Open-Label Study in Diabetic Foot Ulcers (DFU), to Evaluate Safety of 0.03% DSC127 Topical Gel in Chronic Use (STRIDE 5)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Derma Sciences, Inc. Identifier:
First received: April 23, 2013
Last updated: November 2, 2015
Last verified: August 2015
To evaluate the safety of topical 0.03% DSC127 Gel when used for one or more continuous treatment periods on a chronic Wagner Grade 1 or 2 foot ulcer(target ulcer) or multiple ulcers in diabetic subjects. The maximum duration of any treatment period is 24 weeks.

Condition Intervention Phase
Diabetic Foot Ulcer
Drug: 0.03% DSC127 topical gel
Phase 3

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Open-Label Phase III Clinical Trial to Evaluate the Safety of 0.03% DSC127 Gel in Chronic Use for Treating Diabetic Foot Ulcers ("DFU")

Resource links provided by NLM:

Further study details as provided by Derma Sciences, Inc.:

Primary Outcome Measures:
  • The proportion of all subjects reporting Adverse Events and Serious Adverse Events related to study treatment [ Time Frame: 2.5yrs ] [ Designated as safety issue: Yes ]

Other Outcome Measures:
  • Changes from baseline in laboratory evaluations (clinically significant changes) [ Time Frame: 2.5yrs ] [ Designated as safety issue: Yes ]
  • Proportion of all subjects treated and terminating prematurely due to adverse events related to study treatment. [ Time Frame: 2.5yrs ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 200
Study Start Date: June 2013
Estimated Study Completion Date: July 2016
Estimated Primary Completion Date: June 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 0.03% DSC127 topical gel Drug: 0.03% DSC127 topical gel

Detailed Description:

All eligible subjects enrolled will begin daily Treatment with topical 0.03% DSC127 gel until complete wound closure (defined as skin re-epithelialization without drainage or dressing requirement) or 24 weeks, whichever occurs first.

If a patient has multiple ulcers on one foot, all may be treated, within the maximum of 24 weeks. If the ulcer does not heal, after a wash out period of 1 week, a new treatment period of up to 24 weeks may be initiated. Ulcer may be retreated if it recurs or if a new ulcer develops that meets study criteria.

For the entire duration of each treatment period the standard of care for DFU will be maintained.


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Male or female ambulatory subjects who are at least 18 years of age at screening
  2. Have at least one ulcer:

    1. chronic ( present >1month)
    2. Wagner Grade 1 or Grade 2 ulcer (i.e. Partial- or full- thickness and not involving bone, tendon or capsule (probing to tendon or capsule) and/or penetrating to tendon or capsule.)
    3. with no sign of infection or osteomyelitis, and
    4. is located below the malleolus.
  3. Have an ABI > 0.7, or have a TcPO2 > 40 mm Hg or great toe systolic pressure > 50 mmHg to ensure healing potential.
  4. Have Type I or Type II diabetes under metabolic control as confirmed by glycosylated hemoglobin (HbA1c) of ≤ 14%, obtained at enrollment or within 30 days prior to study enrollment.
  5. Female subjects of child-bearing potential must have a negative pregnancy test at the time of enrollment and at the initiation of each study treatment period.
  6. Female subjects of child-bearing potential must be willing to use a medically acceptable method of birth control, such as Essure®, hormonal contraception (oral pills, implantable device or skin patch), intrauterine device, tubal ligation, double barrier, or abstinence during the treatment periods of study participation.
  7. Ability and willingness to understand and comply with study procedures and to give written informed consent prior to enrollment in the study or initiation of study procedures

Exclusion Criteria:

  1. Has a known hypersensitivity to any of the study medication components.
  2. Exposure to any investigational product within 30 days of entry into study.
  3. Has active malignant disease of any kind (with the exception of basal cell carcinoma). A subject, who has had a malignant disease in the past, was treated and is currently disease-free, may be considered for study entry. Disease-free is defined as in remission for at least 5 years.
  4. Chronic liver dysfunction evidenced by transaminase levels > 2.5 times higher than the upper level of normal on two occasions.
  5. Has a history of additional risk factors for TdP (eg. heart failure, hypokalemia, family history of Long QT Syndrome) or taking medication which are known to prolong QT/QTc (Appendix G)
  6. Receiving hemodialysis or chronic ambulatory peritoneal dialysis (CAPD) therapy.
  7. Prior radiation therapy of the foot with the ulcer under study.
  8. Current use of systemic corticosteroids or immunosuppressants within 8 weeks prior to enrollment into the study
  9. Sickle-cell anemia, Raynaud's or other peripheral vascular disease.
  10. Subjects receiving a biologic agent to include growth factors and skin equivalents (Regranex, Apligraft, or Dermagraft) in the 7 days prior to exposure to DSC127.
  11. Subject who, in the opinion of the investigator, has uncontrolled hypertension
  12. Subject has an ulcer which is determined to be clinically infected and requires antimicrobials or agents known to affect wound healing or has been taking systemic antibiotics for more than 7 days for any reason. (Subjects with infection at the initial visit of the Screening Period can be re-screened three weeks later after a single course of antibiotic therapy (occurring concurrently - within three weeks of the initial visit, the antibiotic treatment must have completed and some washout (7 days) must have elapsed); if after that time infection is still present, the subject will be excluded.)
  13. Subjects who, in the opinion of the investigator, have clinically significant anemia
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01840085

United States, Alabama
WILMAX Clinical Research
Mobile, Alabama, United States, 36608
United States, California
Reliance Institute of Clinical Research
Chino, California, United States, 91710
Limb Preservation Platform (LPP)
Fresno, California, United States, 93720
Roy O. Kroeker, DMP, Inc.
Fresno, California, United States, 93710
Foot and Ankle Clinic
Los Angeles, California, United States, 90010
Center for Clinical Research, Inc.
San Francisco, California, United States, 94115
Olive View - UCLA Medical Center
Sylmar, California, United States, 91342
Orange County Research Center
Tustin, California, United States, 92780
United States, Florida
Advanced Research Institute of Miami
Homestead, Florida, United States, 33030
UF Health Orthopaedic Surgery Clinic
Jacksonville, Florida, United States, 32209
Miami Dade Medical Research Institute
Miami, Florida, United States, 33176
Phoenix Medical Research, LLC
Miami, Florida, United States, 33165
GF Professional Research
Miami Lakes, Florida, United States, 33016
Barry University Clinical Research
North Miami Beach, Florida, United States, 33169
Professional Health Care of Pinellas
St. Petersburg, Florida, United States, 33713
United States, North Carolina
Eastern Carolina Foot & Ankle Specialists
Greenville, North Carolina, United States, 27834
O'Malley Foot and Ankle
Wilmington, North Carolina, United States, 28411
United States, Pennsylvania
Martin Foot & Ankle
York, Pennsylvania, United States, 17402
United States, South Carolina
Carolina Musculoskeletal Institute
Aiken, South Carolina, United States, 29801
United States, Texas
Endeavor Clinical Trials
San Antonio, Texas, United States, 78229
United States, Virginia
Professional Education and Research Institute
Roanoke, Virginia, United States, 24016
Sponsors and Collaborators
Derma Sciences, Inc.
Study Director: John Caminis, MD Derma Sciences, Inc.
  More Information

No publications provided

Responsible Party: Derma Sciences, Inc. Identifier: NCT01840085     History of Changes
Other Study ID Numbers: DSC127-2012-05
Study First Received: April 23, 2013
Last Updated: November 2, 2015
Health Authority: United States: Food and Drug Administration

Keywords provided by Derma Sciences, Inc.:
Diabetic foot ulcer
plantar neuropathic ulcer
plantar neuroischemic ulcer
Wagner Grade 1 or Grade 2 DFU

Additional relevant MeSH terms:
Diabetic Foot
Foot Ulcer
Cardiovascular Diseases
Diabetes Complications
Diabetes Mellitus
Diabetic Angiopathies
Diabetic Neuropathies
Endocrine System Diseases
Foot Diseases
Leg Ulcer
Pathologic Processes
Skin Diseases
Skin Ulcer
Vascular Diseases processed this record on November 30, 2015