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Wounds and InjuriesACENCT07275385

Advanced Cutaneous Evaluator (ACE): Estimation of Clinical and Economic Impact

A study testing Advanced Cutaneous Evaluator (ACE) in people with Wounds and Injuries and Wound Complication, run by Fundacin Biomedica Galicia Sur at 1 site in Spain.

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

ACE is a clinical decision support system for selecting appropriate products for the local treatment of chronic wounds. It was designed with a user-centered approach, and its usability and feasibility have been previously validated in pilot studies with nurses. Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Wounds and Injuries, Wound Complication
What is being tested?
Advanced Cutaneous Evaluator (ACE)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
73 participants
Where
1 siteSpain
Study dates
26 Mar 2025to 6 Nov 2025
Phase
Interventional
Are there results?
None posted in the registry

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 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthcare professionals responsible for selecting products for the local treatment of chronic, curable wounds in adult patients.
  • Patients with chronic wounds, aged 18 to 100 years.
  • Patients with wounds healing by secondary intention, aged 18 to 100 years.
  • Patients and/or professionals who have signed the informed consent form for the study.

Who cannot join

  • Minors
  • Wounds of patients with acute surgical wounds, aged between 18 and 100 years.
  • Images containing features that allow patient identification, such as tattoos and/or moles, or where part of the face is visible.
  • Wounds corresponding to third-degree burns, tumor wounds, ischemic ulcers, pyoderma gangrenosum, and ulcers with osteomyelitis without systemic antibiotic treatment.
  • Patients and professionals who declined to participate after reading the report Informed Consent Form.
  • During the study, exclusion criteria include wounds lost to follow-up before completing 4 weeks of treatment, except for those that complete follow-up due to wound healing and discharge. Additionally, healthcare professionals and patients who withdraw their consent and wish to leave the study will be excluded.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Complexo Hospitalario Universitario de Pontevedra

    Pontevedra, 36071

Other trials in Spain

About this study

ACE is a clinical decision support system for selecting appropriate products for the local treatment of chronic wounds. It was designed with a user-centered approach, and its usability and feasibility have been previously validated in pilot studies with nurses. This protocol will allow for the clinical validation of the software in 18 primary care centers, including the quantification of the clinical and economic effects of using the tool over 9 months. It is a mixed-methods design that includes a randomized controlled trial in which nursing staff incorporate the use of ACE into their routine clinical practice to support their decision-making process for chronic wound treatment. It also includes a usability evaluation throughout the study.

Read the detailed description

To estimate the clinical and economic impact of ACE, wounds will be reviewed at baseline and every two weeks until closure or until the end of the study period. Wound size will be recorded, and whether or not the wound is closed will be noted, with a maximum follow-up period of 16 weeks. A follow-up will be conducted four weeks after wound closure to assess wound dehiscence or other adverse events. Given these wound follow-up periods, only wounds incurred during the first three months of the study, after the completion of professional recruitment and training, will be included for those assigned to the ACE group. A longitudinal study will be conducted in 18 primary care centers in Galicia.

Once the study period is complete, the clinical and economic impact will be evaluated by comparing the following indicators between the two groups: the primary outcome will be wound closure, and secondary outcomes will include wound evolution (including its size every two weeks from the first ulcer assessment and wound bed tissue assessment), length of hospital stay, readmissions, incidence of hospital-acquired injuries, and the cost of products used for wound treatment. Comparative analyses will be performed by subdividing the groups according to the users' experience in chronic wound treatment at the start of the study and according to the type of chronic wound. In addition, instances in which users in the ACE group choose not to follow the application's recommendations will be recorded and quantified.

To evaluate the usability and acceptability of ACE by nursing staff, validated quantitative and standardized tools will be used. Only professionals assigned to the ACE group will participate, using ACE as a decision support tool whenever they need to select products for wound treatment. On one day during the second week of months 2, 4, and 6, the usability and acceptance of the application will be evaluated by the professionals assigned to the ACE group using the System Usability Scale (SUS). Simultaneously, the NASA TLX scale, which quantifies mental workload as an aspect of usability, will be evaluated in both groups.

Being tested
Advanced Cutaneous Evaluator (ACE), Control (non-ACE)
Medical subject headings
Wounds and Injuries

What participants receive

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

  • Advanced Cutaneous Evaluator (ACE)Device

    Nursing staff include the use of ACE in their routine clinical practice to support their chronic wound treatment decision-making process.

  • Control (non-ACE)Other

    Professionals in the non-ACE group will carry out their usual clinical practice of chronic wound care.

Study groups in NCT07275385
Study groupRoleWhat they receive
control (non-ACE)Active comparatorprofessionals in the non-ACE group will carry out their usual clinical practice of healing chronic wounds and, in the same way as members of the ACE group, each time they make a decision about local treatment products for these wounds, they must record it in the data collection notebook.
Receives: Other: Control (non-ACE)
ACEExperimentalThe professionals assigned to the ACE group will recruit patients whose wounds will be photographed for use in the application. These images will not be saved but will be deleted immediately after each treatment consultation using the ACE application. Clinical judgment will always prevail. If the professional considers the treatments suggested by ACE unsuitable, they will not apply any of them; instead, they will treat the patient with what they deem best as a healthcare professional. For the purposes of this study, the healthcare professionals in the experimental group will use the software as a clinical decision support system to consult the products they recommend for wound treatment, recommending only wound care products commonly used in participating centers.
Receives: Device: Advanced Cutaneous Evaluator (ACE)

What is being measured

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

  1. Treatment group

    ACE or non-ACE

    Measured: Day 0

  2. Health center

    Open Field

    Measured: Day 0

  3. Training of healthcare professionals

    Academic training of healthcare professionals

    Measured: Day 0, at the start of the professional's participation

  4. Years of experience of healthcare professionals

    Years of experience of healthcare professionals in healing chronic wounds

    Measured: Day 0, at the start of the professional's participation

  5. SUS

    Score obtained after completing the System Usability Scale questionnaire

    Measured: At month 1, month 3 and month 5 after the professional's participation

  6. NASA TLX

    Score obtained after completing the NASA TLX questionnaire

    Measured: At month 1, month 3 and month 5 after the professional's participation

  7. Patient age

    Patient's age in years

    Measured: Day 0, at the start of recruitment

  8. Gender

    Male or female

    Measured: Day 0, at the start of recruitment

  9. Diseases

    Indicate, if applicable, the following option(s): DM I or II, venous and/or arterial insufficiency, ischemia, obesity, osteomyelitis, diabetic neuropathy, others.

    Measured: Day 0, at the start of recruitment

  10. Allergies

    Open field

    Measured: Day 0, at the start of recruitment

  11. Recurrent medication

    Indicate, if applicable, the following option(s): Corticosteroids, NSAIDs, anticoagulants, others.

    Measured: Day 0, at the start of recruitment

  12. History of chronic wounds

    Indicate, if applicable, etiology, highest classification, location, and if healed, the approximate closing date.

    Measured: Day 0, at the start of recruitment

  13. Number of wounds in the same patient

    Number

    Measured: Day 0 and follow-up day every 2 weeks until end of recruitment

  14. Wound location

    Open field

    Measured: Day 0, at the start of recruitment

  15. Date of first consultation

    Date

    Measured: Day 0, at the start of recruitment

  16. Date of wound closure

    Date

    Measured: Day of wound closure after follow-up

  17. Date of loss to follow-up (if applicable)

    Date

    Measured: Day of loss to follow-up after follow-up

  18. Reason of loss to follow-up (if applicable)

    Open field

    Measured: Day of loss to follow-up after follow-up

  19. Date of treatment decision

    Date

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  20. Use of ACE?

    Yes or No

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  21. Wound size

    Width, length and depth (if applicable) measured in cm

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  22. Tissues in the wound bed

    Indicate the following option(s): Necrotic, Sloughing, Granulation, Epithelial, Intact skin with erythema

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  23. Dominant tissue in the wound bed

    Select one of the options: Necrotic, Sloughing, Granulation, Epithelial, Intact skin with erythema

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  24. Exudate level

    Select one of the options: 0 none, 1 scarce, 2 moderate, 3 abundant

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  25. Condition of the perilesional skin

    Indicate the following option(s): Macerated, Erythema or inflammation, Eczema, Fragile skin

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  26. Etiology of the wound

    Select one of the options: LESCAH, Diabetic foot, Burn, Arterial, Pressure, Venous, Not determined

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  27. Category of the wound

    Indicate the corresponding one according to the selected etiology: LESCAH: 1A/1B/2A/2B; Diabetic foot (Wagner): I/II/III/IV/V; Burn: 1st/2nd/2nd deep/3rd; Arterial: hypertensive ulcer (of Martorell)/arteriosclerotic ulcer/angitic ulcer (of Buerger); Pressure: I/II/III/IV; Venous: C2 (varicose veins)/C3 (edema)/C4a (pigmentation and/or eczema)/C4b (lipodermatosclerosis or white atrophy)/C5 (healed ulceration)/C6 (active ulceration).

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  28. Applied products

    Indicate the following option(s): Actisorb plus 25, Allevyn Adhesive 12, Allevyn Gentle Border 7, Allevyn Heel 13, Allevyn Sacrum 22 x 22 cm, Aquacel Ag, Aquacel Ag + Extra, Aquacel Ag Tape, Aquacel Ag Foam, Aquacel tape, Aquacel Extra, Adhesive Aquacel Foam, Non-Adhesive Aquacel Foam, Aquacel foam pro, Askina carbosorb, Biatain Contact, Biatain non adhesive, Biatain, Silicone with border, Biatain Silicone Without Rim, Cavilon, Comfeel plus sacral, Comfeel plus transparent, Convamax Superabsorb, Conveen Protact, Corpitol, Topical corticosteroid, Cutimed Alginate, Cutimed Sorbact, Cutmed Epiona, Non-sterile Granudacyn, Transparent Hydrotac, Intrasite gel, Iodosorb, Iruxol, Mepilex Border Flex Lite, Mepilex border flex oval, Mepilex border sacrum, Microdacyn 60 Sterile, Trionic, Urgo K2, Urgoclean, Urgoclean AG, Urgostart Plus Pad, Urgotul, Urgotul AG, Varihesive Extra Fine, Varihesive Gel Control, Vliwaktiv AG, Others.

    Measured: Day 0 and follow-up day every 2 weeks until wound closure or end of study

  29. Date of Adverse Event (if applicable)

    Date

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

  30. Adverse Event classification (if applicable)

    Indicate the following option(s): Severe, Not severe, Expected, Unexpected, Related, Possibly related, Not related

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

  31. Description of Adverse Event (if applicable)

    Open field describing the event, device deficiency (if applicable), clinical signs, clinical impact, patient action/treatment/outcome.

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

  32. Measure taken after Adverse Event (if applicable)

    Select one of the options: None, Change of treatment, Other.

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

  33. Outcome of the Adverse Event (if applicable)

    Select one of the options: Recovered, Recovering, Not recovered, Recovered with sequelae, Fatal, Unknown

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

  34. Date of resolution of the Adverse Event (if applicable)

    Date

    Measured: Day 0, follow-up day every 2 weeks until wound closure or end of study and 4 weeks after the wound closed

Timeline

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

  1. First posted10 Dec 2025
  2. Study start26 Mar 2025
  3. Primary completion23 Oct 2025
  4. Study completion6 Nov 2025

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
73 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07275385
Sponsor's protocol ID
ACE
Acronym
ACE
Status last verified
Nov 2025
First submitted
19 Nov 2025
Last updated
10 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Advanced Cutaneous Evaluator (ACE) in people with Wounds and Injuries and Wound Complication, run by Fundacin Biomedica Galicia Sur at 1 site in Spain.

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 4 inclusion and 6 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 10 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Treatment group (time frame: Day 0). The study lists 34 primary outcomes in all. 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 10 Dec 2025.

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