Elimination of Odor and Treatment of Malodorous Recalcitrant Wounds by Using Supraz and PRP-FG Versus Standard of Care

Repairing Gel (Supraz) and Platelet-rich Plasma-Fibrin Glue (PRP-FG) in Eliminating Odor and Healing the Malodorous Chronic Wounds Versus Standard of Care

The aim of this study is to eliminate the malodorous of chronic wound and increase the chance of the healing of recalcitrant wounds by using the repairing gel (supraz gel) which has the approved components in wound healing and platelet-rich plasma-fibrin glue.

Study Overview

• Status: Active, not recruiting
• Conditions: Wounds and Injuries
• Intervention / Treatment: Drug: Platelet-Rich Plasma-Fibrin Glue; Drug: Repairing Gel; Drug: Repairing Gel and Platelet-Rich Plasma-Fibrin Glue; Other: Classical wound irrigation (control)

Detailed Description

The current study assesses the effects of platelet-rich plasma-fibrin glue (PRP-FG) along with the use of the repairing gel which has the approved components on wound healing in patients with chronic wounds and to eliminate the malodorous of chronic wound. This randomized controlled trial is performed on patients with chronic wounds. Patients will be treated with repairing gel (supraz gel) plus PRP-FG dressing (intervention group) or only Supraz gel (intervention group) or only PRP-FG dressing (intervention group) every 48 hours for 8 weeks versus standard of care of treatment (control group: irrigation of wound by normal saline 0.9%).

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Phase 2; Phase 3

Contacts and Locations

Study Locations

• Iran
  • Razavi Khorasan Province
    • Mashhad, Razavi Khorasan Province, Iran, 99191-91778
      • Mashhad University of Medical Sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Having a single wound on the body that has been at least 3 months old and has not been repaired by wound irrigation with normal saline and changing the dressing
• Having a body mass index of 18-35
• Sign the informed consent by the patient

Exclusion Criteria:

• Having concurrent diseases that may cause problems in wound healing, such as cancers, vasculitis, kidney and liver failure, and heart failure
• Taking certain drugs that may interfere with wound healing, such as corticosteroids, immunosuppressive agents, and cytotoxic agents

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: Triple

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Platelet-Rich Plasma-Fibrin Glue; The first intervention group (group A) includes 10 patients with chronic wounds who, despite classic wound irrigation treatment, will be undergoing platelet-rich plasma-fibrin glue intervention for 8 weeks.	Drug: Platelet-Rich Plasma-Fibrin Glue; The first intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone PRP-FG intervention for 8 weeks.; Other Names: PRP-FG
Experimental: Repairing Gel; The second intervention group (group B) includes 10 patients with chronic wounds who, despite classic wound irrigation treatment, will be undergoing repairing gel intervention for 8 weeks. The components of repairing gel are vitamin A - vitamin C - vitamin B3 - glycine amino acid. - ethanol - collagen - citric acid - glycerin - malic acid - urea - carboxymethyl cellulose - Sodium alginate - Benzoic acid - Allantoin - Bromelain - Methylene blue - Violet dimethyl sulfoxide . The formulation is patented. (PCT, IR108458)	Drug: Repairing Gel; The second intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone the repairing gel with approved wound healing components in the form of gel for 8 weeks.; Other Names: Supraz Gel
Experimental: Platelet-Rich Plasma-Fibrin Glue and Repairing Gel; The third intervention group (group C) includes 10 patients with chronic wounds who, despite classic wound irrigation treatment, will be undergoing the repairing gel with approved wound healing components and platelet-fibrin glue for 8 weeks.	Drug: Repairing Gel and Platelet-Rich Plasma-Fibrin Glue; The third intervention group includes 10 patients with chronic wounds who, despite common treatment, will be undergone the repairing gel with approved wound healing components in the form of gel and PRP-FG for 8 weeks.; Other Names: Supraz Gel and PRP-FG
Experimental: Classical wound irrigation (control); For 10 patients with chronic wounds, only classical wound irrigation by normal saline (0.9%) will be continued for 8 weeks.	Other: Classical wound irrigation (control); For 10 patients with chronic wounds, only the classical wound irrigation by normal saline will be continued for 8 weeks.; Other Names: Control

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wound Odor Change	Change from Baseline Wound Odor intensity at 2 months will be assessed by the nurse using a Visual Analog Scale (VAS) from 0 to 100 (perceived odor).	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Wound Size Change	Change from Baseline Wound Size (length and width) at 2 months will be assessed in digital images taken of the wound.	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Visual Analog Scale changes for pain assessment	Pain will be evaluated by the visual analog scale system (VAS) which assesses changes in pain via a continuous measurement instrument. The score is determined by measuring the distance (mm) between the no-pain anchor to the point that the patient marks, providing a range of scores from 0 - 10. A higher score indicates greater pain intensity.	Every 48 hours for 8 weeks
Duration of recovery	The duration of recovery, which is the number of days it will be taken for the wound to heal.	8 weeks
Change in the systemic inflammatory marker C-reactive protein (CRP)	C-reactive protein (CRP)	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Change in systemic inflammatory marker erythrocyte sedimentation rate (ESR)	erythrocyte sedimentation rate (ESR)	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Change in systemic inflammatory marker Interleukin 6 (IL-6)	Interleukin 6 (IL-6)	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Number of participants with infection	A swab culture: Identify a small area (1 cm) of clean viable tissue and rotate the swab on it for 5 seconds while applying enough pressure to produce exudate and culture it to detect bacteria.	At the beginning of the study (0 day) and at the end of the eighth week of the intervention (8 weeks)
Results of the SF36 questionnaire at inclusion	The SF-36 questionnaire is a quality-of-life questionnaire that includes 36 questions divided into 8 different categories (physical functioning, limitations due to physical condition, physical pain, perceived health, vitality, social functioning or well-being, limitations due to mental condition, mental health). These 8 dimensions are used to calculate two scores on the quality of life of individuals: the physical composite score and the mental composite score. The higher the score, the greater the capacity. It is self-administered and takes less than 10 minutes. Higher scores indicate better quality of life. The French version has been validated and has satisfactory psychometric properties. Score from 0 to 100.	Day 0
Results of the SF36 questionnaire at Month 2	The SF-36 questionnaire is a quality-of-life questionnaire that includes 36 questions divided into 8 different categories (physical functioning, limitations due to physical condition, physical pain, perceived health, vitality, social functioning or well-being, limitations due to mental condition, mental health). These 8 dimensions are used to calculate two scores on the quality of life of individuals: the physical composite score and the mental composite score. The higher the score, the greater the capacity. It is self-administered and takes less than 10 minutes. Higher scores indicate better quality of life. The French version has been validated and has satisfactory psychometric properties. Score from 0 to 100.	Month 2

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage rate of re-epithelialization	Pictures taken of the wound site every other day will be analyzed using imaging software for the size of the wound. The percentage rate will be calculated from this.	Participants will be followed for the duration of 8 weeks

Collaborators and Investigators

• Sponsor: Mashhad University of Medical Sciences
• Collaborators: Aristotle University Of Thessaloniki
• Investigators: Principal Investigator: Daryoush Hamidi Alamdari, Ph.D, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.; Principal Investigator: Daryoush Hamidi Alamdari, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Study record dates

Study Major Dates

• Study Start (Actual): August 20, 2023
• Primary Completion (Actual): January 20, 2024
• Study Completion (Estimated): March 20, 2027

Study Registration Dates

• First Submitted: June 30, 2023
• First Submitted That Met QC Criteria: August 1, 2023
• First Posted (Actual): August 9, 2023

Study Record Updates

• Last Update Posted (Actual): May 6, 2026
• Last Update Submitted That Met QC Criteria: April 30, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Platelet-Rich Plasma-Fibrin Glue; Recalcitrant; Chronic Wounds; Repairing Gel; Malodorous
• Additional Relevant MeSH Terms: Wounds and Injuries; Hemostatics; Coagulants; Fibrin Tissue Adhesive
• Other Study ID Numbers: IR.MUMS.REC.1402.089

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: All data related to the project after the unidentifiable people will be shared.
• IPD Sharing Time Frame: Access to data is allowed 6 months after the publication of results.
• IPD Sharing Access Criteria: The investigator's data will be available to university staff and academic institutions.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; ICF

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No