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)
COMPLETED
PHASE2
59 participants
12 weeks
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
| 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
| 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 weeksPopulation: Comparison of Complete Ulcer Healing by 12 Weeks - ITT Population
Complete wound closure (wound healing) by 12 weeks (efficacy; landmark analysis)
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-UpPopulation: Safety Population - ITT
Count dose limiting toxicity events.
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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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)
Arm B (SOC)
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
| 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
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