Randomized Evaluation of Nonhealing Diabetic Foot Ulcers With Exclusive Wound Therapy

Exclusion Criteria

• •The potential subject must have a target ulcer located on the 50% below the malleolus and not on the dorsal toes.
• •The ulcer must be offloaded for at least 14 days prior to enrollment.
• •The potential subject must consent to using the prescribed offloading method for the duration of the study.
• •The potential subject must agree to attend the weekly study visits required by the protocol.
• •The potential subject must be willing and able to participate in the informed consent process.
• •The potential subject is known to have a life expectancy of \< 6 months.
• •The potential subject's target ulcer is not secondary to diabetes.
• •The target ulcer is infected or there is cellulitis in the surrounding skin.
• •The target ulcer exposes tendon or bone.
• •There is evidence of osteomyelitis complicating the target ulcer.
• •The potential subject is receiving immunosuppressants (including systemic corticosteroids at doses greater than 10 mg of prednisone per day or equivalent) or cytotoxic chemotherapy or is taking medications that the PI believes will interfere with wound healing (e.g., biologics).
• •The potential subject has applied topical steroids to the ulcer surface within one month of initial screening.
• •The potential subject with a previous partial amputation on the affected foot that results in a deformity that impedes proper offloading of the target ulcer.
• •The potential subject has glycated hemoglobin (HbA1c) greater than or equal to 12% within 3 months of the initial screening visit.
• •The surface area of the potential subject's target ulcer has reduced in size by more than 20% in the 2 weeks prior to the initial screening visit ("historical" run-in period). Imaging Device is not required for measurements taken during the historical run-in period (e.g., calculating surface area using length X width is acceptable).
• •The surface area measurement of the potential subject's target ulcer decreases by 25% or more during the active 2-week screening phase: the 2 weeks from the initial screening visit (S1) to the TV-1 visit during which time the potential subject received SOC.
• •The potential subject has an acute Charcot foot, or an inactive Charcot foot, which impedes proper offloading of the target ulcer.
• •The potential subject is a woman who is pregnant or considering becoming pregnant within the next 6 months.
• •The potential subject has end stage renal disease requiring dialysis.
• •The potential subject has participated in a clinical trial involving treatment with an investigational product within the previous 30 days.
• •The potential subject, in the opinion of the investigator, has a medical or psychological condition that may interfere with study assessments.
• •The potential subject was treated with hyperbaric oxygen therapy (HBOT) or a Cellular, Acellular, Matrix-like Product (CAMP) in the 30 days prior to the initial screening visit.
• •The potential subject has a malnutrition.
• •The potential subject has a known allergy or sensitivity to PBS, IPA, processing solutions, reagents, or latex.