ClinicalTrials.gg
RecruitingNCT06236750Updated Feb 1, 2024

Post-Marketing Surveillance of Dehydrated Human Amnion/Chorion Membrane (DHACM) in Non-Ischemic Chronic Wounds

An interventional study of EPIFIX in Diabetic Foot Ulcer and Venous Leg Ulcer, sponsored by MiMedx Group, Inc.. Recruiting at 5 sites in Japan. Per ClinicalTrials.gov, last updated 2024-02-01.

Sponsored by MiMedx Group, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Aug 2023, registered Jan 2024).
  • Started Aug 2023; still recruiting 3 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Sex
All
01

Study summary

The purpose of this survey is to observe the efficacy and safety of EPIFIX® dehydrated human amnion/chorion membrane (DHACM) for the treatment of intractable diabetic foot ulcers or venous leg ulcers.

Read the detailed description

The study will enroll 75 subjects diagnosed with intractable diabetic foot ulcers or venous leg ulcers at 5 plastic surgery sites in Japan. Subjects will be treated with weekly applications of EPIFIX for up to 12 weeks, followed by 6 months of follow-up.

02

Conditions studied

  • Diabetic Foot Ulcer
  • Venous Leg Ulcer
03

In context

Diabetic Foot

1,077 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

This study's planned enrollment of 75 is above the median of 60 across 847 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

MiMedx Group, Inc. is the lead sponsor of 35 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients with intractable diabetic foot ulcers or venous leg ulcers that have not decreased in surface area by at least 50% after 4 weeks of conventional therapies, such as radical wound management (removal of necrotic tissue, infection control, wound cleansing, etc.), glycemic control for diabetic foot ulcers, compression therapy for venous stasis ulcers and moist therapy using wound dressing materials.

Exclusion criteria

Exclusion Criteria:

  1. Areas of active infection or latent infection.
  2. Patients with disorders that would cause an intolerable risk of postoperative complications.
  3. Ulcers that cannot be sufficiently debrided.
  4. Ulcers that, after debridement, have blood flow disorders where wound bed necrosis progresses at an early stage.
  5. Wound surfaces with multiple ulcer surfaces and exposed bone, and no blood flow in the wound bed.
  6. Patients with to the aminoglycoside antibiotics used during manufacturing.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Patients with Non-Ischemic Chronic Wounds

    Patients with intractable diabetic foot ulcer or venous leg ulcer that have not decreased in surface area by at least 50% after 4 weeks of conventional therapies.

    Device: EPIFIX

Interventions

  • DeviceEPIFIX

    EPIFIX® is an allograft derived from dehydrated human amnion/chorion membrane. EPIFIX is a medical device in Japan (Generic name: Material using human amniotic membrane for promotion of tissue healing) for use on intractable ulcers that are non-responsive to existing therapies for the purpose of promoting wound healing.

    Also known as: DHACM

06

What researchers measure

Primary outcomes

  1. Efficacy Endpoint: Healing of Ulcers at 4 Weeks, 8 Weeks, and 12 Weeks

    The percentage of patients to achieve wound closure at 4 weeks, 8 weeks, and 12 weeks after initial DHACM application, as a measure of healing rate.

    Time frame: 4 weeks, 8 weeks, and 12 weeks after initial application

  2. Safety Endpoint: Incidence of Adverse Events

    Incidence rate of adverse events in DHACM-treated patients during 12 weeks of treatment and 6 months of follow-up.

    Time frame: 9 months after initial application

Other outcomes

  1. Efficacy Endpoint: Reduction in Wound Size at 4 Weeks, 8 Weeks, and 12 Weeks

    Wound size will be measured at 4 weeks, 8 weeks, and 12 weeks after initial DHACM application, and the percent reduction of wound area will be calculated compared to baseline (week 0), as a measure of rate of wound closure.

    Time frame: 4 weeks, 8 weeks, and 12 weeks after initial application

  2. Efficacy Endpoint: Time to Complete Wound Healing during 12 Weeks of Application

    The amount of time after initial DHACM application to achieve complete epithelialization of the wound.

    Time frame: 12 weeks after initial application

  3. Efficacy Endpoint: Wound Recurrence for 6 months after Wound Closure

    The recurrence rate of healed ulcers will be monitored for 6 months after wound closure is achieved.

    Time frame: 6 months after wound closure

  4. Safety Endpoint: Incidence of Device Deficiencies

    Incidence rate of device deficiencies, severity, and details in DHACM-treated patients during 12 weeks of treatment and 6 months of follow-up.

    Time frame: 9 months after initial application

07

Study locations

5 of 5 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06236750
Lead sponsor
MiMedx Group, Inc.
Collaborators
CMIC Co, Ltd. Japan
Responsible party
Sponsor
First posted
Feb 1, 2024
Start date
Aug 4, 2023
Primary completion
Jan 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Feb 1, 2024

Study contacts

Chief Medical Officer
Contact
CTInquiries@mimedx.com
770-651-9100
David Mason, MD
study director · MiMedx Group, Inc.

Oversight

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

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