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RecruitingNCT07783087AIM-DFUUpdated Sep 3, 2026

A Study Comparing an Investigational Wound Gel With Standard Treatment for Mild to Moderate Diabetic Foot Ulcers

An interventional study of VES-0-D wound gel and Standard of Care (Investigator Choice) in Diabetic Foot Ulcer (DFU), sponsored by Flen Health. Recruiting at 8 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Flen Health · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical investigation is to evaluate if VES-0-D (an investigational wound gel) works to treat mild to moderate Diabetic Foot Ulcers. The main question it aims to answer is: How well does VES-0-D gel support wound healing, compared with a standard wound treatment?

Other questions that are the target of the investigation are:

  • the evaluation of wound characteristics relevant to healing
  • the evaluation of side effects at the site of application

The investigation will compare the wound area reduction over the 8 week treatment for VES-0-D vs standard of care treated patients.

The investigation will also collect wound assessment scoring results over the entire study duration as well as safety data on VES-0-D.

Participants will:

Have VES-0-D or standard of care applied every 3-4 days for 8 weeks, either at home or in the clinic Visit the clinic once every week for checkups and assessments. Keep a diary of their applications and any symptoms they might experience

02

Conditions studied

  • Diabetic Foot Ulcer (DFU)

Keywords

  • Diabetic Foot Ulcer
  • Diabetes
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. The subject has signed an IEC-approved study informed consent form
  2. The subject is male or female, at least 18 years of age at the date of screening
  3. The subject has a confirmed diagnosis of Type 1 or Type 2 diabetes mellitus
  4. The subject has a body mass index (BMI) of less than 40 kg/m2
  5. The subject has an index ulcer with visible margins, having an area of ≥ 0.5 and ≤ 10.0 cm2 when measured by the electronic measuring device at screening
  6. The index ulcer has been present for less than 12 months
  7. The index ulcer is located on the plantar surface, toe or interdigital, heel, lateral or medial surface of the foot
  8. The index ulcer does not extend beyond the subcutaneous tissue
  9. The subject has an ABI > 0.6 to \< 1.3 or TcPO2 ≥ 40 mmHg on the dorsum of the affected foot, or a great toe pressure ≥ 50 mmHg on the affected foot. Duplex ultrasound of the lower limb arteries is an acceptable alternative test but must show a peak systolic velocity ratio of \<2 for at least one of the posterior tibial, dorsalis pedis, and peroneal arteries.
  10. The subject has peripheral neuropathy evidenced by a Semmes Weinstein monofilament test.
  11. The subject is willing and able to return for all mandatory visits as defined in the protocol
  12. The subject is willing and able to follow the instructions of the Investigator

Exclusion criteria

Exclusion Criteria:

  1. The subject's index ulcer is primarily located on the dorsal surface of the foot
  2. The target ulcer probes to bone or is complicated by osteomyelitis or abscess formation
  3. The subject has a contralateral major amputation of the lower extremity
  4. The subject has more than 2 ulcers on the index foot (if there are two ulcers, the larger will be chosen as the index ulcer for treatment)
  5. The index ulcer is exudating heavily (subjects may be re-screened after heavy exudation is resolved)
  6. The subject has a glycated hemoglobin (HbA1c) level of > 8.0% (historical data may be used from within 6 months prior to screening)
  7. The subject has been on oral steroid > 7.5 mg daily for greater than seven (7) consecutive days in the 30 days before Screening
  8. The subject has been on parenteral corticosteroids, or any cytotoxic agents for seven consecutive days in the period of 30 days before Screening
  9. The subject is unable to sustain off-loading as defined by the protocol
  10. The subject has an allergy to any component of the test article
  11. The index ulcer is over an acute Charcot deformity
  12. The subject is a member of a vulnerable population (e.g., prisoner, employee or family member of Sponsor or site staff, minor child, significant intellectual deficit)
  13. Per Investigator's discretion the subject is not appropriate for inclusion in the investigation
  14. Female patients who are pregnant or lactating
04

Study design

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

Study arms

  • Experimental
    VES-0-D

    Investigational Wound Gel consisting primarily of an alginate and hydrogel component. Application will be performed every 3-4 days for 8 weeks or until wound closure.

    Device: VES-0-D wound gel

  • Active comparator
    Standard of Care

    Standard care primary dressing will be chosen at the physicians discretion. Application will be performed every 3-4 days for 8 weeks or until wound closure.

    Device: Standard of Care (Investigator Choice)

Interventions

  • DeviceVES-0-D wound gel

    VES-0-D Gel is a non-invasive topical medical device intended to manage moisture levels at the surface of open wounds

  • DeviceStandard of Care (Investigator Choice)

    Standard of care wound dressing will be chosen by the treating physician

05

What researchers measure

Primary outcomes

  1. Percent wound area reduction from baseline at the end of 8 weeks in VES-0-D Gel vs. Standard Care-treated subjects

    Time frame: From enrollment to the end of treatment at 8 weeks

Secondary outcomes

  1. Changes from baseline in the total score of the Bates-Jensen Wound Assessment Tool (BWAT) (Bates-Jensen 2019)

    The Bates-Jensen Wound Assessment Tool (BWAT) uses a list of 13 questions to come up with a result between 13 and 60 points. Higher points reflect a worse outcome (degeneration of the wound).

    Time frame: From enrollment to the end of treatment at 8 weeks

  2. Number and nature of treatment-emergent adverse events

    Time frame: From enrollment to the end of treatment at 8 weeks

06

Study locations

1 of 8 sites recruiting
  • Imeldaziekenhuis
    Bonheiden, Antwerp 2820, Belgium
    Recruiting
  • AZ Sint-Maarten
    Mechelen, Antwerp 2800, Belgium
    Active, not recruiting
  • UZ Gent
    Ghent, East-Flanders 9000, Belgium
    Not yet recruiting
  • Grand Hôpital de Charleroi - Les Viviers
    Charleroi, Henegouwen 6060, Belgium
    Not yet recruiting
  • CHU de Liège - Sart Tilman
    Liège, Liège 4000, Belgium
    Not yet recruiting
  • Hôpital d'Arlon - Vivalia
    Arlon, Luxemburg 6700, Belgium
    Not yet recruiting
  • UZ Leuven
    Leuven, Vlaams-Brabant 3000, Belgium
    Not yet recruiting
  • AZ Sint-Lucas
    Bruges, West-Vlaanderen 8310, Belgium
    Not yet recruiting
07

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07783087
Lead sponsor
Flen Health
Responsible party
Sponsor
First posted
Aug 24, 2026
Start date
Aug 10, 2026
Primary completion
Aug 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Sep 3, 2026

Oversight

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

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