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CTRI Number  CTRI/2024/12/078663 [Registered on: 27/12/2024] Trial Registered Prospectively
Last Modified On: 27/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Biological 
Study Design  Single Arm Study 
Public Title of Study   A Study on using Amnion (a layer of human placenta) for healing chronic wounds 
Scientific Title of Study   THE EFFECT OF AMNION ON WOUND HEALING IN CHRONIC WOUNDS - A SINGLE CENTRE INTERVENTIONAL STUDY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
IRB - DRP/STU – MCH1234/2024   Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohit Naren Kondapalli 
Designation  MCH VASCULAR SURGERY RESIDENT 
Affiliation  MS RAMAIAH MEDICAL COLLEGE & HOSPITAL 
Address  MS Ramaiah medical college, Mathikere, Bangalore, Karnataka

Bangalore
KARNATAKA
560054
India 
Phone  9581272128  
Fax    
Email  mohit.naren@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR. SANJAY C DESAI 
Designation  PROFESSOR AND HEAD OF DEPARTMENT 
Affiliation  MS RAMAIAH MEDICAL COLLEGE & HOSPITAL 
Address  MS Ramaiah medical college, Mathikere, Bangalore, Karnataka

Bangalore
KARNATAKA
560054
India 
Phone  9845290575  
Fax    
Email  sanjaycdesai.rmc@msruas.ac.in  
 
Details of Contact Person
Public Query
 
Name  Mohit Naren Kondapalli 
Designation  MCH VASCULAR SURGERY RESIDENT 
Affiliation  MS RAMAIAH MEDICAL COLLEGE & HOSPITAL 
Address  MS Ramaiah medical college, Mathikere, Bangalore, Karnataka

Bangalore
KARNATAKA
560054
India 
Phone  9581272128  
Fax    
Email  mohit.naren@gmail.com  
 
Source of Monetary or Material Support  
Processed Human Amnion obtained from voluntary donors of department of obstetrics, MS Ramaiah medical college hospital, Mathikere, Bangalore, Karnataka, India - 560054 
 
Primary Sponsor  
Name  DR MOHIT NAREN KONDAPALLI 
Address  Department of Vascular Surgery, MS Ramaiah medical college, Mathikere, Bangalore-560054 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR MOHIT NAREN KONDAPALLI  MS RAMAIAH MEDICAL COLLEGE AND HOSPITAL  Department of vascular Surgery, MS Ramaiah medical college, Mathikere, Bangalore, Karnataka, India - 560054
Bangalore
KARNATAKA 
9581272128

mohit.naren@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I830||Varicose veins of lower extremities with ulcer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Amnion sheet application  Amnion is obtained from the placenta of voluntary donors, after careful screening. The amnion sheets are then treated with antibiotics and preserved. These processed amnion sheets can be preserved upto 1 year. This amnion is later applied to chronic, non-healing venous ulcers to promote epithelial growth and enhance healing through various tissue growth factors. The shelf life of the processed amnion sheets have been tested upto 1 year where the 1 year old samples showed 85-88% of viable cells 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patients with chronic wounds, such as diabetic foot ulcers, venous ulcers, pressure ulcers, or other non-healing wounds persisting for at least four weeks despite standard wound care.
Wounds located on anatomical sites amenable to the application of amnion
Patients with chronic wounds without clinical signs of infection or systemic infection at the time of enrolment
Patients with a history of standard wound care treatments, including debridement, offloading, and appropriate wound dressings, but no recent use of advanced wound therapies such as growth factors or cellular therapies
Patients with stable medical conditions and no acute systemic illnesses that may interfere with wound healing or study participation
 
 
ExclusionCriteria 
Details  Patients with Acute Wounds / Acute Infections
Patients with Terminal illnesses / Non-compliant patients
Patients with a history of Prior Radiation Therapy
Pregnant Patients / Immunocompromised patients
Patients with arterial insufficiency as confirmed by ABI & TCPO2
Patients with Uncontrolled Diabetes
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Wound closure rates
 
6-8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Pain reduction
Improvements to quality of life
Cost-effectiveness analysis 
8-12 weeks 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Brief Summary of the Study

Chronic wounds, such as diabetic foot ulcers, venous ulcers, and pressure ulcers, present significant healthcare challenges due to their resistance to standard treatments and associated complications like infections, necrosis, and amputations. Current management strategies often focus on symptom control rather than addressing underlying biological deficiencies.

Amnion, derived from the innermost layer of the placenta, has gained attention as a potential therapeutic agent for enhancing wound healing. Rich in growth factors, extracellular matrix components, and cytokines, amnion exhibits anti-inflammatory, pro-regenerative, and immunomodulatory properties. Its use has shown promising results in preliminary studies, but there remains a need for robust evidence to establish its efficacy and safety in chronic wound management.

This single-center prospective interventional study aims to evaluate the healing effects of processed human amnion applied as a dressing in patients with chronic non-healing wounds. Conducted at MS Ramaiah Hospitals, Bengaluru, the study will recruit 64 participants who meet specific inclusion criteria, such as chronic wounds persisting for at least four weeks despite standard care. Participants will receive amnion dressings, and outcomes will be assessed over a specified follow-up period.

Primary outcomes include wound closure rates, while secondary outcomes focus on pain reduction, improvements in quality of life, and cost-effectiveness. Data will be analyzed using paired t-tests to assess the efficacy of amnion therapy.

The study’s findings aim to provide valuable insights into the role of amnion in wound healing, contributing to the advancement of wound care practices and scientific understanding of tissue regeneration. This research could potentially establish amnion-based therapies as a standard of care for managing chronic wounds, improving patient outcomes and reducing healthcare burdens.

 
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