Trial Outcomes & Findings for Fluid Lavage of Open Wounds (FLOW): Pilot Trial (NCT NCT01069315)

NCT ID: NCT01069315

Last Updated: 2019-03-18

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

111 participants

Primary outcome timeframe

one year

Results posted on

2019-03-18

Participant Flow

Participant milestones

Participant milestones
Measure
Normal Saline and High Pressure
Irrigation with normal saline delivered at high pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Soap Solution and High Pressure
Irrigation with soap solution delivered at high pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Normal Saline and Low Pressure
Irrigation with saline solution delivered at low pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Soap Solution and Low Pressure
Irrigation with soap solution delivered at low pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Overall Study
STARTED
27
30
28
26
Overall Study
COMPLETED
23
24
23
19
Overall Study
NOT COMPLETED
4
6
5
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fluid Lavage of Open Wounds (FLOW): Pilot Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal Saline and High Pressure
n=27 Participants
Irrigation with normal saline delivered at high pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Soap Solution and High Pressure
n=30 Participants
Irrigation with soap solution delivered at high pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Normal Saline and Low Pressure
n=28 Participants
Irrigation with saline solution delivered at low pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Soap Solution and Low Pressure
n=26 Participants
Irrigation with soap solution delivered at low pressure Type of fluid lavage solution: Comparison of castile soap solution vs. normal saline solution. Type of fluid lavage pressure: Comparison of low pressure vs. high pressure.
Total
n=111 Participants
Total of all reporting groups
Age, Continuous
45.0 years
STANDARD_DEVIATION 12.2 • n=5 Participants
39.7 years
STANDARD_DEVIATION 17.5 • n=7 Participants
40.8 years
STANDARD_DEVIATION 17.8 • n=5 Participants
45.3 years
STANDARD_DEVIATION 18.2 • n=4 Participants
42.5 years
STANDARD_DEVIATION 16.6 • n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
11 Participants
n=4 Participants
29 Participants
n=21 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
23 Participants
n=7 Participants
19 Participants
n=5 Participants
15 Participants
n=4 Participants
82 Participants
n=21 Participants

PRIMARY outcome

Timeframe: one year

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=26 Participants
Soap, High Pressure
n=30 Participants
Saline, Low Pressure
n=28 Participants
Saline, High Pressure
n=27 Participants
The Number of Participants With Re-operations (All Subsequent Operative Procedures to Treat an Infection, a Wound Healing Problem, or a Nonunion).
7 Participants
6 Participants
3 Participants
10 Participants

SECONDARY outcome

Timeframe: 1 year

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=26 Participants
Soap, High Pressure
n=30 Participants
Saline, Low Pressure
n=28 Participants
Saline, High Pressure
n=27 Participants
The Number of Participants With All Operative and Non-operatively Managed Infections, Wound Healing Problems, and Nonunions.
Infections treated operatively or nonoperatively
5 Participants
8 Participants
0 Participants
4 Participants
The Number of Participants With All Operative and Non-operatively Managed Infections, Wound Healing Problems, and Nonunions.
Nonunion treated operatively or nonoperatively
2 Participants
4 Participants
5 Participants
8 Participants
The Number of Participants With All Operative and Non-operatively Managed Infections, Wound Healing Problems, and Nonunions.
Wound healing problem treated operatively or nonop
5 Participants
5 Participants
1 Participants
9 Participants
The Number of Participants With All Operative and Non-operatively Managed Infections, Wound Healing Problems, and Nonunions.
No infection, nonunion, or wound healing problems
14 Participants
13 Participants
22 Participants
6 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Solution and pressure were analyzed separately for this outcome. The SF-12 summary scores (PCS-12 and MCS-12) ranges from 0 to 100. Higher scores indicate that a person has better health status, while lower scores indicate poorer health status. Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=37 Participants
Soap, High Pressure
n=38 Participants
Saline, Low Pressure
Saline, High Pressure
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the SF-12 Questionnaire (Solution).
Mental component summary (MCS)
-1.16 units on a scale
Standard Deviation 1.50
-4.79 units on a scale
Standard Deviation 2.30
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the SF-12 Questionnaire (Solution).
Physical component summary (PCS)
-11.60 units on a scale
Standard Deviation 1.32
-12.49 units on a scale
Standard Deviation 1.84

SECONDARY outcome

Timeframe: one year

Population: Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Solution and pressure were analyzed separately for this outcome. The EQ-5D summary score ranges from 0 to 1. Higher scores indicate that a person has a better health-related quality of life, while lower scores indicate worse health-related quality of life. Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=36 Participants
Soap, High Pressure
n=39 Participants
Saline, Low Pressure
Saline, High Pressure
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the EQ-5D Questionnaire (Solution).
-0.14 units on a scale
Standard Deviation 0.33
-0.19 units on a scale
Standard Deviation 0.33

SECONDARY outcome

Timeframe: one year

Population: Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Solution and pressure were analyzed separately for this outcome. The SF-12 summary scores (PCS-12 and MCS-12) ranges from 0 to 100. Higher scores indicate that a person has better health status, while lower scores indicate poorer health status. Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=38 Participants
Soap, High Pressure
n=37 Participants
Saline, Low Pressure
Saline, High Pressure
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the SF-12 Questionnaire (Pressure)
Mental component summary (MCS)
-12.16 units on a scale
Standard Deviation 1.84
-11.94 units on a scale
Standard Deviation 1.95
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the SF-12 Questionnaire (Pressure)
Physical component summary (PCS)
-4.59 units on a scale
Standard Deviation 1.97
-1.37 units on a scale
Standard Deviation 2.28

SECONDARY outcome

Timeframe: one year

Population: Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months per arm.

Solution and pressure were analyzed separately for this outcome. The EQ-5D summary score ranges from 0 to 1. Higher scores indicate that a person has a better health-related quality of life, while lower scores indicate worse health-related quality of life. Please note that the values reported are mean differences in scores from baseline (pre-injury) to 12 months.

Outcome measures

Outcome measures
Measure
Soap, Low Pressure
n=40 Participants
Soap, High Pressure
n=35 Participants
Saline, Low Pressure
Saline, High Pressure
Mean Difference in Health-related Quality of Life and Physical Function From Baseline (Pre-injury) to 12 Months Measured by the EQ-5D Questionnaire (Pressure)
-0.18 units on a scale
Standard Deviation 0.033
-0.15 units on a scale
Standard Deviation 0.033

Adverse Events

Soap, Low Pressure

Serious events: 13 serious events
Other events: 4 other events
Deaths: 0 deaths

Soap, High Pressure

Serious events: 14 serious events
Other events: 8 other events
Deaths: 0 deaths

Saline, Low Pressure

Serious events: 9 serious events
Other events: 0 other events
Deaths: 0 deaths

Saline, High Pressure

Serious events: 11 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Soap, Low Pressure
n=27 participants at risk
Soap, High Pressure
n=30 participants at risk
Saline, Low Pressure
n=26 participants at risk
Saline, High Pressure
n=27 participants at risk
Surgical and medical procedures
All SAEs
48.1%
13/27 • Number of events 25 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
46.7%
14/30 • Number of events 26 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
34.6%
9/26 • Number of events 15 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
40.7%
11/27 • Number of events 31 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated

Other adverse events

Other adverse events
Measure
Soap, Low Pressure
n=27 participants at risk
Soap, High Pressure
n=30 participants at risk
Saline, Low Pressure
n=26 participants at risk
Saline, High Pressure
n=27 participants at risk
Surgical and medical procedures
All other AEs
14.8%
4/27 • Number of events 4 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
26.7%
8/30 • Number of events 12 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
0.00%
0/26 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated
22.2%
6/27 • Number of events 6 • 12 months
Adverse Events were monitored/ assessed in such a manner that the specific Adverse Event Terms cannot be separated

Additional Information

Paula McKay, Manager

McMaster University

Phone: 9055274322

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place