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People with Type II Diabetes mellitus between the ages of 18 and 70 with an ulcer with at least 4 weeks duration.
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Hb1c of less than 13 %.
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Index foot ulcer located on the plantar, medial, or lateral aspect of the foot (including all toe surfaces), and wound area (length∗width) measurement between 0.5 cmˆ2 and 20 cmˆ2, inclusive.
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Wounds located under a Charcot deformity has to be free of acute changes and went through appropriate structural consolidation.
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Wagner Grade II or III ulcer.
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The protocol requires that post-debridement, the ulcer would be free of necrotic debris, foreign bodies, or sinus tracts.
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Non invasive vascular testing Ankle Brachial Index (ABI).
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Physical examination (Including a Semmes-Weinstein monofilament test for neuropathy).
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Blood tests to be obtained (CBC, HbA1c)
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Approved, informed, signed consent to be obtained from each patient.
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Patient currently enrolled in another investigative device or drug trial or previously enrolled (within the last 30 days) in an investigative research of a device or a pharmaceutical agent.
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Ulcer area decreased >50% during the seven-day screening period.
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Ulcer is due to a non-diabetic etiology.
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Evidence of gangrene in ulcer or on any part of the foot.
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Patient is currently receiving or has received radiation or chemotherapy within the last 3 months of randomization.
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Patient has received growth factor therapy within 7 days of randomization.
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Screening platelets count <100∗ 10ˆ9/L.
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Patient is undergoing renal dialysis, or has a known immune insufficiency, known abnormal platelets activation disorder (i.e. Grey Platelet Syndrome, Liver Disease, Active Cancer), eating/nutritional, hematologic, collagen vascular disease, rheumatic disease, or bleeding disorder.
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History of peripheral vascular repair within 30 days of randomization.
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Patient is known to have a physiological, developmental, physical, emotional, or social disorder, or any other situation that may interfere with their compliance with the study requirements and/or the healing of the ulcer.
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History of alcohol or drug abuse within the last year prior to randomization.
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Patient has inadequate venous access for blood withdraw.
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