Prostacyclin (PGI2) Pathway to Enhance Wound Healing in Diabetic Foot Ulcers
NCT05099367 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2023-12-06
Summary
Prospective, monocentric, pathophysiological study, comparing 3 parallel groups: healthy controls; patients with diabetes and without DFU; patients with diabetes and with DFU. To address secondary objectives, samples from a fourth group will be collected.
Conditions
- Diabetes Mellitus, Type 2
- Diabetic Foot
Interventions
- DIAGNOSTIC_TEST
-
Microdialysis, current induced vasodilation
CIV will be applied over all microdialysis fibers: one perfused with saline, one perfused with a preferential COX-1 blocker; and one perfused with a preferential COX-2 blocker. CIV will be applied over all fibers in the following conditions: one perfused with saline, one perfused with fluconazole and L-NMMA, and the last one perfused with lidocaine.Dialysate collection will be performed after each CIV: dermal PGI2 metabolite (6-ketoPGF1α) and other COX-dependent prostanoids or metabolite (e.g. 11-dehydroTXB2) will be collected in the dialysate fluid and quantified. One hour after the last condition, treprostinil will be perfused over all fibers.
- DIAGNOSTIC_TEST
-
Skin biopsy
Skin biopsy will be proposed. It will be performed on the internal superior calf (medial gastrocnemius), at a reasonable distance from the foot
- DIAGNOSTIC_TEST
-
peri-ulcerated skin biopsy
Non-ulcerated skin from the peri-wound area will be collected. These patient will not undergo all the procedures included in this protocol.
Sponsors & Collaborators
-
National Research Agency, France
collaborator OTHER -
University Hospital, Grenoble
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-10-01
- Primary Completion
- 2025-02-28
- Completion
- 2025-08-31
Countries
- France
Study Locations
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