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A Clinical Evaluation of an Esterified Hyaluronic Acid Matrix in Burn Patients for STSG

Primary Purpose

Burn Wound

Status
Terminated
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Esterified Hyaluronic Acid Matrix
Sponsored by
Medline Industries
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Burn Wound

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Has a wound originating from a thermal or electrical burn
  • Target burn area is less than 20% of TBSA
  • Target burn wound is greater than 0.5% of TBSA
  • Patient has undergone escharectomy procedure or will undergo escharectomy on the target burn and resulting wound will likely need a split thickness skin graft, but wound site is not immediately ready for grafting
  • For patients with diabetes, an A1C hemoglobin level between 11 percent (taken within 90 days)

Exclusion Criteria:

  • Current active diagnosis of substance abuse, per the Investigator
  • Patient currently taking non-inhaled corticosteroids
  • Patient needs or is likely to need negative pressure wound therapy of the target wound after application of Hyalomatrix Wound Device
  • Patient is pregnant, planning to become pregnant during study period, or breastfeeding
  • Unstable medical condition as determined by the site investigator
  • Patients with known sensitivities to hyaluronan, hyaluronan derivatives, silicone, or any other ingredients of the Hyalomatrix Wound Device

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Esterified hyaluronic acid matrix

    Arm Description

    Outcomes

    Primary Outcome Measures

    Number of Days From Initial Application of Wound Matrix to Approval of Wound to Receive a Split Thickness Skin Graft

    Secondary Outcome Measures

    Change in Wound Volume From the Time Prior to Application of the Wound Device to the Time Before the Application of STSG and After STSG
    Length of Stay in Inpatient Unit
    Patient Pain Rating
    Proportion of Split Thickness Skin Graft Take for the Wound at 28 Days
    Proportion of Patients Who Develop an Infection of the Target Wound at Any Time Per Confirmation With Culture
    Subject Discharge Destination
    The facility that the subject is discharged to will be captured.

    Full Information

    First Posted
    October 23, 2018
    Last Updated
    August 11, 2023
    Sponsor
    Medline Industries
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03723590
    Brief Title
    A Clinical Evaluation of an Esterified Hyaluronic Acid Matrix in Burn Patients for STSG
    Official Title
    A Clinical Evaluation of an Esterified Hyaluronic Acid Matrix on Preparing Wounds in Burn Patients for Split-thickness Skin Grafting
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2021
    Overall Recruitment Status
    Terminated
    Why Stopped
    Business decision
    Study Start Date
    February 6, 2019 (Actual)
    Primary Completion Date
    September 22, 2021 (Actual)
    Study Completion Date
    September 22, 2021 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Medline Industries

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Burn patients meeting inclusion criteria will receive the esterified hyaluronic acid matrix as the matrix for their wound, in conjunction with the standard of care for managing these types of wounds. The study will be divided into two phases. Phase I will entail intervention with the wound matrix and will continue until one of the following occur, sufficient granulation has occurred and the patient can receive a STSG and proceed to Phase II, the patient's physician determines an STSG is no longer necessary or two applications with the wound matrix occur and no STSG is approved. Phase II will begin following the STSG procedure. In this phase, the wound will be monitored and proportion of STSG take will be evaluated but no application of the wound matrix device will take place. This phase will continue for 28 days or if the physician deems the patient no longer needs regular care to monitor the wound, whichever occurs earlier.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Burn Wound

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    5 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Esterified hyaluronic acid matrix
    Arm Type
    Experimental
    Intervention Type
    Device
    Intervention Name(s)
    Esterified Hyaluronic Acid Matrix
    Intervention Description
    A non-woven pad composed of esterified hyaluronic acid, covered with a semipermeable silicone layer to protect the wound and control water vapor loss
    Primary Outcome Measure Information:
    Title
    Number of Days From Initial Application of Wound Matrix to Approval of Wound to Receive a Split Thickness Skin Graft
    Time Frame
    Baseline to 42 days
    Secondary Outcome Measure Information:
    Title
    Change in Wound Volume From the Time Prior to Application of the Wound Device to the Time Before the Application of STSG and After STSG
    Time Frame
    Baseline to 42 days
    Title
    Length of Stay in Inpatient Unit
    Time Frame
    Baseline to 42 days
    Title
    Patient Pain Rating
    Time Frame
    Baseline to 42 days
    Title
    Proportion of Split Thickness Skin Graft Take for the Wound at 28 Days
    Time Frame
    28 days
    Title
    Proportion of Patients Who Develop an Infection of the Target Wound at Any Time Per Confirmation With Culture
    Time Frame
    Baseline to 70 days
    Title
    Subject Discharge Destination
    Description
    The facility that the subject is discharged to will be captured.
    Time Frame
    Baseline to 70 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Has a wound originating from a thermal or electrical burn Target burn area is less than 20% of TBSA Target burn wound is greater than 0.5% of TBSA Patient has undergone escharectomy procedure or will undergo escharectomy on the target burn and resulting wound will likely need a split thickness skin graft, but wound site is not immediately ready for grafting For patients with diabetes, an A1C hemoglobin level between 11 percent (taken within 90 days) Exclusion Criteria: Current active diagnosis of substance abuse, per the Investigator Patient currently taking non-inhaled corticosteroids Patient needs or is likely to need negative pressure wound therapy of the target wound after application of Hyalomatrix Wound Device Patient is pregnant, planning to become pregnant during study period, or breastfeeding Unstable medical condition as determined by the site investigator Patients with known sensitivities to hyaluronan, hyaluronan derivatives, silicone, or any other ingredients of the Hyalomatrix Wound Device

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes

    Learn more about this trial

    A Clinical Evaluation of an Esterified Hyaluronic Acid Matrix in Burn Patients for STSG

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