CClinicalTrials.gg
CompletedNCT05046158Updated Nov 19, 2025

Diabetic Foot Ulcers-Comparing Transforming Powder to Standard of Care

An interventional study of Transforming Powder Dressing and Standard of care topical wound agents and dressings in Diabetic Foot Ulcer, sponsored by ULURU Inc.. Completed at 12 sites in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2025-11-19.

Sponsored by ULURU Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
135
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

Phase IV, randomized, prospective, multi-center, open-label, comparison of transforming powder dressing to standard of care dressing for healing diabetic foot ulcers.

Read the detailed description

Diabetic men and women aged 18-89 years, who have a diabetic foot ulcer present for a minimum of 30 days will be considered for the study. Subjects will be randomized to either standard of care wound dressings or transforming powder dressing. Half of the subjects will receive standard of care dressings, and the other half will receive transforming powder dressing in a 1:1 randomization process at each of the study sites. Subjects will present to the study center weekly for up to 12 weeks (less time if the wound heals prior to 12 weeks). The last study visit occurs 12 weeks after the End of Study visit.

02

Conditions studied

  • Diabetic Foot Ulcer

Browse trials for

Keywords

  • Standard of Care Wound Dressings
  • Transforming Powder Dressing
  • Diabetic Foot Ulcers
  • Altrazeal
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 135 is above the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

ULURU Inc. is the lead sponsor of 5 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 to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18-89 years old
  • Diagnosed with diabetes Mellitus; hemoglobin A1C \< 12%
  • Diabetic foot ulcer present for minimum 30 days (Wagner grade 1 or 2 classification)
  • Wound drainage is minimal or moderate
  • No clinically active wound infection
  • Able and willing to provide consent
  • Has not participated in another research trial within 3 months of enrollment.

Exclusion criteria

Exclusion Criteria:

  • Unable to keep weekly research appointments
  • Unable or unwilling to use offloading device if recommended
  • Wounds with large amount (high) drainage
  • Active gangrene
  • Wounds impending surgical intervention (including revascularization or plastic surgery)
  • Untreated osteomyelitis
  • Soft tissue infection (can be enrolled once infection is cleared)
  • Active Charcot arthropathy
  • BMI >45kg/m2
  • History of AIDS
  • History of organ transplant or impending transplant
  • End stage renal disease requiring dialysis
  • Decompensated hepatic or cardiac disease
  • Select autoimmune diseases
  • Lymphedema
  • Oral steroid use in last 3 months
  • Venous stasis disease
  • Active malignancy (cancer)
  • Unable to sign consent
  • Active alcohol or substance abuse
  • Pregnant or lactating women
  • Insufficient vascular flow to heal a wound
  • Hemoglobin A1C >12%
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
135 participants (actual)

Study arms

  • Active comparator
    Transforming Powder Dressing

    Half of the subjects will be randomized to Transforming Powder Dressing to treat their diabetic foot ulcers. Wounds will be evaluated weekly, debrided if needed, photographed, and measured. A wound dressing will be applied using Transforming Powder Dressing and the wound will be offloaded when necessary (pressure taken off of the wound using a total contact cast or other device). Wound healing progress will be monitored and compared to other standard of care dressings used to treat diabetic foot ulcers.Surveys regarding pain and quality of life will be completed at each study visit.

    Device: Transforming Powder Dressing

  • Active comparator
    Standard of Care Dressing

    Half of the subjects will be randomized to receive standard of care wound dressings to treat their diabetic foot ulcers. Wounds will be evaluated weekly, debrided if needed, photographed, and measured. A wound dressing will be applied using standard of care wound products, and the wound will be offloaded when necessary (pressure taken off of the wound using a total contact cast or other device). Wound healing progress will be monitored and compared to transforming powder dressings used to treat diabetic foot ulcers. Surveys regarding pain and quality of life will be completed at each study visit.

    Other: Standard of care topical wound agents and dressings

Interventions

  • DeviceTransforming Powder Dressing

    Altrazeal transforming powder dressing is methacrylate-based powder dressing made from the same materials used in the production of contact lenses. Upon hydration, the powder transforms into a moist, non-occlusive barrier that covers and protects the wound from exogenous bacteria while helping manage exudate through vapor transpiration.

    Also known as: Altrazeal

  • OtherStandard of care topical wound agents and dressings

    Standard wound dressings such as gauze or foams. Moisture regulating topical agents may also be used to prepare the wound bed.

06

What researchers measure

Primary outcomes

  1. Incidence of wound closure

    Compare rate of complete wound healing in diabetic foot wounds between the two study groups

    Time frame: 12 weeks

Secondary outcomes

  1. Wound healing trajectories and time to wound closure

    Evaluate differences in wound healing trajectories and time to wound closure between the two study groups

    Time frame: 12 weeks

  2. Adverse Events

    Safety as indicated by adverse events (new or worsening conditions) and frequency of wound infections

    Time frame: 12 weeks

  3. Subject Satisfaction

    Evaluate subject satisfaction of wound care products based on "Research subject satisfaction survey" completed at the end of study (8 questions total using a 7 point Likert scale).

    Time frame: 12 weeks

  4. Wound pain

    Compare differences in pain between the groups based on results of a validated 10 point "Visual Analogue Pain Scale" completed at each visit by all subjects. More pain is indicated by higher scores.

    Time frame: 12 weeks

  5. Quality of Life while living with a wound

    Compare differences in quality of life between the groups based on results of completed validated "Wound Quality of Life Questionnaire for Chronic Wounds" (17 questions total, answering a 5 point scale \[not at all to very much\], results from answers based on formula)

    Time frame: 12 weeks

  6. Clinician Acceptability

    Based on clinician survey completed at end of study (8 questions total, multiple choice or 7 point Likert scale)

    Time frame: 12 weeks

07

Study locations

12 sites
  • MedStar Georgetown University Hospital
    Washington D.C., District of Columbia 20007, United States
  • MedStar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
  • AdventHealth Medical Group Foot & Ankle at Winter Park
    Winter Park, Florida 32792, United States
  • VA Maryland Health Care System
    Baltimore, Maryland 21201-1524, United States
  • MedStar Good Samaritan Hospital
    Baltimore, Maryland 21230, United States
  • MedStar Franklin Square
    Rossville, Maryland 21237, United States
  • Northwell Health Wound Healing Center
    Lake Success, New York 11042, United States
  • Bronx Foot Care
    The Bronx, New York 10462, United States
  • James J. Peters VA Medical Center
    The Bronx, New York 10468-3904, United States
  • VA Hudson Valley HealthCare System
    Wappingers Falls, New York 12590, United States
  • Dallas Veteran's Administration Medical Center
    Dallas, Texas 75216, United States
  • Baylor College of Medicine Clinic Hospital McNair (MDHP) BCM390
    Houston, Texas 77030, United States
08

References and documents

Publications

  • Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA; IWGDF Editorial Board. Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3266. doi: 10.1002/dmrr.3266. PubMed 32176447 ↗
  • Han G, Ceilley R. Chronic Wound Healing: A Review of Current Management and Treatments. Adv Ther. 2017 Mar;34(3):599-610. doi: 10.1007/s12325-017-0478-y. Epub 2017 Jan 21. PubMed 28108895 ↗
  • Wound Care Awareness Week Highlights of the Chronic Wound Epidemic in U.S. Businesswire.com/news/home/20160607006326/en/Wound-Care-Awareness-Week-Highlights-Chronic-Wound. Accessed 11/5/2020.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05046158
Lead sponsor
ULURU Inc.
Collaborators
Naval Medical Research Center, Military Technology Enterprise Consortium (US)
Responsible party
Sponsor
First posted
Sep 16, 2021
Start date
Aug 16, 2021
Primary completion
Nov 6, 2025
Completion
Nov 6, 2025
Last update
Nov 19, 2025

Study contacts

Lawrence Lavery, DPM, MPH
principal investigator · Altrazeal Life Sciences Inc.
Jonathan Saxe, MD
study director · Altrazeal Life Sciences Inc.

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion