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The Clinical Efficacy of RENASYS TOUCH NPWT System in the Management of Acute, Sub-acute and Chronic Wounds (NPWT)

Primary Purpose

Wound and Injuries, Surgical Wound Dehiscence

Status
Completed
Phase
Not Applicable
Locations
South Africa
Study Type
Interventional
Intervention
RENASYS TOUCH Negative Pressure Wound Therapy System
Sponsored by
Smith & Nephew, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wound and Injuries focused on measuring Negative Pressure Wound Therapy

Eligibility Criteria

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

Inclusion Criteria:

  • The patient is able to understand the study and is willing to consent to the study
  • The patient consents to the on-going use of their de-identified photos by the Sponsor for purposes outside of this study
  • Patients must be at least 18 years old
  • Males and females. If female, they must not be pregnant. If female and of reproductive age, a pregnancy test will be provided
  • Patient must have an acute, sub-acute or chronic wound that would benefit from the application of topical Negative Pressure Wound Therapy (NPWT)
  • Patients must have an acute or sub-acute wound requiring wound bed preparation for an expected minimum of 4 days in advance of either planned surgical closure (including delayed primary closure, flaps or grafts) or planned secondary closure, OR a chronic wound requiring wound bed preparation in advance of planned surgical closure (not secondary intention)
  • The patient, or the patient's legal representative, if the patient is incapable of giving legal consent, is able to understand the trial and is willing to consent to the trial

Exclusion Criteria:

  • Patients with a known history of poor compliance with medical treatment.
  • Patients who have participated in this study previously and who [healed or] were withdrawn.
  • Patients who are unable to understand the aims and objectives of the study.
  • Presence of necrotic tissue, or >25% slough in the reference wound bed. Once debridement has taken place, treatment with the investigational product may proceed
  • Patients whose reference wound displays evidence of extensive tunnelling or sinus tracts
  • Previously confirmed and untreated osteomyelitis
  • Malignancy in the reference wound
  • Non-enteric and unexplored Fistulas
  • Presence of untreated infection in the reference wound bed (Infection must be treated with systemic antibiotics to permit inclusion in the trial and can be administered concurrently during the trial treatment regime)
  • Active bleeding. Once haemostasis has been achieved, treatment with the investigational product may proceed
  • Exposure of blood vessels or organs at the base of the reference wound
  • Patients with a known history of poor compliance with medical treatment
  • Patients who have participated in this trial previously and who healed or were withdrawn
  • Patients treated on an out-patient basis who cannot continue to be treated as out-patients and/or attend the clinic for dressing changes as detailed in the treatment regimen of the study protocol
  • Patients whose wounds are not suitable for treatment with intermittent therapy mode (e.g. highly exuding wounds, wounds with tunnels or undermining, wounds in difficult areas where maintaining a seal is problematic, patients who experience severe pain during intermittent therapy)
  • Patients who are employees of Smith & Nephew group companies.

Sites / Locations

  • Tiervlei Trail Centre
  • Dr Matley & Partners

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

RENASYS TOUCH Negative Pressure Wound Therapy Device

RENASYS TOUCH Negative Pressure Wound Therapy System

Arm Description

Active Device: "RENASYS TOUCH NPWT" device administered to all patients using the intermittent/variable therapy mode, for up to 28 days of therapy.

Active Device: "RENASYS TOUCH NPWT" device administered to all patients using the continuous therapy mode for up to 28 days of therapy.

Outcomes

Primary Outcome Measures

The time to achieve the point where the reference wound is ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention

Secondary Outcome Measures

To determine the percentage of wounds that are ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention
To assess the percentage of wounds that are ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention, in wounds that are randomized to intermittent or continuous therapy mode
The percentage change in wound area
To assess progress towards wound closure using the percentage change in wound area (cm2)
The number of patients with a confirmed clinical infection or presenting with clinical signs of infection
Patients that have a confirmed clinical infection or the number of patients that present with clinical signs of infection in their reference wound
The number of patients with the condition of their surrounding skin recorded as either Healthy, Fragile, Inflamed, Macerated, Dry and Flaky, or Other
To assess the condition of the patients surrounding skin
To record the patients level of pain using a 10-point pain scale, on application and during therapy, in patient's wounds that are randomised to intermittent or continuous therapy mode
To assess the patients level of pain on application and during therapy
The study will monitor safety in use and will record and assess all adverse events that occur during the study
The percentage change in wound volume
To assess progress towards wound closure using the percentage change in wound area (cm3)
The percentage change in wound depth
To assess progress towards wound closure using the percentage change in wound depth (mm)

Full Information

First Posted
September 28, 2015
Last Updated
February 14, 2018
Sponsor
Smith & Nephew, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02565043
Brief Title
The Clinical Efficacy of RENASYS TOUCH NPWT System in the Management of Acute, Sub-acute and Chronic Wounds
Acronym
NPWT
Official Title
A Prospective, Open, Multi-centre Study to Evaluate Clinical Efficacy, Functionality and Device Performance of a New Portable Negative Pressure Wound Therapy System (RENASYS TOUCH) in the Management of Acute, Sub-acute and Chronic Wounds
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
November 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Smith & Nephew, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is looking at the clinical efficacy, functionality and device performance of a new Negative Pressure Wound Therapy (NPWT) system in the management of a variety of wound types, in a real-life clinical setting. The study will comprise a prospective, open-labeled, multi-center study in a number of care-settings (both hospital and community) in South Africa. The patient's reference wound will be randomized to treatment with either intermittent or continuous NPWT mode to assess whether the delivery of NPWT via each of these therapy settings will have an effect on the rate and quality of wound healing.
Detailed Description
The study will comprise a prospective, open-labeled, multi-center study to assess the clinical efficacy, functionality and device performance of the new portable negative pressure wound therapy system in the management of acute, sub-acute and chronic wounds. The patient's reference wound will be randomized to treatment with either intermittent or continuous NPWT mode to ensure minimum numbers in each group for analysis. The primary objective of the study is to determine the time (days) to achieve the point where the reference wound is ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wound and Injuries, Surgical Wound Dehiscence
Keywords
Negative Pressure Wound Therapy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
RENASYS TOUCH Negative Pressure Wound Therapy Device
Arm Type
Experimental
Arm Description
Active Device: "RENASYS TOUCH NPWT" device administered to all patients using the intermittent/variable therapy mode, for up to 28 days of therapy.
Arm Title
RENASYS TOUCH Negative Pressure Wound Therapy System
Arm Type
Active Comparator
Arm Description
Active Device: "RENASYS TOUCH NPWT" device administered to all patients using the continuous therapy mode for up to 28 days of therapy.
Intervention Type
Device
Intervention Name(s)
RENASYS TOUCH Negative Pressure Wound Therapy System
Other Intervention Name(s)
"RENASYS TOUCH NPWT" System
Intervention Description
RENASYS TOUCH NPWT System was administered to all participants.
Primary Outcome Measure Information:
Title
The time to achieve the point where the reference wound is ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention
Time Frame
28 days
Secondary Outcome Measure Information:
Title
To determine the percentage of wounds that are ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention
Time Frame
28 days
Title
To assess the percentage of wounds that are ready to be closed either by surgical intervention (STSG, simple flap or suturing) or by secondary intention, in wounds that are randomized to intermittent or continuous therapy mode
Time Frame
28 days
Title
The percentage change in wound area
Description
To assess progress towards wound closure using the percentage change in wound area (cm2)
Time Frame
28 days
Title
The number of patients with a confirmed clinical infection or presenting with clinical signs of infection
Description
Patients that have a confirmed clinical infection or the number of patients that present with clinical signs of infection in their reference wound
Time Frame
28 days
Title
The number of patients with the condition of their surrounding skin recorded as either Healthy, Fragile, Inflamed, Macerated, Dry and Flaky, or Other
Description
To assess the condition of the patients surrounding skin
Time Frame
28 days
Title
To record the patients level of pain using a 10-point pain scale, on application and during therapy, in patient's wounds that are randomised to intermittent or continuous therapy mode
Description
To assess the patients level of pain on application and during therapy
Time Frame
28 days
Title
The study will monitor safety in use and will record and assess all adverse events that occur during the study
Time Frame
28 days
Title
The percentage change in wound volume
Description
To assess progress towards wound closure using the percentage change in wound area (cm3)
Time Frame
28 days
Title
The percentage change in wound depth
Description
To assess progress towards wound closure using the percentage change in wound depth (mm)
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient is able to understand the study and is willing to consent to the study The patient consents to the on-going use of their de-identified photos by the Sponsor for purposes outside of this study Patients must be at least 18 years old Males and females. If female, they must not be pregnant. If female and of reproductive age, a pregnancy test will be provided Patient must have an acute, sub-acute or chronic wound that would benefit from the application of topical Negative Pressure Wound Therapy (NPWT) Patients must have an acute or sub-acute wound requiring wound bed preparation for an expected minimum of 4 days in advance of either planned surgical closure (including delayed primary closure, flaps or grafts) or planned secondary closure, OR a chronic wound requiring wound bed preparation in advance of planned surgical closure (not secondary intention) The patient, or the patient's legal representative, if the patient is incapable of giving legal consent, is able to understand the trial and is willing to consent to the trial Exclusion Criteria: Patients with a known history of poor compliance with medical treatment. Patients who have participated in this study previously and who [healed or] were withdrawn. Patients who are unable to understand the aims and objectives of the study. Presence of necrotic tissue, or >25% slough in the reference wound bed. Once debridement has taken place, treatment with the investigational product may proceed Patients whose reference wound displays evidence of extensive tunnelling or sinus tracts Previously confirmed and untreated osteomyelitis Malignancy in the reference wound Non-enteric and unexplored Fistulas Presence of untreated infection in the reference wound bed (Infection must be treated with systemic antibiotics to permit inclusion in the trial and can be administered concurrently during the trial treatment regime) Active bleeding. Once haemostasis has been achieved, treatment with the investigational product may proceed Exposure of blood vessels or organs at the base of the reference wound Patients with a known history of poor compliance with medical treatment Patients who have participated in this trial previously and who healed or were withdrawn Patients treated on an out-patient basis who cannot continue to be treated as out-patients and/or attend the clinic for dressing changes as detailed in the treatment regimen of the study protocol Patients whose wounds are not suitable for treatment with intermittent therapy mode (e.g. highly exuding wounds, wounds with tunnels or undermining, wounds in difficult areas where maintaining a seal is problematic, patients who experience severe pain during intermittent therapy) Patients who are employees of Smith & Nephew group companies.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Martin Forlee, MD
Organizational Affiliation
Dr Matley & Partners
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tiervlei Trail Centre
City
Bellville
State/Province
Cape Town
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Dr Matley & Partners
City
Claremont
State/Province
Cape Town
ZIP/Postal Code
7708
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
9188970
Citation
Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg. 1997 Jun;38(6):553-62. doi: 10.1097/00000637-199706000-00001.
Results Reference
background
PubMed Identifier
9188971
Citation
Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577.
Results Reference
background
PubMed Identifier
21316515
Citation
Krug E, Berg L, Lee C, Hudson D, Birke-Sorensen H, Depoorter M, Dunn R, Jeffery S, Duteille F, Bruhin A, Caravaggi C, Chariker M, Dowsett C, Ferreira F, Martinez JM, Grudzien G, Ichioka S, Ingemansson R, Malmsjo M, Rome P, Vig S, Runkel N, Martin R, Smith J; International Expert Panel on Negative Pressure Wound Therapy [NPWT-EP]. Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: steps towards an international consensus. Injury. 2011 Feb;42 Suppl 1:S1-12. doi: 10.1016/S0020-1383(11)00041-6.
Results Reference
background
PubMed Identifier
21868296
Citation
Birke-Sorensen H, Malmsjo M, Rome P, Hudson D, Krug E, Berg L, Bruhin A, Caravaggi C, Chariker M, Depoorter M, Dowsett C, Dunn R, Duteille F, Ferreira F, Francos Martinez JM, Grudzien G, Ichioka S, Ingemansson R, Jeffery S, Lee C, Vig S, Runkel N; International Expert Panel on Negative Pressure Wound Therapy [NPWT-EP]; Martin R, Smith J. Evidence-based recommendations for negative pressure wound therapy: treatment variables (pressure levels, wound filler and contact layer)--steps towards an international consensus. J Plast Reconstr Aesthet Surg. 2011 Sep;64 Suppl:S1-16. doi: 10.1016/j.bjps.2011.06.001. Epub 2011 Aug 24.
Results Reference
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PubMed Identifier
22119531
Citation
Vig S, Dowsett C, Berg L, Caravaggi C, Rome P, Birke-Sorensen H, Bruhin A, Chariker M, Depoorter M, Dunn R, Duteille F, Ferreira F, Martinez JM, Grudzien G, Hudson D, Ichioka S, Ingemansson R, Jeffery S, Krug E, Lee C, Malmsjo M, Runkel N; International Expert Panel on Negative Pressure Wound Therapy [NPWT-EP]; Martin R, Smith J. Evidence-based recommendations for the use of negative pressure wound therapy in chronic wounds: steps towards an international consensus. J Tissue Viability. 2011 Dec;20 Suppl 1:S1-18. doi: 10.1016/j.jtv.2011.07.002. Epub 2011 Nov 25.
Results Reference
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PubMed Identifier
23647737
Citation
Hudson DA, Adams KG, Van Huyssteen A, Martin R, Huddleston EM. Simplified negative pressure wound therapy: clinical evaluation of an ultraportable, no-canister system. Int Wound J. 2015 Apr;12(2):195-201. doi: 10.1111/iwj.12080. Epub 2013 May 7.
Results Reference
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PubMed Identifier
12398140
Citation
Clare MP, Fitzgibbons TC, McMullen ST, Stice RC, Hayes DF, Henkel L. Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds. Foot Ankle Int. 2002 Oct;23(10):896-901. doi: 10.1177/107110070202301002.
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Citation
Mendonca DA, Cosker T, Makwana NK. Vacuum-assisted closure to aid wound healing in foot and ankle surgery. Foot Ankle Int. 2005 Sep;26(9):761-6. doi: 10.1177/107110070502600915.
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PubMed Identifier
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Citation
McCallon SK, Knight CA, Valiulus JP, Cunningham MW, McCulloch JM, Farinas LP. Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds. Ostomy Wound Manage. 2000 Aug;46(8):28-32, 34.
Results Reference
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The Clinical Efficacy of RENASYS TOUCH NPWT System in the Management of Acute, Sub-acute and Chronic Wounds

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