UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012694
Receipt number R000014452
Scientific Title Total Contact Cast for intractable foot ulceration in diabetic patients Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up
Date of disclosure of the study information 2014/01/01
Last modified on 2014/05/27 17:58:42

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Basic information

Public title

Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up

Acronym

Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up

Scientific Title

Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up

Scientific Title:Acronym

Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up

Region

Japan


Condition

Condition

Non-healing Foot Ulcer

Classification by specialty

Plastic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of total contact casting in the treatment of non-healing foot ulcers.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Ulcer Healing (at 12 weeks)
Time required for complete healing

Key secondary outcomes

The presence or absence of ulcer occurrence of other sites up to 12 weeks after the operation.
Presence or absence of complications.
Period up to good granulation
Ulcerogenic at other sites.
Occurrence of other complications.
TCC wearing period.
Total cost of care for wound treatment.
Time-dependent change in the total area.


Base

Study type


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

For patients with chronic ulcer on the sole of the foot that can not be healed with standard therapy for over 4 weeks, to immobilize with TCC which spread the pressure on the sole for the avoidance of excessive pressure on specific area, covered up to under the knee.
Procedure of TCC:
1.Cover the affected area with gauzes or wound dressing materials appropriately.
2.Apply felt around the ulcer and/or bony area for protection and non weight- bearing.
3.Mold Total Contact Casting with photocurable or water-curable materials over stockinette and cast pad.
4.Attach the cast heel and/or the cast shoe for walking.
5.Release the TCC once every one or two weeks for observation of the wound. After observation, mold another new TCC.
6.Debridement of the wound is assumed to be performed as necessary.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Chronic ulcers in the plantar area.
2.Ambulatory patient
3.Debridement has been done in the presence of necrotic tissue and/or infection.
4.Ulcers with a small or moderate amount of discharge.
5.To be performed with the principle of consent, given in writing, by the person himself. However, if the document of consent from the person cannot be obtained for any reason, a legal representative (legal representative of the person being treated) agrees to allow the procedure(s)

Key exclusion criteria

1.Presence of ulcers in both the forefoot and the heel.
2.Local infection on the ulcer area and/or systemic infection.
3.In the case of bone exposure or radiographic signs of myelitis.findings.
4.Negative arterial Doppler examination for the dorsalis pedis artery and/or the posterior tibial artery due to critical limb ischemia.
5.Plantar ulcers exist bilaterally or the contralateral foot has been amputated.
6.Malignant tumor exists in the wound bed or its surroundings.
7.Uncontrollable bleeding from the wound.
8.Deep venous thrombosis, varicose veins, or lymphedema.
9.Radiation therapy, chemotherapy, VEGF inhibitor, or administration of steroids.
10.Poor general status, under-nutrition, coagulopathy, or connective tissue disease.
11.A pregnant or breast-feeding woman or a child.
12.Patients who cannot come to our hospital.
13.Patients judged to be inappropriate for enrollment in this study.



Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Mamoru Kikuchi

Organization

Saga University Hospital

Division name

Department of Plastic and Reconstructive Surgery

Zip code


Address

Nabeshima 5-1-1, Saga-city, Saga, Japan

TEL

0952-34-2460

Email

mamoru-osk@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Mamoru Kikuchi

Organization

Saga University Hospital

Division name

Department of Plastic and Reconstructive Surgery

Zip code


Address

Nabeshima 5-1-1, Saga-city, Saga, Japan

TEL

0952-34-2460

Homepage URL


Email

mamoru-osk@umin.ac.jp


Sponsor or person

Institute

Saga University Hospital

Institute

Department

Personal name



Funding Source

Organization

Saga University Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 01 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2013 Year 09 Month 02 Day

Date of IRB


Anticipated trial start date

2014 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 12 Month 25 Day

Last modified on

2014 Year 05 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014452


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name