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CompletedNCT05661474Updated Dec 22, 2022

Fitostimoline® Hydrogel Versus Saline Gauze Dressing in Diabetic Foot Ulcers

A Phase 4 interventional study of Fitostimoline ® hydrogel group and Saline gauze group in Diabetic Foot, sponsored by Federico II University. Completed at 1 site in Italy. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-12-22.

Sponsored by Federico II University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Feb 2021, registered Dec 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Diabetes Mellitus (DM) is one of the most widespread metabolic diseases and the alarming rise in its prevalence worldwide poses enormous challenges. The microvascular and macrovascular complications of DM heavy impact on longevity and quality of life, and in particular diabetic foot ulcers (DFUs) are among the ten top causes of worldwide disease burden and disability Essential components of the standard care, management, and treatment of DFUs are represented by health education, strict control of blood glucose and cardiovascular risk factors, offloading, local debridement, and adequate dressing. A wide variety of dressing is available, and these include basic contact dressings (low adherence dressings such as saline gauze, paraffin gauze or simple absorbent dressings) and advanced dressings (alginate, hydrogel, films, hydrocolloid, foam).

It is important underline that due to lack of evidence from head-to-head randomized controlled trials (RCTs), the relative effects of any of these dressings in DFUs remain unclear. Consequently, so far clinical evidence supporting the choice for either hydrogel or saline gauze dressing, has been related mostly on clinician perception rather than high quality evidence. Here we evaluated the efficacy and safety of Fitostimoline® hydrogel dressing versus saline gauze dressing in patients with DFUs in a monocentric, two-arm, open-label, randomized, controlled trial.

02

Conditions studied

  • Diabetic Foot

Keywords

  • diabetic foot
  • dressing
  • medication
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 40 is below the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Federico II University is the lead sponsor of 356 studies on the registry; 60 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Type 1 diabetes and type 2 diabetes,
  • adult patients with DFUs at Grades IC or IIC for a period of at least 12 weeks,
  • an akle brachial index >0.8,
  • be able to understand simple instructions,
  • provided voluntary, signed informed consent

Exclusion criteria

Exclusion Criteria:

  • active infection
  • evidence of ischaemia in the limb,
  • osteomyelitis,
  • gangrene,
  • systemic inflammatory or autoimmune disease,
  • use of corticosteroids, immunosuppressive agents, radiation therapy and chemotherapyan,
  • known hypersensitivity to any of the dressing components.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Fitostimoline® hydrogel group

    Participant randomized to the Fitostimoline® hydrogel group underwent sharp surgical debridement at each visit (every 2 weeks) to remove necrotic tissue and slough. After debridement operation, was performed disinfection with povidone-iodine, and cleansing with sterile saline solution. Then was applaied Fitostimoline ® hydrogel, finally the wound was covered with gauze.

    Drug: Fitostimoline ® hydrogel group

  • Active comparator
    Saline gauze group

    Participant randomized to the Saline gauze group underwent sharp surgical debridement at each visit (every 2 weeks) to remove necrotic tissue and slough. After debridement operation, was performed disinfection with povidone-iodine, and cleansing with sterile saline solution. Then was applaied saline gauze, finally the wound was covered with gauze.

    Drug: Saline gauze group

Interventions

  • DrugFitostimoline ® hydrogel group

    Treatment of DFUs with Fitostimoline® hydrogel every day for 12 weeks.

  • DrugSaline gauze group

    Treatment of DFUs with saline gauze every day for 12 weeks.

06

What researchers measure

Primary outcomes

  1. the proportion of patients complete responders

    The primary outcome was the proportion of patients that at the end of study period of 12 weeks (V6) were categorized as complete responders -complete healing of the wound defined as reepithelialisation of 100% without medications.

    Time frame: 12 weeks

07

Study locations

1 site
  • Department of Clinical Medicine and Surgery Federico II University
    Naples, 80131, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05661474
Lead sponsor
Federico II University
Responsible party
rivellese angela (Prof, Federico II University) — Principal investigator
First posted
Dec 22, 2022
Start date
Feb 1, 2021
Primary completion
Jul 12, 2022
Completion
Dec 12, 2022
Last update
Dec 22, 2022

Oversight

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

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This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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