Study of Low Adherent Dressing Versus the Standard of Care for the Management of Skin Grafts Over Thermal Burns
A Multicenter, Prospective, Randomized Study to Compare Milliken Dressing P6 to Mafenide Acetate 5% Solution as a Split Thickness Skin Graft Cover Dressing in Burn Wound Patients.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Florida
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Gainesville, Florida, United States, 32610
- Shands at University of Florida
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-
North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina, Chapel Hill
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest University Health Sciences
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Tennessee
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Memphis, Tennessee, United States, 38103
- University of Tennessee Firefighter's Regional Burn Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients must have thermal burns from scalds, flame/fire or contact with a hot object.
- Patients must have a TBSA burn of less than or equal to 50%.
- Patients must have two nonadjacent study burn sites (i.e., separated in such a way that SOC dressing does not contaminate the study dressing) of comparable size (up to approximately 2% TBSA) and severity requiring excision and grafting.
- Patients must have undergone excision and autografting on or before post-burn day (PBD) 14.
- Patients' study burn sites will be treated with skin grafts with a mesh ratio up to 3:1, at the surgeon's discretion.
- Patients expected to be available for assessment of study burn sites at least until POD 6 ±1 day.
- Males or females at least 18 years of age but no older than 65 years of age at the time of informed consent.
- Patient and / or Legally Authorized Representative (LAR) voluntarily agrees to provide written informed consent and the willingness and ability to comply with all aspects of the protocol.
Exclusion Criteria:
- Patients with electrical or chemical burns.
- Patients with a study burn site excised and "grafted" with Integra.
- Patients with study burn sites on the buttocks, scalp, hands, feet, neck or ears.
- Patients taking vasopressors or inotropes.
- Patients using systemic immunosuppressants (e.g., corticosteroids and anti-neoplastic agents, etc.).
- Patients with acute renal failure, defined as creatinine clearance (CrCL) >2.5 mg/dL or AKIN score greater than or equal to 2 or estimated GFR < 30, if the assessment is conducted as part of the patient's routine clinical care.
- Patients with acute respiratory distress syndrome (ARDS), if the assessment is conducted as part of the patient's routine clinical care.
- Patients with liver cirrhosis (Childs-Pugh B Class or greater) or who have AST / ALT levels greater than or equal to 2 times the upper limit of theinstitution's normal range, if the assessment is conducted as part of the patient's routine clinical care.
- Patients with a known sensitivity or known intolerance to mafenide acetate (Sulfamylon) or to silver.
- Patients with any concurrent medical condition, which in the opinion of the investigator, may compromise their safety or the objectives of the study.
- Patients who are breastfeeding, pregnant or expecting to become pregnant during the study..
- Patients who have been exposed to an investigational drug or device within 30 days prior to Screening or is scheduled to receive another investigational drug or device during either the Treatment Phase or Follow-up Evaluation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: P6 Low Adherent Dressing
All participants will serve as their own control.
All participants will receive both the P6 Low Adherent Dressings and the Standard of Care (SOC).
|
Each patient will have two similar, non-adjacent study sites.
One site will be treated with P6 Low Adherent Dressing and the other site will be treated with the Standard of Care (SOC).
|
|
ACTIVE_COMPARATOR: Standard of Care (SOC)
All participants will serve as their own control.
All participants will receive both the P6 Low Adherent Dressings and the Standard of Care (SOC).
|
Each patient will have two similar, non-adjacent study sites.
One site will be treated with P6 Low Adherent Dressing and the other site will be treated with the Standard of Care (SOC).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Management of skin grafts as determined by investigator's visual assessment of percent graft take
Time Frame: 6 days
|
6 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The incidence of post-operative graft infections
Time Frame: 15 days
|
15 days
|
|
Assessment of patient's pain / discomfort, using a visual analog scale.
Time Frame: 15 days
|
15 days
|
|
Costs of study burn site wound dressing regimens.
Time Frame: 15 days
|
15 days
|
|
Ease of use and clinician preference of the study burn site wound dressing regimens
Time Frame: 15 days
|
15 days
|
|
Statistical robustness of visual graft take assessments in-person and from digital photographs
Time Frame: 15 days
|
15 days
|
|
Progression of percent graft take with time for both P6 and SOC.
Time Frame: 15 days
|
15 days
|
|
Assessment of the incidence and severity of SAEs and wound specific AEs, including local reactions.
Time Frame: 15 days
|
15 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MHP-P6-1
- W81XWH-10-2-0159 (OTHER_GRANT: United States Department of Defense)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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