CClinicalTrials.gg
CompletedNCT00909870DEVOUpdated Jun 18, 2018Results posted

Pivotal Trial of Dermagraft(R) to Treat Venous Leg Ulcers

A Phase 3 interventional study of Dermagraft(R) and Profore in Venous Leg Ulcer, sponsored by Organogenesis. Completed at 70 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-06-18.

Sponsored by Organogenesis · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
537
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study randomly assigns patients with venous leg ulcers to receive standard therapy (compression) alone or compression plus Dermagraft(R). Dermagraft is a device containing live human fibroblasts grown on an absorbable Vicryl mesh. Patients are seen weekly until they heal or the 16-week treatment period is complete. Follow-up visits are conducted monthly for three months in order to assess patients for longer term safety.

02

Conditions studied

  • Venous Leg Ulcer

Keywords

  • Venous leg ulcer
  • randomized trial
  • clinical trial
  • Dermagraft
  • compression therapy
  • surgical debridement
  • venous stasis
  • chronic ulcer
  • chronic wound
  • fibroblasts
03

In context

Varicose Ulcer

378 studies on the registry are indexed under Varicose Ulcer; 80 are open to participants now.

This study's enrollment of 537 is above the median of 64 across 325 interventional studies indexed under Varicose Ulcer.

Browse Varicose Ulcer studies →

Lead sponsor

Organogenesis is the lead sponsor of 27 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • >18 years of age
  • ABI > 0.80
  • Three or fewer venous leg ulcers, if multiple must be separated by 2 cm
  • Ultrasound demonstrates venous reflux >0.5 seconds
  • Study wound present for 1-24 months
  • Study wound 2-15 sq cm surface area
  • Clean, granulating wound
  • Patient able and willing to sign informed consent and comply with study procedures.
  • Women of childbearing potential must use birth control pills, barriers or abstinence and have a negative pregnancy test.

Exclusion criteria

Exclusion Criteria:

  • Wound etiology uncertain or not from venous hypertension.
  • BMI>40
  • Acute or chronic infectious skin disease
  • Allergy or intolerance to Profore(R)
  • Wound infection, cellulitis, osteomyelitis
  • >2 weeks' treatment with immunosuppressive agents in recent past
  • Investigational drug use within 30 days
  • Severe malnutrition, drug and/or alcohol abuse
  • Malignant disease unless in remission for 5 years
  • History of radiation at the study site
  • Other conditions that could impede wound healing
  • Known history of HIV or AIDS
  • Prior participation in any Dermagraft study
  • Treatment with other bioengineered tissue products within 30 days
  • Unable to understand the aims and objectives of the trial
  • Inability to comply with study protocol
  • NYHA Class III or IV CHF
  • Uncontrolled diabetes mellitus
  • Dorsal foot ulcer
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
537 participants (actual)

Study arms

  • Experimental
    1

    Weekly applications of Dermagraft and compression dressings, in combination with systematic surgical wound debridement.

    Device: Dermagraft(R)

  • Active comparator
    2

    Weekly application of compression dressings only, in combination with systematic surgical wound debridement.

    Device: Profore

Interventions

  • DeviceDermagraft(R)

    Weekly application of Dermagraft(R) with Profore compression as a secondary layer, in combination with systematic surgical wound debridement.

  • DeviceProfore

    Weekly application of Profore compression dressings, in combination with systematic surgical wound debridement.

06

What researchers measure

Primary outcomes

  1. Complete Healing of the Study Ulcer by Week 16.

    Time frame: 16 weeks

Secondary outcomes

  1. Time-to-Complete Healing

    Kaplan-Meier survival analysis of the time to achieve median (50%) Complete Healing response in each treatment group.

    Time frame: From Week 0 visit to date subject's completely healed ulcer is 1st recorded as healed. If subject's ulcer not healed at 16 weeks, the "time until CH" was censored at 112 days.

Other outcomes

  1. Complete Healing by Week 16: Ulcers <= 12 Months Duration

    Time frame: 16 weeks

07

Results

Posted Feb 4, 2013

Participant flow

Screening commenced in May 2009 and ended in November 2010. Study sites included vascular surgery, dermatology, and podiatry clinics. A total of 913 potential subjects were screened across 58 study centers; 395 subjects were screen failures. A total of 537 subjects were enrolled across 49 study centers.

Participant flow — Overall Study
MilestoneInvestigational Treatment (Dermagraft Plus Standard-of-Care)Active Control (Standard-of-Care)
Started274263
Completed251236
Not completed2327
Withdrew: Adverse event137
Withdrew: Protocol violation12
Withdrew: Withdrawal by subject58
Withdrew: Lost to follow-up33
Withdrew: Physician decision02
Withdrew: Other15

Outcome measures

PrimaryComplete Healing of the Study Ulcer by Week 16.
Time frame:
16 weeks
Reported as:
Number · participants
Complete Healing of the Study Ulcer by Week 16.
participantsInvestigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)
Complete Healing of the Study Ulcer by Week 16.201176
Statistical analysis
  • Investigational Treatment (Dermagraft Plus Standard-of-Care) vs Control (Standard-of-Care) · Chi-squared · p = 0.1030 (This p-value did not meet the prespecified threshold for statistical significance of \< 0.05) · Difference in proportions: 6.5Unadjusted
SecondaryTime-to-Complete Healing

Kaplan-Meier survival analysis of the time to achieve median (50%) Complete Healing response in each treatment group.

Time frame:
From Week 0 visit to date subject's completely healed ulcer is 1st recorded as healed. If subject's ulcer not healed at 16 weeks, the "time until CH" was censored at 112 days.
Reported as:
Median · days
Time-to-Complete Healing
daysInvestigational Treatment (Dermagraft Plus Standard-of=- Care)Control (Standard-of-Care)
Time-to-Complete Healing58 (36 to 113)64 (36 to 113)
Statistical analysis
  • Investigational Treatment (Dermagraft Plus Standard-of=- Care) vs Control (Standard-of-Care) · Log Rank · p = 0.4046 (This p-value did not meet the prespecified threshold for statistical significance of \< 0.05) · Median difference (final values): 6
Other pre-specifiedComplete Healing by Week 16: Ulcers <= 12 Months Duration
Time frame:
16 weeks
Reported as:
Number · participants
Complete Healing by Week 16: Ulcers <= 12 Months Duration
participantsInvestigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)
Complete Healing by Week 16: Ulcers <= 12 Months Duration158132
Statistical analysis
  • Investigational Treatment (Dermagraft Plus Standard-of-Care) vs Control (Standard-of-Care) · Chi-squared · p = 0.0239 (Unadjusted) · Difference in proportions: 10.0Unadjusted

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Investigational Treatment (Dermagraft Plus Standard-of-Care)—28/274 (10.2%)168/274 (61.3%)
Control (Standard-of-Care)—24/263 (9.1%)157/263 (59.7%)
Most frequent serious events
Showing 10 of 67
Most frequent serious events
EventInvestigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)
Atrial FibrilationCardiac disorders0/2743/263
PneumoniaInfections and infestations2/2743/263
DeathGeneral disorders3/2742/263
Cardiac failure congestiveCardiac disorders0/2742/263
BronchitisInfections and infestations0/2742/263
Infected skin ulcerInfections and infestations2/2742/263
CellulitisInfections and infestations2/2741/263
Therapy regimen changedSurgical and medical procedures2/2740/263
Acute Myocardial InfarctionCardiac disorders0/2741/263
Angina UnstableCardiac disorders0/2741/263
Most frequent other events
Most frequent other events
EventInvestigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)
Skin UlcerSkin and subcutaneous tissue disorders77/27460/263
Infected skin ulcerInfections and infestations22/27425/263
Pain in extremityMusculoskeletal and connective tissue disorders17/27425/263
ExcoriationInjury, poisoning and procedural complications20/27416/263
NasopharyngitisInfections and infestations18/27418/263
HypertensionVascular disorders14/27413/263

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Investigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)Total
Mean63.1 ± 13.0463.2 ± 14.4663.1 ± 13.74
Sex: Female, Male
Sex: Female, Male(Participants)Investigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)Total
Female158146304
Male116117233
Region of Enrollment
Region of Enrollment(participants)Investigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)Total
United States9493187
Estonia10919
Poland8174155
South Africa7371144
Germany8816
United Kingdom6713
Sweden213
Ulcer Size
Ulcer Size(centimeters-squared)Investigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)Total
Median5.75 (1.5 to 19.3)5.90 (2.0 to 24.8)5.9 (1.5 to 24.8)
Ulcer Duration
Ulcer Duration(days)Investigational Treatment (Dermagraft Plus Standard-of-Care)Control (Standard-of-Care)Total
Median206 (1 to 18157)228 (23 to 3834)214 (1 to 18157)
08

Study locations

70 sites
  • Coastal Clinical Research, Inc.
    Mobile, Alabama 36608, United States
  • Carl T. Hayden VA Medical Center
    Phoenix, Arizona 85012, United States
  • HOPE Research Institute
    Phoenix, Arizona 85050, United States
  • Southern Arizona VA Health Care System (SAVAHCS)
    Tucson, Arizona 85723, United States
  • University of Arizona College of Medicine
    Tucson, Arizona 85724, United States
  • Dr. Jagpreet S. Mukker
    Fresno, California 93726, United States
  • VA Northern California Health Care System
    Mather, California 95665, United States
  • Sutter Roseville Medical Center Wound Care Center
    Roseville, California 95661, United States
  • Therapeutics Clinical Research
    San Diego, California 92123, United States
  • General Vascular Surgery Group
    San Leandro, California 94578, United States
  • Pacific Wound Center
    Stockton, California 95204, United States
  • North American Center for Limb Preservation
    New Haven, Connecticut 06515, United States
  • Providence Hospital
    Washington, District of Columbia 20017, United States
  • Foot & Ankle Associates of Florida
    Altamonte Springs, Florida 32701, United States
  • Bay Pines VA Healthcare System
    Bay Pines, Florida 33744, United States
  • Comprehensive Wound Healing Center
    Clearwater, Florida 33756, United States
  • Osceola Regional Wound Care Center
    Kissimmee, Florida 34741, United States
  • University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
  • Doctor's Research Network
    South Miami, Florida 33143, United States
  • Robert Snyder, DPM, CWS
    Tamarac, Florida 33321, United States
  • Aiyan Diabetes Center
    Evans, Georgia 30809, United States
  • Broadlawns Medical Center
    Des Moines, Iowa 50314-1597, United States
  • Boston Medical Center, Department of Vascular Surgery
    Boston, Massachusetts 02118, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Covenant Wound Healing Center
    Saginaw, Michigan 48602, United States
  • Heartland Regional Medical Center
    Saint Joseph, Missouri 64506, United States
  • Advanced Foot & Ankle Center
    Las Vegas, Nevada 89119, United States
  • Overlook Hospital Wound Healing Program
    Summit, New Jersey 07901, United States
  • Stony Brook University Medical Center
    Stony Brook, New York 11794, United States
  • University of North Carolina Division of Vascular Surgery
    Chapel Hill, North Carolina 27599, United States
  • Saint Vincent Health Center
    Erie, Pennsylvania 16544, United States
  • Omega Medical Research
    Warwick, Rhode Island 02886, United States
  • Jackson Madison County General Hospital
    Jackson, Tennessee 38301, United States
  • Dixie Regional Meidcal Center
    Saint George, Utah 84770, United States
  • Private Practice FA fur Dermatologie Clinical Centre
    Hartberg, 8230, Austria
  • Private Practice / Clinical Centre
    Vienna, 1220, Austria
  • East-Tallinn Central Hospital
    Tallinn, 11312, Estonia
  • Dermatologische Gemeinschaftspraxis Professor Dr. med W. Vanscheidt
    Freiburg, D-79100, Germany
  • Germeinschaftspraxis Dres. Münter, Schiewe, Pohl Studienzentrum Dr. Münter
    Hamburg, D-22177, Germany
  • Institution DER-ART Scientific Research and Training Centre for Dermatosurgery
    Gdynia, 81-415, Poland
  • AKMed Medical Centre
    Krakow, 30-312, Poland
  • NZOZ Clinical for Vascular Diseases
    Krakow, 30-321, Poland
  • Malopolskie Centrum Medyczne
    Krakow, 30-510, Poland
  • 5 Wojskowy Szpital Kliniczny w Krakowie
    Krakow, 30-901, Poland
  • S. Zeromski Hospital Krakow
    Krakow, 31-913, Poland
  • NZOZ "Dermed" Medical Centre (Centrum Medyczne Sp. z.o.o.)
    Lodz, 90-265, Poland
  • Clinical Trials Centre
    Lublin, 20-022, Poland
  • "NZOZ OPTI-MED Henryk Kaczmarek" Private Outpatient Clinic of Internal Medicine, Gastroenterology and Radiology
    Nowy Sacz, 33-300, Poland
  • "Medyk" Medical Center
    Rzeszow, 35-055, Poland
  • General Surgery Clinic Autonomous Public Central Clinical Hospital (SPCSK)
    Warszawa, 02-097, Poland
  • NZOZ "Ars Medica" S.c. Wroclaw Health Centre (Wroclawskie Centrum Zdrowia)
    Wroclaw, 54-610, Poland
  • Langeberg Medical Centre
    Kraaifontein, Cape Town 7570, South Africa
  • Worthwhile Clinical Trials Lakeview Hospital
    Benoni, Johannesburg 1500, South Africa
  • Edenvale Hospital, c/o CEO Secretary
    Edenvale, Johhanesburg 1610, South Africa
  • GCT-Mercantile Clinical Trial Centre
    Korsten, Port Elizabeth 6014, South Africa
  • Synexus SA Watermeyer Clinical Research Centre
    Meyerspark, Pretoria, South Africa
  • Josha Research
    Bloemfontein, 9301, South Africa
  • Dr. D.R.Lakha, Private Practice
    Johannesburg, 1835, South Africa
  • I Engelbrecht Research
    Lyttelton, 0157, South Africa
  • Middelburg Hospital
    Middelburg, 1055, South Africa
  • Uncedo Clinical Research Services Mercantile Hospital
    Port Elizabeth, 6014, South Africa
  • Cachetmed Medical Centre
    Potchefstroom, 2531, South Africa
  • Randles Road Medical Centre
    Sydenham, Durban, 4091, South Africa
  • Clinical Projects Research SA
    Worcester, 6850, South Africa
  • University of Lund Dept of Dermatology
    Lund, Sweden
  • Overlakare/Klinikchef Hud Kliniken
    Stockholm, SE-118 83, Sweden
  • Wound Clinic on Fairfield
    Croydon, Surrey CR7 7YE, United Kingdom
  • Bradford Hospitals NHS Trust
    Bradford, BD9 6RJ, United Kingdom
  • Cardiff University
    Cardiff, CF14 4XN, United Kingdom
  • Charing Cross Hospital
    London, W6 8RF, United Kingdom
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00909870
Lead sponsor
Organogenesis
Responsible party
Sponsor
First posted
May 29, 2009
Start date
Jun 2009
Primary completion
May 2011
Completion
Aug 2011
Results posted
Feb 4, 2013
Last update
Jun 18, 2018

Study contacts

William Marston, MD
principal investigator · University of North Carolina School of Medicine, Chapel Hill, NC
Keith Harding, MD
principal investigator · Cardiff University School of Medicine, Wales, UK
David Bergqvist, MD
principal investigator · University of Uppsala, Sweden

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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