Trial Outcomes & Findings for Evaluating the Safety and Efficacy of Fractionated Carbon Dioxide Therapy in Postoperative Lower Extremity Wound Healing (NCT NCT03644849)

NCT ID: NCT03644849

Last Updated: 2022-01-11

Results Overview

Number of participants with completely healed lower extremity wounds by the end of the study (week 12). Complete wound healing is defined by reepithelization of the wound.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

12 weeks (enrollment time per subject)

Results posted on

2022-01-11

Participant Flow

Participant milestones

Participant milestones
Measure
Fractional Carbon Dioxide Laser Intervention Group
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Overall Study
STARTED
24
24
Overall Study
COMPLETED
23
21
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Fractional Carbon Dioxide Laser Intervention Group
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Overall Study
Lost to Follow-up
1
3

Baseline Characteristics

Evaluating the Safety and Efficacy of Fractionated Carbon Dioxide Therapy in Postoperative Lower Extremity Wound Healing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=24 Participants
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=24 Participants
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants
Age, Categorical
>=65 years
14 Participants
n=5 Participants
16 Participants
n=7 Participants
30 Participants
n=5 Participants
Age, Continuous
70 years
STANDARD_DEVIATION 12 • n=5 Participants
72 years
STANDARD_DEVIATION 12 • n=7 Participants
71 years
STANDARD_DEVIATION 12 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
21 Participants
n=7 Participants
38 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
24 Participants
n=7 Participants
46 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
24 participants
n=5 Participants
24 participants
n=7 Participants
48 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks (enrollment time per subject)

Number of participants with completely healed lower extremity wounds by the end of the study (week 12). Complete wound healing is defined by reepithelization of the wound.

Outcome measures

Outcome measures
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=23 Participants
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=21 Participants
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Number of Participants With Completely Healed Lower Extremity Wounds
20 Participants
18 Participants

PRIMARY outcome

Timeframe: 12 weeks (enrollment time per subject)

Number of participants who experienced adverse events at any time point throughout the study.

Outcome measures

Outcome measures
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=23 Participants
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=21 Participants
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Number of Participants Who Experienced Adverse Events.
4 Participants
2 Participants

SECONDARY outcome

Timeframe: 12 weeks (enrollment time per subject)

Score on the EQ-5D-5L. This is a quality of life questionnaire where higher scores equate to a better quality of life. The scale ranges from 100 ('the best imaginable health state' or 'the best health state you can imagine') to 0 ('the worst imaginable health state' or 'the worst health you can imagine').

Outcome measures

Outcome measures
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=23 Participants
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=21 Participants
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Quality of Life Measure EQ-5D-5L
90.7 scores on a scale
Standard Deviation 10.4
87.5 scores on a scale
Standard Deviation 10

SECONDARY outcome

Timeframe: 12 weeks (enrollment time per subject)

Wound temperature will be recorded in degrees Celsius through an infrared camera.

Outcome measures

Outcome measures
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=23 Participants
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=21 Participants
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Wound Temperature Associated With Carbon Dioxide Ablative Fractional Laser for Healing Postoperative Lower Extremity Wounds.
32.41 degrees Celsius
Standard Deviation 2.51
31.76 degrees Celsius
Standard Deviation 1.98

Adverse Events

Fractional Carbon Dioxide Laser Intervention Group

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Sham Laser Intervention Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fractional Carbon Dioxide Laser Intervention Group
n=24 participants at risk
The intervention will only involve a single treatment with ablative fractional carbon dioxide laser therapy. The investigators will specifically be using the CO2RE® (Syneron Candela Corp, Wayland, MA). CO2RE® (Syneron Candela Corp, Wayland, MA): The intervention will include a single treatment of a lower extremity wound with ablative fractional carbon dioxide laser after MMS surgery.
Sham Laser Intervention Group
n=24 participants at risk
Sham laser treatment: A physician who is not blinded will perform a sham laser treatment on blinded subjects.
Skin and subcutaneous tissue disorders
Skin Infection
16.7%
4/24 • Number of events 4 • Adverse events data was collected during the entire duration of the patient's enrollment in the study, which was until 12 weeks.
Infection was diagnosed with a positive culture.
8.3%
2/24 • Number of events 2 • Adverse events data was collected during the entire duration of the patient's enrollment in the study, which was until 12 weeks.
Infection was diagnosed with a positive culture.

Additional Information

Dr. Ramona Behshad

Saint Louis University

Phone: 314-977-9721

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place