- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06109844
FORCEREPAIR - A Wound Exudate Investigation
October 26, 2023 updated by: Frederik Plum, Bispebjerg Hospital
The observational longitudinal study will collect wound exudate from twenty patients with venous leg ulcers.
Wound exudate samples are collected using twenty-four-hour collection with polyurethane foam, bandages and the NovaSwab method.
Each patient is seen four times where wound exudate and the bacteria microbiome are sampled and wound size is monitored with advanced planimetric tools.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
This dual centre longitudinal observational study will run from January 2024 to January 2025.
The investigation will include twenty patients over four weeks including four study visits.
Sampling of wound exudate can take place on every visit and will be made with the polyurethane discs, the NovaSwab technique and waste bandages.
The wound bacteria microbiome is sampled with routine bacterial swabs.
Tape strips will be used to assess perilesional skin and control sites of normal skin and will primarily measure skin inflammation parameters.
Clinical pictures are taken and analysed using advanced planimetric tools.
Patients enrolled receive standard wound care; allowing all kinds of dressing.
However when consenting to twenty-four-hour-collection patients will not be allowed to wear active bandages or receive antibiotic treatment for that period.
Compression, wound dressings, and use of topical and oral antibiotics will be registered.
For the storage of samples, a research biobank is used, and leftover material will be stored in a biobank for future research.
Study Type
Observational
Enrollment (Estimated)
20
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: Klaus Kirketerp-Møller, MD, Ph.D
- Phone Number: +4540199087
- Email: klaus.kirketerp-moeller.01@regionh.dk
Study Contact Backup
- Name: Frederik Plum, MD
- Phone Number: +4529671247
- Email: frederik6@hotmail.com
Study Locations
-
-
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Viborg, Denmark, 8800
- Vascular Research Unit and Department of Vascular Surgery, Viborg Regional Hospital
-
Contact:
- Annette Høgh, MD
- Email: Annette.hoegh@midt.rm.dk
-
-
Northwest
-
Copenhagen, Northwest, Denmark, 2400
- Danish Wound Healing Center, Bispebjerg Hospital
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Twenty patients with venous leg ulcers, verified by a wound expert, will be included in this study.
Description
Inclusion Criteria:
- Adults fulfilling all inclusion criteria
- Age >18 years
- Venous leg ulcer diagnosis and classic characteristics (localisation, varicose veins, brown-orange hyperpigmentation, leg oedema, stasis dermatitis, atrophie blanche or lipodermatosclerosis) verified by a wound expert (if in doubt venous doppler will be used for verification)
- Wound Area equal to or above 1 cm2 (measured with a ruler length x width)
- Patient can understand Danish
- Patient can comply with protocol
- Patient is fully informed about the study and has given informed consent
Exclusion Criteria:
- Venous leg ulcer with communication to bone
- Known or suspected cancer in the wound
- Allergies towards products used in the study, e.g. polyurethane foam and tegaderm
- Dementia
- Judgement by the investigator that the patient is not suited for study participation
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Wound Exudate Effects on Proliferation of Healthy Primary Human Fibroblasts
Time Frame: Four weeks
|
Proliferation
|
Four weeks
|
Wound Exudate Effects on Matrix Formation by Healthy Primary Human Fibroblasts
Time Frame: Four weeks
|
Matrix Formation
|
Four weeks
|
Wound Exudate Effects on Release of Pro-inflammatory Mediators
Time Frame: Four weeks
|
Release of pro-inflammatory Mediators
|
Four weeks
|
Wound Exudate Effects on Cellular Gene Expression Profiles In Healthy Primary Human Fibroblasts
Time Frame: Four weeks
|
Gene Expression Profiles
|
Four weeks
|
Exploratory Wound Exudate Compound and Device Testing
Time Frame: Four weeks
|
Wound Exudate Compounds
|
Four weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Wound Exudate Profile Relation to Percentage Area Reduction
Time Frame: Four Weeks
|
Four Weeks
|
|
Wound Exudate Profile Relation to Wound Microbiome Profile
Time Frame: Four Weeks
|
Four Weeks
|
|
Percentage Area Reduction Relation to Wound Microbiome Profile
Time Frame: Four Weeks
|
Four Weeks
|
|
Comparisson of Wound Exudate Sampling Techniques
Time Frame: Four Weeks
|
Polyurethane disc twenty-four-hour sampling, Bandages and NovaSwabs
|
Four Weeks
|
Wound Microbiome 16 rRNA/18sRNA
Time Frame: Four Weeks
|
Bioburden, Diversity and Pathogens
|
Four Weeks
|
Wound Perilesional Skin Inflammation
Time Frame: Four Weeks
|
Tape Strips from perilesional skin and control site.
|
Four Weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Frederik Plum, MD, Bispebjerg Hospital
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
- Wolff-Winiski, Barbara, Anton Stütz, and Petra Dörfler. "Methods for identifying a non-healing skin wound and for monitoring the healing of a skin wound." U.S. Patent 11,579,141, issued February 14, 2023
- Burian EA, Sabah L, Karlsmark T, Kirketerp-Moller K, Moffatt CJ, Thyssen JP, Agren MS. Cytokines and Venous Leg Ulcer Healing-A Systematic Review. Int J Mol Sci. 2022 Jun 10;23(12):6526. doi: 10.3390/ijms23126526.
- Serra R, Grande R, Buffone G, Molinari V, Perri P, Perri A, Amato B, Colosimo M, de Franciscis S. Extracellular matrix assessment of infected chronic venous leg ulcers: role of metalloproteinases and inflammatory cytokines. Int Wound J. 2016 Feb;13(1):53-8. doi: 10.1111/iwj.12225. Epub 2014 Feb 19.
- Tomic-Canic M, Burgess JL, O'Neill KE, Strbo N, Pastar I. Skin Microbiota and its Interplay with Wound Healing. Am J Clin Dermatol. 2020 Sep;21(Suppl 1):36-43. doi: 10.1007/s40257-020-00536-w.
- Versey Z, da Cruz Nizer WS, Russell E, Zigic S, DeZeeuw KG, Marek JE, Overhage J, Cassol E. Biofilm-Innate Immune Interface: Contribution to Chronic Wound Formation. Front Immunol. 2021 Apr 9;12:648554. doi: 10.3389/fimmu.2021.648554. eCollection 2021.
- Misic AM, Gardner SE, Grice EA. The Wound Microbiome: Modern Approaches to Examining the Role of Microorganisms in Impaired Chronic Wound Healing. Adv Wound Care (New Rochelle). 2014 Jul 1;3(7):502-510. doi: 10.1089/wound.2012.0397.
- Wolcott RD, Hanson JD, Rees EJ, Koenig LD, Phillips CD, Wolcott RA, Cox SB, White JS. Analysis of the chronic wound microbiota of 2,963 patients by 16S rDNA pyrosequencing. Wound Repair Regen. 2016 Jan-Feb;24(1):163-74. doi: 10.1111/wrr.12370. Epub 2015 Dec 10.
- Loesche M, Gardner SE, Kalan L, Horwinski J, Zheng Q, Hodkinson BP, Tyldsley AS, Franciscus CL, Hillis SL, Mehta S, Margolis DJ, Grice EA. Temporal Stability in Chronic Wound Microbiota Is Associated With Poor Healing. J Invest Dermatol. 2017 Jan;137(1):237-244. doi: 10.1016/j.jid.2016.08.009. Epub 2016 Aug 24.
- Trengove NJ, Bielefeldt-Ohmann H, Stacey MC. Mitogenic activity and cytokine levels in non-healing and healing chronic leg ulcers. Wound Repair Regen. 2000 Jan-Feb;8(1):13-25. doi: 10.1046/j.1524-475x.2000.00013.x.
- Wiegand C, Bittenger K, Galiano RD, Driver VR, Gibbons GW. Does noncontact low-frequency ultrasound therapy contribute to wound healing at the molecular level? Wound Repair Regen. 2017 Sep;25(5):871-882. doi: 10.1111/wrr.12595. Epub 2017 Dec 8.
- Ambrosch A, Lobmann R, Pott A, Preissler J. Interleukin-6 concentrations in wound fluids rather than serological markers are useful in assessing bacterial triggers of ulcer inflammation. Int Wound J. 2008 Mar;5(1):99-106. doi: 10.1111/j.1742-481X.2007.00347.x. Epub 2008 Jan 3.
- Burian EA, Enevold C, Karlsmark T, Agren MS. A simplified method for monitoring cytokines in wound fluid. Wound Repair Regen. 2023 Jan;31(1):47-55. doi: 10.1111/wrr.13053. Epub 2022 Oct 26.
Helpful Links
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 30, 2024
Primary Completion (Estimated)
January 30, 2025
Study Completion (Estimated)
June 30, 2025
Study Registration Dates
First Submitted
October 26, 2023
First Submitted That Met QC Criteria
October 26, 2023
First Posted (Actual)
October 31, 2023
Study Record Updates
Last Update Posted (Actual)
October 31, 2023
Last Update Submitted That Met QC Criteria
October 26, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FORCEREPAIR-01
- 104834 (Registry Identifier: Research Ethics Comittee)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Individual patient data can be shared anonymized upon contact with PI, after publication of primary results.
IPD Sharing Time Frame
Data will be avaible after publication of primary results.
IPD Sharing Access Criteria
Access upon request via email to Principal Investigator.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ANALYTIC_CODE
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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