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Pressure SoreNCT06853210

Treatment of Pressure Ulcers Using Biological Skin Substitutes

A study testing Type-I Collagen-based Skin Substitute and SOC and Human Amnion/Chorion Membrane and SOC in people with Pressure Sore, run by Adichunchanagiri Institute of Medical Sciences, B G Nagara at 1 site in India.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Pressure ulcers, also known as decubitus ulcers or bedsores, are localized injuries to the skin and underlying tissue resulting from prolonged pressure. Management of pressure sores is crucial due to their association with increased morbidity, healthcare costs, and reduced quality of life. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Pressure Sore
What is being tested?
Type-I Collagen-based Skin Substitute and SOC and Human Amnion/Chorion Membrane and SOC
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteIndia
Study dates
1 Mar 2025to 25 Jul 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must be at least 18 years of age or older
  • Presence of a Stage II or Stage III pressure ulcer, as defined by the National Pressure Ulcer Advisory Panel
  • Ulcer size between 5 cm² and 25 cm²
  • Ulcer duration of at least 4 weeks prior to enrollment
  • The subject must agree to attend the twice-weekly/weekly study visits required by the protocol
  • The subject must be willing and able to participate in the informed consent process
  • Adequate blood supply to the affected area, confirmed by clinical assessment

Who cannot join

  • A subject known to have a life expectancy of <6 months
  • Presence of infection in the ulcer requiring systemic antibiotics.
  • Known allergy to components of HPTC or dHCAM.
  • Participation in another wound care study within the last 30 days.
  • A subject with autoimmune or connective tissue disorders.
  • Women who are pregnant or considering becoming pregnant within the next 6 months and those who are breast feeding.
  • History of autoimmune disease, immunosuppressive therapy, malignancy, or uncontrolled diabetes (HbA1c >10%)

Trial locations and contacts

1 site in 1 country.

India1 site
  • Adichunchanagiri Institute of Medical Sciences

    Mandya, Karnataka, 571448

Other trials in India

About this study

Official title: Treatment of Pressure Ulcers Using Biological Skin Substitutes: A Comparison of High Purity Type-I Collagen and Amnion/Chorion Membranes

Pressure ulcers, also known as decubitus ulcers or bedsores, are localized injuries to the skin and underlying tissue resulting from prolonged pressure. Management of pressure sores is crucial due to their association with increased morbidity, healthcare costs, and reduced quality of life. This study aims to evaluate the efficacy of two treatment modalities: Type-I Collagen-based Skin Substitute (HPTC) vs. Dehydrated Human Amnion/Chorion Membrane (dHCAM)

Read the detailed description

Pressure ulcers, also known as decubitus ulcers or bedsores, are localized injuries to the skin and underlying tissue resulting from prolonged pressure. They are prevalent in individuals with limited mobility, such as the elderly and those with spinal cord injuries, particularly in long-term care settings. Effective management of pressure ulcers is crucial to prevent complications and improve patient outcomes, includes pressure relief, wound care, and advanced therapies such as bioengineered skin substitutes. Management of pressure sores is crucial due to their association with increased morbidity, healthcare costs, and reduced quality of life. This study aims to evaluate the efficacy of two treatment modalities: Type-I Collagen-based Skin Substitute (HPTC) vs. Dehydrated Human Amnion/Chorion Membrane (dHCAM) in promoting the healing of pressure ulcers. While both products are used in wound management, direct comparative studies evaluating their efficacy in treating pressure ulcers are limited.

Conditions
Pressure Sore
Being tested
Type-I Collagen-based Skin Substitute and SOC, Human Amnion/Chorion Membrane and SOC
Keywords
Pressure Sore, High Purity Type I Collagen, Helicoll, Biological Skin Substitute, Dehydrated Human Amnion/Chorion Membrane
Medical subject headings
Pressure Ulcer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Type-I Collagen-based Skin Substitute and SOCDevice

    The SOC in this study is wound care covering with High Purity Type-I Collagen-based Skin Substitute applied weekly or as needed followed by a padded 3-layer dressing comprised of first layer - non-adherent and porous, second layer - absorbent 4x4 gauze pads \& third layer - soft roll and compressive wrap

  • Human Amnion/Chorion Membrane and SOCDevice

    The SOC in this study is wound care covering with Dehydrated Human Amnion/Chorion Membrane followed by a padded 3-layer dressing comprised of first layer - non-adherent and porous, second layer - absorbent 4x4 gauze pads \& third layer - soft roll and compressive wrap

Study groups in NCT06853210
Study groupRoleWhat they receive
High Purity Type-I Collagen-based Skin SubstituteActive comparatorThe SOC in this study is wound care covering with High Purity Type-I Collagen-based Skin Substitute applied weekly or as needed followed by a padded 3-layer dressing
Receives: Device: Type-I Collagen-based Skin Substitute and SOC
Dehydrated Human Amnion/Chorion MembraneActive comparatorThe SOC in this study is wound care covering with Dehydrated Human Amnion/Chorion Membrane followed by a padded 3-layer dressing
Receives: Device: Human Amnion/Chorion Membrane and SOC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change in Wound Area

    Percent Change in Wound Area from week 1 through week 7 measured manually with digital photography

    Measured: 7 weeks

  2. Histopathological Parameters - Vascular Infiltration

    A 2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia. Serial sections of 4μm thickness were prepared and stained with Hematoxylin and Eosin (H\&E) for general morphology.

    Vascular Infiltration: Assessed by counting new blood vessels per High Power Field (hpf) (0-3 scale) 0: Minimal vascular ingrowth (<5 vessels/hpf)

    1. Mild infiltration (5-10 vessels/hpf)
    2. Moderate infiltration (11-20 vessels/hpf)
    3. Abundant infiltration (>20 vessels/hpf) (0-worse; 3-better)

    Measured: Baseline (Day 0), Day 5

  3. Histopathological Parameters - Neo-epithelialization

    A 2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia. Serial sections of 4μm thickness were prepared and stained with: Hematoxylin and Eosin (H\&E) for general morphology. Neo-epithelialization: Measured as epithelial migration distance from wound edge (0-3 scale) 0: No epithelial migration

    1. Minimal migration (<25% wound coverage)
    2. Moderate migration (25-75% coverage)
    3. Extensive migration (>75% coverage) (0-worse; 3-better)

    Measured: Baseline (Day 0), Day 5

  4. Histopathological Parameters - Fibroblast Activity

    A 2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia. Serial sections of 4μm thickness were prepared and stained with: α-SMA immunohistochemistry for fibroblast activity. Fibroblast Activity: Quantified by counting α-SMA positive fibroblasts per HPF and assessment of fibroblast morphology (0-3 scale) 0: Sparse, inactive fibroblasts

    1. Moderate cellularity, minimal matrix production
    2. High cellularity, active-matrix synthesis
    3. Very high activity with extensive matrix deposition (0-worse; 3-better)

    Measured: Baseline (Day 0), Day 5

  5. Histopathological Parameters - Inflammatory Response

    2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia.

    Serial sections of 4μm thickness were prepared and stained with: Hematoxylin and Eosin (H\&E) for general morphology Inflammatory Response: Graded semi-quantitatively (0-3 scale) 0: Minimal inflammatory infiltrate

    1. Mild chronic inflammation
    2. Moderate mixed inflammation
    3. Severe acute inflammation (0-better; 3-worse)

    Measured: Baseline (Day 0), Day 5

  6. Histopathological Parameters - Capillary Density

    A 2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia.

    Serial sections of 4μm thickness were prepared and stained with: CD31 immunohistochemistry for capillary density evaluation Capillary Density: Evaluated using CD31 staining, counted as vessels per mm² of tissue

    More the vessels per square centimeters better

    Measured: Baseline (Day 0), Day 5

  7. Histopathological Parameters - Collagen Deposition

    A 2mm punch biopsy was obtained from the wound edge extending into the wound bed under local anaesthesia. Serial sections of 4μm thickness were prepared and stained with: Masson's Trichrome for collagen assessment Collagen Deposition: Assessed using Masson's Trichrome staining (0-3 scale) 0: Minimal collagen matrix

    1. Loose, immature collagen
    2. Moderate organized collagen
    3. Dense, mature collagen architecture (0-worse; 3-better)

    Measured: Baseline (Day 0), Day 5

Secondary outcomes (5)
  1. Complete Wound Closure Rates

    Percentage of subjects to obtain complete closure, defined as 100% epithelialization with no drainage, of the target ulcer was determined by the proportion of subjects that obtain complete closure over the 6-week treatment period and additional 1 week follow up

    Measured: 7 weeks

  2. Wound Size Progression Over Time

    Mean wound sizes at each time point for both treatment groups assessing change in wound size throughout the study period. Assessed from baseline, through day 5, 14th day, 21 st day, 28th, 35th and 42nd days of HPTC or dHACM application

    Measured: 6 weeks

  3. Mean Number of Repeated Application

    Mean number of reapplications of the HPTC \& dHACM used to obtain wound closure over 6 Weeks

    Measured: 6 weeks

  4. Adverse Events

    Adverse events (e.g., infection, allergic reactions)

    Measured: 6 weeks

  5. Patient Treatment Satisfaction

    Patient treatment satisfaction will be assessed by using a validated 5-point Likert scale questionnaire administered at 7 weeks post-treatment initiation. The questionnaire evaluated overall treatment satisfaction, comfort during application, perceived effectiveness, and willingness to recommend the treatment to others, measured with score range from 1 to 5, wherein 1="Extremally Unsatisfied" to 5="Extremally Satisfied"

    Measured: 7 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Feb 2025
  2. Study start1 Mar 2025
  3. Primary completion10 Jul 2025
  4. Study completion25 Jul 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06853210
Sponsor's protocol ID
AIMS/IEC/012/2025
Status last verified
Aug 2025
First submitted
25 Feb 2025
Last updated
29 Aug 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Bergstrom N, Horn SD, Rapp MP, Stern A, Barrett R, Watkiss M. Turning for Ulcer ReductioN: a multisite randomized clinical trial in nursing homes. J Am Geriatr Soc. 2013 Oct;61(10):1705-13. doi: 10.1111/jgs.12440. Epub 2013 Sep 19.

    PubMed 24050454
  • Vecin NM, Kirsner RS. Skin substitutes as treatment for chronic wounds: current and future directions. Front Med (Lausanne). 2023 Aug 29;10:1154567. doi: 10.3389/fmed.2023.1154567. eCollection 2023.

    PubMed 37711741
  • Berhane CC, Brantley K, Williams S, Sutton E, Kappy C. An evaluation of dehydrated human amnion/chorion membrane allografts for pressure ulcer treatment: a case series. J Wound Care. 2019 May 1;28(Sup5):S4-S10. doi: 10.12968/jowc.2019.28.Sup5.S4.

    PubMed 31067170
  • Narayan N, Gowda S, Shivannaiah C. A Randomized Controlled Clinical Trial Comparing the Use of High Purity Type-I Collagen-Based Skin Substitute vs. Dehydrated Human Amnion/Chorion Membrane in the Treatment of Diabetic Foot Ulcers. Cureus. 2024 Dec 5;16(12):e75182. doi: 10.7759/cureus.75182. eCollection 2024 Dec.

    PubMed 39649230

Questions about this trial

What is this clinical trial studying?

A study testing Type-I Collagen-based Skin Substitute and SOC and Human Amnion/Chorion Membrane and SOC in people with Pressure Sore, run by Adichunchanagiri Institute of Medical Sciences, B G Nagara at 1 site in India.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change in Wound Area (time frame: 7 weeks). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06853210, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2025.

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