Trial Outcomes & Findings for Closed Incision Negative Pressure Wound Therapy vs. Foam as Post Operative Dressing (NCT NCT05427916)

NCT ID: NCT05427916

Last Updated: 2024-03-13

Results Overview

Healing complications are defined as the presence of at least one of the following conditions: infection (superficial or deep), dehiscence (partial, superficial, or deep), or delayed healing (incision not 100% closed within 7 days of the first surgical procedure)

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

21 days

Results posted on

2024-03-13

Participant Flow

Recruitment began 6/1/22, with first enrollment on 7/12/22. Recruitment continued until study was terminated on 5/1/23.

Participant milestones

Participant milestones
Measure
Negative Pressure Wound Therapy
Negative pressure to the incision site and managing exudate generated by the incision. Avance Solo: Avance® Solo will include the collective description for a complete device capable of delivering negative pressure to the incision site and managing exudate generated by the incision.
Optifoam
This foam is standard of care and is currently stocked by the operating rooms at Mount Sinai hospital and indicated for use in high risk wounds Optifoam: Optifoam is a silicone backed foam that is conformable, with a border that is waterproof, flexible and breathable for increased comfort, with a wear time of up to seven days. It is a standard of care product that is given to patients for surgical wounds.
Overall Study
STARTED
12
8
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
12
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Negative Pressure Wound Therapy
Negative pressure to the incision site and managing exudate generated by the incision. Avance Solo: Avance® Solo will include the collective description for a complete device capable of delivering negative pressure to the incision site and managing exudate generated by the incision.
Optifoam
This foam is standard of care and is currently stocked by the operating rooms at Mount Sinai hospital and indicated for use in high risk wounds Optifoam: Optifoam is a silicone backed foam that is conformable, with a border that is waterproof, flexible and breathable for increased comfort, with a wear time of up to seven days. It is a standard of care product that is given to patients for surgical wounds.
Overall Study
Adverse Event
3
0
Overall Study
Lack of Efficacy
6
0
Overall Study
Active arm terminated; trial was ended.
3
8

Baseline Characteristics

Closed Incision Negative Pressure Wound Therapy vs. Foam as Post Operative Dressing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Negative Pressure Wound Therapy
n=12 Participants
Negative pressure to the incision site and managing exudate generated by the incision. Avance Solo: Avance® Solo will include the collective description for a complete device capable of delivering negative pressure to the incision site and managing exudate generated by the incision.
Optifoam
n=8 Participants
This foam is standard of care and is currently stocked by the operating rooms at Mount Sinai hospital and indicated for use in high risk wounds Optifoam: Optifoam is a silicone backed foam that is conformable, with a border that is waterproof, flexible and breathable for increased comfort, with a wear time of up to seven days. It is a standard of care product that is given to patients for surgical wounds.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
58 years
n=5 Participants
71 years
n=7 Participants
64 years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 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
0 Participants
n=7 Participants
0 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
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 21 days

Population: Data not collected. Study terminated before endpoint data collection.

Healing complications are defined as the presence of at least one of the following conditions: infection (superficial or deep), dehiscence (partial, superficial, or deep), or delayed healing (incision not 100% closed within 7 days of the first surgical procedure)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of skin necrosis complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of cellulitis complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of abscess complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of suture abscess complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of seroma complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of periwound edema complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Incisional complication as assessed by number of hematoma complications

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Patient reported as none, mild, moderate, or severe

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 90 days

Population: Data not collected. Study terminated before endpoint data collection.

Patient Satisfaction Question that the patient will rank on a min/max scale of 0 to 7, higher score indicates higher satisfaction

Outcome measures

Outcome data not reported

Adverse Events

Negative Pressure Wound Therapy

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Optifoam

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
Negative Pressure Wound Therapy
n=12 participants at risk
Negative pressure to the incision site and managing exudate generated by the incision. Avance Solo: Avance® Solo will include the collective description for a complete device capable of delivering negative pressure to the incision site and managing exudate generated by the incision.
Optifoam
n=8 participants at risk
This foam is standard of care and is currently stocked by the operating rooms at Mount Sinai hospital and indicated for use in high risk wounds Optifoam: Optifoam is a silicone backed foam that is conformable, with a border that is waterproof, flexible and breathable for increased comfort, with a wear time of up to seven days. It is a standard of care product that is given to patients for surgical wounds.
Blood and lymphatic system disorders
Excessive serosanguinoius fluid secretion
8.3%
1/12 • Two weeks.
0.00%
0/8 • Two weeks.
Blood and lymphatic system disorders
Excessive bleeding
16.7%
2/12 • Two weeks.
0.00%
0/8 • Two weeks.

Additional Information

John C Lantis II

Icahn School of Medicine at Mount Sinai

Phone: (212) 523-4797

Results disclosure agreements

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