Methods, computer-readable media, and systems for assessing samples and wounds, predicting whether a wound will heal, and monitoring effectiveness of a treatment
Overview
In the United States 29.1 million people (9.3% of the population) have diabetes. Foot ulcerations are a frequent complication in diabetic patients and lead to over 82,000 lower limb amputations annually in the United States, and are associated with a 5-year mortality rate of up to 74%. The major challenge in treating diabetic ulcers stems from patient-to-patient variability: currently it is not known why some patients respond to certain treatments, while others do not. Drexel University researchers have recently discovered gene expression signatures that were predictive of healing or non-healing in a 21 patient co-hort. These methods afford promise of cultivating treatment strategies for individual patients on a personalized basis (i.e., predicting which class of wound treatment a particular patient is most likely to respond to). Drexel is currently seeking partners for the commercialization of this technology.
Applications
- Surrogate marker of wound healing to aid physician’s decision-making in the clinic.
- Allows physician to choose optimal treatment strategies for individual patients on a personalized basis.
- Clinical trial patient stratification in trials for new wound healing treatments.
Advantages
- Enhance quality of care in patients with chronic wounds.
- Lower cost of care in patients with chronic wounds by shortening time and decreasing resources dedicated to non-effective interventions.
- Allow objective evaluation of the efficacy of wound care treatments.
- Improve efficiency of clinical trials for new wound healing treatments.
- Enhance marketing material by showing quantitative measures of healing.
Intellectual Property and Development Status
These methods and their applications are currently covered by a PCT patent application filed on April 14, 2015, PCT/US2015/045303.
References
Nassiri S, Zakeri I, Weingarten MS, Spiller KL. Relative Expression of Proinflammatory and Antiinflammatory Genes Reveals Differences between Healing and Nonhealing Human Chronic Diabetic Foot Ulcers. J Invest Dermatol. 2015 Jun;135(6):1700-3.
Spiller KL, Nassiri S, Witherel CE, Anfang RR, Ng J, Nakazawa KR, Yu T, Vunjak-Novakovic G. Sequential delivery of immunomodulatory cytokines to facilitate the M1-to-M2 transition of macrophages and enhance vascularization of bone scaffolds. Biomaterials. 2015 Jan;37:194-207.
Spiller KL, Anfang RR, Spiller KJ, Ng J, Nakazawa KR, Daulton JW, Vunjak-Novakovic G. The role of macrophage phenotype in vascularization of tissue engineering scaffolds. Biomaterials. 2014 May;35(15):4477-88.
Spiller KL, Freytes DO, Vunjak-Novakovic G. Macrophages modulate engineered human tissues for enhanced vascularization and healing. Ann Biomed Eng. 2015 Mar;43(3):616-27.
Commercialization Opportunities