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Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study
Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients’ quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled,...
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Published in: | International journal of lower extremity wounds 2024-12, Vol.23 (4), p.551-559 |
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container_title | International journal of lower extremity wounds |
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creator | Bal, Arun Jain, Sudhir Kumar Jagannath Mohapatra, Kailash Chandra Rao, Shilpa Deshpande, Neeta Munshi, Renuka Mahey, Rajeshkumar Chowdhury, Subhankar Bhaskar, M.M. Singh, Sapam Opendro Damle, Gauri Damir, Ashok Phal, Smita Zarapkar, Mukund |
description | Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients’ quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of |
doi_str_mv | 10.1177/15347346221076625 |
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Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of <250 mg/dL, with ≤ than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized 1:1 to DPOCL (139) and ISCL (150) treatment (10-weeks [8-Visits]). Percentage of patients with complete wound closure at visit-8, were significantly higher (P = .0156) in DPOCL arm (76% [105/139]) compared to ISCL (62% [93/150]) arm. At end-of-study, mean wound surface area in DPOCL arm (0.639 cm2) was significantly lower (P = .0209) compared to ISCL (0.818 cm2) arm. One death was reported in control arm which was not considered as treatment-related. No important safety finding were observed. Results indicate that, DPOCL can be considered as effective and safe treatment option for DFU compared to ISCL, although future confirmatory studies are warranted.</description><identifier>ISSN: 1534-7346</identifier><identifier>ISSN: 1552-6941</identifier><identifier>EISSN: 1552-6941</identifier><identifier>DOI: 10.1177/15347346221076625</identifier><identifier>PMID: 35275009</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Administration, Topical ; Adult ; Aged ; Diabetic Foot - drug therapy ; Double-Blind Method ; Female ; Humans ; Male ; Middle Aged ; Treatment Outcome ; Wound Healing - drug effects</subject><ispartof>International journal of lower extremity wounds, 2024-12, Vol.23 (4), p.551-559</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-29e9ee51029a5657c9ef115aeb4116c92f5848cd62e115bf4d5d1c9c263d8b623</citedby><cites>FETCH-LOGICAL-c340t-29e9ee51029a5657c9ef115aeb4116c92f5848cd62e115bf4d5d1c9c263d8b623</cites><orcidid>0000-0001-8230-8321</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35275009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bal, Arun</creatorcontrib><creatorcontrib>Jain, Sudhir Kumar</creatorcontrib><creatorcontrib>Jagannath</creatorcontrib><creatorcontrib>Mohapatra, Kailash Chandra</creatorcontrib><creatorcontrib>Rao, Shilpa</creatorcontrib><creatorcontrib>Deshpande, Neeta</creatorcontrib><creatorcontrib>Munshi, Renuka</creatorcontrib><creatorcontrib>Mahey, Rajeshkumar</creatorcontrib><creatorcontrib>Chowdhury, Subhankar</creatorcontrib><creatorcontrib>Bhaskar, M.M.</creatorcontrib><creatorcontrib>Singh, Sapam Opendro</creatorcontrib><creatorcontrib>Damle, Gauri</creatorcontrib><creatorcontrib>Damir, Ashok</creatorcontrib><creatorcontrib>Phal, Smita</creatorcontrib><creatorcontrib>Zarapkar, Mukund</creatorcontrib><title>Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study</title><title>International journal of lower extremity wounds</title><addtitle>Int J Low Extrem Wounds</addtitle><description>Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients’ quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of <250 mg/dL, with ≤ than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized 1:1 to DPOCL (139) and ISCL (150) treatment (10-weeks [8-Visits]). Percentage of patients with complete wound closure at visit-8, were significantly higher (P = .0156) in DPOCL arm (76% [105/139]) compared to ISCL (62% [93/150]) arm. At end-of-study, mean wound surface area in DPOCL arm (0.639 cm2) was significantly lower (P = .0209) compared to ISCL (0.818 cm2) arm. One death was reported in control arm which was not considered as treatment-related. No important safety finding were observed. Results indicate that, DPOCL can be considered as effective and safe treatment option for DFU compared to ISCL, although future confirmatory studies are warranted.</description><subject>Administration, Topical</subject><subject>Adult</subject><subject>Aged</subject><subject>Diabetic Foot - drug therapy</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Treatment Outcome</subject><subject>Wound Healing - drug effects</subject><issn>1534-7346</issn><issn>1552-6941</issn><issn>1552-6941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAURi0EoqXwAGyQlywmJXZiZ8yu6g8gFag67TpynOuOKyc32A5i-m59NxxNYYPEyp-Oz_1k6xLylpXHjDXNByaquqlqyTkrGym5eEYOmRC8kKpmz5dc1cUiHJBXMd6XZfZU85IcVII3oizVIXk8t9YZbXZUjz3daAtpR9HSG5wy9nSDfk4Ox4WduQkC_kKz9RicoSfG9dRioN9gDjjptM3wzOkOUg4XiIneegPhI72GOPsUqQ04UE2vtjoCrVb0a6bOwJgCrOh1fgEO7gH6Va5O7icUBvMVer-gKx10Tr64CzhPdJPmfveavLDaR3jzdB6R24vzm9PPxeX3T19OTy4LU9VlKrgCBSBYyZUWUjRGgWVMaOhqxqRR3Ip1vTa95JBxZ-te9Mwow2XVrzvJqyPyft87BfwxQ0zt4KIB7_UIOMc2i-uGSclUVtleNQFjDGDbKbhBh13LynbZWvvP1vLMu6f6uRug_zvxZ01ZON4LUd9Be49zGPN3_9P4G5-soWQ</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Bal, Arun</creator><creator>Jain, Sudhir Kumar</creator><creator>Jagannath</creator><creator>Mohapatra, Kailash Chandra</creator><creator>Rao, Shilpa</creator><creator>Deshpande, Neeta</creator><creator>Munshi, Renuka</creator><creator>Mahey, Rajeshkumar</creator><creator>Chowdhury, Subhankar</creator><creator>Bhaskar, M.M.</creator><creator>Singh, Sapam Opendro</creator><creator>Damle, Gauri</creator><creator>Damir, Ashok</creator><creator>Phal, Smita</creator><creator>Zarapkar, Mukund</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8230-8321</orcidid></search><sort><creationdate>20241201</creationdate><title>Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study</title><author>Bal, Arun ; 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Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of <250 mg/dL, with ≤ than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized 1:1 to DPOCL (139) and ISCL (150) treatment (10-weeks [8-Visits]). Percentage of patients with complete wound closure at visit-8, were significantly higher (P = .0156) in DPOCL arm (76% [105/139]) compared to ISCL (62% [93/150]) arm. At end-of-study, mean wound surface area in DPOCL arm (0.639 cm2) was significantly lower (P = .0209) compared to ISCL (0.818 cm2) arm. One death was reported in control arm which was not considered as treatment-related. No important safety finding were observed. Results indicate that, DPOCL can be considered as effective and safe treatment option for DFU compared to ISCL, although future confirmatory studies are warranted.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35275009</pmid><doi>10.1177/15347346221076625</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8230-8321</orcidid></addata></record> |
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subjects | Administration, Topical Adult Aged Diabetic Foot - drug therapy Double-Blind Method Female Humans Male Middle Aged Treatment Outcome Wound Healing - drug effects |
title | Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study |
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