Venous Leg Ulcers
Conditions
Keywords
VLU, Venous Leg Ulcers, Ulcers, chronic wounds, wounds, Nexagon, CoDa
Brief summary
This study is for subjects with a venous leg ulcer. The study is being done to determine if NEXAGON plus compression bandaging is more effective that placebo plus compression bandaging.
Interventions
Weekly, topical application of Nexagon® low dose used with compression dressings.
Weekly, topical application of Nexagon® high dose used with compression dressings.
Weekly, topical application of Nexagon® Vehicle used with compression dressings.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Diagnosis of venous leg ulceration supported by venous duplex ultrasonography demonstrating venous reflux \> 0.5 seconds 2. Ankle brachial index of \> 0.80 3. Venous Leg Ulcer (VLU) area greater than 2 cm2 and less than 20 cm2 4. Compliant with and able to tolerate high compression bandaging 5. VLU present for \> 30 days prior to study entry 6. VLU is full thickness 7. The subject is willing and able to give informed consent
Exclusion criteria
1. Decrease or increase in the ulcer surface area by more than 40% during the 14 day run-in period 2. More than 75% of the VLU is on or below the malleolus 3. Presence of a non-study ulcer within 1.5 cm of the VLU 4. A VLU which shows signs of clinical infection or has cellulitis 5. The VLU wound bed has exposed bone, tendon or fascia 6. BMI \> 45.0 kg/m2 7. Subject is not ambulatory 8. Subjects who have a past or present disease that, which as judged by the Investigator, may affect the safety of the subject or the outcome of the study 9. Cancerous cells in the VLU 10. HbA1c \>10% 11. Blood biochemistry \>3x upper limit of normal 12. Heart failure NYHA class III or IV 13. Subjects on renal replacement therapy 14. Immunocompromized subjects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surface area reduction | 10 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of complete closure | 10 weeks |
| Time to complete closure | 10 weeks |
| Incidence of ulcer recurrence | 12 weeks post closure |
| Pain | 10 weeks |
| Incidence of adverse events | 10 weeks |
Countries
Australia, New Zealand, South Africa, United States