Prospective Evaluation of Silk Fibroin Incision Dressings in ACL Reconstruction

NCT ID: NCT07217613

Last Updated: 2025-10-16

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-14

Study Completion Date

2027-03-31

Brief Summary

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The purpose of this study is to compare the incidence of early postoperative skin complications including allergic contact dermatitis, blistering, and erythema between silk fibroin incision dressings and cyanoacrylate mesh closure in patients undergoing anterior cruciate ligament reconstruction.

Detailed Description

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Conditions

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Anterior Cruciate Ligament Reconstruction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Silk fibroin adhesive incision dressing

Participants will receive the silk fibroin adhesive incision dressing following anterior cruciate ligament reconstruction (ACLR).

Group Type EXPERIMENTAL

silk fibroin-based incision dressing

Intervention Type DEVICE

Applied sterile, hydrophobic, hypoallergenic dressing remains in place for 14-21 days, unless removal is clinically indicated (e.g., saturation, detachment, suspected allergic contact dermatitis, or at provider discretion).

Standard closure dressing

Participants will receive the standard-of-care incision management currently used in ACL reconstruction at NYU Langone Orthopedic Surgery, consisting of cyanoacrylate-based closure systems (e.g., Dermabond® or Prineo®) as determined by the operating surgeon.

Group Type ACTIVE_COMPARATOR

cyanoacrylate-based closure system

Intervention Type DEVICE

Applied per standard NYU practice; dressing remains in place per routine protocol.

Bilateral procedures

For bilateral procedures (contralateral patellar tendon harvest for autograft), a within-subject design will be employed: one incision site will receive silk fibroin and the other cyanoacrylate, with side assignment randomized.

Group Type EXPERIMENTAL

silk fibroin-based incision dressing

Intervention Type DEVICE

Applied sterile, hydrophobic, hypoallergenic dressing remains in place for 14-21 days, unless removal is clinically indicated (e.g., saturation, detachment, suspected allergic contact dermatitis, or at provider discretion).

cyanoacrylate-based closure system

Intervention Type DEVICE

Applied per standard NYU practice; dressing remains in place per routine protocol.

Interventions

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silk fibroin-based incision dressing

Applied sterile, hydrophobic, hypoallergenic dressing remains in place for 14-21 days, unless removal is clinically indicated (e.g., saturation, detachment, suspected allergic contact dermatitis, or at provider discretion).

Intervention Type DEVICE

cyanoacrylate-based closure system

Applied per standard NYU practice; dressing remains in place per routine protocol.

Intervention Type DEVICE

Other Intervention Names

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SYLKE® SYLKE Inc. Dermabond® Prineo®

Eligibility Criteria

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Inclusion Criteria

* Age 14 to 60 years
* Scheduled for primary or revision ACL reconstruction (ACLR)
* Able and willing to provide informed consent (≥18 years) or assent with parental/guardian permission (ages 14-17)
* Able and willing to comply with all study-related procedures and follow-up visits

Exclusion Criteria

* Active dermatologic conditions at or near the surgical site (e.g., eczema, psoriasis, dermatitis, open wounds)
* Immunocompromised state (e.g., uncontrolled HIV, ongoing chemotherapy, chronic corticosteroid therapy)
* Known or suspected allergy or hypersensitivity to silk fibroin or cyanoacrylate adhesives
* Uncontrolled diabetes (defined as most recent HbA1c ≥ 8.0, if available; not measured for study purposes)
* Active tobacco use within 30 days of surgery
* Active systemic infection at the time of enrollment
Minimum Eligible Age

14 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric J. Strauss, MD

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

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NYU Langone Health

New York, New York, United States

Site Status

Countries

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United States

Central Contacts

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Eric J. Strauss, MD

Role: CONTACT

(646) 584-0835

Layne Estes

Role: CONTACT

(925) 818-5454

Other Identifiers

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25-01002

Identifier Type: -

Identifier Source: org_study_id

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