A Study to Evaluate Microvessel Ultrasound Imaging of Wound Healing in Patients with Chronic Ulcers

Overview

About this study

The purpose of this study is to explore the application of high-resolution microvessel ultrasound imaging system to non-invasively monitor the process of wound healing, including measurements of microvessel density and microcirculation. Comparison will be made to skin biopsies at the edges of the ulcer to correlate microvessel ultrasound finidngs with angioplasia and fibrosis. Correlation will also be made to clinical assessment of treatment response and wound healing.

 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

- Chronic wound in the course of diabetic foot ulcers and/or lower extremity venous
ulcers with duration of at least 6 weeks and the wound surface not less than 2 sq. cm
and not greater than 15 sq. cm, without evidence of active infection of the wound at
the time of qualification to participate in the study
- Meets criteria for stalled chronic wound defined as less than 50% reduction in wound
size after 30 days of standard of care management.
- For chronic venous ulcers, ultrasound demonstrates venous reflux > 0.5 seconds
- Satisfactory blood glucose control - fasting not more than 110 mg%, HbA1c < 6.5%
- Satisfactory blood supply to the wound verified by the measurement of the oxygen level
of the foot tissue (TCPO2 > 30mmHg) in patients with neuropathic etiology of diabetic
foot syndrome
- In the case of the patients with the wounds of ischemic component, the condition for
qualification is a clinical improvement of the limb's blood supply as a result of the
revascularization procedure documented by ultrasound.
- Ankle-brachial index (ABI) ≥ 0.8

Exclusion Criteria:
- Acute wound with duration less than 6 weeks
- Evidence of active infection or on antibiotics
- Smoker
- For chronic venous ulcers, ultrasound demonstrates venous reflux < 0.5 seconds
- Unsatisfactory blood glucose control - fasting more than 110 mg%, HbA1c < 6.5%
- Poor blood supply to the wound verified by the measurement of the oxygen level of the
foot tissue (TCPO2 < 30mmHg) in patients with neuropathic etiology of diabetic foot
syndrome
- Ankle-brachial index (ABI) < 0.
- Pregnancy
- Known allergy to lidocaine

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 2/21/2024. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Michael Moynagh, M.B., B.Ch.

Closed-enrolling by invitation

What is this? (?)
"Close"
Not open to everyone who meets the eligibility criteria, but only those invited to participate by the study team.

Contact information:

Hanarica Pol

(507) 422-5118

Pol.Hanarica@mayo.edu

More information

Publications

Publications are currently not available
.
CLS-20547548

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