Compression and CO2 Laser for Leg Wounds

NCT ID: NCT04198454

Last Updated: 2025-01-31

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-17

Study Completion Date

2025-06-30

Brief Summary

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The purpose of this study is to determine the efficacy and safety of compression bandaging with fractional ablative carbon dioxide laser (FACL) compared to compression and standard dressings alone for healing of post-operative wounds of the leg.

This is a randomized, SMART design, clinical trial. Approximately 80 participants will be randomized to initially receive compression bandages or standard wound dressings after surgery on the lower leg. After 4 weeks, the group assigned to compression bandages will be further randomized to either continue with the compression bandages only or continue with the compression bandages and also receive (FACL). The study is designed as an 6-month study. This study was a pilot study designed to determine feasibility of these procedure.

Subjects currently living in the Chicago metropolitan area and meet inclusion/exclusion criteria will be considered for enrollment.

Detailed Description

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Conditions

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Wound Healing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Sequential, multiple assignment, randomized trials (SMARTs)
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Compression bandages

Class I (20-30 mmHg) compression bandages or stocking. This is considered a standard measure in the recovery of lower extremity wounds and often recommended.

Group Type ACTIVE_COMPARATOR

Compression bandages

Intervention Type OTHER

Class I (20-30 mmHg) compression bandages or stocking

Standard wound dressings

Wound dressings alone consisting of gauze and skin tape to cover the wound.

Group Type OTHER

Standard wound dressings

Intervention Type OTHER

Wound dressings alone consisting of gauze and skin tape to cover the wound

Compression bandages with FACL

Class I compression (20-30 mmHg) bandage or stocking with FACL.

Group Type EXPERIMENTAL

Compression bandages

Intervention Type OTHER

Class I (20-30 mmHg) compression bandages or stocking

Fractional ablative carbon dioxide laser

Intervention Type DEVICE

Participant will have laser applied to their wound bed.

Interventions

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Compression bandages

Class I (20-30 mmHg) compression bandages or stocking

Intervention Type OTHER

Standard wound dressings

Wound dressings alone consisting of gauze and skin tape to cover the wound

Intervention Type OTHER

Fractional ablative carbon dioxide laser

Participant will have laser applied to their wound bed.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. \>18 years of age
2. Wound size of at least 1 cm in width
3. Cutaneous excision of the lower leg
4. Surgeon elected repair of healing by secondary intention
5. Participants must have the ability to understand and the willingness to sign a written informed consent prior to registration on study

Exclusion Criteria

1. Current smoker
2. Uncontrolled diabetes mellitus
3. Uncontrolled hypothyroidism
4. Severe renal impairment or hypoalbuminemia
5. Chronic lymphedema
6. Severe venous insufficiency (large varicose veins, atrophie blanche)
7. Arterial insufficiency (ABI \< 0.8)
8. Rubber or rubber accelerator allergy
9. Prior radiation to the surgical site
10. History or evidence of a clinically significant medical or psychiatric disorder, condition or disease that in the opinion of the treating physician would pose a risk or interfere with evaluation or completion of the study
11. Subject un willing to sign an IRB approved consent form
12. Participants who are unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function are not eligible
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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Murad Alam

Professor of Dermatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Murad Alam, MD

Role: PRINCIPAL_INVESTIGATOR

Northwestern University

Locations

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Northwestern University Department of Dermatology

Chicago, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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STU00211239

Identifier Type: -

Identifier Source: org_study_id

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