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A Clinical Study to Compare MAR-CUTIS With Dermabond Advanced

Primary Purpose

Wounds and Injuries, Lacerations, Surgical Incision

Status
Terminated
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
MAR-CUTIS
Dermabond Advanced
Sponsored by
Grünenthal GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wounds and Injuries focused on measuring Wounds, Injuries, Surgery, Lacerations, Wound healing, Surgical Wounds

Eligibility Criteria

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

Inclusion Criteria:

For participants with surgical incisions:

  1. Participants underwent closure of surgical incision 6 to 15 centimeters (cms) following laparotomy, abdominal hysterectomy, or laparoscopic intervention.

    For participants with lacerations:

  2. Participants requiring closure of a laceration on face (avoiding the immediate area around the eye) or extremities. In participants with multiple lacerations, one was selected as the target wound (i.e., greatest length and meets the study entry criteria).

    For all participants:

  3. Participant had given written informed consent/assent to participate.
  4. Male and female participants at least 2 years of age and body weight 10 kilogram (kg) or greater.
  5. Participants willing and capable of following instructions for wound care provided by the investigator and agreeing to return for all treatment control visits specified in this clinical study.

Exclusion Criteria:

For participants with lacerations:

  1. Wounds on mucosal surfaces or across mucocutaneous junctions (e.g., oral cavity, lips, eyes).
  2. Wounds which might be regularly exposed to body fluids or with dense natural hair (e.g., scalp); wounds on ears.
  3. Wounds on palms and feet.
  4. Animal or human bites.
  5. Lacerations that were heavily contaminated.
  6. Punctured or crushed wounds.
  7. Participants with lacerations having wound treatment more than 6 hours after the trauma.

    For all participants:

  8. Participants requiring suturing with sutures greater than 5 mm thickness.
  9. Participants with documented skin disease or skin conditions (e.g., excessive hair at the site of surgery, scar tissue, wound, tattoo, coloration, or pre-existing open sores at the site of surgery that would interfere with the application of Investigational Medical Device or the skin assessment, as judged by the investigator).
  10. Participant with any factors that might had an adverse effect on wound healing (e.g., previous history of keloid formation or hypertrophy [as well in the family]), history of immunosuppression, chronic systemic infection, or poor general health.
  11. Participants with known blood clotting disorders.
  12. Participants receiving steroids, immunosuppressants, chemotherapy, or anticoagulants.
  13. Participants having known or suspected allergy or sensitivity to polyurethane, cyanoacrylates, formaldehyde, tapes or adhesives, or benzalkonium chloride.
  14. Participant participating in any current clinical study with a non-CE ("Conformitee Europeene") marked device or investigational product.
  15. Participant who was pregnant or breastfeeding.
  16. Participant with history of a significant dermatologic disease or condition, such as atopic dermatitis, psoriasis, lichen ruber planus, vitiligo or conditions known to alter the skin appearance or physiologic response (e.g., decompensated diabetes mellitus, porphyria) that involves the investigative site.

Removal of Participants From Therapy or Assessments:

Only participants that were withdrawn from the study due to product failure at the time of application were replaced.

Participants might stop the study for any of the following reasons:

  1. Participant request.
  2. Use of non-permitted concurrent therapy.
  3. Lost to follow-up (considered lost to follow-up only before Day 10).
  4. Occurrence of adverse events not compatible with the continuation of participant participation in the study, in the investigator's opinion, or unacceptable to the participant to continue.

    • Investigator request.
    • Inter-current illness.

Sites / Locations

  • 004 - CHU Amiens-Picardie
  • 005 - Hôpital Privé Paul d'Egine
  • 010 - Charité Berlin
  • 006 - Universitätsklinikum Heidelberg
  • 009 - Klinikum Magdeburg
  • 001 - Hospital Universitari Vall d'Hebron
  • 022 - Hospital General Universitario Gregorio Maranon
  • 003 - University Hospital Virgen del Rocío
  • 019 - Barnsley Hospital
  • 017 - Birmingham Children's Hospital
  • 018 - Bristol Royal Hospital for Children
  • 021 - University Hospital of Wales
  • 013 - The Princess Alexandra Hospital
  • 011 - Leeds Teaching Hospitals
  • 016 - St George's Hospital
  • 014 - Queen Elizabeth the Queen Mother Hospital
  • 020 - Royal Gwent Hospital
  • 012 - Peterborough City Hospital
  • 015 - Musgrove Park Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Dermabond Advanced

MAR-CUTIS

Arm Description

Dermabond Advanced (a topical skin adhesive) was applied on Day 0. Dermabond Advanced was applied in 1 continuous layer onto a dry wound through painting motions; the wound was held for 60 seconds to allow for complete polymerization.

MAR-CUTIS (polyurethane-based skin adhesive) was applied on Day 0. MAR-CUTIS was applied in 1 to 2 millimeter (mm) thick layer ensuring that at least 1 cm of the glue is applied over the length of the wound on each side; the wound was held for approximately 30 seconds to allow for initial polymerization.

Outcomes

Primary Outcome Measures

Number of Participants With Total Dehiscence of Target Wound at Day 10
Wound dehiscence involved the breaking open of the surgical incision along the suture. Number of participants with dehiscence (reported as "yes") and number of participants showing no dehiscence (reported as "No").
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
A TEAE was defined as any adverse event (AE) that occured during the on-treatment-period (i.e. after the start of the application of the Investigational Medical Device (IMD) (Day 0) until the end-of-treatment visit [Month 3]).This included any events related to the procedures, the IMD, or the comparator. An SAE was any untoward medical occurrence or effect that: led to death, or led to serious deterioration in the health of the participant, that either resulted in: life-threatening illness or injury, or a permanent impairment of a body structure or a body function, or in-patient or prolonged hospitalization, or medical or surgical intervention to prevent life-threatening illness or injury or permanent, or impairment to a body structure or a body function. Or, led to fetal distress, fetal death, or a congenital abnormality or birth defect.

Secondary Outcome Measures

Number of Participants With Total Dehiscence of Target Wound at Month 1
Wound dehiscence involved the breaking open of the surgical incision along the suture.
Number of Participant's Reporting Satisfaction With the Device Using Patient and Observer Scar Assessment Scale (POSAS)
The POSAS was a questionnaire that was developed to assess scar quality. It consisted of 2 separate 6-item scales (Patient Scale and Observer Scale), both of which were scored on a 10-point rating scale. In addition, each scale has an overall "opinion" with 1 being no pain, no itching, or normal skin and 10 being worst scar imaginable with pain and itching, where lower scores indicated better outcome.
Percentage of Participants With Wound Infections
The wound infection incidence was assessed at the scheduled visits diagnosed according to the Centers for Disease Control and Prevention (CDC) criteria for surgical site infection. Wound infection was assessed and the following symptoms were evaluated if infection was present: Presence of erythema Presence of edema Presence of pain at rest Presence of elevated temperature Percentage of participants with wound infections around target wound are reported.
Investigator's Satisfaction With the Device Using Patient and Observer Scar Assessment Scale (POSAS)
The POSAS was a questionnaire that was developed to assess scar quality. Investigator were asked to rate the severity of participant's scar compared to normal skin. The overall "opinion" ranged from 1= no pain, no itching, or normal skin to 10 = worst scar imaginable with pain and itching, where lower scores indicated better outcome.
Investigator's Satisfaction With the Device Using Modified Hollander Cosmesis Scale
The investigator's satisfaction with the cosmetic outcome was assessed using the Modified Hollander Cosmesis Scale (mHCS). The mHCS consisted of 6 wound characteristics: Step-off borders, Contour irregularities, Target wound margin separation, Edge inversion, Excessive inflammation, Overall appearance. It was evaluated as "poor" or "good". Each of the characteristics was graded on a 0 (no/good) or 1 (yes/poor) point scale, where lower score indicated better outcome. Number of participants with different wound characteristics (poor and good) and participants with missing response are also reported.
Number of Participant Reporting Satisfaction With the Device Using a Product-Related Questionnaire
The questionnaire consisted of 5 yes/no questions that evaluated the participant's experience with the adhesive, 1 question that rated the effect of the closed wound on several daily activities (i.e., showering, getting dressed), 1 question that evaluated satisfaction with the wound closure, and visual analog scales which rate pain and scarring.
Number of Participants Reporting Satisfaction With the Device Evaluated by Investigator Using a Product-Related Questionnaire
The questionnaire consisted of 5 yes/no questions that assess the investigator's experience applying the adhesive (i.e., easy to use, fast, without complications), a visual analog scale that rates usability of the product from 1 (poor = very difficult to use) to 100 (excellent = very easy to use), and 1 question that evaluates satisfaction with the adhesive.
Investigator's Satisfaction With Ease of Use With the Device Using a Product-Related Questionnaire
The questionnaire consisted of 8 yes/no questions and 1 opinion question that evaluated the investigator's experience with use of the adhesive (i.e., instructions easy to understand, preparation of the syringe being easy and fast, glue hardening time).

Full Information

First Posted
September 26, 2018
Last Updated
August 10, 2020
Sponsor
Grünenthal GmbH
Collaborators
Syneos Health
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1. Study Identification

Unique Protocol Identification Number
NCT03688880
Brief Title
A Clinical Study to Compare MAR-CUTIS With Dermabond Advanced
Official Title
A Randomized, Open-label, Multi-center, Controlled Clinical Study to Compare MAR-CUTIS With Dermabond Advanced in Closure of Surgical Incisions and Lacerations up to 15 Centimeters
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Terminated
Why Stopped
Sponsor decision
Study Start Date
October 30, 2018 (Actual)
Primary Completion Date
July 17, 2019 (Actual)
Study Completion Date
September 4, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Grünenthal GmbH
Collaborators
Syneos Health

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a randomized, open-label, multicenter, comparator-controlled clinical study to compare MAR-CUTIS with Dermabond Advanced in closure of surgical incisions and lacerations less than or equal to (<=)15 centimeter (cm). Eligible participants were randomized 2:1 to MAR-CUTIS or Dermabond Advanced.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wounds and Injuries, Lacerations, Surgical Incision
Keywords
Wounds, Injuries, Surgery, Lacerations, Wound healing, Surgical Wounds

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dermabond Advanced
Arm Type
Active Comparator
Arm Description
Dermabond Advanced (a topical skin adhesive) was applied on Day 0. Dermabond Advanced was applied in 1 continuous layer onto a dry wound through painting motions; the wound was held for 60 seconds to allow for complete polymerization.
Arm Title
MAR-CUTIS
Arm Type
Experimental
Arm Description
MAR-CUTIS (polyurethane-based skin adhesive) was applied on Day 0. MAR-CUTIS was applied in 1 to 2 millimeter (mm) thick layer ensuring that at least 1 cm of the glue is applied over the length of the wound on each side; the wound was held for approximately 30 seconds to allow for initial polymerization.
Intervention Type
Device
Intervention Name(s)
MAR-CUTIS
Intervention Description
MAR-CUTIS was applied in 1 to 2 mm thick layer, ensuring that at least 1 cm of the glue was applied over the length of the wound on each side. The amount of the glue applied was calculated such that one 5-mL syringe covers approximately 8 cm of wound length (giving a total of 10 cm per syringe). For wounds >8 cm, 2 syringes were required.
Intervention Type
Device
Intervention Name(s)
Dermabond Advanced
Intervention Description
Dermabond Advanced was applied in 1 continuous layer onto a dry wound through painting motions, taking care not to apply adhesive between the wound edges.
Primary Outcome Measure Information:
Title
Number of Participants With Total Dehiscence of Target Wound at Day 10
Description
Wound dehiscence involved the breaking open of the surgical incision along the suture. Number of participants with dehiscence (reported as "yes") and number of participants showing no dehiscence (reported as "No").
Time Frame
At Day 10
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Description
A TEAE was defined as any adverse event (AE) that occured during the on-treatment-period (i.e. after the start of the application of the Investigational Medical Device (IMD) (Day 0) until the end-of-treatment visit [Month 3]).This included any events related to the procedures, the IMD, or the comparator. An SAE was any untoward medical occurrence or effect that: led to death, or led to serious deterioration in the health of the participant, that either resulted in: life-threatening illness or injury, or a permanent impairment of a body structure or a body function, or in-patient or prolonged hospitalization, or medical or surgical intervention to prevent life-threatening illness or injury or permanent, or impairment to a body structure or a body function. Or, led to fetal distress, fetal death, or a congenital abnormality or birth defect.
Time Frame
From Baseline (Day 0) up to Month 3
Secondary Outcome Measure Information:
Title
Number of Participants With Total Dehiscence of Target Wound at Month 1
Description
Wound dehiscence involved the breaking open of the surgical incision along the suture.
Time Frame
At Month 1
Title
Number of Participant's Reporting Satisfaction With the Device Using Patient and Observer Scar Assessment Scale (POSAS)
Description
The POSAS was a questionnaire that was developed to assess scar quality. It consisted of 2 separate 6-item scales (Patient Scale and Observer Scale), both of which were scored on a 10-point rating scale. In addition, each scale has an overall "opinion" with 1 being no pain, no itching, or normal skin and 10 being worst scar imaginable with pain and itching, where lower scores indicated better outcome.
Time Frame
At Month 1 and Month 3
Title
Percentage of Participants With Wound Infections
Description
The wound infection incidence was assessed at the scheduled visits diagnosed according to the Centers for Disease Control and Prevention (CDC) criteria for surgical site infection. Wound infection was assessed and the following symptoms were evaluated if infection was present: Presence of erythema Presence of edema Presence of pain at rest Presence of elevated temperature Percentage of participants with wound infections around target wound are reported.
Time Frame
At Day 10, and Month 1
Title
Investigator's Satisfaction With the Device Using Patient and Observer Scar Assessment Scale (POSAS)
Description
The POSAS was a questionnaire that was developed to assess scar quality. Investigator were asked to rate the severity of participant's scar compared to normal skin. The overall "opinion" ranged from 1= no pain, no itching, or normal skin to 10 = worst scar imaginable with pain and itching, where lower scores indicated better outcome.
Time Frame
At Month 1 and Month 3
Title
Investigator's Satisfaction With the Device Using Modified Hollander Cosmesis Scale
Description
The investigator's satisfaction with the cosmetic outcome was assessed using the Modified Hollander Cosmesis Scale (mHCS). The mHCS consisted of 6 wound characteristics: Step-off borders, Contour irregularities, Target wound margin separation, Edge inversion, Excessive inflammation, Overall appearance. It was evaluated as "poor" or "good". Each of the characteristics was graded on a 0 (no/good) or 1 (yes/poor) point scale, where lower score indicated better outcome. Number of participants with different wound characteristics (poor and good) and participants with missing response are also reported.
Time Frame
At Day 10 and Month 1
Title
Number of Participant Reporting Satisfaction With the Device Using a Product-Related Questionnaire
Description
The questionnaire consisted of 5 yes/no questions that evaluated the participant's experience with the adhesive, 1 question that rated the effect of the closed wound on several daily activities (i.e., showering, getting dressed), 1 question that evaluated satisfaction with the wound closure, and visual analog scales which rate pain and scarring.
Time Frame
At Day 10 and Month 1
Title
Number of Participants Reporting Satisfaction With the Device Evaluated by Investigator Using a Product-Related Questionnaire
Description
The questionnaire consisted of 5 yes/no questions that assess the investigator's experience applying the adhesive (i.e., easy to use, fast, without complications), a visual analog scale that rates usability of the product from 1 (poor = very difficult to use) to 100 (excellent = very easy to use), and 1 question that evaluates satisfaction with the adhesive.
Time Frame
At Day 0 and Month 1
Title
Investigator's Satisfaction With Ease of Use With the Device Using a Product-Related Questionnaire
Description
The questionnaire consisted of 8 yes/no questions and 1 opinion question that evaluated the investigator's experience with use of the adhesive (i.e., instructions easy to understand, preparation of the syringe being easy and fast, glue hardening time).
Time Frame
At Month 1

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: For participants with surgical incisions: Participants underwent closure of surgical incision 6 to 15 centimeters (cms) following laparotomy, abdominal hysterectomy, or laparoscopic intervention. For participants with lacerations: Participants requiring closure of a laceration on face (avoiding the immediate area around the eye) or extremities. In participants with multiple lacerations, one was selected as the target wound (i.e., greatest length and meets the study entry criteria). For all participants: Participant had given written informed consent/assent to participate. Male and female participants at least 2 years of age and body weight 10 kilogram (kg) or greater. Participants willing and capable of following instructions for wound care provided by the investigator and agreeing to return for all treatment control visits specified in this clinical study. Exclusion Criteria: For participants with lacerations: Wounds on mucosal surfaces or across mucocutaneous junctions (e.g., oral cavity, lips, eyes). Wounds which might be regularly exposed to body fluids or with dense natural hair (e.g., scalp); wounds on ears. Wounds on palms and feet. Animal or human bites. Lacerations that were heavily contaminated. Punctured or crushed wounds. Participants with lacerations having wound treatment more than 6 hours after the trauma. For all participants: Participants requiring suturing with sutures greater than 5 mm thickness. Participants with documented skin disease or skin conditions (e.g., excessive hair at the site of surgery, scar tissue, wound, tattoo, coloration, or pre-existing open sores at the site of surgery that would interfere with the application of Investigational Medical Device or the skin assessment, as judged by the investigator). Participant with any factors that might had an adverse effect on wound healing (e.g., previous history of keloid formation or hypertrophy [as well in the family]), history of immunosuppression, chronic systemic infection, or poor general health. Participants with known blood clotting disorders. Participants receiving steroids, immunosuppressants, chemotherapy, or anticoagulants. Participants having known or suspected allergy or sensitivity to polyurethane, cyanoacrylates, formaldehyde, tapes or adhesives, or benzalkonium chloride. Participant participating in any current clinical study with a non-CE ("Conformitee Europeene") marked device or investigational product. Participant who was pregnant or breastfeeding. Participant with history of a significant dermatologic disease or condition, such as atopic dermatitis, psoriasis, lichen ruber planus, vitiligo or conditions known to alter the skin appearance or physiologic response (e.g., decompensated diabetes mellitus, porphyria) that involves the investigative site. Removal of Participants From Therapy or Assessments: Only participants that were withdrawn from the study due to product failure at the time of application were replaced. Participants might stop the study for any of the following reasons: Participant request. Use of non-permitted concurrent therapy. Lost to follow-up (considered lost to follow-up only before Day 10). Occurrence of adverse events not compatible with the continuation of participant participation in the study, in the investigator's opinion, or unacceptable to the participant to continue. Investigator request. Inter-current illness.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Grünenthal GmbH
Official's Role
Study Director
Facility Information:
Facility Name
004 - CHU Amiens-Picardie
City
Amiens
ZIP/Postal Code
80054
Country
France
Facility Name
005 - Hôpital Privé Paul d'Egine
City
Champigny-sur-Marne
ZIP/Postal Code
94500
Country
France
Facility Name
010 - Charité Berlin
City
Berlin
ZIP/Postal Code
13353
Country
Germany
Facility Name
006 - Universitätsklinikum Heidelberg
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
009 - Klinikum Magdeburg
City
Magdeburg
ZIP/Postal Code
39130
Country
Germany
Facility Name
001 - Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
022 - Hospital General Universitario Gregorio Maranon
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
003 - University Hospital Virgen del Rocío
City
Seville
ZIP/Postal Code
41013
Country
Spain
Facility Name
019 - Barnsley Hospital
City
Barnsley
ZIP/Postal Code
S75 2EP
Country
United Kingdom
Facility Name
017 - Birmingham Children's Hospital
City
Birmingham
ZIP/Postal Code
B4 6NH
Country
United Kingdom
Facility Name
018 - Bristol Royal Hospital for Children
City
Bristol
ZIP/Postal Code
BS2 8AE
Country
United Kingdom
Facility Name
021 - University Hospital of Wales
City
Cardiff
ZIP/Postal Code
CF14 4XW
Country
United Kingdom
Facility Name
013 - The Princess Alexandra Hospital
City
Harlow
ZIP/Postal Code
CM20 1QX
Country
United Kingdom
Facility Name
011 - Leeds Teaching Hospitals
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom
Facility Name
016 - St George's Hospital
City
London
ZIP/Postal Code
SW17 0QT
Country
United Kingdom
Facility Name
014 - Queen Elizabeth the Queen Mother Hospital
City
Margate
ZIP/Postal Code
CT9 4AN
Country
United Kingdom
Facility Name
020 - Royal Gwent Hospital
City
Newport
ZIP/Postal Code
NP20 2UB
Country
United Kingdom
Facility Name
012 - Peterborough City Hospital
City
Peterborough
ZIP/Postal Code
PE3 9GZ
Country
United Kingdom
Facility Name
015 - Musgrove Park Hospital
City
Taunton
ZIP/Postal Code
TA1 5DA
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Clinical Study to Compare MAR-CUTIS With Dermabond Advanced

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