{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:52:49Z","timestamp":1784206369369,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:00:00Z","timestamp":1646956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Centaur Pharmaceuticals Ltd"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>\n                    Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients\u2019 quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of &lt;250\u2005mg\/dL, with \u2264 than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized 1:1 to DPOCL (139) and ISCL (150) treatment (10-weeks [8-Visits]). Percentage of patients with complete wound closure at visit-8, were significantly higher ( P\u2009=\u2009.0156) in DPOCL arm (76% [105\/139]) compared to ISCL (62% [93\/150]) arm. At end-of-study, mean wound surface area in DPOCL arm (0.639\u2005cm\n                    <jats:sup>2<\/jats:sup>\n                    ) was significantly lower ( P\u2009=\u2009.0209) compared to ISCL (0.818\u2005cm\n                    <jats:sup>2<\/jats:sup>\n                    ) arm. One death was reported in control arm which was not considered as treatment-related. No important safety finding were observed. Results indicate that, DPOCL can be considered as effective and safe treatment option for DFU compared to ISCL, although future confirmatory studies are warranted.\n                  <\/jats:p>","DOI":"10.1177\/15347346221076625","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T09:26:08Z","timestamp":1646990768000},"page":"551-559","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer: Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study"],"prefix":"10.1177","volume":"23","author":[{"given":"Arun","family":"Bal","sequence":"first","affiliation":[{"name":"Dhanvantari Hospital, Dadar, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir Kumar","family":"Jain","sequence":"additional","affiliation":[{"name":"Sunvalley Hospital, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Jagannath","sequence":"additional","affiliation":[{"name":"Sri Siddhartha Medical College, Tumkur, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kailash Chandra","family":"Mohapatra","sequence":"additional","affiliation":[{"name":"Reeta Clinic and Nursing home, Cuttack, Orissa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpa","family":"Rao","sequence":"additional","affiliation":[{"name":"Seth. G. S. Medical College and K.E.M. Hospital, Parel, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeta","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Belgaum Diabetes Center, Belgaum, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renuka","family":"Munshi","sequence":"additional","affiliation":[{"name":"T. N. M. C. and B. Y. L. Nair Ch. Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeshkumar","family":"Mahey","sequence":"additional","affiliation":[{"name":"T. N. M. C. and B. Y. L. Nair Ch. 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