Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT05844943
Other study ID # STUDY00017024
Secondary ID UL1TR002319
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date January 30, 2024
Est. completion date June 1, 2025

Study information

Verified date January 2024
Source University of Washington
Contact Karen Adams
Phone 206 354 3360
Email knadams1@uw.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Single-center nonrandomized single-arm early feasibility study of participants with soft tissue trauma in the hand. Prior to enrolling participants with hand injuries, the safety of continuous glove use for up to 96 hours without a glove replacement will be assessed on healthy volunteers. Injured participants will be on study for up to 7 weeks depending on when the final glove is removed. Screening: Prior to surgery and through 72 hours post-surgery to identify eligible patients Treatment with Glove: Treatment begins with initial application of the ReHeal Glove and can last up to 7 days (with dressing changes every 48-72 hours unless more frequent changes are requested by the treating physician.) Follow-up: Up to 6 weeks after final removal of glove to ensure complete wound healing.


Description:

A maximum of 10 participants may be enrolled. Each participants will be enrolled sequentially, with in-depth review of study data from each individual participant before proceeding to the next participant. There will be one and only one participant at a time experiencing glove use. This allows the study team to identify and correct any safety issues before another participant is enrolled and begins glove use. This strategy is in place to minimize risk to participants. Screening data will be reviewed to determine participant eligibility. Participants who meet all inclusion criteria and none of the exclusion criteria will be entered into the study. Each participant will have the glove applied after surgery. The timing of the initial application could be immediately following surgery or up to 3 days after the surgery, at the discretion of the treating surgeon. Application delays of 1-3 days may be indicated if, in the opinion of the surgeon, the wound would benefit from a period of immobilization prior to donning the glove and allowing for the additional mobility possible with the glove dressing. Reasons for a potential delay could include minimizing bleeding or oozing after debridement, or for protection of a skin graft. Following current standards of negative pressure wound therapy (NPWT), the wound will be assessed and the glove replaced every 48 to 72 hours. The glove may be assessed by the clinical care team and, if needed, removed and replaced earlier. At each participant encounter, data will be collected by the study team and pressure settings will be documented. At each study visit involving a dressing change, the glove will be removed for closer assessment of the wound and replaced with a new glove. Participants will remain in the study until wound healing or clinical resolution, or study exit. After study exit for each participant, data will be reviewed, and any design changes indicated by the results of the study will be implemented prior to enrollment of the next subject. The ReHeal Glove and Cardinal Health Negative Pressure Wound Therapy Pro/Pro To Go pump will be used.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 10
Est. completion date June 1, 2025
Est. primary completion date June 30, 2024
Accepts healthy volunteers No
Gender All
Age group 22 Years and older
Eligibility Inclusion Criteria: - • Persons 22 years or older - Wound size greater than 1cm2 - Patient will have surgery to treat the wound, warranting the use of a dressing after surgery - Patient must be able to give informed consent - Persons who can read and write in English - Acute, unilateral, and isolated open finger or hand injuries caused by: - Burn - Blast - Abrasion - Avulsion - Amputation - Mangling hand injury - post-compartment syndrome release ((fasciotomy) and debridement - flexor tendon repair - exposed nerve or tendon - open wounds not yet ready for flap or graft - wounds after graft or flap - crush injuries associated with fractures (open or closed) which do not require stabilization and can therefore accommodate hand motion (for example, an abrasion injury may involve loss of some portion of cortical bone due to friction without losing structural stability sufficient to permit finger motion). - Fasciectomy - Tenolysis Exclusion Criteria: - • Polytrauma outside of the hand - Malignancy in the wound - Patient undergoing active chemotherapy - Hand wound with any untreated infection - Contaminated wounds not yet debrided - Insensate hand - Non-debrided tunneling wounds - Necrotizing soft-tissue infections - Osteomyelitis - Fractures requiring stabilization. - Untreated non-enteric fistulas - Smoker - Hemophiliac - Sepsis - Active cellulitis in the wound area - Radiation applied directly to the wound - Patients with allergies to product components: silicone, silicone adhesives and polyurethane films (direct contact with wounds), acrylic adhesives (direct contact with skin), polyethylene fabrics, and super-absorbent powders (polyacrylates within the dressing). - Patients chronically treated with any of the following medications: - Anti-coagulants - Immunosuppressants - Corticosteroids - NSAIDs

Study Design


Related Conditions & MeSH terms


Intervention

Device:
ReHeal glove with Negative Pressure Wound Therapy (NPWT)
ReHeal glove hand dressing with Negative Pressure Wound Therapy (NPWT).

Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
University of Washington National Center for Advancing Translational Sciences (NCATS)

Outcome

Type Measure Description Time frame Safety issue
Primary Did significant adverse events occur Did infection or skin injury occur 0-7 days
Primary Skin remains intact Did maceration occur. 0-7 days
Primary Dressing changes Total number of dressing changes. 0-7 days
Primary Additional adverse events Type and severity of adverse events. 0-7 days
Secondary Hand Function (through range of motion) Total Active Motion of fingers 7 days to 12 weeks
Secondary Hand Function (through range of motion) Opposition of thumb 7 days to 12 weeks
Secondary Hand Function (grip and pinch strength) Grip and Pinch Strength 7 days to 12 weeks
Secondary Time to healing Wound closure rate will be assessed by documenting wound size at each clinic visit. 7 days to 12 weeks
Secondary Incidence of additional surgical procedure/interventions Where there any repeat debridement, skin grafts, flaps, or other procedures will be documented. 7 days to 12 weeks
See also
  Status Clinical Trial Phase
Recruiting NCT05846399 - CAT BITE Antibiotic Prophylaxis for the Hand/Forearm (CATBITE) Phase 4
Not yet recruiting NCT05060900 - Hand Ligament Reconstructions With Knee Collateral Ligament Allografts N/A
Withdrawn NCT04291170 - Comparison of Upper Extremity and Lower Extremity Function and Quick DASH N/A
Active, not recruiting NCT05280704 - Traditional Dorsal Digital Block vs Volar Subcutaneous Digital Block N/A
Not yet recruiting NCT05003596 - Efficacy of Steroids on Functional Outcomes After Musculoskeletal Injuries of the Hand Phase 2/Phase 3
Not yet recruiting NCT03937232 - Mirrored Movement Compared to Cross-education N/A
Completed NCT04068506 - Analgesic Effects of Gabapentin and Paracetamol Phase 4
Completed NCT04328623 - Interest of Hypnosis on Pain Management During a Guided Echo Infiltration of the Hand N/A
Recruiting NCT04895891 - 3D Personalized Modelization of the Hand Using EOS Imaging System N/A
Completed NCT01210833 - Using HandTutor With Traumatic Hand Injuries: Characterizing the System N/A
Recruiting NCT06086392 - Perineural Dexamethasone in Supraclavicular Brachial Plexus Block for Anesthesia After Pediatric Hand/Wrist Surgery Phase 4
Completed NCT05878509 - Reliability and Validity of the Tampa Scale for Kinesiophobia
Withdrawn NCT04027569 - PROMs To Improve Care- Standardized vs Patient Specific N/A
Completed NCT03345693 - Use of MoTrack Therapy in At-Home Hand Rehabilitation N/A
Completed NCT06112145 - Are Rehabilitation Results in Flexor Tendon Zone II Injuries as Bad as Feared? N/A
Completed NCT03496337 - Is AMPS a Responsive Tool for Assessing Change in ADL-abilities After Finger or Hand Surgery
Completed NCT02789852 - Evaluation of the Effectiveness of Night Orthosis in Treating Women With Symptomatic Osteoarthritis in the Interphalangeal Joint of the Dominant Hand N/A
Completed NCT02331004 - Effectiveness of an Intervention Program for Fine Motor Skills N/A
Completed NCT04486053 - Long-term Results of Pediatric Flexor Tendon Injuries
Completed NCT03458013 - Psychosocial Outcomes in Hand Therapy N/A