New gel could heal diabetic foot ulcers faster
NCT ID NCT06383013
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 2 study tests a topical gel called BB-101 for treating diabetic lower leg and foot ulcers. About 96 adults with diabetes will be randomly assigned to receive either the gel or a placebo, and neither they nor their doctors will know which they get. The main goal is to see how much the wound shrinks over time, with secondary checks on complete healing and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BB-101 (a topical biological gel)
- What this could lead to
- If it works, this could provide a new treatment to help heal diabetic foot ulcers faster and reduce the risk of amputation.
- What could go wrong
- This is an early Phase 2 trial with only 96 people, so results may not apply to everyone. The gel might not heal ulcers better than standard care, and side effects are still being studied.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 96 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
May 2024
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
20 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Male or female, at least 20 years of age (inclusive) at the date of Screening * Subject or legally authorized representative who is able to understand the nature of this study and accepts to enter the study by signing written informed consent * Subject agrees to comply with ulcer care regimen for the duration of the study and is willing to return for all mandatory visits as defined in the protocol * Subject with Type 1 or Type 2 diabetes mellitus (criteria for the diagnosis of diabetes mellitus per American Diabetes Association) and is under the care of a physician for the management of diabetes mellitus * Subject with glycosylated hemoglobin (HbA1c) ≤ 12% * Subject with at least one diabetic foot ulcer meets the following criteria at Screening Visit: i. Located below knees; ii. Not healing for ≥ 4 weeks prior to Screening Visit despite appropriate care; iii. Ulcer size of ≥ 0.5 cm2 to ≤ 10 cm2 measured by the electronic measuring device following sharp debridement (if necessary) at Screening Visit and reconfirmed at Randomization Visit; iv. The largest ulcer will be selected as target ulcer. If ≥ 2 ulcers have the largest size, the one with the worst grade by Wagner Classification will be selected. If ≥ 2 ulcers have the largest size and grade, the one with longest duration will be selected; v. The target ulcer is classified as Grade 1 to Grade 2 according to Wagner Classification System for diabetic foot ulcer; vi. The target ulcer should be without clinical signs and symptoms of infection * Subject with adequate circulation to the affected lower limb, as demonstrated by at least one of the following criteria: i. Dorsum transcutaneous oximetry (TcPO2) ≥ 30 mmHg ii. Ankle brachial pressure index (ABPI) ≥ 0.7 iii. Absolute toe blood pressure \> 30 mmHg iv. Doppler ultrasonography showed \< 75% stenosis in the lower extremity arteries * Subject with adequate hepatic (ALT and AST ≤ 2 × ULN) and renal function (Serum creatinine ≤ 3 mg/dL) * Subject with adequate hematology function: i. Absolute neutrophil count (ANC) ≥ 1,500 cells/μL ii. Total white blood cell (WBC) ≥ 3,000 cells/μL iii. Platelets ≥ 100,000 counts/μL iv. Hemoglobin ≥ 10 g/dL for male, ≥ 9 g/dL for female * Female subjects show negative serum pregnancy test results within 28 days prior to the first study treatment. * All male subjects and female subjects with child-bearing potential (between puberty and 2 years after menopause) should use at least any one of the appropriate contraception methods during dosing and for at least 4 weeks after stopping study treatment. Exclusion Criteria: * Clinical signs and symptoms of infection of target ulcer assessed by clinical evaluation. The presence of infection is defined by ≥ 2 of the items presented as: * Local swelling or induration * Erythema \> 0.5 cm around wound * Local tenderness or pain * Local increased warmth * Purulent discharge * Subject with cellulitis or gangrene on the lower leg or foot with the target ulcer * Subject with active osteomyelitis, which requires systemic antibiotics. Systemic antibiotics must be complete or discontinued 1 week prior to Screening Visit. * With target ulcer size decreased or increased by at least 30% after receiving 2 weeks of standard-of-care for diabetic foot ulcer before Randomization visit * Subject with another open ulcer \< 2 cm away from target ulcer, on the same lower leg or foot * Subject with target ulcer caused primarily by etiologies not related to diabetes * Subject with target ulcers related to an incompletely healed amputation wound * Subject with any structural deformity of the lower leg or foot under study that would prevent off-loading of the target ulcer; subject with conditions which may interfere the off-loading effect may be excluded by the Investigators' judgment * Subject is scheduled to (or has received within 4 weeks prior to Screen Visit) receive any of the following medications or treatments: * Platelet-derived product (e.g., becaplermin) or other growth factors on the target ulcer * Systemic corticosteroids (other than for inhalation), immunosuppressive agents, radiation therapy, or chemotherapeutic agents * Participation in a clinical trial of an investigational drug or device * Previous use of autologous graft or allogeneic graft, or dermal substitute or living skin equivalent (e.g., Dermagraft® or Apligraf® ) on the target ulcer or hyperbaric oxygen therapy within 2 weeks prior to Screening Visit * Use of any topical antimicrobials or enzymatic debridement treatment to treat the target ulcer within 7 days prior to Screening Visit * Subject with history of cancer or current cancer, with the exception of basal cell carcinoma, squamous cell carcinoma in situ of the skin, or cervical carcinoma in situ that has been treated with no evidence of recurrence, or squamous cell carcinoma of the skin that has been treated with no evidence of recurrence within 5 years prior to administration of any study agent * Vasculitis, connective tissue diseases, or any medical conditions known to impair ulcer healing, other than diabetes * Subject diagnosed with sickle cell disease * Subject with clinically significant electrocardiogram (ECG) abnormality, as determined by the Investigator * Poor nutritional status (serum albumin \< 2.5 g/dL) * C-reactive protein (CRP) \> 50 mg/dL * Subject had a history of drug abuse or alcohol abuse according to the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria. * Patient with positive result of Human immunodeficiency virus (HIV) * Female subject in lactation during the study period * Subject with underlying medical, mental or psychological conditions that would impair the treatment compliance, or in the opinion of the Investigator would not permit to participate in the study
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Diabetic foot ulcer are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
5 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Linkou Chang Gung Memorial Hospital
RECRUITINGTaoyuan, Taiwan
-
National Cheng Kung University Hospital
RECRUITINGTainan, Taiwan
-
Shin Kong Wu Ho-Su Memorial Hospital
RECRUITINGTaipei, Taiwan
-
Taipei Medical University-Shuang Ho Hospital,Ministry of Health and Welfare
RECRUITINGTaipei, Taiwan
-
Wanfang Hospital
NOT_YET_RECRUITINGTaipei, Taiwan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gene therapy shots aim to save legs from amputation in diabetes
- New wound dressing put to the test against diabetic foot ulcers
- Silver and sound: can ultrasound push nanoparticles into diabetic wounds?
- Zapping a leg nerve: can a wearable device help stubborn ulcers heal?
- Wound dressings that trap microbes: scientists test a Drug-Free approach
- Can a traditional herbal mix save limbs from diabetic ulcers?