- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02643680
Clinical Study of Biocellulose Wound Dressing Containing Silk Sericin and PHMB for STSG Donor Sites
November 1, 2016 updated by: Pornanong Aramwit, Pharm.D., Ph.D, Chulalongkorn University
Clinical Efficacy of the Novel Biocellulose Wound Dressing Containing Silk Sericin and Polyhexamethylene Biguanide for Split-thickness Skin Graft Donor Sites
- The wound healing time of STSG donor sites which are treated with the novel biocellulose wound dressing containing silk sericin and PHMB should be less or equal to Bactigras®.
- The wound quality of STSG donor sites which are treated with the novel biocellulose wound dressing containing silk sericin and PHMB should be less or equal to Bactigras®.
- The amounts of STSG donor site infection which are treated with the novel biocellulose wound dressing containing silk sericin and PHMB should not be more than Bactigras®.
- The pain level of STSG donor sites which are treated with the novel biocellulose wound dressing containing silk sericin and PHMB should be less or equal to Bactigras®.
- Adverse events which are occurred from the novel biocellulose wound dressing containing silk sericin and PHMB treatment for STSG donor sites and Bactigras® will be reported, if they occur.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
The goals of STSG donor site treatment are to accelerate wound healing, prevent infection, reduce pain, and maintain an optimal environment healing promotion.
Biocellulose is an ultrafine fiber structure that can hold a large amount of water and has a cooling effect that decreases pain without causing an allergic reaction or irritation.Silk sericin (SS) can activate the growth of fibroblast cells which promote collagen type I production and accelerated wound healing without toxicity .
Polyhexamethylene biguanide (PHMB) is a broad spectrum antimicrobial agent with high efficacy and low toxicity.
Therefore, the combination of silk sericin and PHMB in biocellulose dressings would benefit STSG donor site wound treatment.
The purpose of this study is to investigate the clinical efficacy of this dressing for STSG donor site wound treatment compared with Bactigras® (chlorhexidine acetate 0.5% in white soft paraffin), which is the standard dressing for this type of wound at King Chulalongkorn Memorial Hospital, by monitoring the time required for complete re-epithelization, wound quality, the rate of infection, pain, and the adverse events from December 2015 to November 2016.
Thirty two subjects (more than 18 years) with STSG donor site at thigh will be recruited in this study.
Block randomization will be used for separation half of eligible wound to cover with novel biocellulose wound dressing containing silk sericin and PHMB or Bactigras®.
Wound healing time is the day that the dressing detaches by itself with no exudate and air contacted pain.
Wound quality at 1,3,and 6 months will be measured in terms of erythema level, melanin level, transepidermal water loss by using Cutometer® and scar quality (vancouver scar scale).
Sign of infection, pain (VAS score), hepatic and renal function will also be collected.
Study Type
Interventional
Enrollment (Anticipated)
32
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Bangkok, Thailand, 10330
- Recruiting
- Chulalongkorn Hospital
-
Principal Investigator:
- Pornanong Aramwit, Ph.D.
-
Contact:
- Pornanong Aramwit, Ph.D.
- Phone Number: +66-89-9217255
- Email: aramwit@gmail.com
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients who have STSG donor site wounds on the thigh
- Age more than 18 years old
- Signed consent form
Exclusion Criteria:
- Systemic infection
- Known allergy or hypersensitivity reaction to silk sericin , PHMB, or chlorhexidine acetate
- Known skin diseases
- Known immunocompromised diseases
- Known mental defect or schizophrenia
- Pregnancy or lactation
- Not follow all procedure
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: The novel biocellulose wound dressing
|
The novel biocellulose dressing will used as a primary dressing at one half of the donor site.
Then,the wound will be covered with 2 layers of gauze (secondary dressing) and 1 layer of bandage.The primary dressing will be unchanged until the wound healing (the day that the dressing detaches by itself with no exudate and air contacted pain) except signs of infection.
The secondary dressing will be changed when excessive fluid appears.
Other Names:
|
Active Comparator: Bactigras
|
Bactigras will used as a primary dressing at another one half of the donor site.
Then,the wound will be covered with 2 layers of gauze (secondary dressing) and 1 layer of bandage.The primary dressing will be unchanged until the wound healing (the day that the dressing detaches by itself with no exudate and air contacted pain) except signs of infection.
The secondary dressing will be changed when excessive fluid appears.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Healing time
Time Frame: 6 months
|
The day that the dressing detaches by itself with no exudate and air contacted pain
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse events
Time Frame: 1 year
|
1 year
|
|
Erythema and melanin level of wound
Time Frame: 1 year
|
Erythema and melanin level by using Cutometer® with mexameter mode (Courage+Khazaka electronic GmbH, Germany) at healing day, 1, 3,and 6 months after healing
|
1 year
|
Transepidermal water loss of wound
Time Frame: 1 year
|
Transepidermal water loss by using Cutometer® with tewameter mode (Courage+Khazaka electronic GmbH, Germany) at healing day, 1, 3,and 6 months after healing
|
1 year
|
Wound scar formation
Time Frame: 1 year
|
Vancouver scar scale at healing day, 1, 3,and 6 months after healing
|
1 year
|
Signs of infection
Time Frame: 1 year
|
Signs of infection: swelling, redness, bad odor, purulent discharge everyday
|
1 year
|
Swab test of infection wound
Time Frame: 1 year
|
Swab evaluation when signs of infection observes
|
1 year
|
Pain score
Time Frame: 6 months
|
Visual analogue scale
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Pornanong Aramwit, Ph.D, Chulalongkorn University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2015
Primary Completion (Actual)
November 1, 2016
Study Completion (Anticipated)
November 1, 2017
Study Registration Dates
First Submitted
December 16, 2015
First Submitted That Met QC Criteria
December 29, 2015
First Posted (Estimate)
December 31, 2015
Study Record Updates
Last Update Posted (Estimate)
November 3, 2016
Last Update Submitted That Met QC Criteria
November 1, 2016
Last Verified
November 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Med CU IRB 242/58
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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