AzTrials
AzTrials

Phototherapy ComplicationNCT05739058

Violet-Blue Light Inactivation of Bacteria in Chronic Wounds

A study testing Violet-Blue Light Treatment / FlashHeal Device in people with Phototherapy Complication and Photobiology, run by Bispebjerg Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This four-week prospective clinical investigation will assess the safety and feasibility of a medical device without CE-marking. The medical device is a light-emitting-diode (LED) and is manufactured by VulCur MedTech Aps. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Violet-Blue Light Treatment / FlashHeal Device
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteDenmark
Study dates
22 Mar 2023to 1 May 2024
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men, women and non-binaries fulfilling all inclusion criteria
  • Age >18 - Patients with a chronic wound defined > 6 weeks
  • Wound Area > 1 cm and < 25 cm
  • Patient can understand Danish
  • Patient can comply with protocol
  • Patient is fully informed about the study and has given informed consent

Who cannot join

  • Clinical infection in the wound requiring systemic or local antibiotics
  • Current intake of antibiotics or locally applied (within 7 days before baseline)
  • Known or suspected cancer in the wound
  • Previous Photodermatitis and/or Photosensitivity
  • Previous Porphyria and/or hypersensitivity to porphyrins
  • Known congenital or acquired immunodeficiency
Show all 11Show fewer
  • Newly adjusted or newly started systemic immunomodulate treatment >4 weeks
  • Treatment with haemodialysis
  • Dementia - Participating in other clinical wound healing studies in the last 30 days
  • Judgement by the investigator that the patient is not suited for study participation
  • Pregnant or breastfeeding women. (All fertile women who is not on safe contraception will need a negative pregnancy test performed at baseline. Safe contraception includes cobber and hormone Intra Uterine Device and Hormone anticonception drugs. Sterility is defined as have had surgical sterilisation and being postmenopausal)

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Danish Wound Healing Center, Bispebjerg Hospital

    Copenhagen, Northwest, 2400

Other trials in Denmark

About this study

This four-week prospective clinical investigation will assess the safety and feasibility of a medical device without CE-marking. The medical device is a light-emitting-diode (LED) and is manufactured by VulCur MedTech Aps. Violet-blue light treatment is tested on a total of twenty-two patients with chronic wounds, divided into three groups, each group only receiving one dosage. Three dosages (low, medium and high) of violet-blue light treatment is tested. ID 1-7 are assigned to the low group, ID 8-15 are assigned to medium group and ID 16-22 are assigned to the high dosage group.

Read the detailed description

This is as prospective safety and feasibility clinical trial investigating violet-blue light treatment on chronic wounds. This clinical trial runs from Q3 2022 - Q2 2023. Twenty-two patients with chronic wounds will be included (n = 22) for a study-period of four weeks. Week 1 includes one baseline visit. Through Week 2,3 and 4 treatment is given six times with a span of 24-72 hours between every treatment visit. Week 4 includes one follow up-visit. Patients entering the study are assigned to three light dosage groups (low, medium and high) according to their study ID. ID 1-7 are assigned to the low group, ID 8-15 are assigned to medium group and ID 16-22 are assigned to the high dosage group. Between each dosage of light, there will be an evaluation of primary and secondary endpoints by the sponsor and the principal investigator. Light dosage is only escalated should this evaluation be deemed safe. To determine treatment safety skin reactions are assessed after treatment at: 0 minutes, 30 minutes, 24 hours, 48 hours, 5th treatment visit and at follow-up. Adverse Events and Adverse Device Events are evaluated at every visit for every dosage, feasibility is evaluated at follow-up for both patient and investigator. This investigation complies with the Good Clinical Practice concerning medical devices and follows the ISO standard DS/EN 14 155 and the Declaration of Helsinki

Being tested
Violet-Blue Light Treatment / FlashHeal Device
Keywords
Violet Blue Light, Blue Light, Safety
Medical subject headings
Wound Infection

What participants receive

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

  • Violet-Blue Light Treatment / FlashHeal DeviceDevice

    FlashHeal illuminates an area of 10 cm in diameter, located at 6-7 cm distance of the wound.

    Wounds larger than 10 cm in diameter, will receive enough treatments to cover the wound bed.

    To obtain full coverage the circular treatment area is relocated to cover the remaining wound field.

    The wavelength is 405 nm, Full Width Half Maximum at (FWHM) 400-415 nm. Device irradiances are adjusted to the total fluences required for the Low, Medium and High group, the treatment will last 15 minutes at all dosages. Light is emitted with 1000 Hz.

Study groups in NCT05739058
Study groupRoleWhat they receive
Low Exposure to Violet-Blue LightExperimentalID 1-7 are assigned to the low dosage group
Receives: Device: Violet-Blue Light Treatment / FlashHeal Device
Medium Exposure to Violet-Blue LightExperimentalID 8-15 are assigned to the medium dosage group
Receives: Device: Violet-Blue Light Treatment / FlashHeal Device
High Exposure to Violet-Blue LightExperimentalID 16-22 are assigned to the high dosage group
Receives: Device: Violet-Blue Light Treatment / FlashHeal Device

What is being measured

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

  1. Overall Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE) adjusted to the skin. The violet-blue light treatment will be considered safe when less than 30 % have an overall CTCAE score larger than Grade 2 CTCAE. The overall CTCAE score for each patient is based on the one CTCAE score with the most severe grading.

    Measured: 4 weeks

Secondary outcomes (27)
  1. Baseline Clinical Wound Assessment

    Evaluates wound symptoms (Exudate, necrosis, maceration, granulation, Oedema,) and skin symptoms (eczema, Erythema, Hyperpigmentation, Hypopogmentation, epthilializing) at a 4 step scale from none to mild, moderate, severe.

    Measured: Baseline, 1 week

  2. Clinical Wound Assessment

    Evaluates wound symptoms (Exudate, necrosis, maceration, granulation, Oedema,) and skin symptoms (eczema, Erythema, Hyperpigmentation, Hypopogmentation, epthilializing) at a 4 step scale from none to mild, moderate, severe.

    Measured: Pre-intervention, up to 3 weeks

  3. Follow up Clinical Wound Assessment

    Evaluates wound symptoms (Exudate, necrosis, maceration, granulation, Oedema,) and skin symptoms (eczema, Erythema, Hyperpigmentation, Hypopogmentation, epthilializing) at a 4 step scale from none to mild, moderate, severe.

    Measured: Follow Up, up to 4 weeks

  4. Numeric Rating Scale (1-10)

    Pain scale in relation to treatment. Higher scores indicate more pain.

    Measured: Post-intervention, up to 3 weeks

  5. Wong Baker FACES (1-10)

    Visual Pain scale in relation to treatment. Higher scores indicate more pain.

    Measured: Post-intervention, up to 3 weeks

  6. Investigator Questionnaire

    Usability of the medical device is tested with the system usability Scale (SUS) testing 10 items on a 5 step scale from Strongly Disagree to Strongly Agree.

    Measured: 4 weeks

  7. Patient Questionnaire

    Evaluating Participant perceived; pain, time consumption and satisfaction through 20 items.

    Question 1-13 can be answered on a 5 step scale from "to a very high degree" till "not at all", including possibility to answer "dont know" and "not relevant".

    Item 14-20 can be answered with "Yes", "No" and "Dont Know".

    Measured: 4 weeks

  8. Mean time of visit

    Total time for the visit will be measured in minutes.

    Measured: For every visit, up to 4 weeks

  9. Mean time of Treatment Procedure

    For every treatment visit, time used for the treatment with the FlashHeal Device is measured.

    Time is measured in minutes.

    Measured: Post-intervention, up to 3 weeks

  10. Baseline Mean Bacterial Load

    E-Swabs, Essen Rotary Technique performed at baseline, follow-up and before and after treatment with FlashHeal Device. Bacteria will be cultured for aerobe and anaerobe species.

    Measured: 1 week

  11. Pre-intervention Mean Bacterial Load

    E-Swabs, Essen Rotary Technique performed at baseline, follow-up and before and after treatment with FlashHeal Device. Bacteria will be cultured for aerobe and anaerobe species.

    Measured: Pre-intervention, up to 3 weeks

  12. Post-intervention Mean Bacterial Load

    E-Swabs, Essen Rotary Technique performed at baseline, follow-up and before and after treatment with FlashHeal Device. Bacteria will be cultured for aerobe and anaerobe species.

    Measured: Post-intervention, up to 3 weeks

  13. Mean Bacterial Load at Follow Up

    E-Swabs, Essen Rotary Technique performed at baseline, follow-up and before and after treatment with FlashHeal Device. Bacteria will be cultured for aerobe and anaerobe species.

    Measured: Follow up, up to 4 weeks

  14. Baseline Wound Fluid

    Swab for wound fluid performed once every week using the Essen Rotary Technique, testing for 6-10 cytokines assessing the inflammatory microenvironment.

    Measured: Baseline, 1 Week

  15. Change from Baseline Wound Fluid Composition Week 1 to Week 2

    Swab for wound fluid performed once every week using the Essen Rotary Technique, testing for 6-10 cytokines assessing the inflammatory microenvironment.

    Measured: 2 Weeks

  16. Change from Baseline Wound Fluid Composition Week 1 to Week 3

    Swab for wound fluid performed once every week using the Essen Rotary Technique, testing for 6-10 cytokines assessing the inflammatory microenvironment.

    Measured: 3 Weeks

  17. Change from Baseline Wound Fluid Composition Week 1 to Week 4

    Swab for wound fluid performed once every week using the Essen Rotary Technique, testing for 6-10 cytokines assessing the inflammatory microenvironment.

    Measured: 4 weeks

  18. Baseline Wound Size Week 1

    Clinical Photography is performed once every week. Hereafter the wound is analysed with the ImageJ software to calculate wound size in cm2.

    Measured: Baseline, week 1

  19. Change from Baseline Wound Size Week 1 to Week 2

    Clinical Photography is performed once every week. Hereafter the wound is analysed with the ImageJ software to calculate wound size in cm2.

    Measured: 2 Weeks

  20. Change from Baseline Wound Size Week 1 to Week 3

    Clinical Photography is performed once every week. Hereafter the wound is analysed with the ImageJ software to calculate wound size in cm2.

    Measured: 3 Weeks

  21. Change from Baseline Wound Size Week 1 to Week 4

    Clinical Photography is performed once every week. Hereafter the wound is analysed with the ImageJ software to calculate wound size in cm2.

    Measured: Follow Up, 4 weeks

  22. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE). The CTCAE is adjusted to the skin.

    Measured: Post-intervention, 2 weeks

  23. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE). The CTCAE is adjusted to the skin.

    Measured: 30 minutes Post-intervention, 2 weeks

  24. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE). The CTCAE is adjusted to the skin.

    Measured: 24 hours Post-intervention, 2 weeks

  25. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE). The CTCAE is adjusted to the skin.

    Measured: 48 hours Post-intervention, 2 weeks

  26. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE).

    The CTCAE is adjusted to the skin.

    Measured: 120 hours Post-intervention, 2 weeks

  27. Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE)

    Safety is measured as the absence of Adverse Events (AE) skin reactions. Adverse event skin reactions are assessed with the Common Terminology Criteria for Adverse Events U.S Department of Health and Human Services version 5.0, Nov 27, 2017 (CTCAE).

    The CTCAE is adjusted to the skin.

    Measured: Follow Up, 4 weeks

Timeline

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

  1. First posted22 Feb 2023
  2. Study start22 Mar 2023
  3. Primary completion1 May 2024
  4. Study completion1 May 2024

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
Device feasibility
Allocation
Non-randomised
Intervention model
Sequential
Model description
This four-week prospective clinical investigation will assess the safety and feasibility of a medical device emitting LED violet-blue light. Violet-blue light treatment is tested on a total of twenty-two patients with chronic wounds, divided into three groups, each group only receiving one dosage. Three dosages (low, medium and high) of violet-blue light treatment is tested. ID 1-7 are assigned to the low group, ID 8-15 are assigned to medium group and ID 16-22 are assigned to the high dosage group.
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05739058
Sponsor's protocol ID
Violet-Blue-Light-Inactivation
Status last verified
May 2024
First submitted
12 Jan 2023
Last updated
3 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bjarnsholt T, Kirketerp-Moller K, Jensen PO, Madsen KG, Phipps R, Krogfelt K, Hoiby N, Givskov M. Why chronic wounds will not heal: a novel hypothesis. Wound Repair Regen. 2008 Jan-Feb;16(1):2-10. doi: 10.1111/j.1524-475X.2007.00283.x.

    PubMed 18211573
  • Malone M, Bjarnsholt T, McBain AJ, James GA, Stoodley P, Leaper D, Tachi M, Schultz G, Swanson T, Wolcott RD. The prevalence of biofilms in chronic wounds: a systematic review and meta-analysis of published data. J Wound Care. 2017 Jan 2;26(1):20-25. doi: 10.12968/jowc.2017.26.1.20.

    PubMed 28103163
  • Enwemeka CS. Antimicrobial blue light: an emerging alternative to antibiotics. Photomed Laser Surg. 2013 Nov;31(11):509-11. doi: 10.1089/pho.2013.9871. Epub 2013 Oct 18. No abstract available.

    PubMed 24138170
  • Leanse LG, Dos Anjos C, Mushtaq S, Dai T. Antimicrobial blue light: A 'Magic Bullet' for the 21st century and beyond? Adv Drug Deliv Rev. 2022 Jan;180:114057. doi: 10.1016/j.addr.2021.114057. Epub 2021 Nov 18.

    PubMed 34800566
  • Tomb RM, White TA, Coia JE, Anderson JG, MacGregor SJ, Maclean M. Review of the Comparative Susceptibility of Microbial Species to Photoinactivation Using 380-480 nm Violet-Blue Light. Photochem Photobiol. 2018 May;94(3):445-458. doi: 10.1111/php.12883. Epub 2018 Mar 31.

    PubMed 29350751
  • Plattfaut I, Demir E, Fuchs PC, Schiefer JL, Sturmer EK, Bruning AKE, Oplander C. Characterization of Blue Light Treatment for Infected Wounds: Antibacterial Efficacy of 420, 455, and 480 nm Light-Emitting Diode Arrays Against Common Skin Pathogens Versus Blue Light-Induced Skin Cell Toxicity. Photobiomodul Photomed Laser Surg. 2021 May;39(5):339-348. doi: 10.1089/photob.2020.4932.

    PubMed 33961502
  • Dai T, Gupta A, Huang YY, Yin R, Murray CK, Vrahas MS, Sherwood ME, Tegos GP, Hamblin MR. Blue light rescues mice from potentially fatal Pseudomonas aeruginosa burn infection: efficacy, safety, and mechanism of action. Antimicrob Agents Chemother. 2013 Mar;57(3):1238-45. doi: 10.1128/AAC.01652-12. Epub 2012 Dec 21.

    PubMed 23262998
  • Wang Y, Wang Y, Wang Y, Murray CK, Hamblin MR, Hooper DC, Dai T. Antimicrobial blue light inactivation of pathogenic microbes: State of the art. Drug Resist Updat. 2017 Nov;33-35:1-22. doi: 10.1016/j.drup.2017.10.002. Epub 2017 Oct 13.

    PubMed 29145971
  • Liebmann J, Born M, Kolb-Bachofen V. Blue-light irradiation regulates proliferation and differentiation in human skin cells. J Invest Dermatol. 2010 Jan;130(1):259-69. doi: 10.1038/jid.2009.194.

    PubMed 19675580

Questions about this trial

What is this clinical trial studying?

A study testing Violet-Blue Light Treatment / FlashHeal Device in people with Phototherapy Complication and Photobiology, run by Bispebjerg Hospital at 1 site in Denmark.

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 6 inclusion and 11 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 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 1 site in Denmark. 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?

Overall Common Terminology Criteria for Adverse Events, version 5.0, Nov 27, 2017 (CTCAE) (time frame: 4 weeks). 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 NCT05739058, 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 May 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in