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V.A.C. VeraFlo™ Instillation Therapy vs V.A.C. Ulta™ Therapy on Biofilm in Chronically Infected Wounds

Primary Purpose

Lower Extremity Wound Infected, Venous Stasis Ulcers

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
VAC VeraFlo with Dakins Instillation
VAC Ulta Therapy
Sponsored by
St. Luke's-Roosevelt Hospital Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lower Extremity Wound Infected focused on measuring Infected wounds, NPWTi, VAC Instill, Biofilm

Eligibility Criteria

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

Inclusion Criteria:

  • The patient is of 18 years or older.
  • Males and females - provided they are not pregnant and if of reproductive age are using contraception.
  • Patient with ulcers that:

    1. Have an ulcer area of at least 4 cm2 confirmed via counting squares on an wound tracing
    2. Have been present for at least 4 weeks
    3. Are confirmed to have a colony forming unit per gram of wound tissue greater than or equal to 10 to the 5th cfu
    4. Are full thicknesses through to dermal or subcutaneous tissue but not extending to muscle or bone.
    5. The patient has an ABI of greater or equal to 0.8 and lower than 1.3 or has a suitable Peripheral Vascular Resistance (PVR) and Doppler assessment which confirms venous disease & therefore treatment with Profore is deemed acceptable by the clinician.
    6. The patient has one or more clinical signs of infection (edema, malodor, local/periwound erythema, spontaneous pain between dressing changes, increased exudate, discoloration of granulation tissue, increased temperature at wound, non progression of wound, purulent exudate and friable granulation tissue)
    7. The patient is able to understand the evaluation and is willing to consent to the evaluation.
    8. Patients with a suitable wound on a different limb to any other wounds previously eligible.

Exclusion Criteria:

  1. Patients undergoing chemotherapy
  2. Patients being treated with immunosuppressive drugs or corticosteroids
  3. Patients with an autoimmune disease
  4. Patients who have participated in an experimental drug or device study within the last 15 days
  5. Patients that have been entered in this evaluation previously as an evaluable patient.

Sites / Locations

  • St. Luke's-Roosevelt Hospital Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

VAC VeraFlo with Dakins Instillation

VAC Ulta Therapy

Arm Description

VAC VeraFlo with Dakins .125% instillation will be initially applied in the OR after surgical debridement. Dressing will be changed on day 4 and and removed on day 7. Wound assessments will continue at weeks 2, 3, and 4.

VAC ULTA Therapy will be initially applied in the OR after surgical debridement. Dressing will be changed on day 4 and and removed on day 7. Wound assessments will continue at weeks 2, 3, and 4.

Outcomes

Primary Outcome Measures

Change in Bacteria Colony-forming Units Using When NPWT and NPWTi on Venous Leg Ulcers
Biopsies for bacteria colony-forming units obtained at pre surgical debridement (baseline) and day 7.

Secondary Outcome Measures

Full Information

First Posted
November 24, 2013
Last Updated
November 23, 2018
Sponsor
St. Luke's-Roosevelt Hospital Center
Collaborators
Kinetic Concepts, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02009501
Brief Title
V.A.C. VeraFlo™ Instillation Therapy vs V.A.C. Ulta™ Therapy on Biofilm in Chronically Infected Wounds
Official Title
A Prospective, Open, Comparative, Randomized Single-center Study to Evaluate the Effect of V.A.C. VeraFlo™ Therapy With .125% Dakins vs V.A.C. Ulta™ Therapy on Biofilm Removal/Disruption/Elimination in Chronically Infected Wounds
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
November 2013 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Luke's-Roosevelt Hospital Center
Collaborators
Kinetic Concepts, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study would like to determine if using negative pressure wound therapy with an instillation of .125% Dakins is more effective than using negative pressure wound therapy alone on biofilm removal, disruption and elimination in chronically infected lower extremity wounds.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lower Extremity Wound Infected, Venous Stasis Ulcers
Keywords
Infected wounds, NPWTi, VAC Instill, Biofilm

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VAC VeraFlo with Dakins Instillation
Arm Type
Active Comparator
Arm Description
VAC VeraFlo with Dakins .125% instillation will be initially applied in the OR after surgical debridement. Dressing will be changed on day 4 and and removed on day 7. Wound assessments will continue at weeks 2, 3, and 4.
Arm Title
VAC Ulta Therapy
Arm Type
Active Comparator
Arm Description
VAC ULTA Therapy will be initially applied in the OR after surgical debridement. Dressing will be changed on day 4 and and removed on day 7. Wound assessments will continue at weeks 2, 3, and 4.
Intervention Type
Device
Intervention Name(s)
VAC VeraFlo with Dakins Instillation
Other Intervention Name(s)
NPWTi, VAC Instill
Intervention Description
VAC VeraFlo with Dakins instillation will be placed in the operating room after surgical debridement. Biopsies will be obtained prior to surgical debridement, after surgical debridement, on day 4, and on day 7.
Intervention Type
Device
Intervention Name(s)
VAC Ulta Therapy
Other Intervention Name(s)
VAC, NPWT
Intervention Description
VAC ULTA will be placed in the operating room after surgical debridement. Biopsies will be obtained prior to surgical debridement, after surgical debridement, on day 4, and on day 7.
Primary Outcome Measure Information:
Title
Change in Bacteria Colony-forming Units Using When NPWT and NPWTi on Venous Leg Ulcers
Description
Biopsies for bacteria colony-forming units obtained at pre surgical debridement (baseline) and day 7.
Time Frame
Baseline and day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient is of 18 years or older. Males and females - provided they are not pregnant and if of reproductive age are using contraception. Patient with ulcers that: Have an ulcer area of at least 4 cm2 confirmed via counting squares on an wound tracing Have been present for at least 4 weeks Are confirmed to have a colony forming unit per gram of wound tissue greater than or equal to 10 to the 5th cfu Are full thicknesses through to dermal or subcutaneous tissue but not extending to muscle or bone. The patient has an ABI of greater or equal to 0.8 and lower than 1.3 or has a suitable Peripheral Vascular Resistance (PVR) and Doppler assessment which confirms venous disease & therefore treatment with Profore is deemed acceptable by the clinician. The patient has one or more clinical signs of infection (edema, malodor, local/periwound erythema, spontaneous pain between dressing changes, increased exudate, discoloration of granulation tissue, increased temperature at wound, non progression of wound, purulent exudate and friable granulation tissue) The patient is able to understand the evaluation and is willing to consent to the evaluation. Patients with a suitable wound on a different limb to any other wounds previously eligible. Exclusion Criteria: Patients undergoing chemotherapy Patients being treated with immunosuppressive drugs or corticosteroids Patients with an autoimmune disease Patients who have participated in an experimental drug or device study within the last 15 days Patients that have been entered in this evaluation previously as an evaluable patient.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John C Lantis, MD
Organizational Affiliation
St. Luke's-Roosevelt Hospital Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Luke's-Roosevelt Hospital Center
City
New York
State/Province
New York
ZIP/Postal Code
10025
Country
United States

12. IPD Sharing Statement

Learn more about this trial

V.A.C. VeraFlo™ Instillation Therapy vs V.A.C. Ulta™ Therapy on Biofilm in Chronically Infected Wounds

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