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PRS Global Open · 2016

Aseptically Processed Placental Membrane Improves Healing of Diabetic Foot Ulcerations: Prospective, Randomized Clinical Trial

DiDomenico, L.A., Orgill, D.P., Galiano, R.D., Serena, T.E., Carter, M.J., Kaufman, J.P., Young, N.J., & Zelen, C.M.

Plastic and Reconstructive Surgery Global Open (PRS GO)

In brief

In this randomized controlled trial at 5 US outpatient wound centers (NCT02399826), 40 patients with non-healing diabetic foot ulcers received standard care alone or standard care plus a weekly aseptically processed dehydrated human amnion and chorion allograft for up to 12 weeks. At the 6-week primary endpoint, 70% (14/20) of allograft-treated ulcers had healed compared with 15% (3/20) with standard care alone, a statistically significant difference (P = 0.001); at 12 weeks, 85% and 25% had healed (this comparison was not statistically tested), but eight standard care patients and one allograft patient had been withdrawn at 6 weeks for less than 50% area reduction, which the authors note caused high right censoring at 12 weeks. No adverse events were judged graft related; patients and investigators were not blinded, and the trial was funded by the Musculoskeletal Transplant Foundation, which supplied the grafts.

Co-authored by Dr. Thomas Serena, SerenaGroup's founder.

Plain-language summary by SerenaGroup. See the full text for complete methods and results.

No abstract is published for this item. Use the full text link for the complete document.