Status:

RECRUITING

Efficacy and Safety of Cold Atmospheric Plasma Combined With Endovascular Intervention for Diabetic Foot Ulcers With Lower Extremity Arterial Occlusion

Lead Sponsor:

Shenyang Medical College

Collaborating Sponsors:

Ansteel Group General Hospital

Conditions:

Diabetic Foot Ulcers (DFU)

Lower Extremity Arterial Occlusion

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

The goal of this clinical trial is to evaluate whether cold atmospheric plasma (CAP) combined with endovascular intervention can accelerate wound healing and improve safety outcomes in patients aged 1...

Detailed Description

Diabetic foot ulcers (DFUs) complicated by lower extremity arterial occlusion are difficult to heal, even after successful endovascular revascularisation, due to persistent microcirculatory impairment...

Eligibility Criteria

Inclusion

  • 1)Age between 18 and 80 years; diagnosed with type 1 or type 2 diabetes mellitus; with HbA1c ≤10%;
  • 2)Presence of at least one chronic foot ulcer persisting for ≥3 weeks, with no signs of healing despite guideline-directed standard care; ulcer classified as Wagner-Armstrong grade 1D or 2D;
  • 3)Imaging-confirmed infrapopliteal arterial stenosis or occlusion, assessed by vascular ultrasound and/or computed tomography angiography (CTA); all patients must have undergone infrapopliteal balloon angioplasty, with successful target vessel revascularisation confirmed intraoperatively (≤30% residual stenosis);
  • 4)Signed written informed consent prior to study participation.

Exclusion

  • 1)Concurrent use of negative pressure wound therapy (NPWT) or maggot debridement therapy;
  • 2)Undergoing dialysis for end-stage renal disease;
  • 3)Use of topical antibiotics with known biological activity on the wound;
  • 4)Use of platelet-rich fibrin (PRF) for wound treatment;
  • 5)Women of childbearing potential without effective contraception, or currently breastfeeding;
  • 6)Presence of severe comorbidities involving other organ systems, with an estimated life expectancy of less than 6 months;
  • 7)Participation in another clinical trial within the past 3 months, or currently enrolled in another clinical study;
  • 8)Any condition deemed unsuitable for trial participation at the discretion of the investigators.

Key Trial Info

Start Date :

October 9 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 30 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT07198061

Start Date

October 9 2025

End Date

March 30 2026

Last Update

November 18 2025

Active Locations (1)

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1

Ansteel Group General Hospital

Anshan, Liaoning, China, 114003