Tenex Ultrasound Therapy for Diabetic Foot

Not yet recruiting at 2 trial locations
JD
CV
Overseen ByCarl Van Gils, DPM
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Tenex Health Inc.
Must be taking: Oral diabetes medications, Insulin

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial aims to determine if adding a special ultrasound treatment, called Tenex MicroTip, to usual care can heal diabetic foot ulcers more effectively than usual care alone. It targets individuals with Type 1 or Type 2 diabetes who have foot wounds that are not too deep. Participants will receive weekly treatments for up to 12 weeks, followed by monthly follow-ups for a year to monitor healing. This study suits those with a stable living environment who can attend regular appointments. As an unphased trial, it offers a unique opportunity to contribute to medical research and potentially experience innovative treatment benefits.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are on immunosuppressants or certain treatments for your ulcer, you may need to stop those.

What prior data suggests that the Tenex Ultrasound System is safe for treating diabetic foot ulcers?

Research has shown that the Tenex Ultrasound System is generally safe for treating diabetic foot ulcers. This system uses a tool called the TXB MicroTip, which makes a small cut to remove damaged tissue and aid healing. This method may help wounds heal faster and with fewer complications.

A review of several studies found that using ultrasound to treat wounds can improve healing in diabetic foot ulcers. The Tenex system uses sound waves to gently remove unhealthy tissue, potentially aiding better and quicker healing. This technique is designed to be safe and effective, aiming to reduce the chance of the wound returning.

Overall, patients generally tolerate the Tenex Ultrasound System well, with no widespread reports of serious side effects. However, like any procedure, there can be some risks, such as mild pain or discomfort at the treatment site. Patients should discuss any concerns with healthcare providers to determine if this treatment is suitable.12345

Why are researchers excited about this trial?

Unlike the standard of care for diabetic foot ulcers, which typically involves regular debridement and wound care, the Tenex Ultrasound System introduces an innovative approach by using ultrasound technology to target and remove damaged tissue precisely. This method is unique because it combines sharp debridement with a single percutaneous ultrasound-assisted debridement, aiming to enhance healing. Researchers are excited about this treatment because it could lead to faster and more effective wound closure, reducing the risk of complications and improving patient outcomes. The use of ultrasound might promote better healing through its precision and potential to stimulate tissue repair, setting it apart from traditional methods.

What evidence suggests that the Tenex Ultrasound System is effective for diabetic foot ulcers?

Research has shown that Tenex Ultrasound therapy, which participants in this trial may receive, might heal diabetic foot ulcers more effectively than standard care alone. Studies have found that the TXB MicroTip, a tool used in this therapy, helps remove dead tissue and speeds up healing. Patients using this treatment have seen their wounds close faster and remain healed without the ulcers returning. The therapy is minimally invasive, meaning it’s a simpler procedure that doesn’t require major surgery. Overall, early evidence suggests that adding this ultrasound treatment can improve healing for diabetic foot ulcers.12367

Who Is on the Research Team?

CV

Carl Van Gils, DPM

Principal Investigator

St. George Regional Hospital

Are You a Good Fit for This Trial?

Adults over 18 with Type I or II Diabetes and a diabetic foot ulcer graded Wagner 1-2 can join this trial. They must have good blood flow to the affected foot, be able to attend weekly treatments for up to 12 weeks, and follow-up monthly for a year. People with poorly controlled diabetes (HbA1c ≥12), on dialysis, infected ulcers, certain bone conditions, gangrene, or who've had recent prohibited treatments cannot participate.

Inclusion Criteria

I have a grade 1 or 2 wound on my foot below my ankle.
Any other wounds on my foot are at least 2 cm away from the main ulcer.
Properly obtained written informed consent
See 5 more

Exclusion Criteria

Any clinically significant finding, in the judgment of the investigator, that would place the subject at health risk, impact the study, or affect the completion of the study
My ulcer or limb has gangrene or unstable blood flow.
I haven't taken strong immune system medications for more than two weeks.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks
1 visit (in-person)

Treatment

Participants receive either SOC or SOC plus TXB MicroTip ultrasound therapy for diabetic foot ulcers

12 weeks
12 visits (weekly, in-person)

Follow-up

Participants are monitored monthly for durability of wound healing after treatment

12 months
12 visits (monthly, in-person)

Crossover Treatment (if applicable)

SOC patients who have not healed at 12 weeks may receive Tenex therapy for an additional 12 weeks

12 weeks
12 visits (weekly, in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Tenex Ultrasound System
Trial Overview The study is testing if adding Tenex TXB MicroTip ultrasound therapy to standard care improves healing of diabetic foot ulcers compared to standard care alone. Participants will receive either the combination treatment or just standard care and will be monitored for wound healing at the end of treatment (12 weeks) and over a following year.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: SOC plus TXB MicroTip UltrasoundExperimental Treatment1 Intervention
Group II: SOCPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Tenex Health Inc.

Lead Sponsor

Trials
1
Recruited
150+

Trice Medical

Industry Sponsor

Trials
1
Recruited
150+

Published Research Related to This Trial

In a study of 210 patients, those receiving MIST Therapy in addition to standard wound care had a significantly higher healing rate (53%) compared to those receiving only standard care (32%).
MIST Therapy also resulted in a faster healing rate, with a steeper regression slope (1.4) compared to the control group (0.22), indicating that this therapy enhances the effectiveness of standard wound care for chronic lower-extremity wounds.
Expedited wound healing with noncontact, low-frequency ultrasound therapy in chronic wounds: a retrospective analysis.Kavros, SJ., Liedl, DA., Boon, AJ., et al.[2008]

Citations

Tenex Ultrasound Therapy for Diabetic FootTrial Overview The study is testing if adding Tenex TXB MicroTip ultrasound therapy to standard care improves healing of diabetic foot ulcers compared to ...
New Diabetic Foot Ulcer ApplicationEnables fast wound healing, in just one treatment; Gives lasting results without recurrence. New Clinical Documentation: Subcutaneous Ultrasonic Needle ...
Prospective, Multicenter, RCT of the Tenex UltrasoundThis clinical trial is designed to compare two treatments for diabetic foot ulcers, specifically those classified as Wagner grade 1 or 2. The ...
4.tenexhealth.comtenexhealth.com/dfu/
DFUTX-Bone MicroTip is the minimally invasive alternative that uses ultrasonic technology to safely remove underlying bone and scar tissue.
Ultrasound Wound Debridement Devices Market Report, ...According to data published by Aurealis Therapeutics in April 2024, individuals with diabetes face a 19-34% lifetime risk of developing a diabetic foot ulcer ( ...
TENEX HEALTH TX® SYSTEM CLINICAL PUBLICATIONSRecent data supports the use of ultrasonic debridement in the treatment of diabetic foot ulcers. Purpose: The purpose was to investigate the antibacterial ...
a systematic review and meta-analysis of 11 randomized ...Research data suggests that ultrasound-assisted wound debridement (UAWD) can effectively promote the healing of diabetic foot ulcers (DFU).
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