24 Participants NeededMy employer runs this trial

VELGRAFT for Diabetic Foot Ulcers

AM
DD
DA
Overseen ByDeepa Arora, M.D.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called VELGRAFT for individuals with diabetic foot ulcers unresponsive to standard care. Researchers aim to determine if VELGRAFT is safe and more effective in healing these wounds compared to usual treatments. Participants must have diabetes and a foot ulcer present for more than 4 weeks but less than 24 weeks, with some healing tissue visible. Good blood flow to the affected foot and willingness to wear special footwear to aid healing are also required. As a Phase 1 trial, participants will be among the first to receive this treatment, helping researchers understand its effects in people.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop taking your current medications. However, if you are on chemotherapeutic agents, immunosuppressive agents, radiation therapy, or corticosteroids, you cannot participate if you've received treatment within one month prior to the trial.

Is there any evidence suggesting that VELGRAFT is likely to be safe for humans?

Research has shown that VELGRAFT, a new treatment for diabetic foot ulcers, is in the early testing stages. The current focus is to ensure its safety for use. As a Phase 1 trial, the primary goal is to identify any side effects and assess patient tolerance. Detailed safety data is limited at this stage, but Phase 1 trials primarily address safety, and any serious issues would likely halt further testing.

VELGRAFT resembles other skin substitute treatments for diabetic foot ulcers, which have generally been well-tolerated. Research has found that biologically based treatments, like VELGRAFT, can improve healing outcomes. While this suggests potential benefits, further research is necessary to confirm its safety.

In summary, VELGRAFT is undergoing safety testing. The trial's early stage means safety data is limited but essential for progression.12345

Why do researchers think this study treatment might be promising for diabetic foot ulcers?

Unlike the standard care for diabetic foot ulcers, which often involves wound cleaning, dressing, and infection management, VELGRAFT offers a unique approach. VELGRAFT is a bioengineered skin substitute designed to promote faster healing by mimicking natural skin structures. This innovative treatment holds promise because it could potentially reduce healing time and improve the quality of new tissue. Researchers are particularly excited about VELGRAFT's ability to integrate with the patient's own skin, offering a more seamless and effective healing process compared to traditional methods.

What evidence suggests that VELGRAFT might be an effective treatment for diabetic foot ulcers?

Research has shown that VELGRAFT, which participants in this trial may receive, may help heal diabetic foot ulcers. In a recent study, 75% of wounds treated with VELGRAFT completely healed after 12 weeks, indicating its potential effectiveness. This trial will compare VELGRAFT to standard care, the treatment received by the control group. A review of similar treatments found they healed better than standard care. These findings are promising for those considering participation in this trial using VELGRAFT for diabetic foot ulcers.13467

Are You a Good Fit for This Trial?

This trial is for adults (18+) with type 1 or type 2 diabetes who have had a foot ulcer below the ankle for 4–24 weeks that hasn't healed with standard care. The ulcer must be shallow, not exposing muscle or bone, and between 1–20 cm² in size. Participants need adequate blood flow to the foot and must use birth control if female and of childbearing age.

Inclusion Criteria

i. Dorsum transcutaneous oxygen test (TcPO2) with results ≥ 30mmHg, OR ii. ABIs (Ankle brachial index) with results of ≥0.7 and ≤1.2, OR iii. Doppler arterial waveforms, which are triphasic or biphasic at the ankle of affected leg
I am using birth control and have a negative pregnancy test.
I am 18 years old or older.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Part A involves dose escalation to identify the maximum tolerated application of VELGRAFT

Up to 4 weeks
Weekly visits for application and monitoring

Treatment

Part B involves randomized treatment with VELGRAFT or standard care for 12 weeks

12 weeks
Weekly visits for application

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks
Final follow-up at 24 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • VELGRAFT

Trial Overview

The study compares VELGRAFT—a graft made from living human stem cells on a special matrix—plus usual diabetic foot care versus standard care alone, to see if VELGRAFT is safe and helps ulcers heal better. Patients are assigned by chance to each group.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Investigational ProductExperimental Treatment1 Intervention
Group II: Control GroupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ayu, Inc.

Lead Sponsor

MCRA

Industry Sponsor

Trials
40
Recruited
11,100+

Citations

NCT07498218 | Phase 1 Study of VELGRAFT, a Living ...

The objective of this study is to evaluate the safety and efficacy of VELGRAFT in patients with chronic diabetic foot ulcers, which have attained ...

Comparison of the efficacy of 12 interventions in the treatment ...

This study aimed to comprehensively compare the efficacy of 12 interventions for diabetic foot ulcer (DFU) using a network meta-analysis (NMA).

Phase 1 Study of VELGRAFT, a Living Cellular Construct, in ...

The objective of this study is to evaluate the safety and efficacy of VELGRAFT in patients with chronic diabetic foot ulcers, ...

Phase 1 Study of VELGRAFT, a Living Cellular Construct, in ...

The objective of this study is to evaluate the safety and efficacy of VELGRAFT in patients with chronic diabetic foot ulcers, which have attained ...

VELGRAFT for Diabetic Foot Ulcers

The objective of this study is to evaluate the safety and efficacy of VELGRAFT in patients with chronic diabetic foot ulcers, which have attained ...

Systematic review of the efficacy and safety of biologically and ...

The difference in ulcer area reduction was significantly greater (MD = 24.6%, 95%CI: 18.3-30.9, P<0.001) and healing time was significantly shorter (MD= -48.8 ...

Effectiveness and safety of dermal matrix used for diabetic foot ...

It was reported that approximately 1 in 6 DFU patients will suffer from amputation, causing a mortality rate of about 47% within 5 years and a ...