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Feasibility Study of the Execution of an Efficacy Trial in the Nursing Home Setting

Primary Purpose

Partial Thickness Wounds

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Xenaderm® Ointment
Placebo Comparator
Sponsored by
Healthpoint
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Partial Thickness Wounds focused on measuring Xenaderm, partial, thickness, wounds, Nursing Homes

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Provide written informed consent, which consists of reading, signing and dating the informed consent document after the Investigator, sub-Investigator or other designated study staff member has explained the study procedures, risks, and contact information. If the subject is unable to read or sign the informed consent, or unable to comprehend the information provided in the consent process, a legal guardian, decision making proxy, or next of kin must provide written consent, and if possible, subject must verbally assent to receiving an experimental treatment for their wound.
  2. Are at least 18 years of age.
  3. Are expected to remain in the Nursing Home for the duration of the study (22 days).
  4. Have one or more partial-thickness wounds (including wounds with excoriation, erosion or denuded skin, or ulceration to subcutaneous fat, but with no fascia, muscle, tendon or bone visible) on the trunk or proximal extremity (arm above the elbow, leg above the knee) which

    • have been present for at least 2 days but less than 6 weeks;
    • measure greater than or equal to 2 and less than or equal to40 cm2 in total denuded area; and,
    • are connected by areas of erythema (for multiple wounds).
  5. Are capable of maintaining an adequate nutritional intake during the study.
  6. Are in an acceptable state of health and nutrition with pre-albumin levels of greater than or equal to 15 mg/dl (0.015g/l), serum albumin greater than or equal to 3.0 g/dl (30g/l), alkaline phosphatase greater than or equal to the lower limit of normal, and have no abnormal laboratory values that, in the opinion of the Medical Supervisor, place the subject at risk for the study.

Exclusion Criteria:

  1. Have more than 64 cm2 of total denuded wound area, including target and non-target wounds.
  2. Have a full-thickness wound within 4 cm of any target wound.
  3. Have clinical evidence of bacterial or fungal infection of the target wound.
  4. Have target wound(s) that involves tunneling, sinus tracks, shear injury, arterial occlusive disease or bony prominence or joint with the exception that target wounds may be over dorsal spinous processes, coccyx, ischial tuberosities or sacroiliac joints (but may not be full thickness).
  5. Are moribund, or has a severe burn, immunodeficiency disorder, hematologic disorder, metastatic malignancy or uncontrolled diabetes mellitus.
  6. Are known to have acrodermatitis enteropathica (zinc deficiency).
  7. Are being treated with systemic steroids, immunosuppressive agents, radiation or chemotherapy.
  8. Have been treated with enzymatic debridement to the target wound(s) within 2 days prior to enrollment.
  9. Have a known sensitivity to ingredients of Xenaderm Ointment.
  10. Are using or have used another investigational agent (not including devices such as hearing aids, pace makers, etc.) within 30 days prior to Visit 1.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    1

    2

    Arm Description

    Outcomes

    Primary Outcome Measures

    Complete Wound Closure

    Secondary Outcome Measures

    Adverse Events

    Full Information

    First Posted
    July 10, 2008
    Last Updated
    August 29, 2013
    Sponsor
    Healthpoint
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00714519
    Brief Title
    Feasibility Study of the Execution of an Efficacy Trial in the Nursing Home Setting
    Official Title
    A Phase II Feasibility Study of Xenaderm® Ointment Exploring Design Issues for Phase III Efficacy in Partial-Thickness Wounds
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2013
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    The study was terminated due to the inability to enroll subjects. No subjects were or ever will be enrolled into this study.
    Study Start Date
    July 2008 (undefined)
    Primary Completion Date
    October 2008 (Actual)
    Study Completion Date
    October 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Healthpoint

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study will assess if a clinical trial regarding healing of partial thickness wounds can be executed in nursing homes.
    Detailed Description
    This study will test the efficacy of Xenaderm® vs. vehicle on the healing of partial thickness wounds caused by pressure, moisture and friction.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Partial Thickness Wounds
    Keywords
    Xenaderm, partial, thickness, wounds, Nursing Homes

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    Care ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Title
    2
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Xenaderm® Ointment
    Other Intervention Name(s)
    Placebo Comparator
    Intervention Description
    Topical, BID or as needed
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Comparator
    Other Intervention Name(s)
    Xenaderm® Ointment
    Intervention Description
    Topical, BID or as needed
    Primary Outcome Measure Information:
    Title
    Complete Wound Closure
    Time Frame
    21 days
    Secondary Outcome Measure Information:
    Title
    Adverse Events
    Time Frame
    21 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Provide written informed consent, which consists of reading, signing and dating the informed consent document after the Investigator, sub-Investigator or other designated study staff member has explained the study procedures, risks, and contact information. If the subject is unable to read or sign the informed consent, or unable to comprehend the information provided in the consent process, a legal guardian, decision making proxy, or next of kin must provide written consent, and if possible, subject must verbally assent to receiving an experimental treatment for their wound. Are at least 18 years of age. Are expected to remain in the Nursing Home for the duration of the study (22 days). Have one or more partial-thickness wounds (including wounds with excoriation, erosion or denuded skin, or ulceration to subcutaneous fat, but with no fascia, muscle, tendon or bone visible) on the trunk or proximal extremity (arm above the elbow, leg above the knee) which have been present for at least 2 days but less than 6 weeks; measure greater than or equal to 2 and less than or equal to40 cm2 in total denuded area; and, are connected by areas of erythema (for multiple wounds). Are capable of maintaining an adequate nutritional intake during the study. Are in an acceptable state of health and nutrition with pre-albumin levels of greater than or equal to 15 mg/dl (0.015g/l), serum albumin greater than or equal to 3.0 g/dl (30g/l), alkaline phosphatase greater than or equal to the lower limit of normal, and have no abnormal laboratory values that, in the opinion of the Medical Supervisor, place the subject at risk for the study. Exclusion Criteria: Have more than 64 cm2 of total denuded wound area, including target and non-target wounds. Have a full-thickness wound within 4 cm of any target wound. Have clinical evidence of bacterial or fungal infection of the target wound. Have target wound(s) that involves tunneling, sinus tracks, shear injury, arterial occlusive disease or bony prominence or joint with the exception that target wounds may be over dorsal spinous processes, coccyx, ischial tuberosities or sacroiliac joints (but may not be full thickness). Are moribund, or has a severe burn, immunodeficiency disorder, hematologic disorder, metastatic malignancy or uncontrolled diabetes mellitus. Are known to have acrodermatitis enteropathica (zinc deficiency). Are being treated with systemic steroids, immunosuppressive agents, radiation or chemotherapy. Have been treated with enzymatic debridement to the target wound(s) within 2 days prior to enrollment. Have a known sensitivity to ingredients of Xenaderm Ointment. Are using or have used another investigational agent (not including devices such as hearing aids, pace makers, etc.) within 30 days prior to Visit 1.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Herbert B Slade, MD
    Organizational Affiliation
    Healthpoint
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Innes Cargill, PhD
    Organizational Affiliation
    Healthpoint
    Official's Role
    Study Director

    12. IPD Sharing Statement

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    Feasibility Study of the Execution of an Efficacy Trial in the Nursing Home Setting

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