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CompletedNCT02452086Updated Jun 1, 2015

Low Level Laser Therapy and Expression of VEGF, NO, VEGFR-2, HIF-1α in Diabetic Foot Ulcers

An interventional study of Low Level Laser(Ga-As) and Placebo in Diabetic Foot Ulcer, sponsored by Tarbiat Modarres University. Completed at 1 site in Iran, Islamic Republic of. Open to participants aged 40 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-06-01.

Sponsored by Tarbiat Modarres University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
40 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to examine the changes of factors including Vascular Endothelial Growth Factor(VEGF), VEGFReceptor-2, Nitric Oxide and hypoxia-inducible factor-1α (HIF-1α), measurements of oxygen saturation in peripheral blood and wound surface area and ankle-brachial index (ABI) in ischemic diabetic foot ulcers after Low Level Laser Therapy(LLLT).

Read the detailed description

Defects in vessels and neovascularization makes diabetic chronic wounds difficult to treat, A decrease of angiogenic factor expression such as Vascular Endothelial Growth Factor(VEGF) and its receptors is involved in angiogenesis inhibition in diabetic ulcers. LLLT as a therapeutic treatment modality can effect on release of these factors and angiogenesis in wound site.

The purpose of this study is to examine the changes of factors including VEGF, VEGFReceptor-2, Nitric Oxide and hypoxia-inducible factor-1α (HIF-1α), measurements of oxygen saturation in peripheral blood and wound surface area in ischemic diabetic foot ulcers after LLLT, Therefore, the investigators can evaluate molecular process of angiogenesis, as a mechanism of useful effects of LLLT.

In order to patients with ischemic diabetic foot ulcers(DFU) assigned into LLLT with Ga-As(904 nm) laser and placebo groups and will be treated for 12 sessions, every other day. On the first and last (twelfth) treatment session, before and after intervention, Blood sample are taken from all patients in the both groups for VEGF, VEGFreceptor-2, NO and HIF-1α measurement. Wound surface area and oxygen saturation of peripheral blood and ankle-brachial index (ABI) are measured at first and twelfth treatment.

02

Conditions studied

  • Diabetic Foot Ulcer
03

In context

Diabetic Foot

1,054 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

This study's enrollment of 27 is below the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Tarbiat Modarres University is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Ischemic diabetic foot ulcer
  • Wagner classification DFU 2
  • 0.5\<ABI\<0.9
  • Mild to moderate diabetic neuropathy

Exclusion criteria

Exclusion Criteria:

  • Fracture in a lower limb
  • A severe infection
  • A malignancy
  • Kidney failure
  • Skin diseases
  • Osteomyelitis
  • Pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
27 participants (actual)

Study arms

  • Active comparator
    Low Level Laser Therapy

    In laser therapy group, group who received interventions was the patients received laser with 2 Joule/centimeters2, 90 milliwatt , 3 days/week, for 4 weeks (12 sessions)

    Device: Low Level Laser(Ga-As)

  • Placebo comparator
    Placebo

    In the placebo group, the treatment procedure was the same as that the LLLT group, but the laser light was off and Guiding light was laser was on

    Procedure: Placebo

Interventions

  • DeviceLow Level Laser(Ga-As)

    Low level laser therapy(904 nm Wavelength), 90 milliwatt, 2 Joule/centimeter2

    Also known as: LLLT

  • ProcedurePlacebo

    LLLT with zero intensity

    Also known as: Placebo low level laser therapy

06

What researchers measure

Primary outcomes

  1. The blood serum level of VEGF(pg/ml), VEGFR-2(pg/ml), HIF-1α(pg/ml) and NO (pg/ml)

    measured from serum in initial and end sessions.

    Time frame: Change from Baseline in serum level of VEGF, VEGFR-2, HIF-1α and NO at 4 weeks

Secondary outcomes

  1. Wound surface area(cm2)

    Time frame: Change from Baseline in wound surface area at 2 and 4 weeks

  2. Oxygen saturation of peripheral blood

    Time frame: Change from Baseline with pulse oximeter at 2 and 4 weeks

  3. Ankle Brachial Index(ABI)

    Time frame: Change from Baselineat 2 and 4 weeks

07

Study locations

1 site
  • Tarbiat Modares University
    Tehran, Iran, Islamic Republic of
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02452086
Lead sponsor
Tarbiat Modarres University
Responsible party
giti torkaman (Professor of physical therapy, Physical therapy department, Faculty of medical sciences, Tarbiat modares univercity, Tarbiat Modarres University) — Principal investigator
First posted
May 22, 2015
Start date
Jun 2013
Primary completion
Nov 2014
Completion
Feb 2015
Last update
Jun 1, 2015

Study contacts

Giti Torkaman, PHD
study director · Professor of Physical Therapy, Physical Therapy Department, Faculty of Medical Sciences, Tarbiat Modares Univercity

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.

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