- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05422144
Cleanser for Acute Wounds
November 29, 2023 updated by: Rochal Industries LLC
BIAKOS Antimicrobial Wound Cleanser and BIAKOS Antimicrobial Wound Gel: Providing Biofilm Prevention and Treatment Through Continuum of Care
The proposed study will be a prospective trial of management of acute traumatic wounds (less than 24 hours from injury and without previous intervention aside from a dressing for coverage).
The study design involves a prospective single arm, 35 subject study that analyzes the effect of the subsequent application of a novel wound cleanser and wound gel on subjects' acute traumatic wounds and the respective microbial loads over a 28 day study duration.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
35
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 Contact
- Name: Carlyn Abbott
- Phone Number: 2103759349
- Email: Cabbott@rochaltech.com
Study Contact Backup
- Name: Cindy Taylor
- Phone Number: 2103759349
- Email: cstaylor@rochaltech.com
Study Locations
-
-
Texas
-
Fort Sam Houston, Texas, United States, 78234
- Brooke Army Medical Center
-
Contact:
- Carlyn M Abbott, BS
- Phone Number: 210-375-9349
- Email: cabbott@rochaltech.com
-
Principal Investigator:
- Julie A Rizzo
-
Sub-Investigator:
- Remealle How
-
Sub-Investigator:
- Phillip Kempbohan
-
-
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
Description
Inclusion Criteria:
- Ages 18 to 89 years old.
- Patients receiving care in the ED/trauma bay or admitted to Brooke Army Medical Center (BAMC) from the ED or trauma bay.
- At least one wound area must measure equal to or greater than 2cm^2 to include partial or full thickness tears.
- Wound sustained less than 48-hours from time of enrollment.
- The wound must be untreated/open beyond bedside stabilization such as irrigation and debridement (i.e., no stitches, steristrips, dermabond, OR washouts, etc).
- Capable of providing informed written consent by self or through Legally Authorized Representative (LAR).
- Ability to read/speak English (participant and/ or LAR).
Exclusion Criteria:
- Ages less than 18 or greater than 89 years old.
- Patients not receiving care in the ED/trauma bay or admitted to BAMC through the ED or trauma bay.
- Wound area less than 2 cm2.
- Wound sustained greater than 48-hours from the time of enrollment.
- Wounds that have been closed/repaired at the time of screening (i.e. stitches, steristrips, dermabond, washouts in the OR, etc.) or anytime during the study duration.
- Not capable of providing informed written consent by self or through LAR.
- Non-English reading and speaking (participant and/or LAR).
- Have received more than one dose of antibiotics prior to enrollment or during the study duration.
- Suspected or confirmed signs/symptoms of active wound infection or gangrene.
- Patients with osteomyelitis.
- Wounds with exposed tendons, ligaments, or bone.
- Patients undergoing active renal dialysis.
- Patients receiving (within 30 days of enrollment) or scheduled to receive a medication or treatment which is known to negatively affect wound healing such as systemic steroids (i.e. continuous prednisone), immunosuppressive therapy, chemotherapy, autoimmune disease therapy, cytostatic therapy, vascular surgery, angioplasty, or thrombolysis.
- Pregnant, breastfeeding, or women of childbearing potential who do not agree to use an effective form of contraception during their participation in the study.
- Participation in another investigational device, drug, or biological trial that may interfere with results within 30 days of screening.
- Anyone deemed by the PI to be unlikely to comply with all study procedures.
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment
Antimicrobial Skin & Wound Cleanser and Antimicrobial Wound gel will be subsequently administered to the wound during the 28 day study duration.
|
BIAKŌS™ Antimicrobial Skin & Wound Cleanser helps in the mechanical removal of debris and foreign material from the skin, wound, or application site.
BIAKŌS™ Antimicrobial Skin and Wound Cleanser is a pure, colorless, isotonic cleanser that is safe.
The preservative, polyhexamethylene biguanide (PHMB), at a concentration of 0.1% w/w is added to the product to inhibit the growth of microorganisms such as Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, Escherichia coli, antibiotic resistant Methicillin Resistant Staphylococcus aureus (MRSA).
and fungus Candida albicans within the product.
Other Names:
BIAKŌS Antimicrobial Wound Gel provides a moist environment to wound surfaces. BIAKŌS Antimicrobial Wound Gel is a safe and gentle colorless gel. The gel provides preservative properties through the antimicrobial polyhexamethylene biguanide (PHMB). BIAKŌS Antimicrobial Wound Gel:
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Microbial Load
Time Frame: 28 days
|
As indicated semi-quantitatively by MicroGenDx/ Research and Testing Labs LLC (RTL) swab collection and qualitatively by visual assessments and MolecuLight i:X images.
|
28 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Wound Healing Rates
Time Frame: 28 days
|
% reduction in wound bed size over time as determined by wound measurement and Bates-Jensen Wound Assessment Tool
|
28 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Rebecca Mcmahon, Masters, Rochal Industires
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Fleming TR. One-sample multiple testing procedure for phase II clinical trials. Biometrics. 1982 Mar;38(1):143-51.
- Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clin Microbiol Rev. 2006 Apr;19(2):403-34. doi: 10.1128/CMR.19.2.403-434.2006.
- Harris C, Bates-Jensen B, Parslow N, Raizman R, Singh M, Ketchen R. Bates-Jensen wound assessment tool: pictorial guide validation project. J Wound Ostomy Continence Nurs. 2010 May-Jun;37(3):253-9. doi: 10.1097/WON.0b013e3181d73aab.
- Army, O. of T. S. G. U. S. Infections. Emergency War Surgery, Fourth United States Revision (2013).
- Black CE, Costerton JW. Current concepts regarding the effect of wound microbial ecology and biofilms on wound healing. Surg Clin North Am. 2010 Dec;90(6):1147-60. doi: 10.1016/j.suc.2010.08.009.
- Bowler PG, Duerden BI, Armstrong DG. Wound microbiology and associated approaches to wound management. Clin Microbiol Rev. 2001 Apr;14(2):244-69. doi: 10.1128/CMR.14.2.244-269.2001.
- Percival SL, Hill KE, Williams DW, Hooper SJ, Thomas DW, Costerton JW. A review of the scientific evidence for biofilms in wounds. Wound Repair Regen. 2012 Sep-Oct;20(5):647-57. doi: 10.1111/j.1524-475X.2012.00836.x.
- Donlan RM, Costerton JW. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev. 2002 Apr;15(2):167-93. doi: 10.1128/CMR.15.2.167-193.2002.
- Hoiby N, Bjarnsholt T, Givskov M, Molin S, Ciofu O. Antibiotic resistance of bacterial biofilms. Int J Antimicrob Agents. 2010 Apr;35(4):322-32. doi: 10.1016/j.ijantimicag.2009.12.011. Epub 2010 Feb 10.
- Leid JG, Willson CJ, Shirtliff ME, Hassett DJ, Parsek MR, Jeffers AK. The exopolysaccharide alginate protects Pseudomonas aeruginosa biofilm bacteria from IFN-gamma-mediated macrophage killing. J Immunol. 2005 Dec 1;175(11):7512-8. doi: 10.4049/jimmunol.175.11.7512.
- Stewart PS, Costerton JW. Antibiotic resistance of bacteria in biofilms. Lancet. 2001 Jul 14;358(9276):135-8. doi: 10.1016/s0140-6736(01)05321-1.
- Gutierrez D, Hidalgo-Cantabrana C, Rodriguez A, Garcia P, Ruas-Madiedo P. Monitoring in Real Time the Formation and Removal of Biofilms from Clinical Related Pathogens Using an Impedance-Based Technology. PLoS One. 2016 Oct 3;11(10):e0163966. doi: 10.1371/journal.pone.0163966. eCollection 2016.
- Wolcott RD, Rhoads DD, Bennett ME, Wolcott BM, Gogokhia L, Costerton JW, Dowd SE. Chronic wounds and the medical biofilm paradigm. J Wound Care. 2010 Feb;19(2):45-6, 48-50, 52-3. doi: 10.12968/jowc.2010.19.2.46966.
- Rasmussen TE, Baer DG, Remick KN, Ludwig GV. Combat casualty care research for the multidomain battlefield. J Trauma Acute Care Surg. 2017 Jul;83(1 Suppl 1):S1-S3. doi: 10.1097/TA.0000000000001469. No abstract available.
- Raizman R, Dunham D, Lindvere-Teene L, Jones LM, Tapang K, Linden R, Rennie MY. Use of a bacterial fluorescence imaging device: wound measurement, bacterial detection and targeted debridement. J Wound Care. 2019 Dec 2;28(12):824-834. doi: 10.12968/jowc.2019.28.12.824.
- Guidance for Industry Chronic Cutaneous Ulcer and Burn Wounds - Developing Products for Treatment. U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center for Biologics Evaluation and Research (CBER) Center for Devices and Radiological Health (CDRH) June 2006 Clinical/Medical. https://www.fda.gov/media/71278/download
- Schultz JR, Nichol FR, Elfring GL, Weed SD. Multiple-stage procedures for drug screening. Biometrics. 1973 Jun;29(2):293-300. No abstract available.
- Jennison, C. & Turnbull, B., Group Sequential Methods with Applications to Clinical Trials. (Chapman & Hall/CRC, 2000).
- Belmont PJ, Schoenfeld AJ, Goodman G. Epidemiology of combat wounds in Operation Iraqi Freedom and Operation Enduring Freedom: orthopaedic burden of disease. J Surg Orthop Adv. 2010 Spring;19(1):2-7.
- Geiling J, Rosen JM, Edwards RD. Medical costs of war in 2035: long-term care challenges for veterans of Iraq and Afghanistan. Mil Med. 2012 Nov;177(11):1235-44. doi: 10.7205/milmed-d-12-00031.
- Stewart, L. et al. Combat-Related Extremity Wound Infection Epidemiology: Trauma Infectious Disease Outcomes Study 2009-2012. Open Forum Infect. Dis. 2, (2015).
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 (Estimated)
January 1, 2024
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
June 14, 2022
First Submitted That Met QC Criteria
June 14, 2022
First Posted (Actual)
June 16, 2022
Study Record Updates
Last Update Posted (Actual)
December 6, 2023
Last Update Submitted That Met QC Criteria
November 29, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MTEC-20-02-Multi-Topic-017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
The data collected for this study will remain within the access of the study team and collaborators only.
The same study team will utilize this data to compare with a retrospective study to serve as the control comparison for this study.
This data will not be shared with other researchers.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
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.
Clinical Trials on Acute Wound
-
Molnlycke Health Care ABSyntactxCompletedAcute Wound | Skin Graft | Skin Flap | Traumatic Wound | Dehiscence | Subacute WoundBelgium, Italy, Germany, France
-
University of Witten/HerdeckeKCI Europe Holding B.V.CompletedImpaired Wound Healing | Wound Healing Disorder | Abdominal Wound Healing Disorder | Abdominal Wound Healing Impairment | Acute Postsurgical Subcutaneous WoundBelgium, Germany
-
University Hospital Schleswig-HolsteinCompletedChronic Wound | Burn Injury | Acute WoundGermany
-
University Hospital Schleswig-HolsteinCompletedBurn Scar | Chronic Wound | Burn Injury | Acute WoundGermany
-
University Hospital Schleswig-HolsteinCompletedBurn Scar | Chronic Wound | Burn Injury | Acute Wound | Flap DisorderGermany
-
Sanford HealthSuspendedAbdomen, Acute | Wound Surgical | Wound; AbdomenUnited States
-
Lohmann & RauscherRCTsCompleted
-
SoftOx Solutions ASUnknown
-
Molnlycke Health Care ABWithdrawnAcute WoundsGermany
-
Vomaris InnovationsCompleted
Clinical Trials on Antimicrobial Skin & Wound Cleanser (AWC)
-
SerenaGroup, Inc.Sanara MedTechActive, not recruiting
-
Atteris Healthcare, LLCRochal Industries LLCTerminatedChronic WoundsUnited States
-
Laboratoires URGOUnknown
-
AllerganCompletedPeriorbital HyperpigmentationUnited States
-
AllerganCompleted
-
Thammasat UniversityNational Research Council of ThailandUnknown
-
Children's Oncology GroupNational Cancer Institute (NCI)CompletedRecurrent Childhood Acute Lymphoblastic Leukemia | Recurrent Childhood Acute Myeloid Leukemia | Malignant Neoplasm | Bacterial Infection | Myeloid Neoplasm | Benign Neoplasm | Methicillin-Resistant Staphylococcus Aureus InfectionUnited States, Canada, Puerto Rico
-
University Hospital Schleswig-HolsteinActive, not recruitingDigit Tip Wound | Split Skin Donor SiteGermany
-
De La Salle University Medical CenterPinnaclife Inc.TerminatedDiabetic Foot | Ulcer | Leg Ulcer | Skin UlcerPhilippines
-
Seoul National University Bundang HospitalRecruitingSurgical Site Infection | Wound HealKorea, Republic of