Path Active™ for Foot Ulcer

Not yet recruiting at 2 trial locations
ML
FJ
Overseen ByFrancisco Javier Álvaro-Afonso, Professor, PhD
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Universidad Complutense de Madrid
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a digital health tool called Path Active™, which includes smart insoles and an app, to help people with diabetes monitor their risk of developing foot ulcers. The goal is to simplify foot health management at home and reduce doctor visits. The trial will compare two groups: one will receive alerts about their ulcer risk, while the other will not, though both groups will have access to features like pressure and temperature monitoring. The trial seeks participants with diabetes who have had a foot ulcer before, can walk at least 100 meters without aids, and own a smartphone. As an unphased trial, this study offers a unique opportunity for patients to contribute to innovative research that could enhance diabetes care.

What prior data suggests that this digital health tool is safe for monitoring diabetic foot ulcer risk?

Research has shown that Path Active™, a digital health tool for monitoring the risk of foot ulcers, is generally easy for users to handle. Although past studies have not provided specific information about negative effects, the tool is non-invasive. This means it doesn't enter the body or use medications, which typically reduces the chance of side effects.

Since the trial remains in an early phase and is not yet testing for widespread use, safety information might be limited. However, similar digital health tools have been used widely without major safety issues. It's important to note that this tool is designed to help prevent foot ulcers by assessing risk, not to treat existing ulcers with drugs or surgery.

In summary, while detailed safety data for Path Active™ might not be available, its non-invasive design suggests it is likely easy for users to tolerate.12345

Why are researchers excited about this trial?

Most treatments for diabetic foot ulcers focus on healing existing wounds, using methods like specialized dressings, pressure relief, or antibiotics. But Path Active™ is different because it proactively alerts users to the risk of developing plantar diabetic foot ulcers before they occur. This innovative approach integrates real-time notifications based on foot pressure and temperature monitoring, which can help prevent ulcers from forming in the first place. Researchers are excited about this because it shifts the focus from treatment to prevention, potentially reducing the incidence and severity of foot ulcers in diabetic patients.

What evidence suggests that Path Active™ is effective for preventing diabetic foot ulcers?

Research has shown that Path Active™, a digital health tool with smart insoles, may help reduce diabetic foot ulcers (DFUs). In one study, patients using similar smart technology experienced an 86% drop in ulcer cases with regular use. This trial will compare two approaches: one group will use Path Active™ with ulcer-risk alerts enabled, while the control group will use Path Active™ with all ulcer-risk alerts disabled. Another study found that 56% of patients receiving active treatment healed completely within 12 months, compared to only 27% in the control group. These results suggest that Path Active™ could effectively monitor and lower the risk of DFUs by providing timely alerts and information to users.678910

Who Is on the Research Team?

LP

Lise Pape

Principal Investigator

Walk With Path

Are You a Good Fit for This Trial?

This trial is for people with diabetes who are at risk of developing foot ulcers or have had them before. Participants should be able to use a smart insole system and app, and live in Canada, Denmark, or Spain. Specific inclusion/exclusion criteria are not detailed.

Inclusion Criteria

I have been diagnosed with diabetes.
I have nerve damage in my feet or hands due to diabetes.
I am 18 years old or older.
See 3 more

Exclusion Criteria

I currently have an active diabetic foot ulcer.
Use of non-compressible orthopedic devices that prevent the use or fitting of the Path Active™ device
Ankle-Brachial Index (ABI) less than 0.5 or greater than 1.4 in the presence of non-compressible arteries
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation Research

Mapping PA implementation in diverse care settings, identifying local barriers to PA's adoption and necessary changes to promote PA integration into community care.

6 months

Service and ICT Research

End user-testing to facilitate iterative design improvements, ensuring PA is culturally appropriate.

6 months

Health Economics and Policy Research

Investigate international policy impact on the health economics surrounding PA and inform PA's market plan for different health systems.

6 months

Pilots

Gather evidence on PA's effectiveness in preventing DFUs and investigate/tackle any potential efficacy differences between cultures.

18 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Path Active™

Trial Overview

The study tests Path Active™, a smart insole paired with an app that monitors foot health to help prevent diabetic foot ulcers. Over 18 months, more than 100 participants will try the device as part of their regular care across three countries.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Intervention: Path Active™ with ulcer-risk alerts enabledExperimental Treatment1 Intervention
Group II: Control: Path Active™ with all ulcer-risk alerts completely disabledActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Universidad Complutense de Madrid

Lead Sponsor

Trials
202
Recruited
23,200+

Francisco Javier Álvaro Afonso

Collaborator

Trials
2
Recruited
110+

Citations

Path Active Multicentre Randomised Controlled Trial ...

Path Active™ comprises a pair of monitoring insoles which measure parameters associated with foot ulceration in diabetes: temperature and pressure.

On diabetic foot ulcer knowledge gaps, innovation, evaluation ...

More specifically, DFU reaching 60 % wound surface area reduction by 4-weeks with standard care therapy demonstrate a 77 % probability of healing by 16-weeks.

Smart Technology for Remote Intervention in Diabetic Foot ...

Providing notifications based on the risk of developing plantar diabetic foot ulcers. Intervention: Path Active™, a smart insole system designed ...

New Evidence-Based Therapies for Complex Diabetic Foot ...

56% of active-treatment patients achieved 100% healing at 12 months vs. 27% in the sham arm (P = 0.013).

DermGEN™ for Diabetic Foot Ulcers · Info for Participants

In patients who complied well with the system, the reduction in ulcer incidence was even greater at 86%, highlighting the potential of continuous plantar ...

DERMALIX Efficacy on Diabetic Foot Ulcers | Clinical Trial

No osteomyelitis and gangrene in the foot; •HbA1c values ≤ % 7.5; •Not active smoker; •No planned treatment of hyperbaric oxygen; •Patients who ...

FDA's newest draft guidance lays out considerations for ...

For safety, the FDA recommends gathering data from at least 500 participants, though some of the safety data could also be drawn from clinical ...

Diabetic Foot Ulcers Pipeline Drug Insights Report 2026

The Diabetic Foot Ulcers pipeline report provides detailed information of the Diabetic Foot Ulcers pipeline products from the initial phase of product ...

Pathways Diabetic Foot Ulcer - Coloplast Professional

Risks, experience, and results may vary based on clinical practice and judgment. relevant safety information. Diabetic Foot Ulcer. PDF 2.341 KB 16 pages. Risks ...

Pathways Diabetic Foot Ulcer - Coloplast Professional

A pathway for treating a person with a diabetic foot ulcer. ... Refer to product 'Instructions for Use' for intended use and relevant safety information.