Laser Therapy for Treating Hypertrophic Burn Scars in Children

NCT ID: NCT01653691

Last Updated: 2012-07-31

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2015-01-31

Brief Summary

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Pulse-dye laser therapy has been used to treat the redness, tightness and discomfort of hypertrophic scars resulting from burn injuries. To date the effectiveness of laser therapy on children's burned scars has not been measured.

Detailed Description

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In this study we hope to answer an important question in pediatric burn care: what are the techniques whereby tunable-dye laser neo-vessel ablation is optimally employed to ameliorate hypertrophic scars resulting from burn injuries in children? Hypertrophic scarring is considered an adverse wound healing event that results in abnormal scar formation. This scarring process is associated with pruritis and discomfort and can interfere with function and aesthetics. Topical creams, massage, stretching and pressure are used as standard treatments of burn scar formation. With the child serving as their own control, we want to objectively measure the impact of PDL on burn scars in children. Variables of timing of application, duration and number of sessions will all be collected.

Conditions

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Burn Scars

Keywords

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Pediatric Burns Scars Pulse Dye laser

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Pulse Dye Laser, burn scars

A scar will be located on the study subject's torso or thigh and divided in half. Some subjects will receive laser to both sides of their scar, while others will not receive any intervention to one side and laser to the other side. Each side will be evaluated during outpatient visits. 12 months after treatment is completed, 2 burn experts will rate each side of the scar without knowing its treatment.

Group Type ACTIVE_COMPARATOR

Pulse-Dye Laser

Intervention Type PROCEDURE

Laser therapy will be applied to either one half or both halves of the subject's burn scar. Laser will be re-applied every 4-6 weeks for a total of 3 administrations.

No treatment to half of scar

A scar on the child's torso or thigh will be divided in half. One side will receive laser treatment and the other half will receive laser or sham treatment.

Group Type SHAM_COMPARATOR

Sham

Intervention Type PROCEDURE

No treatment to one side of subject's scar.

Interventions

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Pulse-Dye Laser

Laser therapy will be applied to either one half or both halves of the subject's burn scar. Laser will be re-applied every 4-6 weeks for a total of 3 administrations.

Intervention Type PROCEDURE

Sham

No treatment to one side of subject's scar.

Intervention Type PROCEDURE

Other Intervention Names

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Candela V-Beam tunable dye laser. No treatment

Eligibility Criteria

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Inclusion Criteria

* subjects 9 years and older to 21 years of age or younger with a second degree burn with erythema and the potential for hypertrophic scarring to the thigh and or trunk.
* subject is clinically stable within 3 months of the burn injury.
* burn size of at least 15cm2 and able to be divided into equivalent halves (divided along line of tension). Equivalent orientation distance from mobil joint with regard to history,physical findings, proximity to tension producing forces and orientation.
* subjects in acute phase of burn injury generally less than one year from the time of the burn injury at 2-3 months post burn when deemed appropriate for pressure therapy, and have been evaluated as an appropriate candidate by a surgeon involved in this study for inclusion.
* subjects can be included up to one year post burn if referred from another treatment facility.
* no skin conditions that could potentially have an adverse effect on wound healing
* all race/ethnic groups
* children/guardians or significant others ability to speak English or Spanish and respond to study questionnaires.

* children/guardians or significant others inability to speak English or Spanish and respond to questionnaires.
* SUBJECTS WITH DOCUMENTED HYPERSENSITIVITY/ALLERGY TO AQUAPHOR,LIDOCAINE OR ANY OF THEIR COMPONENTS.

Exclusion Criteria

* subjects less than 9 years old as this age group is more fragile.
* subjects with no second degree burn to thigh and or trunk
* subjects with chemical burns
* subjects at low risk for hypertrophic scaring (wounds that demonstrate fading erythema at 9-12 weeks and wounds that are healed at less than 3 weeks are at low risk for hypertrophic scaring). Vancouver scar scale pigmentation rating of 0 or 1, vascularity rating of 0 or 1.
* TBSA greater than 50% as massive burns will confound results.
* potential life threatening injuries which would confound the effects of laser treatment and complicate sequential administration of therapy (e.g. shock,sepsis,inhalation therapies, brain injury).
Minimum Eligible Age

9 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shriners Hospitals for Children

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mattias Donelan

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthias Donelan, MD

Role: PRINCIPAL_INVESTIGATOR

Shriners Hospitals for Children-Boston MA USA

Locations

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Shriners Hospitals for Children

Cincinnati, Ohio, United States

Site Status

Countries

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United States

Central Contacts

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Martha Lydon, RN,BS

Role: CONTACT

Phone: 617-371-4808

Email: [email protected]

Michelle I Hinson, RN

Role: CONTACT

Phone: 617-371-4809

Email: [email protected]

Facility Contacts

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Kevin Bailey, MD

Role: primary

Richard Kagan, MD

Role: backup

Other Identifiers

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2010-P-002148

Identifier Type: -

Identifier Source: org_study_id