Can Lab-Grown skin cells close stubborn diabetic wounds?
NCT ID NCT07096934
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial is testing whether a new biological treatment called CYWC628, made from human skin cells, can help heal diabetic foot ulcers that have not responded to standard care. Adults with type 1 or 2 diabetes and a foot ulcer will receive either standard care alone or standard care plus weekly applications of CYWC628 for up to 12 weeks. The study will compare how well the ulcers heal and whether the treatment is safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CYWC628, a biological product made from human dermal fibroblast spheroids (clusters of skin cells), applied directly to the ulcer
- What this could lead to
- If it works, this could offer a new way to heal diabetic foot ulcers that don't respond to standard treatment, potentially reducing the risk of amputation.
- What could go wrong
- This is an early-stage (Phase 1/2) trial, so the treatment may not prove effective or safe. Possible risks include infection, irritation, or the ulcer not healing as expected.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males or females aged 18 to 80 years inclusive at time of informed consent. 2. Diagnosed/confirmed Type 1 or 2 diabetes mellitus. 3. Presence of diabetic foot ulcer (DFU) at or below the level of the malleolus that is confined to one anatomical site and without exposure of bone and/or joint capsule. 4. DFU Wagner Grade 1 or 2. 5. DFU present for 12 to 52 weeks at time of Screening. 6. DFU cross-sectional area of 50 to 1000 mm2 at Screening and Day 1. 7. Resting ankle brachial index (ABI) ≥0.6 and ≤1.2, or toe pressure \>30 mmHg. 8. HbA1c \<9%. 9. Non-infected DFU (i.e., Infectious Diseases Society of America \[IDSA\] International Working Group on the Diabetic Foot \[IWGDF\] Classification 1/Uninfected) OR, at the discretion of the Investigator, DFU infection of IWGDF/IDSA Classification 2/Mild, at least within 2 weeks before and on Day 1. At the discretion of the Investigator, if the DFU infection is IWGDF/IDSA Classification 3/ Moderate at Screening, the Screening period may be extended to allow time to reduce the infection to IWGDF/IDSA Classification 2/ Mild or 1/ no infection at least 2 weeks before randomization on Day 1. Otherwise, DFU infection of IWGDF/IDSA Classification ≥3 and/or any infection involving bone (osteomyelitis), is exclusionary. If there is evidence of infection during the Screening period (i.e., only IWGDF/IDSA Classification 2/ Moderate or 3/ Severe), the following will be performed: * A skin pathogen test; * Treatment with systemic or topical antibiotic or antifungal as deemed required by the Investigator. Systemic treatment must have ceased at least 5 days before Day 1. Ongoing topical antibiotic or antifungal treatment after randomization is permitted; * Continue treatment of IWGDF/IDSA Classification 3/ Moderate infection as required until reduced to IWGDF/IDSA Classification 2/ Mild or 1/ no infection by at least 2 weeks before Day 1 * Sharp debridement of any further necrotic tissue, slough, or biofilm as needed. 10. If participant of child bearing potential, must have a negative serum pregnancy test at screening and negative urine pregnancy test pre-first treatment on Day 1, and must agree to remain sexually abstinent, or use medically effective contraception (refer to Appendix 11.1), or have a partner who is sterile or same-sex, from Screening until at least 60 days after the last dose of study treatment. Males must not be planning to father children or donate sperm for the duration of the study and for at least 90 days after the last dose of study product. 11. Understands and is able and willing to participate and comply with study requirements including attending study visits and follow-up. Exclusion Criteria: 1. The DFU had been previously treated, or is being treated, with growth factors, stem cells, or any equivalent preparation within 8 weeks before Screening. 2. Enrolment in another interventional clinical foot ulcer healing trial within 4 weeks before Screening, or participation in any other interventional research study within 8 weeks before screening. 3. Additional wound(s) within 3 cm of the study target wound. 4. History of conditions that may impair wound healing in the opinion of the Investigator, for example, autoimmune disorders, renal failure patients on dialysis, or medications that impair the healing process. . 5. DFU with exposure of bone and/or joint capsule. 6. Active osteomyelitis, cellulitis, soft tissue infection, or Charcot's arthropathy present on the affected foot or limb containing the DFU, or DFU infection IWGDF/IDSA Classification 4/ Severe, or DFU infection IWGDF/IDSA Classification 3/ Moderate at Screening that cannot be reduced to Classification 2/ Mild or Classification 1/ No infection with treatment. 7. Active healing and reduction of wound area ≥30% during the two-week period before Day 1. 8. Known allergy to topical dressings, any of the study treatment components, and/or to gentamicin or other aminoglycosides. 9. Use of systemic antibiotics or antifungals for treatment of or prophylaxis for DFU infection within 5 days before Day 1, and/or if such use is considered by the Investigator likely to be required during the study treatment period. Systemic antibiotic or antifungal use for other indications is not exclusionary. 10. History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer considered treated and cured) within 5 years of screening, regardless of whether there is no evidence of local recurrence or metastasis. Basal cell carcinomas of the skin are also exclusionary if diagnosed within 6 months before screening. If there is suspicion of skin cancer, a biopsy may be performed during screening for confirmation. 11. Pregnant or breastfeeding, or a male participant planning to father children or donate sperm during the study and for 90 days after last dose of study treatment. 12. Current smoker of tobacco products and/or active user of nicotine replacement products including but not limited to nicotine gum, patches, or vaping. 13. Current alcohol misuse as determined by the Investigator, and/or positive alcohol breath test at screening or pre-first treatment (no re-test permitted). 14. Substance use disorder of any severity as determined by the Investigator, including any use of illicit drugs or other addiction which might interfere with the ability to comply with study procedures in the opinion of the Investigator; positive urine drug test at screening or pre-first treatment (tricyclic antidepressants, opioids, cannabidiols \[CBDs\] and benzodiazepines are not exclusionary if prescribed by a physician and consistent with medical history). One re-test permitted for urine drug test where justified in the opinion of the Investigator (e.g., false positive suspected). 15. Any other condition or situation that, in the opinion of the Investigator, would compromise the participant's ability to comply with study requirements. 16. Known history of poor compliance with medical treatments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
9 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Canopy Clinical Wollongong
RECRUITINGWollongong, New South Wales, 2500, Australia
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Caulfield - Alfred
RECRUITINGMelbourne, Victoria, 3004, Australia
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Coffs Harbour Health Campus
RECRUITINGCoffs Harbour, New South Wales, 2450, Australia
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Hunter Medical Research Institute
RECRUITINGNew Lambton Heights, New South Wales, 2305, Australia
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Mackay Hospital and Health Service
RECRUITINGWest Mackay, Queensland, 4740, Australia
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Mater Misericordiae Ltd
RECRUITINGSouth Brisbane, Queensland, 4101, Australia
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Monash House Research Centre
RECRUITINGClayton, Victoria, 3168, Australia
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Royal North Shore Hospital
RECRUITINGSaint Leonards, New South Wales, 2065, Australia
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Sir Charles Gardeners Hospital
RECRUITINGNedlands, Western Australia, 6009, Australia
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