216 Participants Needed

EscharEx for Venous Leg Ulcer

(VALUE Trial)

Recruiting at 4 trial locations
KD
YK
Overseen ByYael Katz-levy, Ph.D.
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called EscharEx, a topical gel, to determine if it can clean and prepare venous leg ulcers (long-lasting leg wounds due to poor blood flow) more effectively than a placebo. Researchers aim to assess whether EscharEx is both safe and more effective at removing dead tissue from these wounds. Individuals with a venous leg ulcer lasting between 4 weeks and 1 year, with at least half of the wound covered by dead tissue, may be suitable candidates for this trial. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment.

Will I have to stop taking my current medications?

The trial protocol does not specify if you need to stop taking your current medications. However, if you are taking medications that affect wound healing, like steroids or immunosuppressive drugs, you may need to stop them before joining the trial.

Is there any evidence suggesting that EscharEx is likely to be safe for humans?

Research has shown that EscharEx is as safe as other treatments like SANTYL. In previous studies, patients experienced good initial results using EscharEx for wound care. No major safety concerns arose, and the side effects were similar to those of other treatments. This indicates that patients generally tolerated EscharEx well. As this trial is in a later phase, extensive safety information is already available.12345

Why do researchers think this study treatment might be promising?

EscharEx is unique because it uses bromelain, a proteolytic enzyme derived from pineapple stems, as its active ingredient. Unlike standard treatments for venous leg ulcers, which often involve debridement through mechanical or surgical methods, EscharEx works enzymatically to break down dead tissue. This could potentially make the healing process faster and less painful. Researchers are excited about EscharEx because it offers a new approach that might enhance healing while minimizing discomfort for patients.

What evidence suggests that EscharEx might be an effective treatment for Venous Leg Ulcers?

Research shows that EscharEx, which participants in this trial may receive, holds promise for treating venous leg ulcers. Studies have found that EscharEx can quickly and effectively remove dead tissue from wounds, a process called debridement. Proper wound preparation is crucial for better healing and closure. Data from earlier trials indicated that EscharEx outperformed other treatments, suggesting it could significantly improve outcomes for patients with these ulcers. The treatment uses bromelain, an enzyme that breaks down dead tissue, potentially reducing pain and the risk of infection.26789

Are You a Good Fit for This Trial?

This trial is for men and women over 18 with a Venous Leg Ulcer (VLU) that's been present for 4 weeks to 1 year. The ulcer must be between 2-25 cm², with at least half covered in non-viable tissue. Participants need an ultrasound showing venous insufficiency and must understand and agree to the study procedures.

Inclusion Criteria

My wound has been present for 4 weeks to 1 year.
My wound size is between 2 and 25 cm2.
I understand the study procedures and agree to follow them.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week
2 visits (in-person, 7 days apart)

Debridement

Participants receive daily debridement treatment with investigational medicinal product (IMP)

2 weeks
Up to 8 daily site visits

Wound Management

Weekly visits for wound management and optional wound closure confirmation

10 weeks
Up to 11 visits (in-person)

Wound Closure Durability

Monthly visits to assess wound closure durability for wounds closed during the weekly visits period

12 weeks
3 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • EscharEx
Trial Overview The trial tests EscharEx (EX-03), a topical treatment aimed at removing dead tissue from VLUs, against a placebo gel. It aims to see if EscharEx is more effective and safe in preparing the wound bed for healing compared to the placebo.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: EscharEx (EX-03)Active Control1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

MediWound Ltd

Lead Sponsor

Trials
14
Recruited
1,300+

Citations

A Double Blind Study Performed to Evaluate the Efficacy ...The main objective of this study is: To assess the efficacy and safety of EscharEx (EX-03 5% formulation) compared to placebo control,in debridement and wound ...
MediWound Announces New EscharEx® Phase II Data ...MediWound Announces New EscharEx® Phase II Data Demonstrating Strong Link Between Wound Bed Preparation and Wound Closure in Venous Leg Ulcers.
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39763591/
Once daily Bromelain-based enzymatic debridement of ...Previous studies have shown positive initial results with EscharEx® (EX-02 formulation), a Bromelain-based enzymatic debridement agent in ...
MediWound begins Phase III trial for venous leg ulcers ...“EscharEx has already demonstrated its ability to effectively and rapidly debride chronic wounds in multiple Phase II trials, surpassing the ...
Escharex's Pivotal Trial for Venous Leg UlcersEscharEx's potential to improve debridement and wound closure could significantly impact patient outcomes, reducing pain, infection risk, and ...
MediWound Announces Publication of Phase II EscharEx ...Post hoc analysis published in the peer-reviewed journal Wounds highlights EscharEx®'s superior clinical performance and comparable safety profile to SANTYL®.
Once daily Bromelain-based enzymatic debridement of ...Previous studies have shown positive initial results with EscharEx® (EX-02 formulation), a Bromelain-based enzymatic debridement agent in development for ...
Phase III Trial Targets Venous Leg UlcersThe randomized, double-blind, placebo-controlled trial will assess the efficacy and safety of EscharEx in enzymatic debridement of chronic ...
MediWound's New Study on EscharEx: A Potential Game ...... safety and efficacy of EscharEx (EX-03 Formulation) in patients with venous leg ulcers. The study aims to compare EscharEx against a placebo ...
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