A Clinical Investigation to Follow the Progress of Exuding Chronic Venous Leg Ulcers Using a Non-Bordered Foam Dressing

NCT ID: NCT05608317

Last Updated: 2024-05-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-08

Study Completion Date

2024-11-30

Brief Summary

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The goal of this clinical trial to follow the progress of wounds in those with chronic venous leg ulcers while using a non-bordered foam dressing. The main objective is to follow the progress of these wounds over time from initial visit to each follow-up visit.

Participants will be asked to wear the dressing for up to 6 weeks of treatment or until healed, changed at every one-week interval.

Detailed Description

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This investigation is designed as a prospective, open, multi-center, interventional, non-comparative investigation with the aim to follow chronic wound progression for 6 weeks according to local standard of care. Wound progress is a summary endpoint of the total effect of treatment using the non-bordered foam dressing as the absorbent dressing and includes the changes in an objectively measured wound area and subjectively evaluated wound condition. The only included indication is Venous Leg Ulcers (VLU). A total of n=20 participants will be recruited at up to 6 centers within the US and Canada.

There will be a total of seven (7) visits to the investigation site for participants during the treatment period: baseline, followed by weekly visits up to six (6) weeks post baseline. During visits, evaluations will be performed to assess wound progression and status, wound dressing properties, as well as Subject pain, comfort, and quality of life. Safety will be assessed at all visits. One target wound per participant will be included in this investigation.

Conditions

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Wounds Wound of Skin Wound Leg Venous Leg Ulcer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The model is a prospective, open, multi-center, interventional, non-comparative investigation with the aim to follow exuding chronic venous leg ulcers over time for 6 weeks according to local standard of care.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Supportive Care with Non-Bordered Foam Dressing

All Subjects will use a non-bordered foam dressing as the absorbent primary dressing.

Group Type EXPERIMENTAL

ALLEVYN Non-Adhesive

Intervention Type DEVICE

ALLEVYN Non-Adhesive combines patient comfort with the tri-layer fluid management system that enables moist wound healing. It utilizes a unique triple action technology that manages fluid to maintain optimal moist wound healing conditions. It is ideal for fragile and sensitive skin due to its non-adherent wound contact layer and soft and conformable construction.

ALLEVYN Non-Adhesive consists of the following layers:

* Breathable top film
* Highly absorbent foam core
* Non-adhesive wound contact layer

Interventions

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ALLEVYN Non-Adhesive

ALLEVYN Non-Adhesive combines patient comfort with the tri-layer fluid management system that enables moist wound healing. It utilizes a unique triple action technology that manages fluid to maintain optimal moist wound healing conditions. It is ideal for fragile and sensitive skin due to its non-adherent wound contact layer and soft and conformable construction.

ALLEVYN Non-Adhesive consists of the following layers:

* Breathable top film
* Highly absorbent foam core
* Non-adhesive wound contact layer

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Signed consent to participate (including consent for digital imaging)
* Adult aged ≥18 years
* Diagnosed with a chronic, exuding VLU
* Exudate amount moderate to large
* Wound size from 3 cm2 to 30 cm2, as determined by the clinician
* ABPI (within 3 months) \> 0.7. If ABPI \> 1.4, then big toe pressure \> 60 mmHg is required or an alternative measurement verifying normal distal arterial flow
* Willing to be compliant with compression therapy

Exclusion Criteria

* Infected ulcer according to the judgment of the investigator defined as any wound condition requiring the prescription or continuation of systemic antibiotic therapy at enrollment
* Circumferential wound
* Known allergy/hypersensitivity to the materials of the dressing
* Use of wound fillers
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Molnlycke Health Care AB

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hadar Lev-Tov, MD, MAS

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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Center for Clinical Trials, Inc.

San Francisco, California, United States

Site Status NOT_YET_RECRUITING

University of Miami

Miami, Florida, United States

Site Status RECRUITING

Serena Group Research Institute

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Janet Kandrevas, MD, MS

Role: CONTACT

734-358-2174

Andrea Picchietti, MS, CCRA

Role: CONTACT

260-258-3879

Facility Contacts

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Gayana Sarkisova, CCRC

Role: primary

800-363-1063 ext. 104

Aliette Espinosa

Role: primary

305-689-3376

Laura Serena

Role: primary

412-335-0764

References

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Gould L, Abadir P, Brem H, Carter M, Conner-Kerr T, Davidson J, DiPietro L, Falanga V, Fife C, Gardner S, Grice E, Harmon J, Hazzard WR, High KP, Houghton P, Jacobson N, Kirsner RS, Kovacs EJ, Margolis D, McFarland Horne F, Reed MJ, Sullivan DH, Thom S, Tomic-Canic M, Walston J, Whitney J, Williams J, Zieman S, Schmader K. Chronic wound repair and healing in older adults: current status and future research. Wound Repair Regen. 2015 Jan-Feb;23(1):1-13. doi: 10.1111/wrr.12245. Epub 2015 Feb 13.

Reference Type BACKGROUND
PMID: 25486905 (View on PubMed)

Rippon M WM, Bielfeldt S. An evaluation of properties related to wear time of four dressings during a five-day period. Wounds UK. 2015;11(1):45-54.

Reference Type BACKGROUND

Tickle J. Wound exudate: a survey of current understanding and clinical competency. Br J Nurs. 2016 Jan 28-Feb 10;25(2):102-9. doi: 10.12968/bjon.2016.25.2.102.

Reference Type BACKGROUND
PMID: 27119542 (View on PubMed)

Young T, Clark M, Augustin M, Carville K, Curran J, Flour M, et al. International consensus. Optimising wellbeing in people living with a wound. An expert working group review. Wounds International; London 2012.

Reference Type BACKGROUND

Chadwick P, McCardle J. Exudate management using a gelling fibre dressing. The Diabetic Foot Journal. 2015;18(1):43-8.

Reference Type BACKGROUND

Gonzalez de la Torre H, Quintana-Lorenzo ML, Perdomo-Perez E, Verdu J. Correlation between health-related quality of life and venous leg ulcer's severity and characteristics: a cross-sectional study. Int Wound J. 2017 Apr;14(2):360-368. doi: 10.1111/iwj.12610. Epub 2016 Apr 25.

Reference Type BACKGROUND
PMID: 27112627 (View on PubMed)

Jones JE, Robinson J, Barr W, Carlisle C. Impact of exudate and odour from chronic venous leg ulceration. Nurs Stand. 2008 Jul 16-22;22(45):53-4, 56, 58 passim. doi: 10.7748/ns2008.07.22.45.53.c6592.

Reference Type BACKGROUND
PMID: 18686695 (View on PubMed)

World Union of Wound Healing Societies (WUWHS). Principles of best practice: Wound exudate and the role of dressings. A consensus document. 2019.

Reference Type BACKGROUND

European Wound Management Association (EWMA). Position document: Wound bed preparation in practice. London: MEP Ltd. 2004.

Reference Type BACKGROUND

Romanelli M, Vowden K, Weir D. Exudate Management Made Easy Wounds International 2010.

Reference Type BACKGROUND

Walker M, Parsons D. Hydrofiber® technology: its role in exudate management. Wounds UK; 2010. p. 31-38.

Reference Type BACKGROUND

Maume S, Van De Looverbosch D, Heyman H, Romanelli M, Ciangherotti A, Charpin S. A study to compare a new self-adherent soft silicone dressing with a self-adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Manage. 2003 Sep;49(9):44-51.

Reference Type BACKGROUND
PMID: 14581709 (View on PubMed)

Moore Z, Strapp H. Managing the problem of excess exudate. Br J Nurs. 2015 Aug 13-Sep 19;24(15):S12, S14-7. doi: 10.12968/bjon.2015.24.Sup15.S12.

Reference Type BACKGROUND
PMID: 26266558 (View on PubMed)

Rippon M, Davies P, White R. Taking the trauma out of wound care: the importance of undisturbed healing. J Wound Care. 2012 Aug;21(8):359-60, 362, 364-8. doi: 10.12968/jowc.2012.21.8.359.

Reference Type BACKGROUND
PMID: 22885308 (View on PubMed)

ALLEVYN Non-Adhesive. Advanced Wound Management <www.smith-nephew.com>. Accessed 2022 Apr 23.

Reference Type BACKGROUND

Gorin DR, Cordts PR, LaMorte WW, Manzoian JO. The influence of wound geometry on the measurement of wound healing rates in clinical trials. J Vasc Surg. 1996 Mar;23(3):524-8. doi: 10.1016/s0741-5214(96)80021-8.

Reference Type BACKGROUND
PMID: 8601898 (View on PubMed)

Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, Fainsinger R, Aass N, Kaasa S; European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011 Jun;41(6):1073-93. doi: 10.1016/j.jpainsymman.2010.08.016.

Reference Type BACKGROUND
PMID: 21621130 (View on PubMed)

Augustin M, Conde Montero E, Zander N, Baade K, Herberger K, Debus ES, Diener H, Neubert T, Blome C. Validity and feasibility of the wound-QoL questionnaire on health-related quality of life in chronic wounds. Wound Repair Regen. 2017 Sep;25(5):852-857. doi: 10.1111/wrr.12583. Epub 2017 Nov 2.

Reference Type BACKGROUND
PMID: 29080332 (View on PubMed)

Other Identifiers

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DIPLO NBF

Identifier Type: -

Identifier Source: org_study_id

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