Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study.
| Autor: | Bal A; Dhanvantari Hospital, Dadar, Mumbai, Maharashtra, India., Jain SK; Sunvalley Hospital, Guwahati, Assam, India., Jagannath; Sri Siddhartha Medical College, Tumkur, Karnataka, India., Mohapatra KC; Reeta Clinic and Nursing home, Cuttack, Orissa, India., Rao S; Seth. G. S. Medical College and K.E.M. Hospital, Parel, Mumbai, India., Deshpande N; Belgaum Diabetes Center, Belgaum, Karnataka, India., Munshi R; T. N. M. C. and B. Y. L. Nair Ch. Hospital, Mumbai, India., Mahey R; T. N. M. C. and B. Y. L. Nair Ch. Hospital, Mumbai, India., Chowdhury S; Institute of Post Graduate Medical Education & Research and SSKM Hospital, Kolkata, India., Bhaskar MM; Harsha Hospital, K.R. Nagar, Mysore, Karnataka, India., Singh SO; Regional Institute of Medical Sciences, Imphal, Manipur, India., Damle G; Madhunayni Diabetes care and Eye laser center, Sadashiv Peth, Pune, India., Damir A; Fortis C-Doc Healthcare Ltd, New Delhi, India., Phal S; Centaur Pharmaceuticals Pvt. Ltd, Mumbai, Maharashtra, India., Zarapkar M; LifeSan Clinical Research, Mumbai, Maharashtra, India. |
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| Jazyk: | angličtina |
| Zdroj: | The international journal of lower extremity wounds [Int J Low Extrem Wounds] 2024 Dec; Vol. 23 (4), pp. 551-559. Date of Electronic Publication: 2022 Mar 11. |
| DOI: | 10.1177/15347346221076625 |
| Abstrakt: | Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients' quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of <250 mg/dL, with ≤ than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized 1:1 to DPOCL (139) and ISCL (150) treatment (10-weeks [8-Visits]). Percentage of patients with complete wound closure at visit-8, were significantly higher ( P = .0156) in DPOCL arm (76% [105/139]) compared to ISCL (62% [93/150]) arm. At end-of-study, mean wound surface area in DPOCL arm (0.639 cm 2 ) was significantly lower ( P = .0209) compared to ISCL (0.818 cm 2 ) arm. One death was reported in control arm which was not considered as treatment-related. No important safety finding were observed. Results indicate that, DPOCL can be considered as effective and safe treatment option for DFU compared to ISCL, although future confirmatory studies are warranted. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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