Evaluation of Skin Cleansers and Skin Protectants in Management of Incontinence-associated Dermatitis

NCT ID: NCT04625426

Last Updated: 2021-05-05

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-29

Study Completion Date

2020-09-30

Brief Summary

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The aim of this study is to evaluate the efficacy of two different skin care regimens (3M Cavilon Advanced Skin Protectant with 3M No-Rinse Cleanser and Coloplast Conveen Critic Barrier with Easi-Cleanser) against standard care (Skin wipes and Conveen Critic Barrier) in the management of Incontinence-Associated Dermatitis (IAD) in hospitalised patients

Detailed Description

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The aim of this study is to evaluate the efficacy of two different skin care regimens (3M Cavilon Advanced Skin Protectant with 3M No-Rinse Cleanser and Coloplast Conveen Critic Barrier with Easi-Cleanser) against standard care (Skin wipes and Conveen Critic Barrier) in the management of Incontinence-Associated Dermatitis (IAD) in hospitalised patients.

To date, there is no conclusive evidence on the "best treatment" for patients presenting with IAD. This has led to current clinical practices tend to select IAD products based on its cost and availability, which can be heavily influenced by marketing and commercialisation efforts.

This study allows investigation of the effectiveness of IAD products to ensure the provision of optimal care.

Conditions

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Incontinence-associated Dermatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster randomised trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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3M No-Rinse Cleanser and 3M Cavilon Advanced Skin Protectant

Skin cleanser: 3M No-Rinse Cleanser. Skin protectant: 3M Cavilon Advanced Skin Protectant (liquid acrylic tetrapolymer skin protectant layer).

The skin cleanser was used during every episode of incontinence and the protectant was applied every three days as recommended by the manufacturer.

Group Type EXPERIMENTAL

3M Cavilon No-Rinse Skin Cleanser and 3M Cavilon Advanced Skin Protectant

Intervention Type DEVICE

Hypoallergenic no-rinse skin cleanser and liquid acrylic tetrapolymer skin protectant

Conveen EasiCleanse and Conveen Critic Barrier

Skin cleanser: Conveen EasiCleanse. Skin protectant: Conveen Critic Barrier (zinc oxide-based barrier cream). After each episode of incontinence, the skin cleanser was also first used to cleanse the skin, followed by application of the barrier cream, as per the barrier cream manufacturer's instructions.

Group Type EXPERIMENTAL

Conveen EasiCleanse and Conveen Critic Barrier

Intervention Type DEVICE

Hypoallergenic no-rinse skin cleanser and zinc-oxide barrier cream

Soap and water / Incontinence wipes and Conveen Critic Barrier

Skin cleanser: Ordinary soap and water or incontinence wipes. Skin protectant: Conveen Critic Barrier (zinc oxide-based barrier cream). After each episode of incontinence, the skin was cleansed using soap and water or incontinence wipes, followed by application of the barrier cream.

Group Type ACTIVE_COMPARATOR

Standard cleansing and Conveen Critic Barrier

Intervention Type DEVICE

Hospital's standard care for IAD management

Interventions

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3M Cavilon No-Rinse Skin Cleanser and 3M Cavilon Advanced Skin Protectant

Hypoallergenic no-rinse skin cleanser and liquid acrylic tetrapolymer skin protectant

Intervention Type DEVICE

Conveen EasiCleanse and Conveen Critic Barrier

Hypoallergenic no-rinse skin cleanser and zinc-oxide barrier cream

Intervention Type DEVICE

Standard cleansing and Conveen Critic Barrier

Hospital's standard care for IAD management

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Aged 21 years and above at point of recruitment
* Diagnosed with IAD
* At regular risk of exposure to urine and faeces over their hospitalization

Exclusion Criteria

* Having a known allergy to the treatment products
* Haemodynamically unstable at point of assessment for study
* Unable to tolerate lateral positioning for skin cleansing and treatment application
* Pregnancy
* Having an existing skin disease at point of study that might lead to inaccurate IAD assessment, such as herpes or scabies.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tan Tock Seng Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ee Yuee Chan

Role: STUDY_DIRECTOR

Tan Tock Seng Hospital

Cheng Cheng Goh

Role: PRINCIPAL_INVESTIGATOR

Tan Tock Seng Hospital

Locations

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Tan Tock Seng Hospital

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Beeckman D, Van Damme N, Schoonhoven L, Van Lancker A, Kottner J, Beele H, Gray M, Woodward S, Fader M, Van den Bussche K, Van Hecke A, De Meyer D, Verhaeghe S. Interventions for preventing and treating incontinence-associated dermatitis in adults. Cochrane Database Syst Rev. 2016 Nov 10;11(11):CD011627. doi: 10.1002/14651858.CD011627.pub2.

Reference Type BACKGROUND
PMID: 27841440 (View on PubMed)

Van Tiggelen H, LeBlanc K, Campbell K, Woo K, Baranoski S, Chang YY, Dunk AM, Gloeckner M, Hevia H, Holloway S, Idensohn P, Karadag A, Koren E, Kottner J, Langemo D, Ousey K, Pokorna A, Romanelli M, Santos VLCG, Smet S, Tariq G, Van den Bussche K, Van Hecke A, Verhaeghe S, Vuagnat H, Williams A, Beeckman D. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. Br J Dermatol. 2020 Jul;183(1):146-154. doi: 10.1111/bjd.18604. Epub 2019 Nov 28.

Reference Type BACKGROUND
PMID: 31605618 (View on PubMed)

Beele H, Smet S, Van Damme N, Beeckman D. Incontinence-Associated Dermatitis: Pathogenesis, Contributing Factors, Prevention and Management Options. Drugs Aging. 2018 Jan;35(1):1-10. doi: 10.1007/s40266-017-0507-1.

Reference Type BACKGROUND
PMID: 29243033 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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SIG18037

Identifier Type: -

Identifier Source: org_study_id

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