Evaluation of MolecuLight i:X as an Adjunctive Fluorescence Imaging Tool to Clinical Signs and Symptoms for the Identification of Bacteria-containing Wounds

NCT ID: NCT03540004

Last Updated: 2020-03-06

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

Total Enrollment

367 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-05-23

Study Completion Date

2020-12-30

Brief Summary

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This is a non-randomized evaluation for which 160 adult patients will be imaged at outpatient wound care clinics who present with a wound of unknown infection diagnostic status and are receiving standard treatment. The MolecuLight i:X Imaging Device will be used as an adjunctive tool in the assessment of the wound and may be used to guide the targeted sampling of a wound (using a conventional punch biopsy method).

Detailed Description

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Conditions

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Wound

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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MolecuLight i:X Imaging Device

The i:X Imaging Device uses built-in light-emitting diodes (LEDs) emitting 405 nm violet excitation light to illuminate the wound during fluorescence imaging in (FL-Mode). The light excites biological components of the wound and surrounding tissues. Non-biological components may also fluoresce although their presence in wounds is less common, provided the wound has been cleaned following standard care protocols. The resulting wound fluorescence wavelengths emitted are typically between 420 - 700 nm in the visible wavelength spectrum. In FL-mode, a customized fluorescence emission filter, which is mechanically placed in front of the built in imaging sensor and allows real-time capture of wound, limits the visualization of fluorescence to wavelengths between 500-545 nm, which typically appears green in color, and 600-665 nm, which typically appears red in color.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects presenting at an advanced outpatient wound care clinic with wound(s) (e.g. DFU, VLU, PU, SSI)
* 18 years or older

Exclusion Criteria

* Treatment with an investigational drug within 1 month before study enrolment
* Subjects with recent (\<30 days) biopsy of target wound
* Subjects with wounds that cannot be completely imaged by study device due to anatomic location
* Inability to consent
* Any contra-indication to routine wound care and/or monitoring
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SerenaGroup, Inc.

NETWORK

Sponsor Role collaborator

MolecuLight Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tomas E Serena, MD

Role: PRINCIPAL_INVESTIGATOR

Serena Group Research Institute

Locations

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New Hope Podiatry Group

Los Angeles, California, United States

Site Status

Royal Research Group

Pembroke Pines, Florida, United States

Site Status

Saint Mary's Center for Wound Healing

Athens, Georgia, United States

Site Status

The Wound Treatment Center at Opelousas General Health System

Opelousas, Louisiana, United States

Site Status

Cleveland Foot and Ankle Clinic

Cleveland, Ohio, United States

Site Status

The Heal Clinic

Tulsa, Oklahoma, United States

Site Status

Foot and Ankle Center

Bryn Mawr, Pennsylvania, United States

Site Status

Saint Vincent Health Center

Erie, Pennsylvania, United States

Site Status

The Foot and Ankle Wellness Center of Western Pennsylvania

Ford City, Pennsylvania, United States

Site Status

Armstrong County Memorial Hospital

Kittanning, Pennsylvania, United States

Site Status

Serena Group Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

Martin Foot and Ankle

York, Pennsylvania, United States

Site Status

El Campo Memorial Hospital

El Campo, Texas, United States

Site Status

Texas Gulf Coast Medical Group

Houston, Texas, United States

Site Status

Countries

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United States

References

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Johnson J, Johnson AR Jr, Andersen CA, Kelso MR, Oropallo AR, Serena TE. Skin Pigmentation Impacts the Clinical Diagnosis of Wound Infection: Imaging of Bacterial Burden to Overcome Diagnostic Limitations. J Racial Ethn Health Disparities. 2024 Apr;11(2):1045-1055. doi: 10.1007/s40615-023-01584-8. Epub 2023 Apr 11.

Reference Type DERIVED
PMID: 37039975 (View on PubMed)

Serena TE, Gould L, Ousey K, Kirsner RS. Reliance on Clinical Signs and Symptoms Assessment Leads to Misuse of Antimicrobials: Post hoc Analysis of 350 Chronic Wounds. Adv Wound Care (New Rochelle). 2022 Dec;11(12):639-649. doi: 10.1089/wound.2021.0146. Epub 2021 Dec 3.

Reference Type DERIVED
PMID: 34714159 (View on PubMed)

Other Identifiers

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18-001

Identifier Type: -

Identifier Source: org_study_id

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