ClinicalTrials.gg
RecruitingNCT07937215CURE1-DFUUpdated Nov 13, 2026

Silica-Based Wound Treatment (Curi01) Plus Standard Care Versus Standard Care Alone for Chronic Diabetic Foot Wounds

An interventional study of Curi01 and Standard of Care in Diabetic Foot Disease, Foot Ulcer Due to Type 1 Diabetes Mellitus and Foot Ulcer Due to Type 2 Diabetes Mellitus, sponsored by Cutempa Medical AG. Recruiting at 13 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Cutempa Medical AG · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
280
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 37 studies in Diabetic Foot with a site in Germany — 4 open to participants now, 4 under way, none of them phase 3. Diabetic Foot · Germany.

Planned enrollment
6th of 29
280 · median 136
Started
2026
with 1 other
No phase
9 of 37
3 open now
Registered
37th of 37
by date

Among the 37 studies in Diabetic Foot with a site in Germany, this one is the 6th largest by planned enrollment of the 29 interventional ones that give a count, is one of 2 that started in 2026, is one of 9 with no phase, and was the 37th registered.

Diabetic Foot

1,078 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

Browse Diabetic Foot studies →

Open to participants now

4 of the 37 studies in Diabetic Foot with a site in Germany are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 137 Diabetic Foot studies recruiting now, 96 (70%) set no upper age limit and 12 (9%) stop at 75 or younger; 5 take children under 18; 10 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 37 studies in Diabetic Foot with a site in Germany, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn if Curi01, a powder made of silica (silicon dioxide) particles, helps chronic, oozing diabetic foot ulcers heal when it is added to standard wound care. Curi01 is sprinkled directly onto the wound, where it soaks up wound fluid and forms a gel that is washed off at the next dressing change.

The main questions it aims to answer are:

Do more wounds heal completely within 12 weeks when Curi01 is added to standard wound care, compared with standard wound care alone? A wound counts as healed when it is fully closed and still closed 14 days later.

Is Curi01 safe and well tolerated?

Researchers will compare Curi01 plus standard wound care to standard wound care alone. Standard wound care includes removing dead tissue, cleaning the wound, non-medicated dressings and pressure relief for the foot if applicable.

Participants will:

Be adults with type 1 or type 2 diabetes who have an oozing foot ulcer (2 to 10 cm²) that has been present for at least 6 weeks and has not improved enough with standard wound care First receive standard wound care for 2 weeks to check whether the wound improves on its own Then be assigned by chance to one of the two groups; 2 out of 3 participants will receive Curi01 Visit the study site up to 18 times over about 14 weeks; in the Curi01 group, the powder is applied at each visit until the wound is dry Have their wound photographed and measured with a wound imaging app at each visit Answer questionnaires about their quality of life and how they feel their condition has changed Be asked about any side effects or health problems

About 280 participants will take part at around 20 study sites in Germany. Participants and doctors will know which treatment is being given.

03

Conditions studied

  • Diabetic Foot Disease
  • Foot Ulcer Due to Type 1 Diabetes Mellitus
  • Foot Ulcer Due to Type 2 Diabetes Mellitus

Browse trials for

Keywords

  • diabetic foot ulcer
  • chronic wound
  • wound exudate
  • wound healing
  • silicon dioxide
  • silica powder
  • wound powder
  • Curi01
04

Who can participate

Ages eligible
18 Years and older
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

  • Male, female or diverse patients aged ≥18 years at the time of signing the .
  • Willing and able to provide written informed consent.
  • Signed declaration of consent and signed data protection declaration after having been informed about the nature, relevance and the scope of the investigation and about the expected desired and undesired effects of the medical device.
  • Patients with stable diabetes mellitus type 1 or 2 ( level \<12%) receiving antidiabetic treatment, if medically indicated. Historic values up to 6 months before Visit 1 may be used.
  • Chronic, exudating diabetic foot ulcer (DFU): Armstrong staging A or B, Wagner scale grades 1-2 and a wound surface between 2-10 cm². The foot is defined as the anatomical region distal to a line 3 cm proximal to the upper limit of the ankle joint; the target wound must be located within this region. "Chronic" is defined as present for at least 6 weeks prior to Screening Visit (Visit 1).
  • Previous treatment of DFU with standard of care (SoC) for at least 2 weeks before Baseline Visit (Visit 2), without relevant improvement (i.e., \<30% wound area reduction between Screening Visit (Visit 1) and Baseline Visit (Visit 2)).
  • Patients without wound infection or with mild wound infection ("mild" is defined as no antibiotic therapy is needed for the treatment of the infected wound). In the case of wound infection, antibiotic treatment must be stopped at least 48 hours prior to Visit 1.
  • No amputation history driven by a diabetic cause in the target wound limb within the 12 months prior to Screening Visit (Visit 1).
  • Outpatients in an ambulatory setting.
  • The affected limb must have adequate perfusion confirmed by vascular assessment. Any of the following methods performed within 3 months of Screening Visit (Visit 1) are acceptable (may also be the status after revascularization):

    • Ankle-Brachial-Index (ABI) between 0.6 and 1.4
    • Toe-Brachial-Index (TBI) ≥ 0.7
    • Pulse Volume Recording (PVR): biphasic
    • Imaging procedure that rules out critical ischemia (duplex sonography, computed tomography or magnetic resonance angiography)

Exclusion criteria

Exclusion Criteria:

  • Granulating wounds in regeneration phase.
  • Wounds with a necrotic eschar (dry or wet) which cannot be debrided without surgery (i.e., without surgical debridement which would require an operating room and anesthesia).
  • Wounds with sinuses and strong necrosis.
  • Autolytic debridement as pre-treatment within one month prior to enrollment.
  • patients (uncontrolled immunological disease, active systemic infection, and/or receiving immunosuppressive therapy). with a daily dose of ≤ 5 mg prednisone (or equivalent) are acceptable.
  • Previous treatment with a derived growth factor (PDGF).
  • Participation in another clinical trial within the last 4 weeks (i.e., 28 days) or previous participation in this clinical trial.
  • Active cancer disease, osteomyelitis, known coagulation disorders (i.e., primary procoagulant coagulation disorders that require specific treatment, e.g., thrombophilia; secondary prophylactic anticoagulation is not excluded), known severe renal complications (dialysis, [GFR] below 30 mL/min), symptomatic congestive heart failure ( \<30%).
  • Pregnant and/or breastfeeding women.
  • Women of who do not use a highly effective method of (i.e., Pearl Index ≤ 1).
  • Patients with silica or allergy.
  • Any other condition/treatment that the investigator considers may compromise the patients' safety and/or the integrity of the data.
  • Legal incapacity and/or other circumstances rendering the patient unable to understand the nature, scope and possible impact of the trial.
Terms in these criteria, in plain language(11)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
280 participants (estimated)

Study arms

  • Experimental
    Curi01 + Standard of Care

    Curi01 silica microparticle powder applied topically to the target wound (layer of approx. 3-5 mm, covering the entire wound surface) at each study visit, followed by a sterile dressing, in addition to standard of care, for up to 12 weeks. Application may be stopped after Day 8 once the wound is dry and restarted if exudation resumes.

    Device: Curi01 · Other: Standard of Care

  • Active comparator
    Standard of Care

    Standard of care alone for up to 12 weeks: debridement as needed, wound cleansing with sterile saline or approved antiseptic, non-active wound dressings, offloading, and compression therapy if indicated.

    Other: Standard of Care

Interventions

  • DeviceCuri01

    Sterile, powder-based wound exudate adsorbing agent composed of two types of silicon dioxide particles. Applied topically to the target wound evenly and generously (layer of approx. 3-5 mm) until the wound surface is completely covered, then covered with a sterile dressing. Applied at each study visit for up to 12 weeks; may be stopped once the wound is dry and restarted if exudation resumes. Class IIb medical device, not CE-marked (investigational).

  • OtherStandard of Care

    Standard wound care as defined in the protocol: debridement (sharp/surgical or mechanical) as needed, wound cleansing with sterile saline or an approved antiseptic (polyhexanide, octenidine or chlorhexidine), non-active wound dressings without antimicrobial, pharmacologic or biological agents, offloading if applicable, and compression therapy if indicated.

06

What researchers measure

Primary outcomes

  1. Proportion of Participants With Healed Target Wound at Day 84

    Healing is defined as complete wound closure (confirmed by the investigator for the first time) without drainage, with closure confirmed again 14 days later. Wound closure may only be confirmed by the investigator after the wound imaging software (Pixacare WoundTrack-II) has registered a wound area below 1 cm². Healing confirmed at an earlier visit is carried forward to Day 84. The difference in proportions between Curi01 + standard of care and standard of care alone is assessed for superiority.

    Time frame: Day 84

Secondary outcomes

  1. Percentage Reduction in Wound Area From Baseline

    Percentage reduction in target wound area (cm²) from Baseline (Visit 2, Day 1), measured with the wound imaging software Pixacare WoundTrack-II from a calibrated photograph. Compared between Curi01 + standard of care and standard of care alone.

    Time frame: Baseline (Day 1), Day 28, Day 35, Day 42 and Day 84

  2. Time to Complete Wound Granulation

    Time from Baseline (Day 1) to complete granulation of the target wound, with granulation tissue (%) measured by the Pixacare WoundTrack-II tissue analysis module.

    Time frame: Baseline (Day 1) up to Day 84

  3. Time to Complete Wound Closure

    Time from Baseline (Day 1) to complete closure of the target wound, confirmed by the investigator after the wound imaging software (Pixacare WoundTrack-II) has registered a wound area below 1 cm².

    Time frame: Baseline (Day 1) up to Day 84

  4. Time to 25% Reduction in Wound Area

    Time from Baseline (Day 1) until the target wound area (cm²), measured with Pixacare WoundTrack-II, has decreased by at least 25% compared with Baseline.

    Time frame: Baseline (Day 1) up to Day 84

  5. Proportion of Participants With Healed Target Wound at Day 28 and Day 63

    Healing is defined as complete wound closure (confirmed by the investigator for the first time) without drainage, with closure confirmed again 14 days later. Healing confirmed at an earlier visit is carried forward to later visits.

    Time frame: Day 28 and Day 63

  6. Change From Baseline in Diabetic Foot Ulcer Scale - Short Form (DFS-SF) Score

    Disease-specific health-related quality of life assessed with the validated 29-item DFS-SF questionnaire. Change from Baseline (Day 1) is compared between treatment groups.

    Time frame: Baseline (Day 1), Day 42 and Day 84

Other outcomes

  1. Incidence of Adverse Events (AEs) and Adverse Device Effects (ADEs)

    Number and percentage of participants with AEs and ADEs, including serious events, recorded from Baseline (Day 1) until the end of study visit.

    Time frame: Baseline (Day 1) up to Day 84 (or Day 91/98 for participants with an additional follow-up visit)

  2. Patient's Global Impression of Improvement (CGI-I)

    Patient-rated global improvement on a scale from 1 (very much better) to 7 (very much worse).

    Time frame: Day 42 and Day 84

  3. Change From Baseline in PEDIS Classification

    Diabetic foot ulcer severity assessed by the investigator using the PEDIS classification (Perfusion, Extent, Depth, Infection, Sensation).

    Time frame: Baseline (Day 1), Day 42 and Day 84

  4. Number of Participants Requiring Antibiotic Treatment of the Target Wound

    Number of participants in each group who receive local or systemic antibiotic treatment for the target wound during the study.

    Time frame: Baseline (Day 1) up to Day 84

07

Study locations

11 of 13 sites recruiting
  • Diabetes Zentrum Bad Mergentheim
    Bad Mergentheim, 97980, Germany
    Recruiting
    • Maria Roxana Olareanu, MD · Contact
  • Studienzentrum Dr. Braun GmbH
    Berlin, 13187, Germany
    Recruiting
  • Klinikum Bremerhaven Reinkenheide gGmbH
    Bremerhaven, 27574, Germany
    Not yet recruiting
  • Klinikum Chemnitz gGmbH
    Chemnitz, 09116, Germany
    Recruiting
  • DZDM - Diabetes Zentrum Duisburg Mitte
    Duisburg, 47051, Germany
    Recruiting
  • Universitätsklinikum Gießen und Marburg, Standort Gießen
    Giessen, 35392, Germany
    Recruiting
  • Hausarztzentrum Butendorf
    Gladbeck, 45968, Germany
    Recruiting
  • KRH Klinikum Siloah, Diabetologisches Fuß- und Wundzentrum
    Hanover, 30459, Germany
    Recruiting
  • Universitätsklinikum Jena
    Jena, 07747, Germany
    Not yet recruiting
  • Diabetespraxis Kiel
    Kiel, 24114, Germany
    Recruiting
  • LMU Klinikum, Sektion Angiologie
    München, 80336, Germany
    Recruiting
  • Gemeinschaftspraxis Dres. Großkopf
    Wallerfing, 94574, Germany
    Recruiting
  • Helios Klinik Wuppertal, Zentrum für Dermatologie, Allergologie und Dermatochirurgie
    Wuppertal, 42283, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Feb 2028, 18 months after the start.

Of 103 industry-sponsored interventional studies with no phase under Diabetic Foot, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 40. This study's planned 18 months is below that.

Counting every sponsor, half of 343 studies reached it within 22 months; a quarter within 9 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 8, 2026
First posted
Nov 13, 2026
StartActual
Aug 20, 2026
Primary completionEst.
Feb 2028
CompletionEst.
Feb 2028
Last update
Nov 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07937215
Lead sponsor
Cutempa Medical AG
Responsible party
Sponsor
First posted
Nov 13, 2026
Start date
Aug 20, 2026
Primary completion
Feb 2028 (estimated)
Completion
Feb 2028 (estimated)
Last update
Nov 13, 2026

Study contacts

Noëlle Moser- van der Geest, MD
Contact
n.moser@cutempamedical.com
+41 79 710 35 30
Maria Roxana Olareanu, MD
principal investigator · Diabetes Zentrum Bad Mergentheim

Oversight

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

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