A randomized controlled clinical trial of a hypothermically stored amniotic membrane for use in diabetic foot ulcers

Author:

Serena Thomas E1,Yaakov Raphael1,Moore Sarah1,Cole Windy2,Coe Stacey2,Snyder Rob3,Patel Keyur4,Doner Bryan4,Kasper Maria A5,Hamil Rachel1,Wendling Santina6,Sabolinski Michael L7ORCID

Affiliation:

1. SerenaGroup® Research Foundation, Cambridge, MA 02140, USA

2. Kent State University College of Podiatric Medicine, Independence, OH 44131, USA

3. Barry University School of Podiatry Medicine, North Miami Beach, FL 33168, USA

4. D & P Medical Group, Pittsburgh, PA 15237, USA

5. Martin Foot & Ankle, York, PA 17402, USA

6. Organogenenis, Inc, Canton, MA 02021, USA

7. Sabolinski LLC, Franklin, MA 02038, USA

Abstract

Aim: Determine the effectiveness of hypothermically stored amniotic membrane (HSAM) versus standard of care (SOC) in diabetic foot ulcers (DFUs). Methods: A randomized controlled trial was conducted on 76 DFUs analyzed digitally. Results: Cox wound closure for HSAM (38 wounds) was significantly greater (p = 0.04) at weeks 12 (60 vs 38%), and 16 (63 vs 38%). The probability of wound closure increased by 75% (Hazard Ratio = 1.75; 95% CI: 1.16–2.70). HSAM showed >60% reductions in area (82 vs 58%; p = 0.02) and depth (65 vs 39%; p = 0.04) versus SOC. Conclusion: HSAM increased frequency and probability of wound closure in DFUs versus SOC.

Publisher

Future Medicine Ltd

Subject

Health Policy

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