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完整鱼皮移植与常规治疗对伴有神经缺血性糖尿病足溃疡患者的疗效比较(KereFish 研究):一项国际性、多中心、双盲、随机、对照临床试验的研究设计和原理。

Intact Fish Skin Graft vs. Standard of Care in Patients with Neuroischaemic Diabetic Foot Ulcers (KereFish Study): An International, Multicentre, Double-Blind, Randomised, Controlled Trial Study Design and Rationale.

机构信息

Diabetic Foot Unit, Centre Hospitalier sud Francilien Corbeil Essonnes, 91100 Corbeil-Essonnes, France.

LBEPS, IRBA, Université Evry Paris Saclay, 91025 Evry, France.

出版信息

Medicina (Kaunas). 2022 Dec 1;58(12):1775. doi: 10.3390/medicina58121775.

DOI:10.3390/medicina58121775
PMID:36556977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9786154/
Abstract

BACKGROUND

Cell and/or tissue-based wound care products have slowly advanced in the treatment of non-healing ulcers, however, few studies have evaluated the effectiveness of these devices in the management of severe diabetic foot ulcers.

METHOD

This study (KereFish) is part of a multi-national, multi-centre, randomised, controlled clinical investigation (Odin) with patients suffering from deep diabetic wounds, allowing peripheral artery disease as evaluated by an ankle brachial index equal or higher than 0.6. The study has parallel treatment groups: Group 1 treatment with Kerecis Omega3 Wound™ versus Group 2 treatment with standard of care. The primary objective is to test the hypothesis that a larger number of severe diabetic ulcers and amputation wounds, including those with moderate arterial disease, will heal in 16 weeks when treated with Kerecis Omega3 Wound™ than with standard of care.

CONCLUSION

This study has received the ethics committee approval of each participating country. Inclusion of participants began in March 2020 and ended in July 2022. The first results will be presented in March 2023. The study is registered in ClinicalTrials.gov as Identifier: NCT04537520.

摘要

背景

基于细胞和/或组织的伤口护理产品在治疗难愈性溃疡方面已经取得了缓慢的进展,然而,很少有研究评估这些设备在管理严重糖尿病足溃疡方面的有效性。

方法

本研究(KereFish)是一项多中心、随机、对照临床试验(Odin)的一部分,纳入患有深部糖尿病伤口的患者,允许存在外周动脉疾病,踝肱指数评估值等于或高于 0.6。该研究设有平行的治疗组:第 1 组使用 Kerecis Omega3 Wound™治疗,第 2 组使用标准护理治疗。主要目的是检验以下假设:与标准护理相比,使用 Kerecis Omega3 Wound™治疗将有更多数量的严重糖尿病溃疡和截肢伤口(包括那些有中度动脉疾病的伤口)在 16 周内愈合。

结论

本研究已获得每个参与国家的伦理委员会批准。参与者的纳入始于 2020 年 3 月,于 2022 年 7 月结束。第一批结果将于 2023 年 3 月公布。该研究在 ClinicalTrials.gov 注册,标识符为 NCT04537520。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e8d/9786154/bc1fc15091b0/medicina-58-01775-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e8d/9786154/bc1fc15091b0/medicina-58-01775-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e8d/9786154/bc1fc15091b0/medicina-58-01775-g001.jpg

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本文引用的文献

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Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update).《糖尿病足病预防与管理实用指南(IWGDF 2019 更新版)》
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3266. doi: 10.1002/dmrr.3266.
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The marine Omega3 wound matrix for treatment of complicated wounds: A multicenter experience report.用于治疗复杂伤口的海洋欧米伽3伤口基质:多中心经验报告。
Gefasschirurgie. 2018;23(Suppl 2):46-55. doi: 10.1007/s00772-018-0428-2. Epub 2018 Aug 1.
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Global Economic Burden of Diabetes in Adults: Projections From 2015 to 2030.
全球成年人糖尿病经济负担:2015 年至 2030 年预测。
Diabetes Care. 2018 May;41(5):963-970. doi: 10.2337/dc17-1962. Epub 2018 Feb 23.
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Sucrose octasulfate dressing versus control dressing in patients with neuroischaemic diabetic foot ulcers (Explorer): an international, multicentre, double-blind, randomised, controlled trial.蔗糖八硫酸酯敷料与对照敷料治疗神经缺血性糖尿病足溃疡(Explorer)的国际多中心双盲随机对照试验。
Lancet Diabetes Endocrinol. 2018 Mar;6(3):186-196. doi: 10.1016/S2213-8587(17)30438-2. Epub 2017 Dec 20.
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Diabetic Foot Ulcers and Their Recurrence.糖尿病足溃疡及其复发
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The Diabetic Foot: A Historical Overview and Gaps in Current Treatment.糖尿病足:历史概述及当前治疗中的差距
Adv Wound Care (New Rochelle). 2016 May 1;5(5):191-197. doi: 10.1089/wound.2013.0518.
7
Association of diabetic foot ulcer and death in a population-based cohort from the United Kingdom.英国一项基于人群的队列研究中糖尿病足溃疡与死亡的关联。
Diabet Med. 2016 Nov;33(11):1493-1498. doi: 10.1111/dme.13054. Epub 2016 Jan 10.
8
Dressings for treating foot ulcers in people with diabetes: an overview of systematic reviews.糖尿病患者足部溃疡治疗敷料:系统评价综述
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Changes in diabetes-related complications in the United States, 1990-2010.美国 1990-2010 年糖尿病相关并发症的变化。
N Engl J Med. 2014 Apr 17;370(16):1514-23. doi: 10.1056/NEJMoa1310799.
10
Trends in the quality of care for elderly people with type 2 diabetes: the need for improvements in safety and quality (the 2001 and 2007 ENTRED Surveys).老年人 2 型糖尿病治疗质量的趋势:需要提高安全性和质量(2001 年和 2007 年 ENTRED 调查)。
Diabetes Metab. 2011 Apr;37(2):152-61. doi: 10.1016/j.diabet.2011.02.001. Epub 2011 Mar 23.