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BurnsPhase 2/3NCT00673309

Assessment of Mechanisms of Improved Wound Healing

A Phase 2/3 study testing Stable Isotope Infusion study, Insulin High Dose and oxandrolone in people with Burns, run by The University of Texas Medical Branch, Galveston at 1 site in United States.

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 purpose of this study is to find ways to improve wound healing and decrease the negative effects of trauma from burn injury. Read more about this study

Who is it for?
Ages Up to 90 years
Conditions the study is for
Burns
What is being tested?
Stable Isotope Infusion study, Insulin High Dose and oxandrolone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
644 participants
Where
1 siteUnited States
Study dates
Jul 2000to Apr 2013
Phase
Phase 2/3
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 Up to 90 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patient is between 0 and 90 years of age
  • Patient 18 years and older consents to participate in study protocol. If patient is not able to consent, consent will be obtained from closest family member or legal guardian. Parental permission will be obtained for patients less than 18 years of age. Assent will be obtained from children 7-17 years of age if child is physically/mentally able to do so.
  • greater than 30% TBSA burn requiring at least 1 operation with donor sites for skin grafting

Who cannot join

  • Known history of AIDS, AIDS-related complex, Human Immunodeficiency Virus
  • History of cancer within 5 years
  • Tuberculosis, arthritis, cirrhosis, hyperlipidemia, bone or endocrine diseases, autoimmune diseases
  • Chronic glucocorticoid or non-steroidal anti-inflammatory drug therapy

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas Medical Branch

    Galveston, Texas, 77550

Other trials in United States

About this study

Official title: Assessment of Mechanisms of Improved Wound Healing of Anabolic Agents and Diet in Severely Burned Patients

The purpose of this study is to find ways to improve wound healing and decrease the negative effects of trauma from burn injury.

Read the detailed description

This study involves research and the investigators hope to learn the following: how or what effect one or more anabolic ("tissue building") agents have on muscle metabolism, wound healing, and immune function after severe burn. The agents include the following: growth hormone, insulin-like growth factor-1 in combination with its binding proteins, insulin, Beta-adrenergic blockers, Alpha Adrenergic Agonist, anabolic steroids such as testosterone, Oxandrolone and nandrolone, ketoconazole and its derivatives, dehydroepiandrosterone, fenofibrate, diet or the application of skin substitute.

Conditions
Burns
Being tested
Stable Isotope Infusion study, Insulin High Dose, oxandrolone, Propranolol, Growth Hormone
Keywords
burns
Medical subject headings
Burns

What participants receive

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

  • Stable Isotope Infusion studyProcedure or surgery

    Stable isotope infusion study to be done following each surgery. Tagged isotopes to assess uptake into blood and tissues. Includes collection of blood and tissues (muscle)

  • Insulin High DoseDrug

    Also called Regular Insulin

    Insulin IV administered continuously throughout hospitalization until wounds are 95% healed.

  • oxandroloneDrug

    Also called nandrolone

    Oxandrolone given daily throughout hospitalization until 95% wound healing.

  • PropranololDrug

    Propranolol to be given daily throughout hospitalization until 95% wound healing.

  • Growth HormoneDrug

    Also called GH, rhGH, recombinant human Growth Hormone

    Recombinant Human Growth hormone to be administered daily until 95% wound healing.

  • Insulin Low DoseDrug

    Also called Insulin

    Insulin administered IV until 95% wound healing

  • IGF-1/IGFBP-3Drug

    Also called Insulin Like Growth Factor

    Insulin Like Growth Factor-1/Insulin like Growth Factor Binding Protein 3 administered until 95% wound healing

  • ItraconazoleDrug

    Itraconazole administered until 95% wound healing

  • Growth Hormone and PropranololDrug

    Also called GH and Propranolol

    Growth Hormone and Propranolol given until 95% wound healing

  • Oxandrolone and PropranololDrug

    Oxandrolone and Propranolol

  • Placebo or ControlDrug

    Administration of Placebo or Control until 95% wound healing

Study groups in NCT00673309
Study groupRoleWhat they receive
Growth HormoneExperimentalGrowth Hormone administered daily until 95% wound healing. Stable Isotope Infusion Study with collection of blood and tissue
Receives: Procedure: Stable Isotope Infusion study; Drug: Growth Hormone
Insulin High DoseExperimentalInsulin IV administered continuously to 95% healing. Stable Isotope Infusion Study with collection of blood and tissue
Receives: Procedure: Stable Isotope Infusion study; Drug: Insulin High Dose
OxandroloneExperimentalOxandrolone administered daily until 95% wound healing Stable Isotope Infusion Study with collection of blood and tissue
Receives: Procedure: Stable Isotope Infusion study; Drug: oxandrolone
PropranololExperimentalPropranolol administered daily until 95% wound healing Stable Isotope Infusion Study with collection of blood and tissue
Receives: Procedure: Stable Isotope Infusion study; Drug: Propranolol
IGF-1/IGFBP-3ExperimentalIGF-1/IGFBP-3 will be administered until 95% wound healing
Receives: Procedure: Stable Isotope Infusion study; Drug: IGF-1/IGFBP-3
Insulin Low DoseExperimentalInsulin Low Dose will be administered until 95% wound healing.
Receives: Procedure: Stable Isotope Infusion study; Drug: Insulin Low Dose
ItraconazoleExperimentalItraconazole will be administered until 95% wound healing.
Receives: Procedure: Stable Isotope Infusion study; Drug: Itraconazole
Growth Hormone and PropranololExperimentalGrowth Hormone and Propranolol will be administered until 95% wound healing.
Receives: Procedure: Stable Isotope Infusion study; Drug: Growth Hormone and Propranolol
Oxandrolone and PropranololExperimentalOxandrolone and Propranolol will be administered until 95% wound healing
Receives: Procedure: Stable Isotope Infusion study; Drug: Oxandrolone and Propranolol
Control/PlaceboPlacebo comparatorPlacebo or Control will be administered until 95% wound healing
Receives: Procedure: Stable Isotope Infusion study; Drug: Placebo or Control

What is being measured

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

  1. Decrease Hypermetabolism as Measured by Stable Isotope Infusion Study

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Measured: Admission to burn unit to 95% wound healing

Secondary outcomes (3)
  1. Improved Rate of Wound Healing

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Measured: Admission to burn unit to 95% wound healing

  2. Incidence of Morbidity and Mortality

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Measured: Admission to burn unit to discharge

  3. Incidence of Sepsis

    At the request of the study site, this study has been closed. Access to study-related data is unavailable, and the PI is no longer at the institution. Hence, we are unable to submit the results data. Although peer-reviewed articles have been located that reference NCT00673309, it is not clear and verifiable (without access to the actual study-related data) what the results for the study outcomes are.

    Measured: Admission to burn unit to 95% wound healing

Timeline

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

  1. First posted7 May 2008 (estimated)
  2. Study startJul 2000
  3. Primary completionApr 2011
  4. Study completionApr 2013

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
644 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00673309
Sponsor's protocol ID
00-454
Other IDs
P50GM060338, R01GM056687, SHC #8660
Status last verified
Jun 2023
First submitted
26 Dec 2007
Last updated
3 Jul 2023
Data monitoring committee
Yes

Publications

  • Zinter MS, Markovic D, Asaro LA, Nadkarni VM, McQuillen PS, Sinha P, Matthay MA, Jeschke MG, Agus MSD, Sapru A; CAF-PINT Investigators of the PALISI Network. Tight Glycemic Control, Inflammation, and the ICU: Evidence for Heterogeneous Treatment Effects in Two Randomized Controlled Trials. Am J Respir Crit Care Med. 2023 Apr 1;207(7):945-949. doi: 10.1164/rccm.202210-1988LE. No abstract available.

    PubMed 36656551
  • Kraft R, Herndon DN, Finnerty CC, Shahrokhi S, Jeschke MG. Occurrence of multiorgan dysfunction in pediatric burn patients: incidence and clinical outcome. Ann Surg. 2014 Feb;259(2):381-7. doi: 10.1097/SLA.0b013e31828c4d04.

    PubMed 23511841
  • Jeschke MG, Williams FN, Finnerty CC, Rodriguez NA, Kulp GA, Ferrando A, Norbury WB, Suman OE, Kraft R, Branski LK, Al-mousawi AM, Herndon DN. The effect of ketoconazole on post-burn inflammation, hypermetabolism and clinical outcomes. PLoS One. 2012;7(5):e35465. doi: 10.1371/journal.pone.0035465. Epub 2012 May 11.

    PubMed 22606232
  • Jeschke MG, Gauglitz GG, Kulp GA, Finnerty CC, Williams FN, Kraft R, Suman OE, Mlcak RP, Herndon DN. Long-term persistance of the pathophysiologic response to severe burn injury. PLoS One. 2011;6(7):e21245. doi: 10.1371/journal.pone.0021245. Epub 2011 Jul 18.

    PubMed 21789167
  • Jeschke MG, Kraft R, Emdad F, Kulp GA, Williams FN, Herndon DN. Glucose control in severely thermally injured pediatric patients: what glucose range should be the target? Ann Surg. 2010 Sep;252(3):521-7; discussion 527-8. doi: 10.1097/SLA.0b013e3181f2774c.

    PubMed 20739853
  • Mecott GA, Herndon DN, Kulp GA, Brooks NC, Al-Mousawi AM, Kraft R, Rivero HG, Williams FN, Branski LK, Jeschke MG. The use of exenatide in severely burned pediatric patients. Crit Care. 2010;14(4):R153. doi: 10.1186/cc9222. Epub 2010 Aug 11.

    PubMed 20701787
  • Jeschke MG, Kulp GA, Kraft R, Finnerty CC, Mlcak R, Lee JO, Herndon DN. Intensive insulin therapy in severely burned pediatric patients: a prospective randomized trial. Am J Respir Crit Care Med. 2010 Aug 1;182(3):351-9. doi: 10.1164/rccm.201002-0190OC. Epub 2010 Apr 15.

    PubMed 20395554
  • Gauglitz GG, Herndon DN, Kulp GA, Meyer WJ 3rd, Jeschke MG. Abnormal insulin sensitivity persists up to three years in pediatric patients post-burn. J Clin Endocrinol Metab. 2009 May;94(5):1656-64. doi: 10.1210/jc.2008-1947. Epub 2009 Feb 24.

    PubMed 19240154
  • Jeschke MG, Chinkes DL, Finnerty CC, Kulp G, Suman OE, Norbury WB, Branski LK, Gauglitz GG, Mlcak RP, Herndon DN. Pathophysiologic response to severe burn injury. Ann Surg. 2008 Sep;248(3):387-401. doi: 10.1097/SLA.0b013e3181856241.

    PubMed 18791359

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Stable Isotope Infusion study, Insulin High Dose and oxandrolone in people with Burns, run by The University of Texas Medical Branch, Galveston at 1 site 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 3 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: finished, as of the sponsor's last update on 3 Jul 2023. 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 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Dec 2019). 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?

Decrease Hypermetabolism as Measured by Stable Isotope Infusion Study (time frame: Admission to burn unit to 95% wound healing). 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 NCT00673309, which also lists 9 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 3 Jul 2023.

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