Trial Outcomes & Findings for Phase 2a Multi-Center Prospective, Randomized Trial to Evaluate the Safety & Efficacy of Topical PEP-TISSEEL for Diabetic Foot Ulcers (DFU) (NCT NCT06319287)

NCT ID: NCT06319287

Last Updated: 2026-07-20

Results Overview

Complete wound closure (wound healing) by 12 weeks (efficacy; landmark analysis)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

59 participants

Primary outcome timeframe

12 weeks

Results posted on

2026-07-20

Participant Flow

Subjects recruited from clinics. Study Initiation Date (First Subject First Visit \[FSFV\]): 27 March 2024 Study Completion Date (Last Subject Last Visit \[LSLV\]): 23 April 2025

Participant milestones

Participant milestones
Measure
Arm A (PEP-TISSEEL +SOC)
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Overall Study
STARTED
28
31
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
10
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

\# of participants with LE amputations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A (PEP-TISSEEL +SOC)
n=28 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=31 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Total
n=59 Participants
Total of all reporting groups
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
n=20 Participants
24 Participants
n=20 Participants
48 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=20 Participants
25 Participants
n=20 Participants
40 Participants
n=40 Participants
Age, Categorical
>=65 years
13 Participants
n=20 Participants
6 Participants
n=20 Participants
19 Participants
n=40 Participants
Sex: Female, Male
Female
4 Participants
n=20 Participants
7 Participants
n=20 Participants
11 Participants
n=40 Participants
Sex: Female, Male
Male
24 Participants
n=20 Participants
24 Participants
n=20 Participants
48 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=20 Participants
2 Participants
n=20 Participants
3 Participants
n=40 Participants
Race (NIH/OMB)
White
27 Participants
n=20 Participants
28 Participants
n=20 Participants
55 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=20 Participants
7 Participants
n=20 Participants
11 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Weight
199.2 Pounds
STANDARD_DEVIATION 53.34 • n=20 Participants
206.5 Pounds
STANDARD_DEVIATION 42.26 • n=20 Participants
203.0 Pounds
STANDARD_DEVIATION 47.56 • n=40 Participants
Height
68.0 Inches
STANDARD_DEVIATION 3.57 • n=20 Participants
68.7 Inches
STANDARD_DEVIATION 5.10 • n=20 Participants
68.4 Inches
STANDARD_DEVIATION 4.42 • n=40 Participants
BMI
30.2 kg/m^2
STANDARD_DEVIATION 7.56 • n=20 Participants
30.7 kg/m^2
STANDARD_DEVIATION 5.22 • n=20 Participants
30.5 kg/m^2
STANDARD_DEVIATION 6.38 • n=40 Participants
Smoking Status
Current
3 Participants
n=20 Participants
3 Participants
n=20 Participants
6 Participants
n=40 Participants
Smoking Status
Former
5 Participants
n=20 Participants
4 Participants
n=20 Participants
9 Participants
n=40 Participants
Smoking Status
Never
20 Participants
n=20 Participants
24 Participants
n=20 Participants
44 Participants
n=40 Participants
Cardiac Disorder
Yes
2 Participants
n=20 Participants
4 Participants
n=20 Participants
6 Participants
n=40 Participants
Cardiac Disorder
No
26 Participants
n=20 Participants
27 Participants
n=20 Participants
53 Participants
n=40 Participants
Chronic Kidney Disease
Yes
2 Participants
n=20 Participants
2 Participants
n=20 Participants
4 Participants
n=40 Participants
Chronic Kidney Disease
No
26 Participants
n=20 Participants
29 Participants
n=20 Participants
55 Participants
n=40 Participants
Hypertension
Yes
22 Participants
n=20 Participants
25 Participants
n=20 Participants
47 Participants
n=40 Participants
Hypertension
No
6 Participants
n=20 Participants
6 Participants
n=20 Participants
12 Participants
n=40 Participants
Hyperlipidemia
Yes
16 Participants
n=20 Participants
18 Participants
n=20 Participants
34 Participants
n=40 Participants
Hyperlipidemia
No
12 Participants
n=20 Participants
13 Participants
n=20 Participants
25 Participants
n=40 Participants
Peripheral Arterial Disease
Yes
4 Participants
n=20 Participants
1 Participants
n=20 Participants
5 Participants
n=40 Participants
Peripheral Arterial Disease
No
24 Participants
n=20 Participants
30 Participants
n=20 Participants
54 Participants
n=40 Participants
Peripheral Neuropathy
Yes
21 Participants
n=20 Participants
25 Participants
n=20 Participants
46 Participants
n=40 Participants
Peripheral Neuropathy
No
7 Participants
n=20 Participants
6 Participants
n=20 Participants
13 Participants
n=40 Participants
Psychiatric Disorder
Yes
9 Participants
n=20 Participants
5 Participants
n=20 Participants
14 Participants
n=40 Participants
Psychiatric Disorder
No
19 Participants
n=20 Participants
26 Participants
n=20 Participants
45 Participants
n=40 Participants
Ulcer Area at Baseline
2.7 cm^2
STANDARD_DEVIATION 1.79 • n=20 Participants
2.7 cm^2
STANDARD_DEVIATION 2.30 • n=20 Participants
2.7 cm^2
STANDARD_DEVIATION 2.06 • n=40 Participants
Ulcer Age
8.0 Weeks
STANDARD_DEVIATION 1.37 • n=20 Participants
7.5 Weeks
STANDARD_DEVIATION 1.48 • n=20 Participants
7.8 Weeks
STANDARD_DEVIATION 1.44 • n=40 Participants
Location of Ulcer
Dorsal
7 Participants
n=20 Participants
10 Participants
n=20 Participants
17 Participants
n=40 Participants
Location of Ulcer
Plantar
21 Participants
n=20 Participants
21 Participants
n=20 Participants
42 Participants
n=40 Participants
Location of DFU on Foot
Toe
4 Participants
n=20 Participants
3 Participants
n=20 Participants
7 Participants
n=40 Participants
Location of DFU on Foot
Forefoot
11 Participants
n=20 Participants
15 Participants
n=20 Participants
26 Participants
n=40 Participants
Location of DFU on Foot
Midfoot
9 Participants
n=20 Participants
11 Participants
n=20 Participants
20 Participants
n=40 Participants
Location of DFU on Foot
Hindfoot
1 Participants
n=20 Participants
1 Participants
n=20 Participants
2 Participants
n=40 Participants
Location of DFU on Foot
Heel
3 Participants
n=20 Participants
0 Participants
n=20 Participants
3 Participants
n=40 Participants
Location of DFU on Foot
Ankle
0 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
History of DFU Recurrence
Yes
16 Participants
n=20 Participants
15 Participants
n=20 Participants
31 Participants
n=40 Participants
History of DFU Recurrence
No
12 Participants
n=20 Participants
16 Participants
n=20 Participants
28 Participants
n=40 Participants
Concurrent DFUs
Yes
2 Participants
n=20 Participants
1 Participants
n=20 Participants
3 Participants
n=40 Participants
Concurrent DFUs
No
26 Participants
n=20 Participants
30 Participants
n=20 Participants
56 Participants
n=40 Participants
DFU Lifetime Count
2.8 DFUs
STANDARD_DEVIATION 3.41 • n=20 Participants
2.0 DFUs
STANDARD_DEVIATION 1.45 • n=20 Participants
2.4 DFUs
STANDARD_DEVIATION 2.59 • n=40 Participants
Prior LE Amputation
No :
11 Participants
n=20 Participants • \# of participants with LE amputations
17 Participants
n=20 Participants • \# of participants with LE amputations
28 Participants
n=40 Participants • \# of participants with LE amputations
Prior LE Amputation
Yes :
17 Participants
n=20 Participants • \# of participants with LE amputations
14 Participants
n=20 Participants • \# of participants with LE amputations
31 Participants
n=40 Participants • \# of participants with LE amputations
Offloading Type
Total Contact Cast (TCC)
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Offloading Type
Controlled Ankle Motion (CAM) Boot
6 Participants
n=20 Participants
10 Participants
n=20 Participants
16 Participants
n=40 Participants
Offloading Type
Diabetic Shoe
10 Participants
n=20 Participants
9 Participants
n=20 Participants
19 Participants
n=40 Participants
Offloading Type
Local Offloading
2 Participants
n=20 Participants
1 Participants
n=20 Participants
3 Participants
n=40 Participants
Offloading Type
Other
2 Participants
n=20 Participants
0 Participants
n=20 Participants
2 Participants
n=40 Participants
Offloading Type
No
8 Participants
n=20 Participants
11 Participants
n=20 Participants
19 Participants
n=40 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Comparison of Complete Ulcer Healing by 12 Weeks - ITT Population

Complete wound closure (wound healing) by 12 weeks (efficacy; landmark analysis)

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=28 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=31 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Complete Wound Closure
13 Participants
7 Participants

PRIMARY outcome

Timeframe: 12 week treatment + 3 month (12 weeks) non-dosing Safety Follow-Up

Population: Safety Population - ITT

Count dose limiting toxicity events.

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=28 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=31 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Dose Limiting Toxicities
0 DLT Event Count
0 DLT Event Count

SECONDARY outcome

Timeframe: 12 weeks

Population: Comparison of Mean Percent Reduction of Ulcer Area from Baseline by Week 12 Visit - mITT Population Set 1

Percentage area reduction (PAR) at 12 weeks.

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=23 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=24 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Percent Area Reduction of Wound at 12 Weeks
78.9 Percent reduction
Standard Deviation 33.23
66.2 Percent reduction
Standard Deviation 47.00

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 weeks

Population: mITT Population Set 2: all randomized subjects, regardless of actual treatment, and whether they were later found to be ineligible for the study because they failed to meet all inclusion and exclusion criteria, provided that subjects experienced a NPRS pain score of \>0 at any time during the study.

VAS pain (mean difference between baseline and 12 weeks) from 0 (No Pain) to 10 (Worst Possible Pain)

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=23 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=22 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Visual Analogue Scale (VAS) for Pain Over 12 Weeks
1.5 Score on a scale
Standard Deviation 2.15
0.6 Score on a scale
Standard Deviation 1.65

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 weeks

Population: mITT Population Set 2: all randomized subjects, regardless of actual treatment, and whether they were later found to be ineligible for the study because they failed to meet all inclusion and exclusion criteria, provided that subjects experienced a NPRS pain score of \>0 at any time during the study.

Semmes Weinstein 10-Point Monofilament Test is a non-invasive topical evaluation of neuropathy with a monofilament wire (10-gram 5.07 Level) and scores the ability to detect light touch at specific sites on the foot, with 10/10 indicating normal sensation and fewer than 8/10 indicating Loss of Protective Sensation (LOPS) and high-risk diabetic neuropathy. Foot sites tested are 1) plantar surface of the great toe, 2) plantar surface of the 3rd toe, 3) plantar surface of the 5th toe, 4) 1st metatarsal head, 5) 3rd metatarsal head, 6) 5th metatarsal head, 7) arch of the foot, 8) heal, 9) dorsal great toe, and 10) 2nd toe interspace. Key Scoring \& Interpretation: Normal: Feeling all 10 sites (10/10) or, in some protocols, 8 or more sites. Abnormal (LOPS): Failling to feel the monofilament at 3 or more sites (7 or fewer detected) is commonly defined as abnormal sensation (neuropathy) Each site is added for the score which would be a maximum of 10 or a minimum of 0 (no response).

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=14 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=16 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Semmes-Weinstein Score (Mean Difference Between Baseline and 12 Weeks)
1.9 Score
Standard Deviation 2.90
5.7 Score
Standard Deviation 4.31

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 weeks

Population: mITT Population Set 2: all randomized subjects, regardless of actual treatment, and whether they were later found to be ineligible for the study because they failed to meet all inclusion and exclusion criteria, provided that subjects experienced a NPRS pain score of \>0 at any time during the study.

Wound-Q (domains: wound characteristics and health-related quality of life; mean difference between baseline and 12 weeks) WOUND-Q questionnaire is a patient-reported outcome used with all types of chronic wounds in any anatomical location to assess quality of life. Wound Characteristics and Health-Related Quality of Life domains include the following 10 scales: Wound Concerns, Drainage, Smell, Financial Impact, Physical Function, Lower Limb Symptoms, Life Impact, Psychological, Sleep, and Social. Each scale is scored separately, and each scale's summed raw score is transformed to a 0-100 (minimum score: 0 and maximum score: 100) range with higher scores indicating better outcomes. There is no total combined score across scales.

Outcome measures

Outcome measures
Measure
Arm A (PEP-TISSEEL +SOC)
n=14 Participants
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=16 Participants
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Wound-Q Scale
Wound Concerns
62.4 Score on a scale
Standard Deviation 11.04
70.6 Score on a scale
Standard Deviation 19.85
Wound-Q Scale
Drainage
74.1 Score on a scale
Standard Deviation 22.57
81.2 Score on a scale
Standard Deviation 25.07
Wound-Q Scale
Smell
81.3 Score on a scale
Standard Deviation 24.73
86.0 Score on a scale
Standard Deviation 27.56
Wound-Q Scale
Financial Burden
55.6 Score on a scale
Standard Deviation 21.63
64.7 Score on a scale
Standard Deviation 24.60
Wound-Q Scale
Physical Function
47.9 Score on a scale
Standard Deviation 17.93
62.1 Score on a scale
Standard Deviation 23.71
Wound-Q Scale
Lower Limb
59.6 Score on a scale
Standard Deviation 16.07
72.4 Score on a scale
Standard Deviation 17.04
Wound-Q Scale
Life Impact - Quality of Life
54.7 Score on a scale
Standard Deviation 28.96
66.2 Score on a scale
Standard Deviation 27.62
Wound-Q Scale
Psychological - Feeling
68.4 Score on a scale
Standard Deviation 29.42
73.4 Score on a scale
Standard Deviation 23.12
Wound-Q Scale
Sleep
67.4 Score on a scale
Standard Deviation 22.16
83.2 Score on a scale
Standard Deviation 18.82
Wound-Q Scale
Social
59.4 Score on a scale
Standard Deviation 35.79
74.3 Score on a scale
Standard Deviation 26.65

Adverse Events

Arm A (PEP-TISSEEL +SOC)

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Arm B (SOC)

Serious events: 6 serious events
Other events: 5 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Arm A (PEP-TISSEEL +SOC)
n=28 participants at risk
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=31 participants at risk
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Infections and infestations
Severe sepsis
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Acute Chronic obstructive pulmonary disease exacerbation with pneumonia
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease exacerbation
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Perineal and Scrotal abscess
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Musculoskeletal and connective tissue disorders
Abscess of Tendon Sheath, Left Foot
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Cardiac disorders
Chronic diastolic Congestive Heart Failure
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Renal and urinary disorders
Stage 4 Chronic Kidney Disease
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure with Hypoxia
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Blood and lymphatic system disorders
Acute on Chronic Anemia
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
CELLULITIS LEFT PLANTAR MIDFOOT ULCER (INDEX ULCER)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Sepsis
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Abscess to left lateral foot
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Nervous system disorders
Syncope
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Right foot abscess, diabetic foot ulcer infected
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Flu
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.

Other adverse events

Other adverse events
Measure
Arm A (PEP-TISSEEL +SOC)
n=28 participants at risk
PEP-TISSEEL+SOC topically applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Arm B (SOC)
n=31 participants at risk
SOC applied weekly for 12 weeks + 3 month (12 week) non-dosing Safety Follow-Up
Injury, poisoning and procedural complications
superficial skin tear of the left shin
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
superficial skin tear to right shin
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Cold
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
Non-Index Left DFU
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Vascular disorders
Uncontrolled Hypertension
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
New non-index wound Left Hindfoot
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Cellulitis Left Foot
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Osteomyelitis Left Foot
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Vascular disorders
Worsening Hypertension
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
Index ulcer pain
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Investigations
Elevated Blood pressure
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Blood and lymphatic system disorders
Anemia
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Metabolism and nutrition disorders
Hyperkalemia
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Investigations
Elevated brain natriuretic peptide level
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
New non-index wound left foot plantar midfoot
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
Reopening of Index ulcer
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
Blood blister
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
New non-index wound left foot first digit plantar
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
New wound on index limb dorsal forefoot aspect
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Infection of new wound on index limb dorsal lateral aspect
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Musculoskeletal and connective tissue disorders
Pathologic fracture of Left foot 4th digit
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
Non-index Ulceration lateral aspect left 3rd toe
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
Right dorsal abrasion
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
Non infected localized abrasions to right plantar midfoot
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
right dorsal excoriation (skin lesion)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Musculoskeletal and connective tissue disorders
Right foot pain
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Cellulitis Right foot
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
FISSURE RIGHT PLANTAR HALLUX
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Injury, poisoning and procedural complications
Laceration to right 4th toe interdigital
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
full-thickness ulcer right plantar forefoot
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
full-thickness ulcer right 5th toe plantar (non-index)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
full-thickness ulcer right plantar hallux (non-index)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
Full-thickness ulcer right heel (non-index)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Index Ulcer-Right Foot Infection
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
Right foot plantar wound with signs of cellulitis-index ulcer
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Eye disorders
Blurred vision on and off accompanied headaches
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Vascular disorders
Peripheral Vascular Disease
0.00%
0/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
3.2%
1/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
DFU Infection left foot index wound
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Skin and subcutaneous tissue disorders
full-thickness ulcer right plantar forefoot lateral (non-index)
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
Infections and infestations
DFU Infection Left Foot Midfoot index ulcer wound
3.6%
1/28 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.
0.00%
0/31 • AE collection started at Baseline / Randomization through the 3-month Safety follow-up period, up to 6 months total
All treatment emergent AE and SAEs occurring from Randomization until after the Safety follow-up period will be reported.

Additional Information

Shariq Khan, Vice President, Global Clinical Development & Operations

Rion, Inc

Phone: 847-702-4063

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reserves right to delay proposed presentation or publication; however, approval of presentations and publications will not be unreasonably withheld unless withholding of presentation or publication is required.
  • Publication restrictions are in place

Restriction type: OTHER