WOUNDCHEK™ Protease Status Point of Care (POC) Diagnostic Test

NCT ID: NCT01537003

Last Updated: 2013-07-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-01-31

Brief Summary

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The purpose of this trial is to determine if wounds with elevated protease activity (EPA) treated with targeted interventions such as protease modulating therapies can improve clinical and economic outcomes.

Multi-centre VLU study to investigate efficacy of WOUNDCHEK™ on EPA wounds

Detailed Description

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The purpose of this trial is to determine if wounds with elevated protease activity (EPA) treated with targeted interventions such as protease modulating therapies can improve clinical and economic outcomes. It is hypothesized that protease modulating dressings may provide significantly better clinical outcomes on EPA wounds over current standard of care.

Wounds with EPA will be determined using a new POC diagnostic test, WOUNDCHEK™ Protease Status, and the efficacy of PROMOGRAN®, a protease modulating therapy will be determined against standard of care (moist wound healing and compression) in VLU wounds in both elevated EPA and low protease activity wounds.

Conditions

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Venus Leg Ulcers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Promogran and Low EPA

Patients with low EPA will be treated with PROMOGRAN and standard of care for vlu compression

Group Type EXPERIMENTAL

Promogran

Intervention Type DEVICE

Promogran is a collagen/ORC dressing which modulates the wound environment

Low EPA and compression

Patients with Low EPA will only get standard of care for VLU which is compression.

Group Type ACTIVE_COMPARATOR

Coban 2 layer

Intervention Type DEVICE

Compression bandage

High EPA and compression

Patients with high EPA will get standard of care for VLU which is compression.

Group Type ACTIVE_COMPARATOR

Coban 2 layer

Intervention Type DEVICE

Compression bandage

Promogran High EPA

patients with HIGH EPA will then be treated with PROMOGRAN and standard of care for VLU compression

Group Type EXPERIMENTAL

Promogran

Intervention Type DEVICE

Promogran is a collagen/ORC dressing which modulates the wound environment

Interventions

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Promogran

Promogran is a collagen/ORC dressing which modulates the wound environment

Intervention Type DEVICE

Coban 2 layer

Compression bandage

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men and women aged ≥ 18 years old
* Patients with a leg ulcers of venous aetiology as determined by ankle brachial pressure index (ABPI) ≥ 0.8 and able and willing to use appropriate compression therapy
* Duration of ulcer ≥ 6 weeks ≤ 3 years
* Ulcer is ≥ 1 cm2 ≤ 100cm2 no length longer than 10cm
* The patient must be able to understand the trial and provide written informed consent
* No local or systemic signs of infection, with normal CRP and leukocyte levels below 10 000
* Wound has not been treated with PROMOGRAN® in 4 weeks prior to inclusion

Exclusion Criteria

* Leg ulcers that do not have venous aetiology as determined by not been suitable for compression therapy and having an ABPI ≤ 0.8
* Leg ulcer smaller than 1cm2 and larger than 100cm2 and has any length longer than 10cm
* Wound duration of less than 6 weeks or longer than 3 years
* Known hypersensitivity to any of the wound dressing used in the trial
* Current local or systemic antibiotics in the week prior to inclusion
* Clinical infected wound as determined by the presence of 3 or more of the following clinical signs: perilesional erythema, pain between two dressing changes, malodorous wound, abundant exudate and oedema.
* Progressive neoplastic lesion treated by radiotherapy or chemotherapy
* Prolonged treatment with immunosuppressive agents or high dose corticosteroids
* Patients who have a current illness or condition which may interfere with wound healing in the last 30 days (carcinoma, connective tissue disease, autoimmune disease or alcohol or drug abuse)
* Life expectancy of \<6 months
* Patients with uncontrolled diabetes as determined by Hb-A1c ≥ 12% ( = Hb-1CIFCC ≥ 107.65 mmol/mol)
* Patients who have participated in a clinical trial on wound healing within the past month
* Patients who are unable to understand the aims and objectives of the trial
* Patients with a known history of non adherence with medical treatment
* Females who are pregnant
* Subject has Acquired Immunodeficiency Syndrome (AIDS) or is known to be infected with Human Immunodeficiency Virus (HIV)
* Subject has viral hepatitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Systagenix Wound Management

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Keith Harding, Prof

Role: PRINCIPAL_INVESTIGATOR

Cardiff University

Locations

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Penn North Centers for Advance Wound Care

Eire, Pennsylvania, United States

Site Status RECRUITING

University Medical Center Gieben and Marburg GmBH

Marburg, , Germany

Site Status RECRUITING

Dres. Bolko Alter Siamak Pourhassan

Oberhausen, , Germany

Site Status RECRUITING

University of Pisa

Pisa, Roma, Italy

Site Status RECRUITING

University of Ferrara

Ferrara, , Italy

Site Status RECRUITING

Cardiff University

Cardiff, Wales, United Kingdom

Site Status RECRUITING

Bradford Royal Infirmary

Bradford, Yorkshire, United Kingdom

Site Status RECRUITING

Countries

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United States Germany Italy United Kingdom

Central Contacts

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Breda Cullen, PHD

Role: CONTACT

Facility Contacts

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Tom Serena, MD

Role: primary

814-452-7878

Sharon McConnell

Role: backup

(814) 452-7878

Jan Skrzypek, MD

Role: primary

(49) 064215866475

Siamak Pourhassan, MD

Role: primary

49 (0)208668898

Marco Romanelli, MD PHD

Role: primary

39050992436

Paolo Zamboni, MD

Role: primary

390532236524

Keith Harding, Prof

Role: primary

02920744345

Nicky Ivins

Role: backup

02920744345

Wendy Jepson

Role: primary

01274383913

Other Identifiers

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SWM1200

Identifier Type: -

Identifier Source: org_study_id

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