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WoundsNCT05608317

A Clinical Investigation to Follow the Progress of Exuding Chronic Venous Leg Ulcers Using a Non-Bordered Foam Dressing

A study testing ALLEVYN Non-Adhesive in people with Wounds and Wound of Skin, run by Molnlycke Health Care AB at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial to follow the progress of wounds in those with chronic venous leg ulcers while using a non-bordered foam dressing. The main objective is to follow the progress of these wounds over time from initial visit to each follow-up visit. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Wounds, Wound of Skin, Wound Leg
What is being tested?
ALLEVYN Non-Adhesive
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
3 sitesUnited States
Study dates
8 Nov 2022to 30 Nov 2024
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Signed consent to participate (including consent for digital imaging)
  • Adult aged ≥18 years
  • Diagnosed with a chronic, exuding VLU
  • Exudate amount moderate to large
  • Wound size from 3 cm2 to 30 cm2, as determined by the clinician
  • ABPI (within 3 months) > 0.7. If ABPI > 1.4, then big toe pressure > 60 mmHg is required or an alternative measurement verifying normal distal arterial flow
  • Willing to be compliant with compression therapy

Who cannot join

  • Infected ulcer according to the judgment of the investigator defined as any wound condition requiring the prescription or continuation of systemic antibiotic therapy at enrollment
  • Circumferential wound
  • Known allergy/hypersensitivity to the materials of the dressing
  • Use of wound fillers

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Janet Kandrevas, MD, MS contact

734-358-2174

janet.kandrevas@molnlycke.com

Andrea Picchietti, MS, CCRA contact

260-258-3879

andrea.picchietti@molnlycke.com

United States3 sites, 3 recruiting
  • University of Miami

    Miami, Florida, 33125

    Aliette Espinosa, 305-689-3376, a.espinosa2@med.miami.edu

    Hadar Lev-Tov, MD

    Recruiting
  • Serena Group Research Institute

    Pittsburgh, Pennsylvania, 15222

    Laura Serena, 412-335-0764, lserena@serenagroups.com

    Thomas Serena, MD

    Recruiting
  • Center for Clinical Trials, Inc.

    San Francisco, California, 94115

    Gayana Sarkisova, CCRC, 800-363-1063 ext. 104, gayana@ccr-trials.com

    Alexander Reyzelman, DPO

    Not yet recruiting

Other trials in United States

About this study

Official title: A Prospective, Open, Multi-Center, Interventional, Non-Comparative Clinical Investigation to Follow the Progress of Exuding Venous Leg Ulcers Using a Non-Bordered Foam Dressing

The goal of this clinical trial to follow the progress of wounds in those with chronic venous leg ulcers while using a non-bordered foam dressing. The main objective is to follow the progress of these wounds over time from initial visit to each follow-up visit.

Participants will be asked to wear the dressing for up to 6 weeks of treatment or until healed, changed at every one-week interval.

Read the detailed description

This investigation is designed as a prospective, open, multi-center, interventional, non-comparative investigation with the aim to follow chronic wound progression for 6 weeks according to local standard of care. Wound progress is a summary endpoint of the total effect of treatment using the non-bordered foam dressing as the absorbent dressing and includes the changes in an objectively measured wound area and subjectively evaluated wound condition. The only included indication is Venous Leg Ulcers (VLU). A total of n=20 participants will be recruited at up to 6 centers within the US and Canada.

There will be a total of seven (7) visits to the investigation site for participants during the treatment period: baseline, followed by weekly visits up to six (6) weeks post baseline. During visits, evaluations will be performed to assess wound progression and status, wound dressing properties, as well as Subject pain, comfort, and quality of life. Safety will be assessed at all visits. One target wound per participant will be included in this investigation.

Being tested
ALLEVYN Non-Adhesive
Keywords
Venous Leg Ulcer
Medical subject headings
Wounds and Injuries, Varicose Ulcer

What participants receive

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

  • ALLEVYN Non-AdhesiveDevice

    ALLEVYN Non-Adhesive combines patient comfort with the tri-layer fluid management system that enables moist wound healing. It utilizes a unique triple action technology that manages fluid to maintain optimal moist wound healing conditions. It is ideal for fragile and sensitive skin due to its non-adherent wound contact layer and soft and conformable construction.

    ALLEVYN Non-Adhesive consists of the following layers:

    • Breathable top film
    • Highly absorbent foam core
    • Non-adhesive wound contact layer
Study groups in NCT05608317
Study groupRoleWhat they receive
Supportive Care with Non-Bordered Foam DressingExperimentalAll Subjects will use a non-bordered foam dressing as the absorbent primary dressing.
Receives: Device: ALLEVYN Non-Adhesive

What is being measured

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

  1. Wound progress of the total effect of treatment using ALLEVYN Non-Adhesive

    Wound progress is the total effect of treatment using ALLEVYN Non-Adhesive as the absorbent dressing and includes the changes in an objectively measured wound area and subjectively evaluated wound condition by the treating investigator/designee. Wound progress will be assessed as deteriorated, no change, improved, or healed at each visit. Wound area will be measured by an independent evaluator assisted by digital software at each visit and recorded as cm2 using the formula, A= π*L*W/4.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

Secondary outcomes (24)
  1. Percentage wound area reduction over time

    The percentage of wound area (cm2) reduction over time will be assessed by a formula as the area of an ellipse and measured by an independent evaluator assisted by digital software on all digital photographs taken at each scheduled visit.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  2. Linear wound healing over time

    The linear wound healing will be calculated with Gilman's formula (cm/day), G = - (A1-A0)/ {[(P1+P0)/2]*(t1-t0)}, where:

    A0 = previous visit area A1 = current visit area P0 = previous visit perimeter P1 = current visit perimeter t0 = previous visit time t1 = current visit time.

    Area (A) and Perimeter (P) will be assessed by an independent evaluator assisted by digital software. Perimeter (P) will be measured in cm and Area (A) will be assessed in cm2.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  3. Change in granulation tissue over time

    The area of wound covered by granulation tissue, (%) before and after cleansing/debridement will be assessed as follows: 1) via an independent evaluator assisted by digital software; and 2) via visual judgement by investigator/designee and determined as: None, 1%-24%, 25%-49%, 50%-74%, or 75%-100%.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  4. Change in sloughy tissue over time

    The area of wound covered by sloughy tissue, (%) before and after cleansing/debridement will be assessed as follows: 1) via an independent evaluator assisted by digital software; and 2) via visual judgement by investigator/designee and determined as: None, 1%-24%, 25%-49%, 50%-74%, or 75%-100%.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  5. Change in exudate amount over time

    Exudate amount will be captured as a subjective measure from the investigator/designee and assessed as none, scant, small, moderate, or large.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  6. Change in exudate nature over time

    Exudate nature will be captured as a subjective measure from the investigator/designee via the following category descriptive scale: serous, serosanguinous, sanguineous, seropurulent, fibrinous, purulent, hemopurulent, or hemorrhagic.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  7. Change in peri-wound skin condition over time

    The change in peri-wound skin condition over time will be assessed by visual assessment (No/Yes) by investigator/designee for maceration, dry skin, erythema/redness, and other peri-wound skin conditions.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  8. Change in maceration over time

    Area of wound covered by macerated tissue (%) will be assessed before debridement in cm2 by an independent evaluator assisted by digital software.

    The maximal distance (cm) from as close to the wound edge as possible to the end of maceration, assessed from wound photo, taken before debridement, by an independent evaluator assisted by digital software. The area of maceration will be assessed from a wound photo taken before debridement by an independent evaluator assisted by digital software.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  9. Wound/Peri-Wound itch score prior to dressing removal over time (PRO)

    The Subject itch severity before dressing removal over time will be assessed at all follow-up visits using the Numerical Rating Scale (NRS). The Subject verbally rates their level of itchiness on a level from 0 to 10, where 0 indicates no itch and 10 is the worst itch.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  10. Wound pain score during dressing wear over time (PRO)

    Subject pain severity during dressing wear over time will be assessed at all follow-up visits using the Numerical Rating Scale (NRS). The Subject verbally rates the pain on a level from 0 to 10, where 0 indicates no pain and 10 is the worst pain.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  11. Wound pain score related to removal of dressing over time (PRO)

    Subject pain severity at dressing removal will be assessed at all follow-up visits using the NRS scale where the Subject verbally rates the pain on a level from 0 to 10, where 0 indicates no pain and 10 is the worst pain. Any pre-procedural or intra-procedural pain medication administered at the time of dressing removal will be recorded.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  12. Trauma to the wound/peri-wound during dressing removal over time

    Trauma to the wound will be captured via visual judgement by the investigator/desginee using an ordinal scale of none, very slight, moderate, or high. Trauma to the peri-wound skin will be captured via visual judgement by the investigator/designee using the ordinal scale of none, very slight, moderate, or high.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  13. Primary dressing's ability to be comfortable to wear (PRO)

    Subjects will be asked to rate the dressing's degree of comfort using a 4-item scale of very poor, poor, good, or very good.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  14. Dressing's ability to be comfortable to wear with compression (PRO)

    Subjects will be asked to rate the dressing's degree of comfort while wearing with compression using a 4-item scale of very poor, poor, good, or very good.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  15. Evaluation of Wound Quality of Life (QoL) (PRO)

    A Wound-QoL-17 questionnaire will be completed by each Subject to measure the disease-specific, health-related QoL of those with chronic wounds. All items assess impairments within the preceding seven days.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  16. Technical Performance (Investigator/designee's evaluation)

    Several questions will be asked to evaluate the technical performance properties of the primary dressing. The following will be assessed by the investigator/designee using no/yes values: 1) Occurrence of strike-through, defined as the inability of the dressing to stay sealed over the wound causing leakage of wound exudate; and 2) Occurrence of product residue in the wound bed or on peri-wound skin after dressing removal. All other properties will be assessed by the investigator/designee using a 4-item scale of very poor, poor, good, very good. These include:

    • Ability to absorb exudates with different viscosities,
    • Ability to retain exudate,
    • Ease of application,
    • Ability to conform to the wound during wear,
    • Ability to be repositioned during application,
    • Inability to adhere to moist wound bed,
    • Ability to adhere to healthy, intact skin,
    • Ability to stay on during application and use,
    • Overall satisfaction with the dressing's properties.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  17. Status of dressing during a routine dressing change or complication

    The status of the primary dressing during a routine dressing change or complication will be assessed by the investigator/designee as strike-through, saturated, displaced/slipping, or other. This will be recorded in the Dressing Log.

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  18. Pre-compression edema

    The specification of any pre-compression edema prior to applying/changing compression therapy will be assessed by the investigator/designee as:

    • 0 (no clinical edema)
    • 1+ (≤2 mm indentation)
    • 2+ (2-4 mm indentation)
    • 3+ (4-6 mm indentation)
    • 4+ (6-8 mm indentation)

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  19. Compression removed/changed/applied

    Assessment of compression by the investigator/designee will cover:

    • Compression removal (No/Yes)
    • Compression changed/applied (No/Yes)
    • Type of compression used

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  20. Compliance with compression

    The investigator/designee will evaluate Subject compliance with compression. Assessment will include being fully compliant (defined as 7 out of 7 days with compression), moderately compliant (defined as 1 to 3 days without compression out of 7 days), or not compliant (defined as >3 days without compression out of 7 days).

    Measured: A maximum total treatment period of 44 days or until healed, whichever occurs first.

  21. Wear time (days)

    Wear time will be determined from the Subject Dressing Log at each visit by collecting:

    • Date of dressing application/change
    • Reason for change application/change
    • Lot/batch
    • Size
    • Quantity

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  22. Debridement performed

    The following debridement details will be recorded for each Subject at each visit:

    • Debridement performed (No/Yes)
    • Debridement method
    • Ease of debridement (Very easy/Easy/Difficult/Very Difficult)

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  23. Cleansing performed

    The following cleansing details will be recorded for each Subject at each visit:

    • Cleansing performed (No/Yes)
    • Type of cleansing agent used

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

  24. Evaluation of all reported adverse events and device deficiencies

    If any reported adverse events or device deficiencies are reported, an evaluation will take place to determine root cause.

    Measured: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.

Timeline

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

  1. First posted8 Nov 2022
  2. Study start8 Nov 2022
  3. Primary completion30 Jul 2024 (estimated)
  4. Study completion30 Nov 2024 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
The model is a prospective, open, multi-center, interventional, non-comparative investigation with the aim to follow exuding chronic venous leg ulcers over time for 6 weeks according to local standard of care.
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05608317
Sponsor's protocol ID
DIPLO NBF
Status last verified
May 2024
First submitted
1 Nov 2022
Last updated
6 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Gould L, Abadir P, Brem H, Carter M, Conner-Kerr T, Davidson J, DiPietro L, Falanga V, Fife C, Gardner S, Grice E, Harmon J, Hazzard WR, High KP, Houghton P, Jacobson N, Kirsner RS, Kovacs EJ, Margolis D, McFarland Horne F, Reed MJ, Sullivan DH, Thom S, Tomic-Canic M, Walston J, Whitney J, Williams J, Zieman S, Schmader K. Chronic wound repair and healing in older adults: current status and future research. Wound Repair Regen. 2015 Jan-Feb;23(1):1-13. doi: 10.1111/wrr.12245. Epub 2015 Feb 13.

    PubMed 25486905
  • Rippon M WM, Bielfeldt S. An evaluation of properties related to wear time of four dressings during a five-day period. Wounds UK. 2015;11(1):45-54.

  • Tickle J. Wound exudate: a survey of current understanding and clinical competency. Br J Nurs. 2016 Jan 28-Feb 10;25(2):102-9. doi: 10.12968/bjon.2016.25.2.102.

    PubMed 27119542
  • Young T, Clark M, Augustin M, Carville K, Curran J, Flour M, et al. International consensus. Optimising wellbeing in people living with a wound. An expert working group review. Wounds International; London 2012.

  • Chadwick P, McCardle J. Exudate management using a gelling fibre dressing. The Diabetic Foot Journal. 2015;18(1):43-8.

  • Gonzalez de la Torre H, Quintana-Lorenzo ML, Perdomo-Perez E, Verdu J. Correlation between health-related quality of life and venous leg ulcer's severity and characteristics: a cross-sectional study. Int Wound J. 2017 Apr;14(2):360-368. doi: 10.1111/iwj.12610. Epub 2016 Apr 25.

    PubMed 27112627
  • Jones JE, Robinson J, Barr W, Carlisle C. Impact of exudate and odour from chronic venous leg ulceration. Nurs Stand. 2008 Jul 16-22;22(45):53-4, 56, 58 passim. doi: 10.7748/ns2008.07.22.45.53.c6592.

    PubMed 18686695
  • World Union of Wound Healing Societies (WUWHS). Principles of best practice: Wound exudate and the role of dressings. A consensus document. 2019.

  • European Wound Management Association (EWMA). Position document: Wound bed preparation in practice. London: MEP Ltd. 2004.

  • Romanelli M, Vowden K, Weir D. Exudate Management Made Easy Wounds International 2010.

  • Walker M, Parsons D. Hydrofiber® technology: its role in exudate management. Wounds UK; 2010. p. 31-38.

  • Maume S, Van De Looverbosch D, Heyman H, Romanelli M, Ciangherotti A, Charpin S. A study to compare a new self-adherent soft silicone dressing with a self-adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Manage. 2003 Sep;49(9):44-51.

    PubMed 14581709
  • Moore Z, Strapp H. Managing the problem of excess exudate. Br J Nurs. 2015 Aug 13-Sep 19;24(15):S12, S14-7. doi: 10.12968/bjon.2015.24.Sup15.S12.

    PubMed 26266558
  • Rippon M, Davies P, White R. Taking the trauma out of wound care: the importance of undisturbed healing. J Wound Care. 2012 Aug;21(8):359-60, 362, 364-8. doi: 10.12968/jowc.2012.21.8.359.

    PubMed 22885308
  • ALLEVYN Non-Adhesive. Advanced Wound Management <www.smith-nephew.com>. Accessed 2022 Apr 23.

Questions about this trial

What is this clinical trial studying?

A study testing ALLEVYN Non-Adhesive in people with Wounds and Wound of Skin, run by Molnlycke Health Care AB at 3 sites in United States.

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 7 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 6 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Janet Kandrevas, MD, MS (734-358-2174, janet.kandrevas@molnlycke.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Wound progress of the total effect of treatment using ALLEVYN Non-Adhesive (time frame: From baseline visit to last follow-up visit, a maximum total treatment period of 44 days or until healed, whichever occurs first.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05608317, which also lists 18 linked publications.

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 6 May 2024.

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