Monitoring insoles for preventing diabetic foot ulcers
Official title: Path Active Multicentre Randomised Controlled Trial (Previous Pilot: Path Active; Safety and Tolerability Study)
Run by Royal Free Hospital NHS Foundation Trust · NCT06084052 · Data updated 2026-11-12
This study is testing if special insoles that monitor foot temperature and pressure can help people with diabetes avoid foot ulcers better than regular foot care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Royal Free Hospital NHS Foundation Trust Academic / other |
| Locations | 1 site (London) |
| Status | Recruiting |
| Started | April 2, 2024 |
| Main results expected | December 31, 2025 |
| Study ends | March 31, 2026 |
| Registry record updated | April 15, 2025 |
| Trial ID | NCT06084052 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 with Type 1 or Type 2 diabetes who are classified as high risk for foot ulceration and can walk independently.
✕Probably not a fit
Patients with significant arterial issues in their feet, severe visual impairments, or those with a BMI over 40 may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of Path Active™, a pair of monitoring insoles designed to measure temperature and pressure in the feet of individuals with diabetes at high risk for foot ulceration. The insoles connect to a mobile app and a clinical dashboard, providing alerts for early signs of skin damage. The study will compare outcomes in 60 participants using Path Active™ against 60 participants receiving standard podiatry care over a 12-week period. The goal is to determine if these insoles can reduce the incidence of foot ulcers and the need for frequent podiatry appointments.
Why it matters
Potential benefit: If successful, this intervention could significantly reduce the incidence of foot ulcers in high-risk diabetic patients, improving their quality of life and reducing healthcare costs.
How similar studies have gone: Previous studies have shown promise in using technology for monitoring diabetic foot health, suggesting that this approach may be effective.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * • Participant able to give informed consent. * Age \>18 at the time of consent. * Diagnosis of Type 1 or Type 2 Diabetes. * Both Feet Intact (no ulceration). * Participant understands and is willing to participate and can comply with the follow-up regime. * Participant diabetes foot Risk Stratification as 'High Risk' as in Frame (2021) Scotland/England https://www.diabetesframe.org/ * Ability to walk independently for \> 100 metres i.e without use of wheelchair, walking stick or personal assistance. * Participant able and willing to wear suitable footwear. * Must own a mobile phone and be willing to upload WWP app. Exclusion Criteria: * Either foot has less than 2 arterial vessel run-off on Doppler. * Poor visual acuity ie registered blind, unless supported by carer. * Current participation in another clinical investigation of a medical device or a drug; or participation in such a study within 30 days prior to study enrolment. * Body Mass Index (BMI) \>40. * Participant has bespoke contact insoles and footwear. * Participant is unable to use 'medium' or 'large' insoles due to foot size eg. small or extra large feet. * Participant has a pacemaker. * Participant is pregnant.
Where it's running
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Royal Free Hospital
London, United Kingdom Recruiting
Study contacts
- Study coordinator: Richard Leigh, BSc
- Email: richardleigh1@nhs.net
- Phone: +44208302749
Similar studies
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-
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.