A Randomized,Double-blind,Placebo-controlled Clinical Study to Explore the Mechanism of Action of ON101 Cream in Patients With DFUs.
Condition: Diabetic Foot Ulcers
MeSH terms: Diabetic Foot; Foot Ulcer
Study type: Interventional

Summary: 
      The primary objective is to explore the mechanistic role of ON101 cream in healing diabetic
      foot ulcers by determining the molecular targets of ON101 cream.

      Primary endpoint:

      Percentage change from baseline in the expression level of individual target gene(s) at
      protein and/or mRNA level.

      Secondary endpoints:

        1. Comparison of the gene and/or protein expression level of individual target between
           ON101 and Placebo groups

        2. Change from baseline in the wound microbiota composition in each group

        3. Comparison of the wound microbiota composition between ON101 and Placebo groups

        4. Comparison of the wound reduction rate in each group

        5. Correlation of wound reduction rate with the alternated level of each target gene in
           each group.

      Safety endpoints:

      Incidence of treatment-emergent adverse event (AE) Change from baseline in vital signs,
      physical examination, and laboratory tests
    

Detailed description: 
      This is a multicenter, randomized, double-blind, placebo-controlled study to explore the
      mechanism of action (MOA) of ON101 in treating chronic diabetic foot ulcers (DFUs). There
      will be 6 subjects ON101 treatment (Arm A) and 6 subjects in Placebo (Arm B) .

      Twelve(12) eligible subjects with DFUs and are not undergoing dialysis will be enrolled and
      randomly assigned to receive either ON101 treatment (Arm A) or Placebo (Arm B) for six weeks.
      Treatment arm allocation will be done through randomization in a double-blind fashion. SoC
      will be provided throughout the study period.Subjects with DFUs not undergoing dialysis, N =
      12 Arm A: ON101 plus SoC, N = 6 Arm B: Placebo plus SoC, N =6 SoC will be provided throughout
      the study period (from screening to end of treatment). SoC includes evaluation to ensure
      adequate arterial flow, wound cleaning, removal of necrotic, infected and/or nonviable tissue
      by debridement, maintenance of moist wound environment via regular changing of dressings, and
      management of infection through oral antibiotics, if necessary.

      The study will have three periods, a Screening/Run-in Period, a Treatment Period, and a
      Safety Follow-up Period.

      Screening/Run-in Period (14 days):

      Treatment Period (up to 6 weeks ± allow window):

      There will be five (5) visits during the Treatment Period. Baseline/V1 (Day 1 ± 3 days) Visit
      2 to Visit 5/EOT (Day 14 to Day 42/EOT) Safety Follow-up Period (Day 49±1 or Day of EOT + 6-8
      days)
    

Intervention name(s): ON101 Cream; Placebo
Intervention type(s): Drug; Other
Intervention description(s): Active ingredients: Extracts of Plectranthus amboinicus and Centella Asiatica; Placebo
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A randomized, double-blind, placebo-controlled clinical study to explore the mechanism of action (MOA) of ON101 cream in patients with diabetic foot ulcers (DFUs).The primary objective is to explore the mechanistic role of ON101 cream in healing diabetic foot ulcers by determining the molecular targets of ON101 cream.
Masking: Double (Participant, Investigator)
Primary purpose: Other