Clinical trial Recruiting at 1 site Interventional Ages 18 to 100

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 typeInterventional
Ages18 Years to 100 Years
SexAll
Enrollment120 (estimated)
SponsorRoyal Free Hospital NHS Foundation Trust
Academic / other
Locations1 site (London)
StatusRecruiting
StartedApril 2, 2024
Main results expectedDecember 31, 2025
Study endsMarch 31, 2026
Registry record updatedApril 15, 2025
Trial IDNCT06084052 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

  • Royal Free Hospital
    London, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.