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WoundNCT03877484

Evaluation of the Safety and Effectiveness of ALLEVYN Gentle Border

An observational study of Wound, run by Smith & Nephew Orthopaedics AG at 6 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The clinical study will evaluate the safety and effectiveness of the ALLEVYN Gentle Border. The study is a post-market clinical follow-up to assess clinical performance and safety of ALLEVYN Gentle Border with new wound contact layer to support performance claims. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Wound
What is being tested?
ALLEVYN Gentle border
Type of treatment
Medical device
How many people
43 participants
Where
6 sitesin 3 countries
Study dates
6 Mar 2019to 19 Nov 2021
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Forty adult subjects with moderate to highly exuding wounds that require a dressing will be recruited. Only subjects with acute wounds or chronic wounds which are present > 6 weeks will be enrolled. Chronic wounds will include pressure ulcers, leg ulcers, diabetic foot ulcers. Acute wounds will include dehisced surgical or traumatic wounds. In order to ensure a balanced distribution on chronic and acute indications, at least 10 subjects with chronic wounds and at least 10 subjects with acute wounds will be enrolled.

Who may be able to join

  • Signed written informed consent.
  • 18 years of age or older.
  • Willing and able to make all required study visits.
  • Able to follow instructions and deemed capable of completing the CWIS questionnaire, Patient Assessment Scale and Pain Scale.
  • Presence of a moderately to highly exuding wound of at least 3cm2 in size.
  • Presence of a chronic wound of at least 6 weeks duration at the point of enrollment; full-thickness, partial thickness or shallow granulating wounds.
Show all 16Show fewer
  • Chronic wounds include:
  • pressure ulcers or
  • leg ulcers or
  • diabetic foot ulcers
  • or
  • Presence of an acute wound at the point of enrollment; full thickness, partial thickness or shallow granulating wounds
  • Acute wounds include:
  • dehisced surgical or
  • traumatic wounds
  • The patient has a wound size which can be treated with the available sizes and shapes of ALLEVYN Gentle Border. Cutting of the dressing is allowed, if needed. ALLEVYN Gentle Border can be cut and an aseptic technique should be used with cutting the dressing. Ensure any exposed foam areas are covered with an appropriate film dressing taking care not to cover the entire dressing.

Who cannot join

  • Subjects with confirmed or suspected clinically infected reference wound.
  • Reference wound undergoing treatment with compression therapy.
  • Contraindications or hypersensitivity to the use of the ALLEVYN Gentle Border.
  • Participation in the treatment period of another clinical trial within 30 days of Visit 1 or planned participation overlapping with this study.
  • Subjects with skin features (e.g. tattoos, skin color, pre-existing scarring) which, in the opinion of the Investigator, could interfere with the study assessments.
  • Subjects who have participated previously in this clinical trial.
  • Subjects with a history of poor compliance with medical treatment.
  • Subjects with a medical or physical condition that, in the opinion of the Investigator, would preclude safe subject participation in the study

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

Germany4 sites
  • MVZ Dermatologisches Zentrum Bonn GmbH

    Bonn, 53111

  • University Hospital Erlangen, Department of Dermatology

    Erlangen, 91054

  • Niels-Stensen-Kliniken Christliches Klinikum Melle GmbH

    Melle, 49324

  • Klinikum Oldenburg, University Clinic for Dermatology and Allergy

    Oldenburg, 26133

Other trials in Germany

France1 site
  • Centre Hospitalier William Morey

    Chalon-sur-Saône, 71321

Other trials in France

United Kingdom1 site
  • Northumbria Healthcare NHS Foundation Trust

    Ashington, Northumberland, NE63 0HP

Other trials in United Kingdom

About this study

Official title: A Prospective, Multi-center, Post-Market Clinical Follow-Up Study to Evaluate the Safety and Effectiveness of ALLEVYN Gentle Border

The clinical study will evaluate the safety and effectiveness of the ALLEVYN Gentle Border. The study is a post-market clinical follow-up to assess clinical performance and safety of ALLEVYN Gentle Border with new wound contact layer to support performance claims.

Conditions
Wound
Being tested
ALLEVYN Gentle border
Keywords
chronic and acute wounds, full-thickness, partial thickness, shadow granulating, exuding wounds, including pressure ulcers, leg ulcers, diabetic foot ulcers, dehisced surgical wounds
Medical subject headings
Wounds and Injuries, Bronchiolitis Obliterans Syndrome, Leg Ulcer, Diabetic Foot

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ALLEVYN Gentle borderDevice

    ALLEVYN Gentle border is a triple layer foam dressing consisting of a highly absorbent hydrocellular foam pad held between a perforated wound contact layer (WCL), which is coated with a soft silicone gel adhesive and a highly permeable outer top film.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Wound Area From Baseline to End of Study Visit

    Change in wound area from baseline to end of study visit at 28 days was measured by wound photographs from a specific digital camera that standardized and calculated wound length, width, and depth automatically.

    Measured: Baseline through 28 days (±3 days).

Secondary outcomes (31)
  1. Change in Wound Area From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), and 21 Days (±3 Days)

    Change in wound area from baseline to 7 days, 14 days and 21 days. Wound area was measured by photographs from a specific digital camera that standardized and calculated wound length, width, and depth automatically.

    Measured: Baseline to 7 days (±3 days), 14 days (±3 days), and 21 days (±3 days)

  2. Change in Wound Depth From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Days (±3 Days)

    Wound depth at baseline, 7, 14, 21 and 28 days were measured by wound photographs from a specific digital camera that standardized and calculated wound length, width, and depth automatically.

    Measured: Baseline, 7 days, 14 days, 21 days, 28 days

  3. Change in Wound Volume From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Days (±3 Days)

    Change in exudate wound volume measured from baseline to 7 days, 14 days, 21 days and 28 days.

    Measured: Baseline, 7 days, 14 days, 21 days, and 28 days

  4. Percentage Change in Wound Area From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), and 21 Days (±3 Days)

    Percentage change in wound area from baseline visit to visits 2 (7 Days), 3 (14 days) and 4 (21 days).

    Measured: Baseline to 7 days (±3 days), 14 days (±3 days), and 21 days (±3 days)

  5. Percentage Change in Wound Depth From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), and 21 Days (±3 Days)

    Percentage change in wound depth from baseline visit to visits 2 (7 Days), 3 (14 days) and 4 (21 days).

    Measured: Baseline to 7 days (±3 days), 14 days (±3 days), and 21 days (±3 days)

  6. Percentage Change in Wound Volume From Baseline to 7 Days (±3 Days), 14 Days (±3 Days), and 21 Days (±3 Days)

    Percentage change in wound volume from baseline visit to visits 2 (7 Days), 3 (14 days) and 4 (21 days).

    Measured: Baseline to 7 days (±3 days), 14 days (±3 days), and 21 days (±3 days)

  7. Exudate Management: Number of Dressings With Leakage

    The count of dressings applied on participants with exudate present that experienced any dressing leakage (Yes/No).

    Measured: Dressing application to removal, up to 7 days (±3 Days)

  8. Exudate Amount at 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Days (±3 Days)

    Count of participants with wound exudate amounts identified as:

    • None
    • Scant
    • Small
    • Moderate
    • Large

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), and 28 days (±3 Days)

  9. Exudate Type at 7 (±3 Days), 14 (±3 Days), 21 (±3 Days) and 28 Days (±3 Days)

    Count of participants with wound exudate types identified as:

    • None
    • Bloody
    • Serosanguineous
    • Serous
    • Purulent

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), and 28 days (±3 Days)

  10. Level of Wound Odour at Baseline, 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Days (±3 Days)

    Count of participants level of odour at baseline, 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days), and 28 Days (±3 Days) identified as:

    • None
    • Mild
    • Moderate
    • Strong

    Measured: Baseline, 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  11. Reason for Dressing Change

    Overall frequency of dressing changes categorized with the following reasons(Yes/No):

    • Reason for dressing change routine
    • ALLEVYN been in place 7 days
    • Dressing saturated
    • Strikethrough
    • Leakage
    • Pain
    • Dressing fell off
    • Dressing got wet during shower/bathing
    • Subject removed dressing
    • Other

    Measured: Upon dressing removal, up to 7 days (±3 Days)

  12. Condition of Surrounding Skin

    The condition of surrounding skin (i.e., peri-wound) was assessed to ensure there was no compromise to skin condition as a result of dressing wear, which could impact the wound healing progress. Number of participants condition of the peri-wound was classified as:

    • Normal
    • Erythematous
    • 50% to <75% wound covered
    • 25% to <50% wound covered
    • <25% wound covered
    • Missing

    Measured: Baseline and 28 days (±3 Days)

  13. Signs of Clinical Infection

    Any signs of clinical infection (Yes/No) identified at 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Day (±3 Days) visits.

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  14. Healing of Reference Wound

    Wound healed (Yes/No) identified at 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 day (±3 Days) visits.

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  15. Average Dressing Wear Time

    Average dressing wear time in days following application

    Measured: Following dressing application, up to 7 days (±3 Days)

  16. Overall Level of Pain on Dressing Application

    Level of pain was scored on a scale from 0 to 10 with 0 indicating no pain and 10 indicating the worst pain. Participants provided their level of pain upon each dressing application at each scheduled study visit (7 days, 14 days, 21 days) or at any routine dressing change visit occurring between the scheduled visits.

    Measured: Immediately after dressing application

  17. Overall Level of Pain During Treatment

    Level of pain was scored on a scale from 0 to 10 with 0 indicating no pain and 10 indicating the worst pain. Participants provided their level of pain during treatment after each dressing application at each scheduled study visit (7 days [ ±3 days], 14 days [ ±3 days], 21 days [ ±3 days]) or at any routine dressing change visit occurring between the scheduled visits.

    Measured: During treatment (following each dressing application prior to removal), up to 7 days (±3 Days)

  18. Overall Level Pain on Dressing Removal

    Level of pain was scored on a scale from 0 to 10 with 0 indicating no pain and 10 indicating the worst pain. Participants provided their level of pain on dressing removal for each dressing applied at each scheduled study visit (7 days [ ±3 days], 14 days [ ±3 days], 21 days [ ±3 days]) or at any routine dressing change visit occurring between the scheduled visits.

    Measured: Immediately upon dressing removal

  19. Cardiff Wound Impact Schedule (CWIS): Quality of Life at Baseline, 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Days (±3 Days)

    The Cardiff Wound Impact Schedule (CWIS) was collected at baseline and all study visits. Participants scored on a scale of 0 to 10 their perceived quality of life and satisfaction with quality of life. Higher scores indicate a better outcome.

    Measured: Baseline, 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), and 28 days (±3 Days)

  20. Cardiff Wound Impact Schedule (CWIS): Wellbeing, Physical Symptoms & Daily Living, and Social Life at Baseline, 7 (±3 Days), 14 (±3 Days), 21 (±3 Days), and 28 Days (±3 Days)

    The Cardiff Wound Impact Schedule (CWIS) was collected at baseline and all study visits. Scores were on a scale from 0 to 100 with a higher score indicating a better outcome across three domains that included:

    • Wellbeing
    • Physical Symptoms \& Daily Living
    • Social Life

    Measured: Baseline, 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  21. Dressing Adherence (Retention)

    The investigator determined retention by dressing adherence to the wound at 7 Days (±3 Days), 14 Days (±3 Days), 21 Days (±3 Days) and 28 Day (±3 Days) visits. Dressing adherence reported as the number of participants for each response to the question "Dressing still fully adhered?" from one of the following options:

    • Yes
    • Yes, but with the aid of tape or other material
    • No, study dressing partially adhered
    • No, study dressing not adhered

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  22. Bunching Up of Dressing

    The investigator determined any "bunching up" (i.e., bunching/overlap) of the dressing on the wound at 7 (±3 Days), 14 (±3 Days), 21 (±3 Days) and 28 day visits (±3 Days). Bunching of the dressing reported as the number of participants for each response to "Whether there is any bunching/overlap of dressing" from one of the following options:

    • None
    • Very Little
    • Moderate
    • Excessive

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days (±3 Days), 28 days (±3 Days)

  23. Overall Percent of Dressing Lift

    Overall percentage of dressing lift for each dressing application was determined from investigator responses following dressing removal at scheduled or routine dressing change visits to the question "Is the study dressing still fully adhered?" The following imputations were used when :

    • If the Investigator answered "Yes" then percentage lift was 0%
    • If the Investigator answered "Study dressing not adhered" then the percentage lift was 100%
    • If "Partially adhered" was selected, then the percentage lift was the percentage indicated in data

    Measured: Dressing application to removal, up to 7 days (±3 Days)

  24. Dressing Comfort During Wear

    Dressing comfort at 7 days (±3 Days) , 14 days (±3 Days), 21 days (±3 Days) and 28 day (±3 Days) visits determined by the number of participants with responses to "Dressing comfortable to wear since last visit" from one of the following options:

    • Very comfortable
    • Comfortable
    • Neither comfortable nor uncomfortable
    • Uncomfortable
    • Very uncomfortable

    Measured: 7 days (±3 Days), 14 days (±3 Days), 21 days( ±3 Days), 28 days (±3 Days)

  25. Patient Assessment Scale: Leakage

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Leakage was determined based on the response to "How have you found your experience in terms of leakage?" where 0 indicated unacceptable level of leakage and 10 indicated no leakage.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  26. Patient Assessment Scale: Moisture

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Moisture was determined based on the response to "How have you found your experience in terms of the feeling of moisture on your skin underneath the dressing" where 0 indicated unacceptable feeling of moisture and 10 indicated no feeling of moisture on the skin.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  27. Patient Assessment Scale: Odour

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Odour was determined based on the response to "How have you found your experience in terms of odour?" where 0 indicated unacceptable level of odour and 10 indicated no odour.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  28. Patient Assessment Scale: Exudate

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Exudate was determined based on the response to "How have you found your experience in terms of visible exudate?" where 0 indicated unacceptable level of visible exudate and 10 indicated no visible exudate.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  29. Patient Assessment Scale: Protection

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Protection was determined based on the response to "How protected did the dressing make your wound feel?" where 0 indicated unacceptable level of protection and 10 indicated very protected.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  30. Patient Assessment Scale: Comfort

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Comfort was determined based on the response to "How have you found your experience in terms of dressing comfort?" where 0 indicated unacceptable level of comfort and 10 indicated very comfortable.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

  31. Patient Assessment Scale: Showering

    Patient assessment scale completed from baseline visit through end of treatment visits, up to 28 Day (±3 days), using the participant response for each criteria to provide an overall score. Scores ranged from 0 to 10 with 0 indicating a worse outcome and 10 indicating the best outcome. Comfort was determined based on the response to "How have you found your experience in terms of being able to maintain a normal showering routine? (NA if patient does not have a normal showering routine)" where 0 indicated unacceptable level of impact (unable to bathe) and 10 indicated no negative impact.

    Measured: Baseline through end of treatment, up to 28 days (±3 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2019
  2. Study start6 Mar 2019
  3. Primary completion19 Nov 2021
  4. Study completion19 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03877484
Sponsor's protocol ID
ALLEV.PMCF.2017.13
Status last verified
Dec 2021
First submitted
6 Feb 2019
Last updated
9 Dec 2024
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Wound, run by Smith & Nephew Orthopaedics AG at 6 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Germany, France, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Dec 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Wound Area From Baseline to End of Study Visit (time frame: Baseline through 28 days (±3 days).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2024.

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