- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05085288
The PROTECT 2 Study : Pressure Injury Treatment by Intermittent Electrical Stimulation: A Randomized, Controlled Trial
The PROTECT 2 Study: Pressure Injury Treatment by Intermittent Electrical Stimulation: A Randomized, Controlled Trial
Study Overview
Status
Conditions
Detailed Description
This is a two-arm, prospective randomized control trial assessing whether IES combined with the standard of care (treatment) is superior to the standard of care alone (control). The study is a parallel design, adaptive, non-blinded randomized controlled trial, and uses two-sided analysis. We plan interim analyses at each 25% of the N. Part of the early interim analyses (first and second) will involve reassessing the a priori assumptions on data distributions and variability use in sample size calculations and updating the study size needed. Treatment effect results will be shared with the Data Safety Monitoring Board (DSMB) to determine whether the study should be ended early for either futility or having demonstrated superiority of the intervention. Patients can be entered into the protocol multiple times with independent assessments of inclusion/exclusion criteria and new consent for each enrollment. At each enrollment they will be re-randomized to either experimental or control arm. For the purpose of overall survival analysis (the only endpoint with a delayed assessment of outcome), such patients will be excluded.
This trial studies adult inpatients in both ICU and non-ICU environments with either new or established stage 1 or stage 2 sacral and ischial pressure injuries. Patients with a pacemaker/AICD, rhabdomyolysis, gluteal skin breakdown, and unstable fractures at risk of displacement by IES are excluded. Patients with atrial or ventricular wires after cardiac surgery can be enrolled as long as they are not being paced or in the opinion of the treating physician are at high risk of requiring pacing.
Subjects will be assessed for pressure injury status from point of randomization to discharge, death, or a minimum of 30 days. Device utilization and data collection can stop after 14 days in a non-ICU environment or when a total of 30 days of data collection has been met. If subjects are in the ICU longer than 30 days or when the combined total of ICU and less than 14 non-ICU days is greater than 30 days, the assessment and use of the device may continue after 30 days. Following entry into the study, participants will receive either the IES device in addition to the standard of care (treatment group) or the standard of care alone (control group). The study is expected to complete accrual within 12-18 months. Participant treatment will occur for the same amount of time as pressure injury assessment occurs as described above.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Fabio Rodriguez, MD
- Phone Number: 216-444-9950
- Email: rodrigf3@ccf.org
Study Contact Backup
- Name: Fabio Rodriguez
- Phone Number: 216-444-9950
- Email: rodrigf3@ccf.org
Study Locations
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Graz, Austria, A-8010
- Recruiting
- Univeristy of Graz
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North Carolina
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Winston-Salem, North Carolina, United States, 27109
- Recruiting
- Wake Forest Unverisity
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Principal Investigator:
- Ashish Khanna, MD
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Contact:
- Lynne Harris
- Phone Number: 336-306-0778
- Email: lcharris@wakehealth.edu
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Contact:
- Ashish Khanna, MD
- Email: ashish9805@icloud.com
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Ohio
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Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic Foundation
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Contact:
- Roberta Johnson
- Phone Number: 216-444-9950
- Email: johnsor13@ccf.org
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Either new or established stage 1 or 2 sacral or ischial pressure ulcer in the ICU or non-ICU environments.
- Participants capable of giving informed consent, or if propitiate, participants having an acceptable individual capable of giving consent on the participant's behalf.
Exclusion Criteria:
- Unstable spinal, pelvic, or hip fractures that may be displaced by a forced contraction.
- Rhabdomyolysis
- Presence of permanent pacemaker or AICD, and for those with external wires after cardiac surgery, those who are using or at high risk for the development of a requirement for an external pacemaker.
- Skin breakdown or malignant skin involvement over the gluteal regions that would preclude the use of surface electrodes
- BMI > 40
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Intermittent electrical stimulation system (IES) treatment Group
Charged pulses will be administered to bilateral gluteus maximus through surface electrodes.
Stimulation occurs at 30 Hz for 10 seconds every 10 minutes.
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The investigators propose to assess whether addition of the IES system and the use of standard of care wound care and wound prevention reduces the morbidity of sacral and ischial pressure injuries by decreasing progression of stage 1 and stage 2 ulcers or facilitates their healing compared to standard wound care in an inpatient critical care population.
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Active Comparator: Standard of care Group
Standard inpatient nursing practice for wound care, wound care prevention, and any other wound care or plastic surgery treatments deemed appropriate as per usual care.
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The investigators propose to assess whether current standard of care wound care and wound prevention reduces the morbidity of sacral and ischial pressure injuries.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of adding the IES System to standard of care
Time Frame: 24 hours of admission to the ICU or non-ICU hospital service
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Investigators will assess the IES System to determine the efficacy of an IES system after being added to the standard of care on the primary outcome of sacral and ischial pressure injury score measured over time.
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24 hours of admission to the ICU or non-ICU hospital service
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Compare using the IES oppose to only standard care
Time Frame: 24 hours of admission to the ICU or non-ICU hospital service
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Investigators will assess time to resolution of the ulcer
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24 hours of admission to the ICU or non-ICU hospital service
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Compare IES to standard care
Time Frame: 24 hours of admission to the ICU or non-ICU hospital service
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Time to resolution of ulcer
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24 hours of admission to the ICU or non-ICU hospital service
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Evaluate treatment effect heterogeneity across levels of the following patient factors
Time Frame: 24 hours of admission to the ICU or non-ICU hospital service until discharged
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A variety of patient factors will be evaluated for treatment effect heterogeneity
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24 hours of admission to the ICU or non-ICU hospital service until discharged
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Chase Donaldson, MD, The Cleveland Clinic
- Study Chair: Andrea Kurz, MD, The Cleveland Clinic
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 21-1009
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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