BurnsNCT05629091
An Investigation of Performance and Safety of the Wound Dressing FibDex in Patients With Superficial Dermal Burns
A study testing FibDex, Epicite hydro and Epiprotect in people with Burns, run by UPM-Kymmene Corporation at 1 site in Sweden.
Trial summary
This is a prospective, randomised, open-label, within-patient controlled, non-inferiority clinical investigation of the nanofibrillar cellulose (NFC) wound dressing FibDex® for treatment of superficial dermal burns in paediatric and adult patients. Read more about this study
- Who is it for?
- Ages 1 year and older
- Conditions the study is for
- Burns
- What is being tested?
- FibDex, Epicite hydro and Epiprotect
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7 participants
- Where
- 1 siteSweden
- Study dates
- 12 Aug 2023to 10 Apr 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 1 year and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Signed written informed consent (by the patient and/or the patient's parent[s]/legal guardian[s] as applicable).
- Patient with superficial dermal burn wound(s) (class II/A) ≤36h as assessed by the Investigator.
- Patient at least 1 year old.
- Patient who has at least 3 superficial dermal burn wounds on anatomically equivalent areas or a superficial dermal burn large enough to allow a lateral comparison.
- Wound area at least 50 cm2 (per wound, if 3 separate wounds) or at least 150 cm2 (if single wound) as judged by the Investigator.
Who cannot join
- Patient hyper-sensitive or allergic to, or have had a hypersensitivity/allergic reaction to, any of the dressing components.
- Pregnant or breast-feeding female.
- Patient with chemically or electrically induced burns.
- Other non-burn wound in target wound area.
- Not suitable for inclusion according to the Investigator.
- Cognitive dysfunction or psychiatric history (Investigator's discretion).
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- Chronic or presently active skin condition that is judged as interfering with normal wound healing process (Investigator's discretion)
- Target burns on sensitive skin areas, such as the facial or genital area.
- Inability or unwillingness of participant or parent(s)/legal guardian(s) to give written informed consent.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomised, Open-label Clinical Investigation of Clinical Performance and Safety of the Nanofibrillar Cellulose Wound Dressing FibDex in Paediatric and Adult Patients With Superficial Dermal Burns
This is a prospective, randomised, open-label, within-patient controlled, non-inferiority clinical investigation of the nanofibrillar cellulose (NFC) wound dressing FibDex® for treatment of superficial dermal burns in paediatric and adult patients. The clinical performance and safety of FibDex® will be compared to Epicitehydro (QRSKIN GmbH, Würzburg, Germany) and Epiprotect® (S2Medical AB, Linköping, Sweden). Epicitehydro is considered to be the primary comparator. The investigation will be conducted at 2 clinical research sites in Sweden.
- Conditions
- Burns
- Being tested
- FibDex, Epicite hydro, Epiprotect
- Medical subject headings
- Burns
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FibDexDevice
Nanofibrillar cellulose wound dressing
Epicite hydroDevice
Wound dressing
EpiprotectDevice
Wound dressing
| Study group | Role | What they receive |
|---|---|---|
| FibDex | Experimental | FibDex® is a CE-marked NFC wound dressing intended to come into contact with injured skin and specifically split-thickness skin graft wounds, which have breached the dermis. Receives: Device: FibDex |
| Epicite hydro | Active comparator | Epicitehydro is composed of biotechnology derived cellulose and is indicated for treatment of superficial and deep partial thermal and chemical burn wounds (1st and 2nd degree), scalds, skin graft donor sites, abrasions and lacerations Receives: Device: Epicite hydro |
| Epiprotect | Active comparator | Epiprotect is composed of biosynthetic cellulose. It contains a minimum of 95% isotonic saline solution. Epiprotect is intended for treatment of partial thickness wounds. It can also be used as a temporary coverage for full thickness wounds prior to transplantation or other surgical intervention. Receives: Device: Epiprotect |
What is being measured
The primary outcome is the main question the study is designed to answer.
Non-inferiority of FibDex® compared to Epicitehydro in terms of time to clinical wound healing (days) defined as no need of any dressing (inner or outer)
At each clinical visit, the Investigator or delegate will assess and record in the eCRF if the inner dressing(s) has detached and judge whether or not there is a need for outer dressing.
Measured: Within 2 to 3 weeks (until the wound has healed)
Secondary outcomes (10)
Non-inferiority of FibDex® compared to Epiprotect® in terms of time to clinical wound healing (days) defined as no need of any dressing (inner or outer).
At each clinical visit, the Investigator or delegate will assess and record in the eCRF if the inner dressing(s) has detached and judge whether or not there is a need for outer dressing.
Measured: Within 2 to 3 weeks (until the wound has healed)
Non-inferiority FibDex® compared to Epicitehydro and Epiprotect®, respectively, in terms of re-epithelialisation of the initial wound area over time
Percentage of re-epithelialisation will be evaluated by visual observation by the Investigator or delegate and classified according following categories: <50%, 50-75%, 76-90%, 90-95% and 96-100%.
Measured: Within 2 to 3 weeks (until the wound has healed)
Evaluate degree of experienced pain
On Day 1, pain will be measured before application of FibDex® and the comparators and after outer layer dressing application. On the subsequent visits, pain will be measured before (background pain) and after (procedural pain) outer layer dressing change during the wound healing period. Patients aged ≥8 years will rate subjective pain using a Numeric Pain Rating Scale (NPRS) 0-10 (0 representing no pain and 10 representing the worst possible pain). Patients aged 4 to 7 years will rate pain using The Faces Pain Scale 0-10 (0 representing no pain and 10 representing very much pain). The Faces, Legs, Activity, Cry, Consolability (FLACC) 0-10 (0 is relaxed and comfortable and 7-10 is severe pain or discomfort or both) behavioural measurement will be used for assessment of pain in patients aged ≤3 years.
Measured: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of number of wound infections
The burn will be diagnosed with wound infection if at least 2 of the criteria based on the definition of burn wound infection stated by the American Burn Association, are fulfilled.
Measured: Within 2 to 3 weeks (until the wound has healed)
Need for surgical intervention
If wounds, during subsequent dressing changes and assessments, is judged as not progressing in a favourable direction, or if time from trauma approaches/exceeds 2 to 3 weeks, surgical intervention should be considered.
Measured: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of length of stay (days) at hospital
All patients hospitalised for their burns will be monitored by a research nurse. The day of discharge will be recorded in the eCRF. Any readmission after the initial discharge will also be noted in the eCRF and included in the total length of stay.
Measured: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of number of outer layer dressing changes
Outer dressings will be changed at each visit (from Visit 3 and onwards) if deemed appropriate by the Investigator
Measured: Within 2 to 3 weeks (until the wound has healed)
Evaluate scar quality
Burn scar outcome will be evaluated using the Patient and Observer Scar Assessment Scale (POSAS). For both the patient and the observer, the score for each item is added (1 - 10 where 10 indicates the worst imaginable sensation or scar and 1 corresponds to normal skin. Moreover, observer scale nominal variables, such as type of pigmentation, may be recorded in category boxes in addition to the 10 point scale. Lastly, the patient and observer score their "Overall Opinion" of the scar compared to normal skin with the same 10 point scale, where 1 is normal skin and 10 is the most markedly different scar.
Measured: 3, 6 and 12 months post burn
Monitor Adverse Events (AEs)
Frequency, intensity and seriousness of AEs
Measured: Within 2 to 3 weeks (until the wound has healed)
Monitor Device Deficiencies (DDs)
Frequency and nature of DDs
Measured: Within 2 to 3 weeks (until the wound has healed)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2022
- Study start12 Aug 2023
- Primary completion10 Apr 2025
- Study completion10 Apr 2025
Why it stopped: UPM Kymmene Oyj announced on April 2, 2025, the closure of Biomedicals business. As a result, FibDex manufacturing and sales will discontinue. The premature termination is due to business decision, not related to any safety concerns of FibDex.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for BurnsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 7 participants (actual)
Sponsor and investigators
- Lead sponsor
- UPM-Kymmene Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- CTC Clinical Trial Consultants AB
- Responsible party
- Sponsor
- Investigators
- Fredrik Huss, Principal investigator, Burn Centre, Uppsala University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05629091
- Sponsor's protocol ID
- Fibdex 1-2022
- Status last verified
- Aug 2025
- First submitted
- 12 Oct 2022
- Last updated
- 15 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Open-label Clinical Investigation of Clinical Performance and Safety of the Nanofibrillar Cellulose Wound Dressing FibDex in Paediatric and Adult Patients With Superficial Dermal Burns
- ClinicalTrials.gov ID
- NCT05629091
- Acronym / sponsor ID
- Fibdex 1-2022
- Conditions
- Burns
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: UPM Kymmene Oyj announced on April 2, 2025, the closure of Biomedicals business. As a result, FibDex manufacturing and sales will discontinue. The premature termination is due to business decision, not related to any safety concerns of FibDex.
- Enrolment
- 7 participants (actual)
- Lead sponsor
- UPM-Kymmene CorporationIndustry (pharma, biotech, devices)
- Collaborators
- CTC Clinical Trial Consultants AB
- Study start
- 12 Aug 2023 (actual)
- Primary completion
- 10 Apr 2025 (actual)
- Study completion
- 10 Apr 2025 (actual)
- First posted
- 29 Nov 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, randomised, open-label, within-patient controlled, non-inferiority clinical investigation of the nanofibrillar cellulose (NFC) wound dressing FibDex® for treatment of superficial dermal burns in paediatric and adult patients. The clinical performance and safety of FibDex® will be compared to Epicitehydro (QRSKIN GmbH, Würzburg, Germany) and Epiprotect® (S2Medical AB, Linköping, Sweden). Epicitehydro is considered to be the primary comparator. The investigation will be conducted at 2 clinical research sites in Sweden.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| FibDex | Experimental | Device: FibDexFibDex® is a CE-marked NFC wound dressing intended to come into contact with injured skin and specifically split-thickness skin graft wounds, which have breached the dermis. |
| Epicite hydro | Active comparator | Device: Epicite hydroEpicitehydro is composed of biotechnology derived cellulose and is indicated for treatment of superficial and deep partial thermal and chemical burn wounds (1st and 2nd degree), scalds, skin graft donor sites, abrasions and lacerations |
| Epiprotect | Active comparator | Device: EpiprotectEpiprotect is composed of biosynthetic cellulose. It contains a minimum of 95% isotonic saline solution. Epiprotect is intended for treatment of partial thickness wounds. It can also be used as a temporary coverage for full thickness wounds prior to transplantation or other surgical intervention. |
Who may qualify
- Ages
- 1 year and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Signed written informed consent (by the patient and/or the patient's parent[s]/legal guardian[s] as applicable).
- Patient with superficial dermal burn wound(s) (class II/A) ≤36h as assessed by the Investigator.
- Patient at least 1 year old.
- Patient who has at least 3 superficial dermal burn wounds on anatomically equivalent areas or a superficial dermal burn large enough to allow a lateral comparison.
- Wound area at least 50 cm2 (per wound, if 3 separate wounds) or at least 150 cm2 (if single wound) as judged by the Investigator.
Key exclusion criteria (9 listed)
- Patient hyper-sensitive or allergic to, or have had a hypersensitivity/allergic reaction to, any of the dressing components.
- Pregnant or breast-feeding female.
- Patient with chemically or electrically induced burns.
- Other non-burn wound in target wound area.
- Not suitable for inclusion according to the Investigator.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FibDexNanofibrillar cellulose wound dressing | Device | FibDex |
| Epicite hydroWound dressing | Device | Epicite hydro |
| EpiprotectWound dressing | Device | Epiprotect |
Primary outcome
Non-inferiority of FibDex® compared to Epicitehydro in terms of time to clinical wound healing (days) defined as no need of any dressing (inner or outer)
Time frame: Within 2 to 3 weeks (until the wound has healed)
At each clinical visit, the Investigator or delegate will assess and record in the eCRF if the inner dressing(s) has detached and judge whether or not there is a need for outer dressing.
10 secondary outcomes
Non-inferiority of FibDex® compared to Epiprotect® in terms of time to clinical wound healing (days) defined as no need of any dressing (inner or outer).
Time frame: Within 2 to 3 weeks (until the wound has healed)
Non-inferiority FibDex® compared to Epicitehydro and Epiprotect®, respectively, in terms of re-epithelialisation of the initial wound area over time
Time frame: Within 2 to 3 weeks (until the wound has healed)
Evaluate degree of experienced pain
Time frame: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of number of wound infections
Time frame: Within 2 to 3 weeks (until the wound has healed)
Need for surgical intervention
Time frame: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of length of stay (days) at hospital
Time frame: Within 2 to 3 weeks (until the wound has healed)
Assess clinical performance in terms of number of outer layer dressing changes
Time frame: Within 2 to 3 weeks (until the wound has healed)
Evaluate scar quality
Time frame: 3, 6 and 12 months post burn
Monitor Adverse Events (AEs)
Time frame: Within 2 to 3 weeks (until the wound has healed)
Monitor Device Deficiencies (DDs)
Time frame: Within 2 to 3 weeks (until the wound has healed)
Results and safety
The study was stopped early (reason given: UPM Kymmene Oyj announced on April 2, 2025, the closure of Biomedicals business. As a result, FibDex manufacturing and sales will discontinue. The premature termination is due to business decision, not related to any safety concerns of FibDex.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Aug 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fredrik Huss principal investigator
Burn Centre, Uppsala University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing FibDex, Epicite hydro and Epiprotect in people with Burns, run by UPM-Kymmene Corporation at 1 site in Sweden.
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 5 inclusion and 9 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: stopped early, as of the sponsor's last update on 15 Aug 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 Sweden. 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 was stopped early (reason given: UPM Kymmene Oyj announced on April 2, 2025, the closure of Biomedicals business. As a result, FibDex manufacturing and sales will discontinue. The premature termination is due to business decision, not related to any safety concerns of FibDex.). Results are not available in the source record.
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?
Non-inferiority of FibDex® compared to Epicitehydro in terms of time to clinical wound healing (days) defined as no need of any dressing (inner or outer) (time frame: Within 2 to 3 weeks (until the wound has healed)). 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 15 Aug 2025.