The Burn Glove Trial - Hand Burn Dressing Pilot

NCT ID: NCT02318056

Last Updated: 2016-07-21

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2016-07-31

Brief Summary

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Specific Aim 1: To determine if one of three burn dressings provides a less painful healing experience for partial thickness hand.

Specific Aim 2: To evaluate if one of three dressings provides greater functionality during and after healing of partial thickness hand burns.

Specific Aim 3: To determine if one of three burn dressings promotes aesthetically superior healing results for partial thickness hand burns.

Detailed Description

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Various products are on the market and available for use on partial thickness burns to the hand/s. Our current institutional standard of care is to use Xeroform Gauze (Coviden, Mansfield, MA) and Bacitracin Ointment (Fougera, Melville, NY) to promote a moist antibacterial healing environment with the ability to monitor the healing progress daily. However, silver (AG) based dressings that employ nanocrystalline technology with hydrofiber (Aquacel AG burn; ConvaTec, Princeton, NJ) or soft silicone foam (Mepilex AG ; Molnlycke Health Care, Dunstable, United Kingdom) have been well accepted as alternative dressing solutions. These dressings have longer interval times between changes, leading to a reported increase in patient comfort, diminished skin shearing/stripping, and rapid re-epithelialization.

Given the anatomic intricacies, partial thickness burns to the hand present a challenge in dressing selection. Recently, ConvaTec unveiled the Aquacel AG Burn Glove for use on partial thickness hand burns. In line with this idea, our institution has now begun to fashion a novel burn glove out of Mepilex Transfer AG with good success. To date there are no known studies that compare Xeroform/Bacitracin, Aquacel AG burn glove or Mepilex Transfer AG dressing. The goal of this study is to compare these three burn dressings used to treat partial-thickness hand burns and their impact on pain, function, and aesthetic outcomes. We will also explore psychosocial issues related to hand burn dressing changes.

Conditions

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Burns

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aquacel® Ag Burn Glove

Application of Aquacel® Ag Burn Glove burn dressing

Group Type EXPERIMENTAL

Aquacel® Ag Burn Glove

Intervention Type OTHER

burn dressing

Mepilex® Transfer Ag

Application of Mepilex® Transfer Ag burn dressing

Group Type ACTIVE_COMPARATOR

Mepilex® Transfer Ag

Intervention Type OTHER

burn dressing

Xeroform®/Bacitracin®

Application of Xeroform® burn dressing and Bacitracin® topical antibiotic

Group Type ACTIVE_COMPARATOR

antibiotic

Intervention Type DRUG

antibiotic burn dressing

Interventions

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Mepilex® Transfer Ag

burn dressing

Intervention Type OTHER

antibiotic

antibiotic burn dressing

Intervention Type DRUG

Aquacel® Ag Burn Glove

burn dressing

Intervention Type OTHER

Other Intervention Names

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ConvaTec Safetac® Molnlycke® Health Care Bacitracin® Xeroform®

Eligibility Criteria

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Inclusion Criteria

* Patients presenting at Memorial Medical or Southern Illinois University (SIU) Health Care
* Patients with partial-thickness burn injuries to the dorsum and/or palm of the hand/s that exceeds ½% total body surface area (TBSA) for at least one hand.
* \< 10% TBSA 2nd and 3rd degree burn injuries
* Initial clinical presentation \< 5 days post burn injury

Exclusion Criteria

* \< ½ % TBSA involving the hand
* \> 10%TBSA burn injuries
* \> 60 years of age
* \< 8 years of age
* Patients (or parents of minors) without cognitive capacity to comprehend informed consent
* Presentation \> 5 days post-burn injury event
* Pregnant women
* Full thickness/3rd degree burns to the dorsal and/or palmer hand/s
* Exposed vital structures (tendons, nerves, bone, vessels)
* Uncontrolled Type II Diabetes
* Type I Diabetes
* History of Chronic Obstructive Pulmonary Disease
* Have a known allergy to silver products
* Signs of infection on initial clinical presentation (presence of purulent drainage, significant cellulitis, and/or fever)
* Smoke/inhalation injuries requiring ventilation
* Critically ill patients requiring intensive care
Minimum Eligible Age

8 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Southern Illinois University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nada N Berry, MD

Role: PRINCIPAL_INVESTIGATOR

Southern Illinois University

Locations

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Southern Illinois University School of Medicine

Springfield, Illinois, United States

Site Status

Countries

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United States

References

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Wasiak J, Cleland H, Campbell F. Dressings for superficial and partial thickness burns. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD002106. doi: 10.1002/14651858.CD002106.pub3.

Reference Type BACKGROUND
PMID: 18843629 (View on PubMed)

Robson MC, Smith DJ Jr, VanderZee AJ, Roberts L. Making the burned hand functional. Clin Plast Surg. 1992 Jul;19(3):663-71.

Reference Type BACKGROUND
PMID: 1633673 (View on PubMed)

Kamolz LP, Kitzinger HB, Karle B, Frey M. The treatment of hand burns. Burns. 2009 May;35(3):327-37. doi: 10.1016/j.burns.2008.08.004. Epub 2008 Oct 25.

Reference Type BACKGROUND
PMID: 18952379 (View on PubMed)

Walburn J, Vedhara K, Hankins M, Rixon L, Weinman J. Psychological stress and wound healing in humans: a systematic review and meta-analysis. J Psychosom Res. 2009 Sep;67(3):253-71. doi: 10.1016/j.jpsychores.2009.04.002. Epub 2009 Jul 2.

Reference Type BACKGROUND
PMID: 19686881 (View on PubMed)

Atiyeh BS, Costagliola M, Hayek SN, Dibo SA. Effect of silver on burn wound infection control and healing: review of the literature. Burns. 2007 Mar;33(2):139-48. doi: 10.1016/j.burns.2006.06.010. Epub 2006 Nov 29.

Reference Type BACKGROUND
PMID: 17137719 (View on PubMed)

Hollinger MA. Toxicological aspects of topical silver pharmaceuticals. Crit Rev Toxicol. 1996 May;26(3):255-60. doi: 10.3109/10408449609012524.

Reference Type BACKGROUND
PMID: 8726163 (View on PubMed)

Bowler PG, Jones SA, Walker M, Parsons D. Microbicidal properties of a silver-containing hydrofiber dressing against a variety of burn wound pathogens. J Burn Care Rehabil. 2004 Mar-Apr;25(2):192-6. doi: 10.1097/01.bcr.0000112331.72232.1b.

Reference Type BACKGROUND
PMID: 15091147 (View on PubMed)

Related Links

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http://www.siumed.edu/surgery/plastics/clinical-research.html

Institute for Plastic Surgery, Office for Clinical Research

Other Identifiers

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ABR-SIUSOM-14-002

Identifier Type: -

Identifier Source: org_study_id

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