Trial Outcomes & Findings for Treatment of Full-Thickness Wounds: NPWT Combined With Type-I Collagen Based Advanced Skin Substitute Versus NPWT Alone (NCT NCT06873867)

NCT ID: NCT06873867

Last Updated: 2025-11-21

Results Overview

Percentage change in wound area from week 1 through week 7 measured manually with digital photography

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

104 participants

Primary outcome timeframe

7 weeks

Results posted on

2025-11-21

Participant Flow

Participant milestones

Participant milestones
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Overall Study
STARTED
52
52
Overall Study
COMPLETED
52
52
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Total
n=104 Participants
Total of all reporting groups
Wound etiology, n (%)
Diabetic
8 Participants
n=52 Participants
10 Participants
n=52 Participants
18 Participants
n=104 Participants
Age, Customized
54.1 years
STANDARD_DEVIATION 12.2 • n=52 Participants
55.3 years
STANDARD_DEVIATION 11.7 • n=52 Participants
54.7 years
STANDARD_DEVIATION 11.9 • n=104 Participants
Sex: Female, Male
Female
18 Participants
n=52 Participants
19 Participants
n=52 Participants
37 Participants
n=104 Participants
Sex: Female, Male
Male
34 Participants
n=52 Participants
33 Participants
n=52 Participants
67 Participants
n=104 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
India
52 participants
n=52 Participants
52 participants
n=52 Participants
104 participants
n=104 Participants
Wound area (cm²)
32.8 square centimeters
STANDARD_DEVIATION 18.5 • n=52 Participants
33.6 square centimeters
STANDARD_DEVIATION 17.9 • n=52 Participants
33.18 square centimeters
STANDARD_DEVIATION 18.11 • n=104 Participants
Wound duration (weeks)
4.1 weeks
STANDARD_DEVIATION 2.9 • n=52 Participants
5.1 weeks
STANDARD_DEVIATION 3.1 • n=52 Participants
4.6 weeks
STANDARD_DEVIATION 3.0 • n=104 Participants
Wound etiology, n (%)
Traumatic
12 Participants
n=52 Participants
14 Participants
n=52 Participants
26 Participants
n=104 Participants
Wound etiology, n (%)
Surgical
10 Participants
n=52 Participants
10 Participants
n=52 Participants
20 Participants
n=104 Participants
Wound etiology, n (%)
Burns
8 Participants
n=52 Participants
8 Participants
n=52 Participants
16 Participants
n=104 Participants
Wound etiology, n (%)
Vascular
7 Participants
n=52 Participants
5 Participants
n=52 Participants
12 Participants
n=104 Participants
Wound etiology, n (%)
Pressure
7 Participants
n=52 Participants
5 Participants
n=52 Participants
12 Participants
n=104 Participants
Wound location, n (%)
Lower Limb
28 Participants
n=52 Participants
23 Participants
n=52 Participants
51 Participants
n=104 Participants
Wound location, n (%)
Chest
10 Participants
n=52 Participants
9 Participants
n=52 Participants
19 Participants
n=104 Participants
Wound location, n (%)
Upper limb
8 Participants
n=52 Participants
12 Participants
n=52 Participants
20 Participants
n=104 Participants
Wound location, n (%)
Abdomen
4 Participants
n=52 Participants
5 Participants
n=52 Participants
9 Participants
n=104 Participants
Wound location, n (%)
Back
2 Participants
n=52 Participants
3 Participants
n=52 Participants
5 Participants
n=104 Participants
Wound location, n (%)
Head and Neck
0 Participants
n=52 Participants
0 Participants
n=52 Participants
0 Participants
n=104 Participants

PRIMARY outcome

Timeframe: 7 weeks

Percentage change in wound area from week 1 through week 7 measured manually with digital photography

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Percentage Change in Wound Area
Wound area reduction at 6 weeks
78.33 percentage change
Standard Deviation 16.98
50.83 percentage change
Standard Deviation 13.72
Percentage Change in Wound Area
Wound area reduction at 7 weeks
89.35 percentage change
Standard Deviation 16.08
57.85 percentage change
Standard Deviation 12.73
Percentage Change in Wound Area
Wound area reduction at 1 week
23.73 percentage change
Standard Deviation 11.45
15.21 percentage change
Standard Deviation 9.32
Percentage Change in Wound Area
Wound area reduction at 2 weeks
34.47 percentage change
Standard Deviation 13.28
22.52 percentage change
Standard Deviation 10.85
Percentage Change in Wound Area
Wound area reduction at 3 weeks
45.17 percentage change
Standard Deviation 14.67
29.85 percentage change
Standard Deviation 11.98
Percentage Change in Wound Area
Wound area reduction at 4 weeks
56.45 percentage change
Standard Deviation 15.82
36.62 percentage change
Standard Deviation 12.74
Percentage Change in Wound Area
Wound area reduction at 5 weeks
67.14 percentage change
Standard Deviation 16.45
43.97 percentage change
Standard Deviation 13.28

SECONDARY outcome

Timeframe: 5 days

Histopathological assessment will be done using biopsy on Day 0 of application to be compared with Day 5 after application of Type-I Collagen-based Skin Substitute or Human Amnion/Chorion Membrane. Histopathology assessed at day 0 and day 5, day 5 reported. Subsequently histopathology of biopsy will be done to look for: vascular infiltration (0-3 scale) - higher score means better, neo-epithelialization (0-3 scale) - higher score means better, fibroblast activity (0-3 scale) - higher score means better, inflammatory response (0-3 scale) - lower score means better and collagen deposition (0-3 scale) - higher score means better

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Histopathological Analysis on Day 5 of Study
vascular infiltration (0-3 scale)
2.82 score on a scale
Standard Deviation 0.65
2.10 score on a scale
Standard Deviation 0.58
Histopathological Analysis on Day 5 of Study
neo-epithelialization (0-3 scale)
2.73 score on a scale
Standard Deviation 0.61
1.72 score on a scale
Standard Deviation 0.54
Histopathological Analysis on Day 5 of Study
fibroblast activity (0-3 scale)
2.79 score on a scale
Standard Deviation 0.68
1.63 score on a scale
Standard Deviation 0.52
Histopathological Analysis on Day 5 of Study
inflammatory response (0-3 scale)
1.32 score on a scale
Standard Deviation 0.48
2.35 score on a scale
Standard Deviation 0.63
Histopathological Analysis on Day 5 of Study
collagen deposition (0-3 scale)
2.78 score on a scale
Standard Deviation 0.64
1.43 score on a scale
Standard Deviation 0.49

SECONDARY outcome

Timeframe: 5 days

Histopathological assessment will be done using biopsy on Day 0 of application to be compared with Day 5 after application of Type-I Collagen-based Skin Substitute or Human Amnion/Chorion Membrane. Histopathology assessed at day 0 and day 5, day 5 reported. Subsequently histopathology of biopsy will be done to look for capillary density (vessels per mm²) - higher count means better,

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Histopathological Analysis on Day 5 of Study - Capillary Density
48.51 vessels per mm²
Standard Deviation 8.32
42.97 vessels per mm²
Standard Deviation 7.85

SECONDARY outcome

Timeframe: 7 weeks

The time to achieve complete wound closure of the target ulcer by the end of 7 weeks

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Time to Achieve Complete Wound Closure
36.81 days
Standard Deviation 12.88
43.94 days
Standard Deviation 16.70

SECONDARY outcome

Timeframe: 7 weeks

The percentage of participants that obtain complete wound closure over the 7 weeks (6 weeks treatment period plus 1 week follow up)

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Percentage of Participants to Obtain Complete Wound Closure
45 Participants
22 Participants

SECONDARY outcome

Timeframe: 7 weeks

Measurement of percentage of participants achieving ≥50% wound healing (epithelialization) assessed at follow up

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Percentage of Participants Achieving ≥50% Wound Healing
49 Participants
27 Participants

SECONDARY outcome

Timeframe: 6 weeks

Mean number of rapplications of the NPWT+HPTC \& NPWT alone used to obtain wound closure

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Mean Number of Application
1.83 number of applications
Standard Deviation 0.82
4.3 number of applications
Standard Deviation 1.72

SECONDARY outcome

Timeframe: 6 weeks

Number of adverse events related to the intervention (e.g., infection, allergic reactions, NPWT seal issues)

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Number of Adverse Events
Superficial wound infection
2 number of adverse events
3 number of adverse events
Number of Adverse Events
Skin irritation around wound
1 number of adverse events
1 number of adverse events
Number of Adverse Events
NPWT seal issues
1 number of adverse events
2 number of adverse events
Number of Adverse Events
Allergic reaction
1 number of adverse events
0 number of adverse events
Number of Adverse Events
Pain during dressing change
0 number of adverse events
2 number of adverse events
Number of Adverse Events
Severe infection requiring IV antibiotics
0 number of adverse events
0 number of adverse events

SECONDARY outcome

Timeframe: 7 weeks

Pain measured by a Visual Analog Scale with score range from 0 to 10, wherein 0="no pain" to 10="severe pain"

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Pain Score on Visual Analog Scale
Week 2
5.71 scores on a scale
Standard Deviation 1.72
5.97 scores on a scale
Standard Deviation 1.85
Pain Score on Visual Analog Scale
Week 3
4.73 scores on a scale
Standard Deviation 1.68
5.37 scores on a scale
Standard Deviation 1.79
Pain Score on Visual Analog Scale
Week 4
3.98 scores on a scale
Standard Deviation 1.62
4.94 scores on a scale
Standard Deviation 1.75
Pain Score on Visual Analog Scale
Week 5
2.86 scores on a scale
Standard Deviation 1.58
4.28 scores on a scale
Standard Deviation 1.72
Pain Score on Visual Analog Scale
Week 6
1.96 scores on a scale
Standard Deviation 1.52
3.83 scores on a scale
Standard Deviation 1.68
Pain Score on Visual Analog Scale
Week 7
1.51 scores on a scale
Standard Deviation 1.48
3.17 scores on a scale
Standard Deviation 1.65
Pain Score on Visual Analog Scale
Week 1
6.36 scores on a scale
Standard Deviation 1.78
6.42 scores on a scale
Standard Deviation 1.82
Pain Score on Visual Analog Scale
Baseline
7.38 scores on a scale
Standard Deviation 1.85
7.16 scores on a scale
Standard Deviation 1.92

SECONDARY outcome

Timeframe: 7 weeks

The resultant new skin is assessed and documented at each visit using the Vancouver Scar Scale, up to 7 weeks, week 7 visit reported, assessing vascularity, pigmentation, pliability and height/thickness with total score ranging from 0 to 13 (lesser the score better the scar)

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Healed Wound Appearance Assessment Using Vancouver Scar Scale
3.9 scores on a scale
Standard Deviation 1.8
9.2 scores on a scale
Standard Deviation 2.5

SECONDARY outcome

Timeframe: 7 weeks

The EuroQol 5-Dimension 5-Level (EQ-5D-5L) instrument is a standardized patient-reported outcome measure assessing overall health-related quality of life. It evaluates five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Scoring and Ranges: 1. EQ-5D-5L Index Score - Derived from the five dimensions with five levels each (1 = no problems; 5 = extreme problems). The index score range varies by population value set; for most countries the possible scoring range is approximately -0.594 to 1.000. Higher scores indicate better health status (1.000 = full health). 2. EQ Visual Analogue Scale (EQ-VAS) - A self-rated health scale from 0 to 100, where, 0 = the worst health you can imagine, 100 = the best health you can imagine. Higher values reflect better outcomes. Interpretation: Higher scores on both the EQ-5D-5L Index and EQ-VAS represent improved quality of life and a better treatment outcome.

Outcome measures

Outcome measures
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 Participants
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Quality of Life Assessment
EQ-5D Index Score
0.91 scores on a scale
Standard Deviation 0.102
0.71 scores on a scale
Standard Deviation 0.116
Quality of Life Assessment
EQ-VAS (0-100)
88.2 scores on a scale
Standard Deviation 8.3
72.1 scores on a scale
Standard Deviation 9.0

Adverse Events

High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Negative Pressure Wound Therapy

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
High Purity Type-I Collagen Based Skin Substitute With Negative Pressure Wound Therapy
n=52 participants at risk
In this study arm, wound is covered with High Purity Type-I Collagen (HPTC) based Skin Substitute applied followed by non adherent porous dressing followed by Negative Pressure Wound Therapy application set at 125mm of Hg pressure for 7 days. Procedure will be redone in case of need. High Purity Type-I Collagen based Skin Substitute: In this wound care is covering with High Purity Type-I Collagen based Skin Substitute followed by a layer of non-adherent and porous dressing. After 5-7 days, wound examined and procedure is repeated as needed Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Negative Pressure Wound Therapy
n=52 participants at risk
In this study arm, wound is covered with non adherent porous dressing followed by Negative Pressure Wound Therapy application alone. Pressure is set at 125mm of Hg for 7 days. Procedure will be redone in case of need. Negative Pressure Wound Therapy: In this wound care is by application of Negative Pressure Wound Therapy using a standard polyurethane foam. The NPWT will be removed after 5-7 days, wound examined and procedure is repeated as needed
Skin and subcutaneous tissue disorders
Superficial wound infection
3.8%
2/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
5.8%
3/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
Skin and subcutaneous tissue disorders
Skin irritation around wound
1.9%
1/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
1.9%
1/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
Product Issues
NPWT seal issues
1.9%
1/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
3.8%
2/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
Skin and subcutaneous tissue disorders
Allergic reaction
1.9%
1/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
0.00%
0/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
Skin and subcutaneous tissue disorders
Pain during dressing change
0.00%
0/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.
3.8%
2/52 • 6-week treatment period + 1-week follow-up. Total 7 weeks
All the study participants were considered at risk for adverse events.

Additional Information

Dr Naveen N

Adichunchanagiri Institute of Medical Sciences

Phone: +91-9980023372

Results disclosure agreements

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