Trial Outcomes & Findings for VLU Non-Inferiority Study Comparing a Dual Action Pneumatic Compression Device to Multi-Layer Bandaging (NCT NCT02680834)

NCT ID: NCT02680834

Last Updated: 2020-02-19

Results Overview

Percentage of ulcer area reduction in the target VLU during the 16 week treatment period calculated by wound imaging software.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

56 participants

Primary outcome timeframe

Changes from Baseline to 16 weeks

Results posted on

2020-02-19

Participant Flow

All subjects participated in a two week run-in phase. The treatment included MLB which was worn 24 hours a day except during clinic visits. The run-in phase was intended to assess the subject's initial response to standard of care treatment using MLB before receiving treatment with the investigational device.

Participant milestones

Participant milestones
Measure
Dual Action Pneumatic Compression Device
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Overall Study
STARTED
26
30
Overall Study
COMPLETED
15
27
Overall Study
NOT COMPLETED
11
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Dual Action Pneumatic Compression Device
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Overall Study
Physician Decision
5
2
Overall Study
Withdrawal by Subject
6
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

VLU Non-Inferiority Study Comparing a Dual Action Pneumatic Compression Device to Multi-Layer Bandaging

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dual Action Pneumatic Compression Device
n=26 Participants
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=30 Participants
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Total
n=56 Participants
Total of all reporting groups
Age, Continuous
63 years
STANDARD_DEVIATION 10 • n=5 Participants
64 years
STANDARD_DEVIATION 10 • n=7 Participants
64 years
STANDARD_DEVIATION 10 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
23 Participants
n=7 Participants
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=5 Participants
23 Participants
n=7 Participants
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
23 Participants
n=7 Participants
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Changes from Baseline to 16 weeks

Population: \*Per Protocol Population (MITT patients who were randomized, received treatment, and did not exit the study early).

Percentage of ulcer area reduction in the target VLU during the 16 week treatment period calculated by wound imaging software.

Outcome measures

Outcome measures
Measure
Dual Action Pneumatic Compression Device
n=13 Participants
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=24 Participants
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Percentage of VLU Area Reduction
-83.8 percentage change
Standard Deviation 27.8
-70.5 percentage change
Standard Deviation 52.0

SECONDARY outcome

Timeframe: Changes from Baseline to 16 weeks

Population: Per Protocol Population (Patients randomized who received treatment and had both Baseline and end of study measures).

The Charing Cross Venous Ulcer Questionnaire assesses the patients' perception of their health when venous ulceration is present. All items are scored so that a lower score defines a more favorable health state (a greater reduction is associated with improved quality of life). In addition, each item is scored using a 1 to 5 range so that the lowest and highest possible scores are 0 and 100, respectively.

Outcome measures

Outcome measures
Measure
Dual Action Pneumatic Compression Device
n=15 Participants
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=27 Participants
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Patient-Reported Quality of Life
-10.3 Change in total score
Standard Deviation 15.4
-1.7 Change in total score
Standard Deviation 11.2

SECONDARY outcome

Timeframe: Changes from Baseline to 16 weeks

Population: Per Protocol Population (Patients randomized who received treatment and had baseline and end of study measures).

Assessment of the effect of the Actitouch compared to a standard regimen of multi-layer bandaging on mean total outpatient costs per subject.

Outcome measures

Outcome measures
Measure
Dual Action Pneumatic Compression Device
n=15 Participants
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=27 Participants
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Outpatient Costs
6748 Dollars
Standard Deviation 1308
8925 Dollars
Standard Deviation 2176

Adverse Events

Dual Action Pneumatic Compression Device

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Multi-layer Bandaging

Serious events: 2 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dual Action Pneumatic Compression Device
n=26 participants at risk
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=30 participants at risk
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Gastrointestinal disorders
GI Bleed
3.8%
1/26 • Number of events 1 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
0.00%
0/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
3.3%
1/30 • Number of events 1 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Nervous system disorders
Lumbar stenosis; spondylolisthesis
0.00%
0/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
3.3%
1/30 • Number of events 1 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.

Other adverse events

Other adverse events
Measure
Dual Action Pneumatic Compression Device
n=26 participants at risk
ACTitouch dual action pneumatic compression system used daily during wakeful hours for up to 16 weeks. Dual Action Pneumatic Compression Device: Dual action pneumatic compression device used to treat chronic VLUs.
Multi-layer Bandaging
n=30 participants at risk
PROFORE or Coban 2 to be worn 24 hours daily for up to 16 weeks. Multi-Layer Bandaging: Multi-layer bandaging used to treated chronic VLUs
Nervous system disorders
Pain/Discomfort
11.5%
3/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
20.0%
6/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Skin and subcutaneous tissue disorders
Rash
7.7%
2/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
6.7%
2/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Infections and infestations
Infection
11.5%
3/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
13.3%
4/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Skin and subcutaneous tissue disorders
Ulcer
15.4%
4/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
16.7%
5/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
Skin and subcutaneous tissue disorders
Blister
7.7%
2/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
0.00%
0/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
General disorders
Other
26.9%
7/26 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.
10.0%
3/30 • 16 Weeks
An adverse event (AEs) includes any complication whose clinical significance is greater than anticipated, or which occurs with a frequency greater than that which is usually seen for this type of device.

Additional Information

Clinical Research Director

TactileMedical

Phone: 612-540-5267

Results disclosure agreements

  • Principal investigator is a sponsor employee After the multi-center publication, or if no multi-center publication is submitted for publication within 12 months after the conclusion or termination of the study at all sites, site may publish on your own site's data only. A draft of the manuscript must be submitted to Sponsor for review at least 45 days prior to submission for publication and 15 days for oral presentation. Sponsor shall respond to institution within 45 days of the receipt of draft.
  • Publication restrictions are in place

Restriction type: OTHER