| 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
|
|
|
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
|
|
|
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. |