Randomized clinical trial comparing OASIS Wound Matrix to Regranex Gel for diabetic ulcers

Adv Skin Wound Care. 2005 Jun;18(5 Pt 1):258-66. doi: 10.1097/00129334-200506000-00012.

Abstract

Objective: To compare healing rates at 12 weeks for full-thickness diabetic foot ulcers treated with OASIS Wound Matrix, an acellular wound care product, versus Regranex Gel.

Design: Randomized, prospective, controlled multicenter trial at 9 outpatient wound care clinics.

Subjects: A total of 73 patients with at least 1 diabetic foot ulcer were entered into the trial and completed the protocol.

Intervention: Patients were randomized to receive either OASIS Wound Matrix (n = 37) or Regranex Gel (n = 36) and a secondary dressing. Wounds were cleansed and debrided, if needed, at a weekly clinic visit. Dressings were changed as needed. The maximum treatment period for each patient was 12 weeks.

Primary outcome measure: Incidence of healing in each group at 12 weeks.

Results: After 12 weeks of treatment, 18 (49%) OASIS-treated patients had complete wound closure compared with 10 (28%) Regranex-treated patients.

Conclusion: Although the sample size was not large enough to demonstrate that the incidence of healing in the OASIS group was statistically superior (P = .055), the study results showed that treatment with OASIS is as effective as Regranex in healing full-thickness diabetic foot ulcers by 12 weeks.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Cutaneous
  • Adult
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Becaplermin
  • Biocompatible Materials / therapeutic use*
  • Diabetic Foot / drug therapy*
  • Diabetic Foot / prevention & control
  • Extracellular Matrix*
  • Female
  • Follow-Up Studies
  • Gels
  • Humans
  • Male
  • Middle Aged
  • Platelet-Derived Growth Factor / therapeutic use*
  • Prospective Studies
  • Proto-Oncogene Proteins c-sis
  • Time Factors
  • Treatment Outcome
  • Wound Healing / drug effects*

Substances

  • Biocompatible Materials
  • Gels
  • Platelet-Derived Growth Factor
  • Proto-Oncogene Proteins c-sis
  • Becaplermin