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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01033604
Other study ID # 2007/033
Secondary ID
Status Completed
Phase N/A
First received December 15, 2009
Last updated December 4, 2014
Start date September 2007
Est. completion date December 2012

Study information

Verified date December 2014
Source University Hospital, Ghent
Contact n/a
Is FDA regulated No
Health authority Belgium: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The application of Glyaderm for skin restoration intends to provide a more stable wound closure with enhanced pliability and function of the skin and a more favourable scar. The dermal substitute would be affordable for widespread application in full thickness skin defects and burns.

Patients with burn wounds or large full thickness wounds will be evaluated before enrollment. All burn wounds that are not clearly full thickness on clinical assessment will be treated during the first 48 hours with a hydrocolloid paste and covered with a paraffin gauze dressing. This hydrocolloid paste combined with paraffin gauze will ensure maintenance of a moist wound environment for the first 48 hours prior to assessment by LDI and randomization. This is the standard treatment for all burns admitted to the Ghent Burn Centre.

Wounds will be photographed on a daily basis. In order to obtain an optimal preparation for LDI, the burn wounds will be meticulously debrided during dressing changes. LDI is most reliable between 48-72 hours. Patients whose burn wounds meet the inclusion criteria, i.e. full thickness burns with LDI values < 200 will be randomized to receive either GLYADERM and split skin graft versus split skin graft alone.


Recruitment information / eligibility

Status Completed
Enrollment 31
Est. completion date December 2012
Est. primary completion date February 2012
Accepts healthy volunteers No
Gender Both
Age group N/A to 80 Years
Eligibility Inclusion Criteria:

- All burn wounds with flux values measured by Laser Doppler Imaging, corresponding with an expected healing time longer than 28 days. Dark blue color on the palette of the LDI software with flux values below 200

- All clearly full thickness burns on clinical assessment done by two plastic surgeons and thereafter treated with Flammacerium®.

- Wounds treated with a hydrocolloid paste prior to LDI and with low flux values < 200

- All assessments are done during first days before final decision at day three

- Possibility to follow the complete treatment schedule until final graft take and subsequently wound healing and finally participation on complete follow-up schedule

- Informed consent has been obtained

- TBSA Full Thickness Burn < 40%

Exclusion Criteria:

- All burn wounds with flux values measured by Laser Doppler Imaging, corresponding with faster healing times ( flux values >200 )

- TBSA >40 %

- Not following the complete treatment schedule or missing some evaluations during the follow-up period

- Patient has any condition(s) that seriously compromises the patient's ability to complete this study.

- Patient has participated in another study utilizing an investigational drug within the previous 30 days

- Patient has one or more medical condition(s), diabetes, including renal, hepatic, hematologic, neurologic, or immune disease that in the opinion of the investigator would make the patient an inappropriate candidate for this study

- Patients wish to decline from the study

- No informed consent before start of the trial

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Procedure:
Glyaderm and split skin graft
Full thickness defects treated with Glyaderm and split skin graft.
Split skin graft alone.
Full thickness defects treated with split skin graft alone.

Locations

Country Name City State
Belgium University Hospital Ghent Ghent

Sponsors (2)

Lead Sponsor Collaborator
University Hospital, Ghent Dutch Burnwound Foundation, Netherland

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Primary Comparison of healing time and percentage of autograft survival After one week No
Primary Comparison in bacterial control in full thickness defects On day 3,5 an 7 post application of Glyaderm No
Primary To assess the monitoring of dermal substitute ingrowth with Laser Doppler Imaging On day 3, 5 and 7 post application of Glyaderm No
Secondary To evaluate the functional and cosmetic outcome of skin restoration of full thickness defects treated with Glyaderm and split skin graft versus split skin graft alone 1 month, 3, 6 and 12 months post wound closure No
Secondary Cost-effectiveness and Health related quality of life (i.e. cost utility analysis) 1 month, 3, 6 and 12 months post wound closure No
See also
  Status Clinical Trial Phase
Completed NCT02164760 - The Safety of a Novel Acellular Dermal Template as Treatment for Burns and Scars N/A
Completed NCT02373566 - A Study to Evaluate the Efficacy of an Acellular Dermal Template for the Treatment of Full Thickness Skin Defects N/A