New Light-Activated gel could save diabetic feet from amputation
NCT ID NCT07488247
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a gel called Chlorin E6 that is activated by light to treat diabetic foot ulcers. About 300 adults with diabetes and foot sores that have lasted at least 4 weeks will receive either the gel plus standard care or standard care alone. The goal is to see if the treatment helps wounds heal faster, kills harmful bacteria, and reduces the need for amputation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Nov 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 years and older
- 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. Patients with diagnosis of Diabetes mellitus, with diabetic foot ulcer. 2. Males and females subject of age 18 years and above. 3. HbA1c of less than 12% and random blood sugars of less than 350 mg/dl. 4. Vitally stable patient with no clinical signs of sepsis, a qSOFA (quick Sepsis-Related Organ Failure Assessment) score of \<2. 5. ABI (Ankle Brachial Index) 0.7 to 1.2. 6. Lower extremity ulcer of more than 30 days duration and less than 2 years duration. 7. Total wound surface area between 0.5 to 20 cm. 8. Deep wounds extending up to muscles (University of Texas Grade \& Stage 1A, 1B, 2A \& 2B) will be included. 9. Patients giving written informed consent to participate in the study after a full understanding of the implications and constraints of the study protocol. 10. Understand the content of the ICF, and voluntarily sign the ICF (If the participant is unable to sign the ICF on his/her own due to illiteracy, an impartial witness is needed). 11. The subject can understand the research process and is willing and able to comply with all research proposals and other requirements of the study. 12. Able to cooperate to complete the scheduled follow-ups till the end of the study Exclusion Criteria: 1. The vital signs or physical examination are clinically significantly abnormal as determined by the investigators in screening. 2. A history of severe allergy (including drugs, vaccines, and foods) or allergy to any component of the experimental product. 3. Subjects diagnosed with a serious disease, congenital malformation or chronic disease (including but not limited to serious: respiratory disease, cardiovascular disease, serious cerebrovascular disease, kidney disease, serious or uncontrollable diabetes, autoimmune disease, thrombocytopenic purpura, thalassemia, malignant tumor, hereditary allergic constitution, etc.) that may interfere with the conduct or completion of the study; 4. Participating in or planning to participate in other clinical trials (drugs or vaccines) within 3 months prior to participating in this study; 5. Other circumstances considered by the investigator as inappropriate to participate in the study. 6. Vitally unstable patients with clinical signs and symptoms of sepsis, qSOFA score ≥2. 7. More than 2 ulcers in the foot and leg. 8. Deep wounds extending into bone (UoT Criteria any Grade stage C \& D, Grade 3). 9. Subjects with moderate to severe obstruction on ABI (\<0.7 or \>1.3). 10. Patients with HbA1c more than 12% and random blood sugar of more than 350 mg /dl. 11. Subjects with evidence of cardiac disease or heart failure on ECG or echocardiography 12. Patients with eGFR (Estimated Glomerular Filtration Rate) of less than 60 ml/min/1.73 m2. 13. Pregnant or breast-feeding females or women of childbearing potential not using contraception. 14. Hypersensitivity to investigational product/Chlorophyll-driven compounds. 15. Diagnosed case of porphyria. 16. Ophthalmological disease requiring slit-lamp examination or Yag-laser within the next 30 days or anti-VEGF therapy/injection. 17. Patients who do not give written informed consent 18. Subjects unable or unwilling to meet protocol requirements. 19. Ulcer of non-diabetic etiology, such as venous, arterial, and burn wounds 20. Ulcer is less than 3 cm in distance from any other ulcer on the same extremity. 21. Ulcer presents with any of the following: osteomyelitis, exposed bone or gangrene. 22. Ulcer surface area has decreased \> 40% between screening and at randomization (visit 1) as assessed by the imaging system 23. Has medically documented history of HIV 24. Has severe protein malnutrition as defined by Serum Albumin \< 2.5 g/dL. 25. Has serum aspartate aminotransferase (AST, SGOT, GOT) or serum alanine aminotransferase (ALT, SGPT, GPT) levels greater than twice the upper limit of normal 26. Has a medically documented or self-reported history, within the previous 12 months from date of screening visit, of alcohol or substance abuse. 27. Has received previous treatment with the following during the 60 days prior to screening: immunosuppressive agents, radiation, chemotherapy, growth factors at the site of the Ulcer, split- or full-thickness skin graft at the site of the Ulcer, biologically active (or engineered) cellular or acellular product(s) at the site of the study ulcer, investigational drug or device 28. Has ESR \> 70 mm/h and CRP \> 100 mg/L at time of screening
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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
1 site. 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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Creek General Hospital
RECRUITINGKarachi, Sindh, 07526, Pakistan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a smartphone app help heal diabetic foot wounds?
- A personal guide through the healthcare maze: could a navigator save limbs from diabetes?
- Can Lab-Grown skin cells close stubborn diabetic wounds?
- Can a collagen patch outperform fish skin in healing diabetic wounds?
- A new care model asks: what matters most to people with diabetic foot ulcers?
- Can a special gel heal diabetic foot ulcers faster?