Full Thickness Skin Defects Clinical Trial
Official title:
Clinical Application of a Novel Dermal Substitute Based on Glycerol Preserved Allograft: GLYADERM
Verified date | December 2014 |
Source | University Hospital, Ghent |
Contact | n/a |
Is FDA regulated | No |
Health authority | Belgium: Institutional Review Board |
Study type | Interventional |
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.
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 |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Belgium | University Hospital Ghent | Ghent |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Ghent | Dutch Burnwound Foundation, Netherland |
Belgium,
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 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
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