A Feasibility Study of a Novel Phototherapy System for the Management of Acute Burns
Primary Purpose
Burn Wound
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Lumina24 BLU
Sponsored by
About this trial
This is an interventional treatment trial for Burn Wound
Eligibility Criteria
Inclusion Criteria:
- Males or females age > 18 to < 65
- BMI > 20 kg/m2
- Patients anticipated to receive inpatient care for a minimum of 72 hours at the respective medical facility for partial thickness second-degree, deep partial thickness second-degree and/or full thickness third-degree burn wounds.
- Patients who have a > 5% to < 50% Total Body Surface Area (TBSA) wound.
- Patients are willing and able to adhere to the therapy and protocol.
- Female of childbearing potential must be willing to use acceptable methods of contraception.
- Patients may or may not have clinical signs and symptoms of burn site infection at baseline.
- Subject has read, understood and signed the approved ICF before screening procedures either by the patient or their legally authorized representative.
Exclusion Criteria:
- Subjects with burns > third-degree (i.e. involvement of deeper tissues, such as muscle, tendons, or bone)
- Patients deemed not medically stable by the treating Investigator.
- Patients with burn wounds limited to their head or genitalia.
- Patients currently enrolled or participating in another investigational device, drug or biological trial that would interfere with the Lumina24TM application.
- Patients with inhalation burns.
- Patients who are clinically septic.
- Patients are pregnant.
- Patients on a ventilator, who are undergoing acute fluid resuscitation, are hemodynamically unstable or are deemed 'comfort measures only'.
- In the opinion of treating physician, patient not expected to survive beyond 30 days.
- Pregnant or lactating status. Pregnancy as determined by a positive pregnancy test at screening or baseline.
- Known history of HIV infection, or active Hepatitis B or Hepatitis C infection.
- Cancer requiring chemotherapy or radiation within previous 6 months or resection within the last 5 years (other than basal cell carcinoma.
- Known chronic renal failure (serum creatine > 2 mg/dL) or chronic liver disease.
- Pre-existing medical condition requiring current use of immunosuppressive medication or systemic steroids
- Pre-existing medical conditions that would interfere with wound healing (i.e. diabetic patients with Hemoglobin A1c test result > 8%, malignancy, autoimmune disease)
- Subjects with psychiatric conditions that are anticipated to result in protocol noncompliance
- Chronic illicit drug or alcohol abuse that is anticipated to interfere with patient compliance with the protocol
- Subject is incarcerated at the time of screening.
Sites / Locations
- University of Florida
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Lumina24 BLU
Arm Description
Each subject will be randomized to receive standard of care dressing on approximately half of the study burn site, and Lumina24TM BLU treatment on the remaining half of the study burn site.
Outcomes
Primary Outcome Measures
Wound Healing
Percentage area reduction (PAR) of the acute burn wound (SOC control site vs. Lumina24TM BLU treatment site)
Number of adverse events
Safety measured by incidence of product-related AEs, SAEs, and UADEs
Microbial load counts (Cohort II only)
Difference of bioburden in/on the burn wound (SOC control site vs. Lumina24TM BLU treatment site) assessed by quantitative analysis of microbial load counts obtained from 3-mm punch biopsies and wound cultures
Secondary Outcome Measures
Time to healing
Time to burn wound healing at end of inpatient treatment
Numerical Pain Rating Scale
Difference in pain related to acute burn wounds between SOC control site and Lumina24TM BLU treatment site assessed by patient-reported rating ranging from 0 to 10 (where 0 represents no pain and 10 represents worst possible pain)
Cost-effectiveness
Difference in cost-effectiveness of treatment regime between Lumina24TM BLU and SOC control assessed by difference in sum of costs associated with each treatment regime (including costs of OR visits required, inpatient stay, grafts and/or biologics used)
Patient and Observer Scar Assessment Scale
Difference in healing of hypertrophic scarring between SOC control site and Lumina24TM BLU treatment site assessed by Patient and Observer Scar Assessment Scale
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04011306
Brief Title
A Feasibility Study of a Novel Phototherapy System for the Management of Acute Burns
Official Title
A Multicenter, Prospective, Randomized, Comparative Feasibility Study of a Novel Phototherapy System for the Management of Acute Burns
Study Type
Interventional
2. Study Status
Record Verification Date
January 2020
Overall Recruitment Status
Unknown status
Study Start Date
February 2020 (Anticipated)
Primary Completion Date
August 2021 (Anticipated)
Study Completion Date
August 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rogers Sciences Inc.
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
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The primary purpose of this feasibility study is to evaluate safety and effectiveness in healing outcomes of patients treated with Lumina24TM BLU (treatment), a Continuous Low-Irradiance Phototherapy (CLIP) device, as compared to standard of care (SOC) therapy (control) for the treatment of acute burns.
Detailed Description
This feasibility study will consist of up to 15 subjects (Cohort I: up to 10 subjects with partial thickness second-degree burns; Cohort II: up to 5 subjects with deep partial thickness second- and/or full thickness third-degree burns). Each subject will be randomized to receive standard of care dressing on approximately half of the study burn site, and Lumina24TM BLU treatment on the remaining half of the study burn site. If the subject has bilaterally symmetric burns, they will be randomized to receive SOC or Lumina24TM BLU at the distinct anatomical burn locations (e.g. right/left thigh, right/left shoulder, etc.). The proposed feasibility study will inform critical primary and secondary outcome measures and procedural improvements necessary for a pivotal clinical study that would demonstrate both antimicrobial effectiveness and improved wound healing of acute burn wounds.
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
15 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Lumina24 BLU
Arm Type
Experimental
Arm Description
Each subject will be randomized to receive standard of care dressing on approximately half of the study burn site, and Lumina24TM BLU treatment on the remaining half of the study burn site.
Intervention Type
Device
Intervention Name(s)
Lumina24 BLU
Intervention Description
Lumina24 BLU is the technology used to deliver continuous low-irradiance phototherapy for the treatment of acute burns
Primary Outcome Measure Information:
Title
Wound Healing
Description
Percentage area reduction (PAR) of the acute burn wound (SOC control site vs. Lumina24TM BLU treatment site)
Time Frame
up to 28 days
Title
Number of adverse events
Description
Safety measured by incidence of product-related AEs, SAEs, and UADEs
Time Frame
up to 28 days
Title
Microbial load counts (Cohort II only)
Description
Difference of bioburden in/on the burn wound (SOC control site vs. Lumina24TM BLU treatment site) assessed by quantitative analysis of microbial load counts obtained from 3-mm punch biopsies and wound cultures
Time Frame
up to 28 days
Secondary Outcome Measure Information:
Title
Time to healing
Description
Time to burn wound healing at end of inpatient treatment
Time Frame
12 months
Title
Numerical Pain Rating Scale
Description
Difference in pain related to acute burn wounds between SOC control site and Lumina24TM BLU treatment site assessed by patient-reported rating ranging from 0 to 10 (where 0 represents no pain and 10 represents worst possible pain)
Time Frame
12 months
Title
Cost-effectiveness
Description
Difference in cost-effectiveness of treatment regime between Lumina24TM BLU and SOC control assessed by difference in sum of costs associated with each treatment regime (including costs of OR visits required, inpatient stay, grafts and/or biologics used)
Time Frame
12 months
Title
Patient and Observer Scar Assessment Scale
Description
Difference in healing of hypertrophic scarring between SOC control site and Lumina24TM BLU treatment site assessed by Patient and Observer Scar Assessment Scale
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or females age > 18 to < 65
BMI > 20 kg/m2
Patients anticipated to receive inpatient care for a minimum of 72 hours at the respective medical facility for partial thickness second-degree, deep partial thickness second-degree and/or full thickness third-degree burn wounds.
Patients who have a > 5% to < 50% Total Body Surface Area (TBSA) wound.
Patients are willing and able to adhere to the therapy and protocol.
Female of childbearing potential must be willing to use acceptable methods of contraception.
Patients may or may not have clinical signs and symptoms of burn site infection at baseline.
Subject has read, understood and signed the approved ICF before screening procedures either by the patient or their legally authorized representative.
Exclusion Criteria:
Subjects with burns > third-degree (i.e. involvement of deeper tissues, such as muscle, tendons, or bone)
Patients deemed not medically stable by the treating Investigator.
Patients with burn wounds limited to their head or genitalia.
Patients currently enrolled or participating in another investigational device, drug or biological trial that would interfere with the Lumina24TM application.
Patients with inhalation burns.
Patients who are clinically septic.
Patients are pregnant.
Patients on a ventilator, who are undergoing acute fluid resuscitation, are hemodynamically unstable or are deemed 'comfort measures only'.
In the opinion of treating physician, patient not expected to survive beyond 30 days.
Pregnant or lactating status. Pregnancy as determined by a positive pregnancy test at screening or baseline.
Known history of HIV infection, or active Hepatitis B or Hepatitis C infection.
Cancer requiring chemotherapy or radiation within previous 6 months or resection within the last 5 years (other than basal cell carcinoma.
Known chronic renal failure (serum creatine > 2 mg/dL) or chronic liver disease.
Pre-existing medical condition requiring current use of immunosuppressive medication or systemic steroids
Pre-existing medical conditions that would interfere with wound healing (i.e. diabetic patients with Hemoglobin A1c test result > 8%, malignancy, autoimmune disease)
Subjects with psychiatric conditions that are anticipated to result in protocol noncompliance
Chronic illicit drug or alcohol abuse that is anticipated to interfere with patient compliance with the protocol
Subject is incarcerated at the time of screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David W. Mozingo, MD
Organizational Affiliation
University of Florida
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David W. Mozingo, MD
Phone
352-273-5670
Email
david.mozingo@surgery.ufl.edu
12. IPD Sharing Statement
Learn more about this trial
A Feasibility Study of a Novel Phototherapy System for the Management of Acute Burns
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