolling · Not applicable
Conditions studied: Diabetic Foot, Diabetic Foot Ulcer, Diabetes, Diabetes Mellitus, Infected Wound, Infected Ulcer of Skin
In brief
The key purpose of this study is to determine and understand the safety and effectiveness of blue light phototherapy in the treatment and healing of infected diabetic wounds, as well as determining if this treatment is capable of reducing the bacterial population number within infected wounds. The investigators' lab recently discovered that a specific survival protein called catalase can be destroyed through blue light exposure. Given that a majority of bacteria species contains catalase, it is hypothesized that the destruction of this protein can improve the effectiveness of antimicrobial wound dressings commonly used to treat infected diabetic wounds, therefore further reducing the amount of bacteria within the wound and increasing the rate of healing. By reducing the overall bacterial population within these diabetic infected wounds, the ability for these diabetic wounds to heal will be enhanced, allowing for greater reductions in wound size over the course of the treatment. In this study, 40 subjects will be enrolled and randomly assigning subjects to either a control group or a phototherapy receiving experimental group. While control subjects will receive standard weekly debridement treatment procedures for infected diabetic ulcers, experimental subjects will receive standard weekly debridement treatment alongside 2 sessions of phototherapy every week over the course of 12 weeks. Bacterial swab samples will be taken alongside the excised debrided infect tissue for the purpose of bacterial population analysis. For each patient, the changes in total bacterial population, wound size, and subject satisfaction will be recorded and analyzed to determine the effectiveness of pulsed light phototherapy.
Key facts
- Study ID
- NCT04285710
- Run by
- Boston Medical Center
- People needed
- 0
- Starts
- 2021-06-01
- Expected to finish
- 2022-04-01
- Last updated by the study team
- 2021-05-26
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- English Speaking
- Capacity to Consent
- Diabetic Foot Ulcers
- Have an infected wound present on the foot greater than 1 (one) cm2 and less than 8 cm2
- Ability to utilize appropriate offloading devices as recommended by a clinician
You may not qualify if…
- Pregnant or breastfeeding/nursing
- Ankle-brachial pressure index below 0.45 or over 1.4
- Hemoglobin A1c levels above 12.0
- Stage 4 renal disease/dialysis
- Taking immunosuppressant medications
- Undergoing radiation therapy
- Diagnosed Uncontrolled/Resistant hypertension (HTN) - High blood pressure that does not respond well to medical treatment, blood pressure remains above average (usually 130/80 mmHg) despite medication usage.
- Diagnosed Uncontrolled malabsorption disorder - Small intestine unable to absorb nutrients effectively, usage of nutrient supplements ineffective
- Active sepsis
- Uncontrolled coagulopathy - Blood unable to properly coagulate and form clots, low platelet or clotting factor levels, unresponsive to medications
- Untreated bone/soft tissue infection - Not yet initially treated to reduce risk of sepsis
- Gangrene of wound under care
Where it is running
- Boston Medical Center — Boston, Massachusetts, United States
Full record on ClinicalTrials.gov
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