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CASE STUDY

Supporting Blinded Wound Endpoint Capture with Clinion EDC Across 22 Trial Sites

Overview

Diabetic foot ulcer studies depend on consistent wound assessment over time. In this Phase III stem cell therapy study, the sponsor needed to track whether target ulcers achieved complete closure, whether that closure was sustained, and how ulcer size changed across a 24-week follow-up period.

The study evaluated peri-ulcer administration of the investigational product in patients with non-healing diabetic foot ulcers. It was designed as a randomized, double-blind, placebo-controlled, multicenter study across 22 centers in India, with efficacy focused on wound healing and safety assessed through adverse events, laboratory data, ECG parameters, vital signs, and physical examination findings.

Clinion EDC was used as the central data capture platform across the study’s 22 participating sites. It helped the study team track patient eligibility across screening, randomization, and pre-administration checks, capture long-term wound healing outcomes, and maintain a consistent blinded data environment across the national site network.

Study Snapshot

Industry

Biotech

Client

Regenerative medicine sponsor

Study Type

Interventional

Therapeutic Area

Diabetic Foot Ulcer / Regenerative Medicine

Study Phase

Phase III

Study Design

Randomized, double-blind, placebo-controlled, multicentre, single-dose study

Randomization

Double-blind

Region

India

Site Count

22 sites

Submission

DCGI / public registry record

Study Duration

25 months as per registry record and project input

Products Provided

Challenges

Tracking Eligibility, Wound Healing, and Blinded Data Across 22 Sites

This cell therapy trial required more than routine visit data capture. Each patient record had to carry eligibility decisions, wound healing progress, and blinded study data from screening through the final follow-up visit. 

01

Managing Eligibility Across Multiple Checkpoints

Eligibility had to be confirmed at screening, again before randomization, and once more before investigational product administration. The challenge was keeping each decision connected to the same patient record, so sites could move patients through the trial without losing the link between screening, randomization, and treatment readiness.

02

Capturing Wound Healing Outcomes Over 24 Weeks

The study needed to track complete ulcer closure, sustained closure, and reduction in ulcer size across a long follow-up period. The challenge was keeping wound status and measurement data consistent across visits, so each patient’s healing progress could be reviewed clearly over time.

03

Maintaining Blinded Data Consistency Across 22 Sites

The trial was designed to keep participants, investigators, and outcome assessors blinded. Across 22 sites, the sponsor needed the same data capture structure at every location, so study records remained consistent without creating risks to the blinded review process.

Solutions

A Structured Clinion EDC Workflow for Multi-Stage Eligibility and Long-Term Data

Clinion EDC was configured to support this trial’s three-stage eligibility process, its long-term wound healing endpoints, and its blinded, nationwide site network.

Clinion EDC supported eCRFs for capturing eligibility at screening, randomization, and before investigational product administration.

This helped support:

  • Eligibility checks at each required stage
  • Ulcer-size review before randomization
  • Clear linkage between screening and treatment readiness
  • Consistent eligibility documentation across sites

This helped the study team keep eligibility decisions connected to each patient’s record as they moved through the trial.

Clinion EDC helped sites capture wound healing outcomes across the 24-week follow-up period, including ulcer closure, sustained closure, and ulcer size reduction.

This helped support:

  • Complete ulcer closure tracking
  • Sustained closure confirmation
  • Ulcer size reduction capture
  • Post-treatment safety data capture

This helped the sponsor review each patient’s healing progress without losing continuity across visits.

Clinion EDC gave the sponsor one environment to review data entered across all participating sites, while supporting the trial’s blinded data structure.

This helped support:

  • Standardized data entry across 22 sites
  • Site-wise data completion visibility
  • Centralized query management
  • Traceable correction history

This helped reduce site-to-site variation and gave the sponsor stronger control over data review across the national site network.

Outcomes

Core Results

Clinion EDC helped the sponsor keep a complex 22-site DFU trial organized around each patient’s progression through eligibility, treatment, and follow-up.

Patient Journey Continuity

Screening, randomization, pre-administration, and follow-up data stayed connected within the same EDC record.

Assessment-Ready Visit Data

Each visit captured the required wound and safety data in a format ready for review.

Nationwide Data Control

The sponsor gained one consistent view of data activity across all 22 participating sites.

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Compliance

Fully Compliant with Global Standards

Clinion global compliance badges including FDA 21 CFR Part 11, HIPAA, ISO, ICH, GDPR, and EU compliance
ich ,gdpr ,eu compliant logos
Clinion’s adherence to global regulatory standards including FDA 21 CFR Part 11, HIPAA, ISO 9001:2015, ISO 27001:2013, ICH, GDPR, and EU Annex 11.