Proof-of-concept Study for Bioimpedance Based Monitoring of Venous Ulcers During Galvanic Stimulation

NCT ID: NCT02101645

Last Updated: 2015-05-13

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

COMPLETED

Clinical Phase

NA

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2014-12-31

Brief Summary

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The research group will choose no more than 10 patients having a lower extremity venous ulcer(s), less than 5cm diameter and with an estimated one month time of re-epithelization. In this study the investigators will follow and monitor the healing of the wound and effectiveness of compression therapy using bioimpedance measurement based method. The investigators will also treat the wounds using periodical low intensity direct current (LIDC) stimulation therapy.

Bioimpedance monitoring and wound stimulation functionalities are provided by a purpose built wound patch. The patch features a printed 4 x 4 stimulation and impedance measurement electrodes array (in contact with wound surface) surrounded by a 4-part dual purpose counter and impedance reference electrodes (in contact with the intact skin surrounding the wound area).

Detailed Description

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Objectives of the study

Primary: Proof-of-concept study of bioimpedance measurement based method for monitoring of chronic wound healing and assessment of efficacy of compression therapy. Gathering bioimpedance data from the patients with a lower extremity ulcer of venous etiology over their healing process. The investigators will seek methods for processing the collected data to find the best correlation with visually observed healing of the wound.

Secondary: Proof-of-concept study of periodical LIDC wound stimulation. The investigators will compare the LIDC enhanced healing outcome with appropriate archived data of previous studies performed in TAYS.

Other: Analysis of the received data and reliability evaluation of the methods. Gathering relevant user feedback from medical personnel and patients.

Conditions

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Patients With Lower Extremity Venous Ulcers Patients With Localized Edema

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Study Groups

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LIDC treatment and bioimpedance monitoring of venous ulcers.

Lower extremity venous ulcers will be treated using periodical LIDC stimulation. Wound healing and edema reduction efforts will be monitored using bioimpedance based monitoring.

Group Type EXPERIMENTAL

Periodical low intensity direct current (LIDC) stimulation of wound.

Intervention Type PROCEDURE

Wound is stimulated using LIDC current. Stimulation current magnitude is in micro-ampere range. Stimulation sequence is 1 hour on and 1 hour off for 72 hours or 96 hours.

Compression therapy of swollen limbs.

Intervention Type PROCEDURE

Compression bandage is used for reducing swelling of the limbs.

Interventions

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Periodical low intensity direct current (LIDC) stimulation of wound.

Wound is stimulated using LIDC current. Stimulation current magnitude is in micro-ampere range. Stimulation sequence is 1 hour on and 1 hour off for 72 hours or 96 hours.

Intervention Type PROCEDURE

Compression therapy of swollen limbs.

Compression bandage is used for reducing swelling of the limbs.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Male or female patients with a chronic wound of venous origin.
* Patients have signed consent to participate in the study.
* Patient is motivated to follow the instructions given by medical personnel and research group.
* Age 18 - 80 years.
* Wound(s) is expected to heal significantly during the period of 2 months.
* Wound(s) is located so that there is enough space to place the experimental wound dressing appropriately.
* Diameter of a single wound is no more than 5 cm and wound edges are not steep. If patient has multiple small wounds, the wounds are located within an area of 5x5cm.
* Patient has adequate vascular supply and patient tolerates compression dressings.

Exclusion Criteria

* Patient has an unstable coronary disease.
* Subject does not approve the informed consent.
* Subject is not appropriately motivated to follow M.D.'s instructions of treatment (at home).
* Participation in another clinical trial that involves an investigational drug or device that would interfere this study.
* Patient suffers from cognitive problem such as dementia.
* Wound is not expected to be healed during the time reserved for the measurements (circa 2 months).
* Patient has active wound infection or increased risk of wound infection.
* Skin changes or skin disease which could alter the epidermis of the electrode site during the measurement period.
* Patient has cancer or other life threatening disease in an unstable condition.
* Patient is pregnant.
* Patients with implantable electrical device. Such as pacemaker or implanted defibrillator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tampere University

OTHER

Sponsor Role collaborator

Åbo Akademi University

OTHER

Sponsor Role collaborator

Aalto University

OTHER

Sponsor Role collaborator

Tampere University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Annikki Vaalasti, MD

Role: PRINCIPAL_INVESTIGATOR

Tampere University Hospital

Locations

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Tampere University Hospital

Tampere, , Finland

Site Status

Countries

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Finland

References

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Ward L, Winall A, Isenring E, Hills A, Czerniec S, Dylke E, Kilbreath S. Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy. Int J Gynecol Cancer. 2011 Feb;21(2):409-18. doi: 10.1097/IGC.0b013e31820866e1.

Reference Type RESULT
PMID: 21270623 (View on PubMed)

Carley PJ, Wainapel SF. Electrotherapy for acceleration of wound healing: low intensity direct current. Arch Phys Med Rehabil. 1985 Jul;66(7):443-6.

Reference Type RESULT
PMID: 3893385 (View on PubMed)

Zhao M, Song B, Pu J, Wada T, Reid B, Tai G, Wang F, Guo A, Walczysko P, Gu Y, Sasaki T, Suzuki A, Forrester JV, Bourne HR, Devreotes PN, McCaig CD, Penninger JM. Electrical signals control wound healing through phosphatidylinositol-3-OH kinase-gamma and PTEN. Nature. 2006 Jul 27;442(7101):457-60. doi: 10.1038/nature04925.

Reference Type RESULT
PMID: 16871217 (View on PubMed)

Blount AL, Foster S, Rapp DA, Wilcox R. The use of bioelectric dressings in skin graft harvest sites: a prospective case series. J Burn Care Res. 2012 May-Jun;33(3):354-7. doi: 10.1097/BCR.0b013e31823356e4.

Reference Type RESULT
PMID: 21979844 (View on PubMed)

Weber SA, Gehin C, Moddy G, Jossinet J, McAdams ET. Characterisation of a multi-frequency wound impedance mapping instrument. Annu Int Conf IEEE Eng Med Biol Soc. 2008;2008:4907-10. doi: 10.1109/IEMBS.2008.4650314.

Reference Type RESULT
PMID: 19163817 (View on PubMed)

Related Links

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http://procellera.com/

Micro-current treatment dressing for chronic wounds

Other Identifiers

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R13148

Identifier Type: -

Identifier Source: org_study_id

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