CClinicalTrials.gg
Status unknownNCT04098562Updated Sep 25, 2019

Efficacy of LL-37 Cream on Bacteria Colonization, Inflammation Response and Healing Rate of Diabetic Foot Ulcers

A Phase 2 interventional study of LL37 and Standard Wound Care in Diabetic Foot Ulcer, sponsored by Fakultas Kedokteran Universitas Indonesia. Status unknown at 3 sites in Indonesia. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-09-25.

Sponsored by Fakultas Kedokteran Universitas Indonesia · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2019), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Diabetic foot ulcer (DFU) is a common complication of diabetes with global prevalence of 6.3%. Treatment of diabetic foot ulcer (DFU) is challenging with disappointing outcome. Wound debridement, infection control, pressure relief and revascularization are main pillars of DFU management. Various substances and modalities are being investigated for their potential effects in treating DFU, one of which is LL-37.

In this randomized, controlled trial, 40 patients with uncomplicated DFU will be enrolled. Patients are randomly assigned to undergo twice a week treatment with 0.5 mg/mL LL-37 cream (treatment group) or placebo cream (control group) for 4 weeks in addition to standard wound care. The primary outcomes are the healing rate measured by wound area and granulation index and changes in patterns of aerobic bacteria colonization during the 4-week study duration and changes in concentrations of IL-α and TNF-α from fluid collected from DFU on the end of the second and third week of study compared to baseline.

02

Conditions studied

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 planned enrollment of 40 is below the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Fakultas Kedokteran Universitas Indonesia is the lead sponsor of 36 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with DFU
  • Ankle brachial index (ABI) 0.9 - 1.3
  • Wound area 5 - 20 cm\^2
  • Wound depth until subcutaneous tissue
  • Without systemic infection, osteomyelitis, septic arthritis, or fasciitis
  • Subjects are willing to participate by signing consent

Exclusion criteria

Exclusion Criteria:

  • Gangrene
  • On treatment with systemic corticosteroids within 7 days before the start of study
  • On treatment with systemic antibiotics within 2 days before the start of study
  • Patients with end stage renal disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Treatment

    0.5 mg/mL LL-37 cream, administered twice a week for 4 weeks

    Drug: LL37 · Procedure: Standard Wound Care

  • Placebo comparator
    Placebo

    Placebo cream, administered twice a week for 4 weeks

    Procedure: Standard Wound Care

Interventions

  • DrugLL37

    cream

  • ProcedureStandard Wound Care

    Standard wound debridement

06

What researchers measure

Primary outcomes

  1. Changes of Healing Rate at 1 Week

    Measured by difference of granulation index by ImageJ

    Time frame: Changes from baseline of granulation index at 1 week

  2. Changes of Healing Rate at 2 Week

    Measured by difference of granulation index by ImageJ

    Time frame: Changes from baseline of granulation index at 2 weeks

  3. Changes of Healing Rate at 3 Week

    Measured by difference of granulation index by ImageJ

    Time frame: Changes from baseline of granulation index at 3 weeks

  4. Changes of Healing Rate at 4 Week

    Measured by difference of granulation index by ImageJ

    Time frame: Changes from baseline of granulation index at 4 weeks

  5. Changes of Aerobic Bacteria Count and Type of Bacteria Species at 1 Week

    Measured by the species of bacteria grown on culture and the quantities of their colonies in CFU/swab

    Time frame: Changes from baseline of the species of bacteria grown on culture and the quantities of their colonies in CFU/swab at 1 week

  6. Changes of Aerobic Bacteria Count and Type of Bacteria Species at 2 Week

    Measured by the species of bacteria grown on culture and the quantities of their colonies in CFU/swab

    Time frame: Changes from baseline of the species of bacteria grown on culture and the quantities of their colonies in CFU/swab at 2 week

  7. Changes of Aerobic Bacteria Count and Type of Bacteria Species at 3 Week

    Measured by the species of bacteria grown on culture and the quantities of their colonies in CFU/swab

    Time frame: Changes from baseline of the species of bacteria grown on culture and the quantities of their colonies in CFU/swab at 3 week

  8. Changes of Aerobic Bacteria Count and Type of Bacteria Species at 4 Week

    Measured by the species of bacteria grown on culture and the quantities of their colonies in CFU/swab

    Time frame: Changes from baseline of the species of bacteria grown on culture and the quantities of their colonies in CFU/swab at 4 week

  9. Changes of Inflammation Marker at 2 Week

    Measured by the concentrations of IL-α and TNF-α by ELISA

    Time frame: Changes from baseline at the end of second week

  10. Changes of Inflammation Marker at 3 Week

    Measured by the concentrations of IL-α and TNF-α by ELISA

    Time frame: Changes from baseline at the end of third week

07

Study locations

3 sites
  • RS Pusat Angkatan Darat Gatot Soebroto
    Jakarta Pusat, DKI Jakarta 10410, Indonesia
    • Eliza Miranda, MD · Contact · elisamiranda74@yahoo.com · +628119001018
    • Eliza Miranda, MD · Principal investigator
    • Luddwi A Rizky, MD · Sub investigator
  • RSUPN dr. Cipto Mangunkusumo
    Jakarta Pusat, DKI Jakarta 10430, Indonesia
    • Eliza Miranda, MD · Contact · elisamiranda74@yahoo.com · +628119001018
    • Eliza Miranda, MD · Principal investigator
    • Luddwi A Rizky, MD · Sub investigator
  • RS Persahabatan
    Jakarta, DKI Jakarta 13230, Indonesia
    • Eliza Miranda, MD · Contact · elisamiranda74@yahoo.com · +628119001018
    • Eliza Miranda, MD · Principal investigator
    • Luddwi A Rizky, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04098562
Lead sponsor
Fakultas Kedokteran Universitas Indonesia
Responsible party
Eliza Miranda, MD (Staff of Tropical Infection Division, Department of Dermatology and Venereology, Fakultas Kedokteran Universitas Indonesia) — Principal investigator
First posted
Sep 23, 2019
Start date
Oct 2019 (estimated)
Primary completion
Dec 2019 (estimated)
Completion
Jan 2020 (estimated)
Last update
Sep 25, 2019

Study contacts

Eliza Miranda, MD
Contact
elisamiranda74@yahoo.com
+628119001018
Eliza Miranda, MD
principal investigator · Fakultas Kedokteran Universitas Indonesia

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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