Trial Outcomes & Findings for Wet-to-dry vs Petrolatum & Non-stick Dressings After Hidradenitis Suppurativa Surgery (NCT NCT05194969)

NCT ID: NCT05194969

Last Updated: 2025-02-18

Results Overview

A validated Wound Quality of Life (QOL) Survey will be administered that focuses on patient-reported outcomes of level of wound pain, pain with dressing changes (application and removal), satisfaction with the bandaging, and ease of application of the bandaging, all 17 elements on a 0-4 scale. A mean score is calculated using each component such that a total score ranges from 0 to 4 with higher scores indicating a worse outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

74 participants

Primary outcome timeframe

Administered at 1, 2, 4 and 6 weeks post-surgery

Results posted on

2025-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
Wet-to-dry Dressings
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
Overall Study
STARTED
39
35
Overall Study
COMPLETED
27
26
Overall Study
NOT COMPLETED
12
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Wet-to-dry vs Petrolatum & Non-stick Dressings After Hidradenitis Suppurativa Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wet-to-dry Dressings
n=39 Participants
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
n=35 Participants
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
Total
n=74 Participants
Total of all reporting groups
Age, Continuous
40.5 years
STANDARD_DEVIATION 14.5 • n=5 Participants
34.8 years
STANDARD_DEVIATION 9.5 • n=7 Participants
37.8 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
26 Participants
n=7 Participants
57 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
34 Participants
n=7 Participants
72 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
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
18 Participants
n=5 Participants
24 Participants
n=7 Participants
42 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
10 Participants
n=7 Participants
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
39 Participants
n=5 Participants
35 Participants
n=7 Participants
74 Participants
n=5 Participants
Body Mass Index (BMI)
37.6 kg/m^2
n=5 Participants
37.0 kg/m^2
n=7 Participants
37.3 kg/m^2
n=5 Participants
Smoking History
Current Smoker
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Smoking History
Former Smoker
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Smoking History
Never Smoker
28 Participants
n=5 Participants
26 Participants
n=7 Participants
54 Participants
n=5 Participants
Hurley Stage
Hurley I
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Hurley Stage
Hurley II
26 Participants
n=5 Participants
22 Participants
n=7 Participants
48 Participants
n=5 Participants
Hurley Stage
Hurley III
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Hurley Stage
Hurley Unreported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Administered at 1, 2, 4 and 6 weeks post-surgery

Population: All available data are reported. Unreported data are for those lost to follow-up.

A validated Wound Quality of Life (QOL) Survey will be administered that focuses on patient-reported outcomes of level of wound pain, pain with dressing changes (application and removal), satisfaction with the bandaging, and ease of application of the bandaging, all 17 elements on a 0-4 scale. A mean score is calculated using each component such that a total score ranges from 0 to 4 with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Wet-to-dry Dressings
n=33 Participants
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
n=30 Participants
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
Wound QOL Survey Score Over Time
Week 1
1.14 score on a scale
Interval 0.1 to 3.1
0.94 score on a scale
Interval 0.0 to 3.3
Wound QOL Survey Score Over Time
Week 2
0.77 score on a scale
Interval 0.0 to 3.5
0.66 score on a scale
Interval 0.0 to 2.6
Wound QOL Survey Score Over Time
Week 4
0.51 score on a scale
Interval 0.0 to 1.9
0.54 score on a scale
Interval 0.0 to 2.6
Wound QOL Survey Score Over Time
Week 6
0.28 score on a scale
Interval 0.0 to 0.9
0.42 score on a scale
Interval 0.0 to 2.9

PRIMARY outcome

Timeframe: Completed at 1, 2, 4 and 6 weeks post-surgery utilizing images submitted by patients

Population: All available data are reported. Unreported data are for those lost to follow-up.

The pressure ulcer scale for healing (PUSH) tool is a validated means of measuring wound healing over time, specifically wounds that heal via secondary intent, by taking into account things like wound size and wound exudate, among others. Scores range from 0-17 with higher scores indicating inferior wound healing.

Outcome measures

Outcome measures
Measure
Wet-to-dry Dressings
n=24 Participants
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
n=21 Participants
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
PUSH Score Over Time
Week 1
11.0 score on a scale
Interval 5.0 to 15.0
11.4 score on a scale
Interval 5.0 to 14.0
PUSH Score Over Time
Week 2
9.1 score on a scale
Interval 0.0 to 14.0
10.0 score on a scale
Interval 4.0 to 14.0
PUSH Score Over Time
Week 4
5.7 score on a scale
Interval 0.0 to 13.0
6.2 score on a scale
Interval 0.0 to 12.0
PUSH Score Over Time
Week 6
3.9 score on a scale
Interval 0.0 to 11.0
2.7 score on a scale
Interval 0.0 to 8.0

PRIMARY outcome

Timeframe: Collected at 1, 2, 4 and 6 weeks post-surgery

Population: All available data are reported. Unreported data are for those lost to follow-up.

The numeric rating scale (NRS) will be used, where patients will be asked to rate pain with dressing changes and general pain on a scale from 0-10 with higher scores indicating worse pain. This information will be collected in the patient survey that is sent post-operatively.

Outcome measures

Outcome measures
Measure
Wet-to-dry Dressings
n=33 Participants
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
n=30 Participants
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
Pain With Dressing Changes Over Time
Week 1 Pain with Dressing Removal
6.2 score on a scale
Interval 0.0 to 10.0
3.6 score on a scale
Interval 0.0 to 10.0
Pain With Dressing Changes Over Time
Week 2 Pain with Dressing Removal
3.5 score on a scale
Interval 0.0 to 10.0
2.3 score on a scale
Interval 0.0 to 8.0
Pain With Dressing Changes Over Time
Week 4 Pain with Dressing Removal
2.1 score on a scale
Interval 0.0 to 10.0
1.6 score on a scale
Interval 0.0 to 7.0
Pain With Dressing Changes Over Time
Week 6 Pain with Dressing Removal
1.4 score on a scale
Interval 0.0 to 10.0
1.1 score on a scale
Interval 0.0 to 8.0
Pain With Dressing Changes Over Time
Week 1 Pain with Dressing Application
3.0 score on a scale
Interval 0.0 to 8.0
2.1 score on a scale
Interval 0.0 to 7.0
Pain With Dressing Changes Over Time
Week 2 Pain with Dressing Application
2.2 score on a scale
Interval 0.0 to 7.0
1.3 score on a scale
Interval 0.0 to 6.0
Pain With Dressing Changes Over Time
Week 4 Pain with Dressing Application
1.2 score on a scale
Interval 0.0 to 7.0
1.0 score on a scale
Interval 0.0 to 6.0
Pain With Dressing Changes Over Time
Week 6 Pain with Dressing Application
0.5 score on a scale
Interval 0.0 to 7.0
0.7 score on a scale
Interval 0.0 to 6.0

Adverse Events

Wet-to-dry Dressings

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Petrolatum With Non-Stick Gauze

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Wet-to-dry Dressings
n=39 participants at risk
Participants in this arm will receive standard of care wet-to-dry dressings. Wet-to-Dry Dressings: This dressing technique involves moistening a piece of gauze with normal saline or other cleansing solution, placing the moistened gauze on the wound, allowing the gauze to dry, and then removing and replacing the bandage regularly over a period of days to weeks
Petrolatum With Non-Stick Gauze
n=35 participants at risk
Participants in this arm will receive petrolatum with non-stick gauze. Petrolatum with Non-Stick Gauze: This dressing approach involves applying a thick layer of petrolatum to the wound once or twice daily to maintain a moist wound base. After placement of petrolatum, the wound is covered with nonadherent gauze and tape or another bordered dressing.
Skin and subcutaneous tissue disorders
Prolonged bleeding during dressing changes
2.6%
1/39 • Number of events 1 • From the time of signing informed consent through 6 weeks post-surgery.
0.00%
0/35 • From the time of signing informed consent through 6 weeks post-surgery.

Additional Information

Christopher J. Sayed, MD

University of North Carolina at Chapel Hill

Phone: 984-974-3900

Results disclosure agreements

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