Cette étude se concentre sur l'examen d'une nouvelle méthode de traitement des ulcères du pied diabétique à l'aide d'un produit appelé NeoThelium FT, qui est un type de greffe de peau fabriquée à partir d'amnios. Les ulcères du pied diabétique sont une complication courante et grave pour les personnes atteintes de diabète, entraînant souvent des infections et, dans les cas graves, des amputations. L'objectif est de déterminer l'efficacité et la sécurité de NeoThelium FT lorsqu'il est utilisé en association avec les soins standards (SOC) pour la cicatrisation de ces ulcères. L'étude est significative car elle peut fournir une option de traitement plus efficace, améliorant potentiellement les résultats de la cicatrisation et influençant les décisions de couverture d'assurance. Les participants à cette étude recevront des applications hebdomadaires de NeoThelium FT en plus de leur traitement régulier. Il s'agit d'une étude en ouvert, ce qui signifie que l'équipe médicale et les participants connaissent le traitement administré. Les chercheurs observeront et enregistreront la progression de la cicatrisation des ulcères au fil du temps pour évaluer l'efficacité du traitement. Étant donné que l'étude est menée après la commercialisation du produit, elle contribuera également à fournir des données précieuses pour soutenir le remboursement d'assurance pour ce traitement, aidant à le rendre plus accessible s'il s'avère efficace.
Inclusion Criteria: 1. Male or Female, 18 years of age or older 2. Subject has a medical diagnosis of Type I or Type II Diabetes Mellitus requiring oral or glycemic control and/or insulin replacement therapy with a diabetic foot ulcer 3. Subject has a diabetic foot ulcer of Wagner grade 1, 2, or 3 without infection or clinically visible exposed bone. Wagner 3 is acceptable if the diagnosis is acute osteomyelitis and the subject has successfully completed IV antibiotic treatment prior to screening. 4. Ulcer area is a minimum of 0.5 cm2 and a maximum of 25 cm2 at first treatment visit 5. Subject is able and willing to follow the protocol requirements 6. Subject had signed informed consent 7. Adequate circulation if wound is location on the lower extremity demonstrated by an ABI of \>0.7 and \<1.3, or TBI of \>0.6 within 30 days prior to informed consent OR an arterial ultrasound noted with patent circulation and without significant stenosis 90 days prior to the first treatment visit. 8. Diabetic foot ulcer is being treated with TCC offloading therapy OR Fixed Ankle Walker if approved by Medical Monitor for 7 days prior to treatment visit 1 9. Wound free of clinical infection (no purulent discharge, cellulitis, or osteomyelitis) post-debridement. 10. Record of serum hemoglobin A1c within 90 days prior to the first treatment visit Exclusion Criteria: 1. Subject is unable to comply with protocol treatment 2. Target ulcer is a Wagner 3 of acute osteomyelitis that has not been successfully treated with 6 weeks of IV antibiotics or is diagnosed as chronic refractory osteomyelitis. 3. Wagner 3, 4, or 5 involving tendon, bone, or joint. 4. Presence of systemic infection, sepsis, or osteomyelitis at screening. 5. Multiple DFUs on the same foot with \< 2 cm separation from the target ulcer. 6. Subject has major uncontrolled medical disorders in the opinion of the investigator, such as serious cardiovascular, renal, liver, pulmonary, autoimmune, palliative care, or inherited blood disorders that may affect wound healing. 7. Subject actively being treated for malignant disease or history of malignancy or radiation therapy at the site of wound. 8. Subject has comorbid conditions that may compromise subject safety in the opinion of the investigator 9. Known contraindications or hypersensitivity to amniotic membrane products or components of NeoThelium FT. 10. Concurrent participation in alternative clinical trial that involves investigational drug or HCT/P interfering with wound treatment and/or healing. 11. Subject is pregnant or breastfeeding 12. Subject with history of immunosuppressant treatment (systemic corticosteroids \>10mg daily dose), cytotoxic chemotherapy, or topical steroid application to the ulcer surface for \>2 weeks duration within 30 days prior to the first treatment visit; or anticipated use of the above during the course of the study 13. Wound previously treated with CAMPs, tissue engineered, or scaffold materials within 30 days prior to enrollment 14. Index ulcer suspicious of neoplasm in the opinion of the principal investigator
est désigné dans cette étude