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Partial-thickness BurnNCT04839523

Performance and Safety of Exufiber Ag+ and Exufiber on Partial Thickness Burns

A study testing Exufiber and Exufiber Ag+ in people with Partial-thickness Burn, run by Molnlycke Health Care AB at 6 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This a multi-center, open label, non-comparative, study that will evaluate the clinical safety and performance of Exufiber Ag+ and Exufiber dressings, separately, when used as intended in moderate to high exuding partial thickness burns (PTBs) through assessment of wound progression from baseline to the Subject's last… Read more about this study

Who is it for?
Ages 4 weeks and older
Conditions the study is for
Partial-thickness Burn
What is being tested?
Exufiber and Exufiber Ag+
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
6 sitesUnited States
Study dates
10 Mar 2021to 31 Dec 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 4 weeks and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Signed informed consent
  • Burn of thermal origin
  • Patients presenting with partial thickness burns covering < 5% TBSA for study treatment
  • TBSA covered with any burn type is ≤15%, with a maximum of 10% being full thickness burns
  • Clean wounds with ≤10% necrotic tissue
  • Patients presenting with moderate to high exuding wounds
  • Serous or Serosanguinous exudate
  • Patient is not contraindicated for the dressing to which he/she is assigned

Who cannot join

  • Electrical Burns
  • Chemical Burns including acidic or basic sources
  • Ionizing radiation injuries
  • Dry wounds
  • Neonates
  • Patients with delayed presentation for burn care (>72 hours from time of injury)
Show all 19Show fewer
  • Before entry into the study, treatment to the study wound included an active agent that would confound study results, as determined by the Investigator
  • Burns under study treatment transitioning to full thickness, or deep partial thickness burns requiring surgical treatment
  • Clinically infected burn
  • Patients with insulin dependent diabetes mellitus
  • Patients treated with systemic glucocorticosteroids, except patients taking occasional doses or doses less than 10mg prednisolone per day or equivalent
  • Patients who have used immunosuppressive agents, radiation or chemotherapy within past 30 days
  • Known allergy/hypersensitivity to any of the components of the investigation products
  • History of comorbid conditions or diagnoses associated with higher risk of infection as determined by the Investigator
  • Diagnosed underlying disease(s) (e.g. HIV/AIDS, cancer, severe anemia)
  • Patients that are not expected to comply with the investigation due to physical and/or mental conditions
  • Pregnancy
  • Participation in other clinical investigation(s) within 1 month prior to start of the investigation
  • Previously enrolled in this investigation

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Keck Medical Center of USC

    Los Angeles, California, 90033

  • Drexel Univerisity

    Philadelphia, Pennsylvania, 19102

  • Arizona Burn Center, Valleywise Health

    Phoenix, Arizona, 85008

  • University of South Florida-Tampa General Hospital

    Tampa, Florida, 33606

  • MedStar Health Research Institute

    Washington D.C., District of Columbia, 20010

Other trials in United States

About this study

Official title: An Open, Non-comparative, Multi-center Investigation to Evaluate Performance and Safety of Exufiber Ag+ and Exufiber on Partial Thickness Burns

This a multi-center, open label, non-comparative, study that will evaluate the clinical safety and performance of Exufiber Ag+ and Exufiber dressings, separately, when used as intended in moderate to high exuding partial thickness burns (PTBs) through assessment of wound progression from baseline to the Subject's last clinical follow-up visit.

Sixty-eight (68) eligible subjects, with moderate to high exuding partial-thickness burns, will be selected for treatment with either Exufiber Ag+ silver-coated gelling dressing, or Exufiber gelling dressing. The study will last 5 weeks, with a requirement of 5 study visits in total, including dressing changes at each study visit.

Read the detailed description

This is a multi-center study taking place in the United States, and conducted at 3-4 sites/locations. It is designed as an open, non-comparative study to test the safety and performance of Exufiber Ag+ and Exufiber in managing burn healing.

The primary objective of this study is to evaluate the clinical safety and performance of all study dressings, separately, when used as intended in moderate to high exuding partial thickness burns (PTBs) through assessment of wound progression from baseline to the Subject's last clinical follow-up visit. The dressings are intended to promote healing through the management of the wound environment.

Sixty-eight (68) subjects with partial thickness burns will be treated with either Exufiber Ag+ (34 subjects) or Exufiber (34 subjects) primary dressings, at the discretion of the Investigator. Secondary dressings should be non-adherent, non-antimicrobial dressings (local treatment praxis).

Each Subject will be evaluated at five (5) planned study visits for a maximum total treatment period of up to 21 days, unless the burn heals.

Visit 1 is a baseline visit to enroll Subjects and determine burn extent. Each Subject will be assigned to either Exufiber Ag+ or Exufiber primary dressings and treated according to the Instructions for Use (IFU) and the local clinical routine.

Visit 2 is a Confirmation Visit at up to 3 days, where the Investigator will confirm the burn meets study eligibility, and has not progressed to a full-thickness burn.

Visits 3, 4, and 5 are follow-up visits at days 7, 14, and 21, respectively, from the date of the primary dressing application.

At each follow-up visit the Subject will return to the clinic for evaluation and primary dressing change. Wound progression will be determined by the Investigator at each study visit and measured by three outcome variables (Deteriorated, No Change, Improved). Images of the wound at each follow up visit will be analyzed to determine changes in wound size.

Secondary endpoints will be collected identically at each visit at each clinical site to assess safety and performance of the dressings. The secondary objectives are:

  • To evaluate time to discontinuation of study dressings from baseline to the last clinical follow-up visit, up to 21 days.
  • To evaluate clinical outcomes of the study wound from baseline to the last clinical visit up to 21 days.
  • To evaluate epithelization from baseline to the last clinical follow-up visit up to 21 days based on digital photo imaging software measurements.
  • To evaluate a change in wound size from baseline to the last clinical follow-up visit up to 21 days based on digital photo and imaging software measurements.
  • To evaluate healing status, including exudate levels, infection status, and proportion of burn healed, by clinician's visual judgement, at Confirmation Visit (up to 72 hours) and at each clinic follow-up visit, up to 21 days.
  • To evaluate Subject-reported pain at application, during wear, and at dressing changes through questionnaires at each clinic follow-up visit up to 21 days.
  • To evaluate treatment and dressing selections, including type and quantity, at application and at each clinic follow-up visit up to 21 days.
  • To evaluate clinician handling of the dressing at application and at every dressing change performed at the clinic, from baseline and at each follow-up visit up to 21 days.
  • To evaluate clinician assessment of the dressing at application and at every dressing change performed at the clinic, from baseline and at each follow-up visit up to 21 days.
Being tested
Exufiber, Exufiber Ag+

What participants receive

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

  • ExufiberDevice

    A sterile nonwoven wound dressing made from highly absorbent PVA fibers.

  • Exufiber Ag+Device

    A sterile nonwoven wound dressing made from highly absorbent PVA fibers, and coated with silver sulphate.

Study groups in NCT04839523
Study groupRoleWhat they receive
ExufiberExperimentalTreatment with Exufiber gelling fiber dressing
Receives: Device: Exufiber
Exufiber Ag+ExperimentalTreatment with Exufiber Ag+ silver-coated, gelling fiber dressing
Receives: Device: Exufiber Ag+

What is being measured

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

  1. Wound progression

    A subjective measurement to determine wound progression since the last visit, determined by three outcome variables:

    Deteriorated

    No Change

    Improved

    Measured: 5 weeks

Secondary outcomes (29)
  1. Time to discontinuation of study dressings

    Measured by time (in days) from baseline to last clinical follow-up

    Measured: 5 weeks

  2. Wound Size

    Wound size (measured in inches or centimeters), at each study visit, from baseline to last clinical follow-up, using planimetry software to obtain measurements from digital photographs. Measurements to include length, width, and depth.

    Measured: 5 weeks

  3. Re-epithelialization of wound

    A measure of re-epithelization tissue, as a percentage of wound, from baseline to last clinical follow-up, using planimetry software to obtain measurements from digital photographs.

    Measured: 5 weeks

  4. Wound Exudate

    Evaluate the level of wound exudate, using the variables listed below:

    Dry

    Moist

    Wet

    Saturated

    Leaking

    Measured: 5 weeks

  5. Wound Maceration

    Determine the presence of wound maceration, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  6. Proportion of Burn Healed

    Evaluate the proportion of the burn that is healed, by clinician judgement, using the variables listed below:

    No healing

    0-30% healed

    31-70% healed

    71-99% healed

    100% healed

    Measured: 5 weeks

  7. Blistering

    Determine the presence of wound blistering, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  8. Wound Redness/Irritation peri-wound skin

    Determine the presence of redness and irritation on the peri-wound skin, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  9. Exudate Nature

    Determine the nature of wound exudate, using the variables listed below:

    Serous

    Serosanguinous

    Sanguineous

    Purulent

    Measured: 5 weeks

  10. Malodor

    Determine the presence of wound malodor, using the variables listed below:

    None

    Slight

    Moderate

    Strong

    Measured: 5 weeks

  11. Burn odor

    Determine the presence of burn odor, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  12. Local infection

    Determine the presence of signs of local wound infection, using the variables listed below:

    New / Increasing Pain

    Delayed / Stalled Healing

    Purulent discharge

    Erythema

    Local Warmth

    Exudation

    Odor

    Pyrexia

    Induration

    Leukocytosis

    Edema / Swelling

    Eschar

    Measured: 5 weeks

  13. Subject pain

    Measured at dressing application, change, and removal, using a patient reported outcome questionnaire that is used to evaluate pain intensity on a validated scale from 0-10. A higher score correlates with greater experienced pain.

    Measured: 5 weeks

  14. Dressing Adherence

    Subjective measurement to asses performance of the primary dressing and its adherence to the wound bed, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  15. Rewetting

    Subjective measurement to asses performance of the primary dressing and the need for re-wetting prior to removal, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  16. Dressing ability to rehydrate

    Subjective measurement to asses performance of the primary dressing and its ability to rehydrate the wound, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  17. Dressing ability to retain exudate

    Subjective measurement to asses performance of the primary dressing and its ability to retain wound exudate, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  18. Dressing ability to absorb blood

    Subjective measurement to asses performance of the primary dressing and its ability to absorb blood, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  19. Dressing ability to retain slough

    Subjective measurement to asses performance of the primary dressing and its ability to retain slough, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  20. Dressing ability to clean wound bed

    Subjective measurement to asses performance of the primary dressing and its ability to clean the wound bed, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  21. Dressing ability to retain gelling properties

    Subjective measurement to asses performance of the primary dressing and its ability to retain its gelling properties, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  22. Dressing ability to retain balanced moist environment

    Subjective measurement to asses performance of the primary dressing and its ability to retain a balanced moist environment, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  23. Dressing conformability

    Subjective measurement to assess performance of the primary dressing and its ability to conform, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  24. Dressing flexibility

    Subjective measurements to assess performance of the primary dressing and its flexibility, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  25. Ease of dressing application

    Subjective measurement to assess the handling of the primary dressing and ease of dressing application, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  26. Ease of dressing removal with and without moistening

    Subjective measurement to assess the handling of the primary dressing and ease of removal with and without moistening, using the variables listed below:

    Very poor

    Poor

    Good

    Very good

    N/A

    Measured: 5 weeks

  27. Dressing removal in one piece

    Subjective measurement to assess the handling of primary dressing and its ability to be removed in one piece, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  28. Residuals of dressing material in the wound or surrounding skin

    Subjective measurement to assess presence of primary dressing residuals in the wound or surrounding skin at the time of removal, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

  29. Bleeding at removal

    Subjective measurement to assess presence of bleeding at the time of primary dressing removal, using the variables listed below:

    Yes

    No

    Measured: 5 weeks

Timeline

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

  1. First posted9 Apr 2021
  2. Study start10 Mar 2021
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04839523
Sponsor's protocol ID
PTB01
Status last verified
Nov 2024
First submitted
5 Apr 2021
Last updated
12 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Exufiber and Exufiber Ag+ in people with Partial-thickness Burn, run by Molnlycke Health Care AB at 6 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 8 inclusion and 19 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: under way, not looking for participants, as of the sponsor's last update on 12 Nov 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 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?

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?

Wound progression (time frame: 5 weeks). 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 12 Nov 2024.

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