- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02947737
Amniotic Membrane for Donor Site Healing
May 18, 2018 updated by: Rachael Williams, Emory University
Investigating the Effects of Amniotic Membrane on Donor Site Healing and Postoperative Pain
The purpose of this study is to compare the effectiveness of applying amniotic membrane dressings compared to gentamicin and xeroform dressings to donor sites for skin grafts.
This study will enroll ten participants who undergoing a split thickness skin graft procedure with two or more donor sites.
The amniotic membrane will be applied to one donor site and a dressing of xeroform and gentamicin will be applied to another other donor site.
Each participant will receive both types of dressing and will serve as their own control.
Postoperative follow up will follow standard of care, regardless of the dressing type.
Dressings will be removed on postoperative day 4 and participants will return to be re-examined one week after being discharged from the hospital.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The use of amniotic membrane in the treatment of wounds has been employed for almost 100 years, with reports of it being used in skin grafting for burns and ulcers in 1913.
This study will investigate the use of amniotic membrane as a donor site dressing (the area where skin is removed to be transplanted to the recipient site).
Donor sites are often a significant cause of postoperative pain for patients who have undergone skin grafts.
Furthermore, donor sites that fail to re-epithelialize or scar may require additional excision and skin grafting on the donor site itself.
There is a paucity of literature in the United States regarding the use of amniotic membrane as a donor site dressing, however, studies from other countries have demonstrated an increase in patient comfort and a faster time to re-epithelialization. Inherent to amniotic membrane that makes it an ideal dressing include the presence of extracellular matrix components create integrity, epithelial cells participate in the healing process, and defensins confer antibacterial properties.
MiMedx produces AmnioFix® which is a dehydrated preserved amniotic membrane that will be used in the dressing of our donor sites in contrast to gentamicin and xeroform based dressings.
This study will see if patients have improved cosmetic outcomes, less postoperative pain and a faster time to re-epithelialization at the donor site treated with amniotic membrane compared to the standard of care.
Study Type
Interventional
Enrollment (Actual)
4
Phase
- Not Applicable
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
-
-
Georgia
-
Atlanta, Georgia, United States, 30303
- Grady Health System
-
-
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:
- undergoing a split thickness skin graft procedure with two or more donor sites
Exclusion Criteria:
- less than 18 years of age
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: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Amniotic membrane dressing
One donor site per study participant will be covered with an amniotic membrane dressing.
|
We will place an amniotic membrane dressing on the donor site
|
Active Comparator: Gentamicin and xeroform dressing
One donor site per study participant will be covered with a gentamicin and xeroform dressing.
|
We will place xeroform, gentamicin and telfa on the donor site
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in postoperative pain
Time Frame: Postoperative days 1, 2 and 5
|
Participants will report their pain level for each donor site as a numeric score from 1 to 10.
|
Postoperative days 1, 2 and 5
|
Change in re-epithelialization
Time Frame: Postoperative days 2 and 5
|
The percent of re-epithelialization for each donor site will be evaluated by burn unit surgeons on postoperative days 2 and 5.
|
Postoperative days 2 and 5
|
Comparison of scarring between donor sites
Time Frame: Postoperative day 5
|
Scarring on postoperative day 5 will be evaluated by burn unit surgeons
|
Postoperative day 5
|
Comparison of hypopigmentation between donor sites
Time Frame: Postoperative day 5
|
Hypopigmentation on postoperative day 5 will be evaluated by burn unit surgeons.
|
Postoperative day 5
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Rachael Williams, MD, Emory 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 (Actual)
February 1, 2017
Primary Completion (Actual)
August 31, 2017
Study Completion (Actual)
August 31, 2017
Study Registration Dates
First Submitted
October 26, 2016
First Submitted That Met QC Criteria
October 26, 2016
First Posted (Estimate)
October 28, 2016
Study Record Updates
Last Update Posted (Actual)
May 21, 2018
Last Update Submitted That Met QC Criteria
May 18, 2018
Last Verified
May 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00088758
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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