Hypertrophic Scar Prevention by Novel Topical Gel Application

NCT ID: NCT03403621

Last Updated: 2023-11-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-05

Study Completion Date

2020-02-26

Brief Summary

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Researchers are trying to find out more about the side effects of topical (applied to the skin) Pentamidine, to determine if it is safe for use in people. They also want to find out if topical use of Pentamidine can help treat hypertrophic scars.

Pentamidine is a medicine that is currently used to treat certain kinds of infection. It is most often given by intravenous (into a vein) or inhalation (through a breathing device). This medication is approved by the U.S. Food and Drug Administration (FDA) for use in these forms.

Everyone in this study will receive topical Pentamidine (TP) in a silicone based gel (PCCA Pracasil Plus). Topical treatment of Pentamidine is still experimental and has not been formally tested for safety or effectiveness in a randomized control trial within the United States. The FDA has allowed the use of topical Pentamidine in this research study.

Detailed Description

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This study will investigate Pentamidine isethionate, compounded in a silicone-containing base, as adjuvant therapy to surgical scar excision to prevent adverse scarring and enhance skin rejuvenation.

Conditions

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Hypertrophic Scar

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

All participants will receive two treatments: drug and vehicle. Drug will be applied to one of two treatment sites. Vehicle will be applied to the other site. Treatment sites are distal and proximal end of the incision. Drug will be randomized to treatment site "distal" or "proximal" and masking will be as indicated. A 1-2 cm border zone will remain untreated in the middle of the scar.
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Randomization will done by the Research Pharmacy

Study Groups

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Topical Pentamidine Isethionate

Subjects were randomly assigned to apply topical pentamidine isethionate to either the proximal or distal end of their incision every 48 hours for 4 weeks following surgical scar excision (14-16 treatments).

Group Type EXPERIMENTAL

Pentamidine Isethionate

Intervention Type DRUG

Approximately 1.8 mL single dose delivered as topical formulation containing 2% topical pentamidine in silicone-containing base.

Placebo Control

Subjects were randomly assigned to apply topical placebo to either the proximal or distal end of their incision every 48 hours for 4 weeks following surgical scar excision (14-16 treatments). The subject served as their own control.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

No active ingredient. Approximately 1.8 mL single dose delivered as topical silicone compounding base only.

Interventions

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Pentamidine Isethionate

Approximately 1.8 mL single dose delivered as topical formulation containing 2% topical pentamidine in silicone-containing base.

Intervention Type DRUG

Placebo

No active ingredient. Approximately 1.8 mL single dose delivered as topical silicone compounding base only.

Intervention Type DRUG

Other Intervention Names

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Pentamidine 2% cream PCCA Pracasil™-Plus (PP)

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of hypertrophic scar by a Mayo Clinic plastic surgeon or dermatologist.
* Target disease or condition: Hypertrophic scar
* Subject with a hypertrophic scar that meet all of the following criteria:

* Linear scar ≥5 to ≤40 cm in length
* Present for minimum 6 months
* Located anywhere in the body except on the face or front of neck
* Resulting from surgical or traumatic injury, or other scar considered appropriate for surgical excision
* Ability to safely undergo scar excision surgery
* Capacity to provide informed consent
* Ability to comply with protocol
* Subject is judged, by the clinical investigator, to be healthy as evidenced by lack of clinically significant abnormal findings on medical history, physical examination, electrocardiogram, vital signs, and clinical laboratory tests.

Exclusion Criteria

* Subjects identified as having a keloid or a scar not appropriate for surgical excision
* Subjects who are positive for hepatitis B surface antigen (HbsAg), hepatitis C antibody and HIV as determined in screening the subject's electronic medical record.
* Concurrent use of corticosteroids (including inhaled steroids), cyclooxygenase-2 (COX-2) inhibitors and/or drugs that are strong inhibitors and inducers of cytochrome P450 (CYP) enzymes
* Are immuno-compromised (HIV infected, cancer and other disease affecting the basal immune response)
* Clinically significant cardiovascular, pulmonary, renal, endocrine, hepatic, neurological, psychiatric, immunological, gastrointestinal, hematological, or metabolic disease that is, in the opinion of the investigator, not stabilized or may otherwise impact the results of the study.
* Subjects with renal and hepatic impairment.
* Known allergy or hypersensitivity to the study drug(s) or one of the ingredients of the formulation.
* Any infection or wound in the area to treat including photosensitive dermatosis or inflammatory acne.
* Existence of any surgical, medical or laboratory condition that, in the judgment of the clinical investigator, might interfere with the safety, distribution, metabolism or excretion of the drug
* Participation in another clinical study in the past 30 days or concurrent participation in another clinical trial.
* Patients with poorly controlled diabetes mellitus (HbA1C ≥ 8%), peripheral neuropathy, or known concomitant vascular problems.
* Pregnant or lactating female patients.
* Prisoners.
* Subjects who smoke cigarettes and/or use other tobacco products.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Alexander Meves

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexander Meves, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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17-005230

Identifier Type: -

Identifier Source: org_study_id