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Evaluating the Efficacy of an Absorbent Foam Dressing Containing Silver (Mepilex Ag) Versus the Same Dressing Without Silver Used on Subjects With Venous Leg Ulcers or Mixed Ulcers

Primary Purpose

Venous Leg Ulcers, Mixed Leg Ulcers

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Mepilex Ag
Mepilex without Ag
Sponsored by
Molnlycke Health Care AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Venous Leg Ulcers

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects with colonised/ local infection in a venous leg ulcer or mixed leg ulcer with an ABPI ≥ 0,8 and < 1.3
  • A history of an appropriate compression therapy for at least 2 weeks prior to randomisation
  • Subjects with colonised/local infection presenting with three of five following specified signs:

    • pain between dressing changes
    • exuding wounds
    • erythema on peri-wound skin
    • oedema
    • odour
  • An ulcer size of at least 4 cm2 and a maximum size witch could be covered by one investigational product of 15x15 cm.
  • Ulcer duration 6 weeks to 1 year
  • In case of multiple ulcers: target ulcer must be at least 3 cm distant from other ulcers.
  • Both gender with an age ≥ 18 years
  • Signed informed consent

Exclusion Criteria:

  • > 10% necrotic (black) or fibrinous (yellow) tissue covering the wound bed
  • Infected wounds in need of systemic antibiotic treatment
  • Use of anti-microbial dressings or topical agents such as antiseptics, local antibiotics and steroids within 7 days from inclusion on the wound intended to be included
  • Previous treatment with silver product 2 weeks prior to inclusion
  • Previous treatment with MepilexAg® on the target ulcer
  • Use of systemic antibiotics for any reason during the previous 7 days
  • Venous surgery 2 weeks prior to inclusion or planned surgery within 8 weeks after inclusion
  • Diagnosed underlying disease(s) (e.g. HIV/AIDS, cancer/malignancy and severe anaemia) judged by the investigator to be a potential interference in the wound evaluation
  • Subjects with poorly controlled diabetes mellitus i.e. HbA1c >8%
  • Subjects treated with systemic immunosuppressive or glucocorticosteroids, except subjects taking occasional doses or doses less than 10mg prednisolon/day or equivalent. Subjects inhaling glucocorticosteroids for asthma should not be excluded.
  • Known allergy/hypersensitivity to any of the components of the investigation products.
  • Subjects with physical and/or mental conditions that are not expected to comply with the investigation due to poor medical condition
  • Participation in other clinical investigation(s) within 1 month prior to start of the investigation.
  • Previously randomised to this investigation.
  • Life expectance of the subject less than 3 months
  • Pregnant or breast-feeding women

Sites / Locations

  • Fakultní nemocnice U svate Anny, St. Anne´s University Hospital
  • Dermatovenerologická klinika, University Hospital Bohunice,
  • Nemocnice Jihlava
  • Krajská nemocnice Liberec
  • Dermatovenerologická klinike, Univerzita Karlova
  • Fakultní nemocnice Na Bulovce
  • chirugické oddělení, Fakultní nemocnice Královské Vinohrady
  • Nemocnice Podlesí a.s.
  • Uherskohradišťská nemocnice a. s.
  • Masarykova Hospital, Dermatology dept.
  • Dermatovenerologie Rendlová s.r.o.
  • Dermatology Department, University Hospital, Hopital Sud
  • Polyclinique de Picardie Service d'Angiologie Phlébologie
  • Hôpital privé d'Antony Service de Dermatologie
  • Hôpital Saint Jacques - CHU Besançon
  • Résidence le Bristol
  • Service de Dermatologie, Centre Hospitalier Regional Universitaire
  • CHU Le Bocage Service Dermatologie
  • Hôpital Albert Michallon Service de médecine vasculaire
  • CHG La Roche-sur-Yon Service de D'Angiologie,Les Oudairies
  • Centre Hospitalier le Mans Service de Dermatologie
  • Cabinet D'Angeiologie
  • Hopital Maringer-Villemin- Fournier
  • Pharmacie Centrale-Service Arsenal
  • APHP Hôpital Lariboisère
  • Hôpital Rotchild - Jean Rostand
  • Hôpital Saint Joseph
  • Hopital Robert Debré Service de Dermatologie
  • Hopital Charles Nicolle
  • Cabinet d'Angiologie, 1 bis rue de Salgareda
  • Maison de Santé Protestante de Bordeaux-Bagatelle
  • Hopital Beauregard / Secrétariat de Dermatologie
  • Service de dermatologie
  • Clinique Pasteur
  • Universtätsmedizin Charité Klinik für Dermatologie, Allergologie und Venerologie
  • Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken -
  • Universitätsklinikum Hamburg-Eppedorf
  • Bramfelder Chaussee 200
  • Universität klinikum Jena, Klinik für dermatologie und dermatologische
  • Universitätsklinikum Schleswig-Holstein Campus Lübeck
  • University Hospital Regensburg
  • Universitäts-Hautklinik
  • Dermatology department
  • St. Antonius Ziekenhuis

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Mepilex product

Mepilex Ag

Arm Description

Outcomes

Primary Outcome Measures

Efficacy Will be Defined as Absolute Wound Size Reduction.
Efficacy will be defined as absolute wound size reduction.

Secondary Outcome Measures

Change in Inflammatory Signs
Change in inflammatory signs

Full Information

First Posted
December 18, 2009
Last Updated
September 11, 2014
Sponsor
Molnlycke Health Care AB
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1. Study Identification

Unique Protocol Identification Number
NCT01036438
Brief Title
Evaluating the Efficacy of an Absorbent Foam Dressing Containing Silver (Mepilex Ag) Versus the Same Dressing Without Silver Used on Subjects With Venous Leg Ulcers or Mixed Ulcers
Official Title
A Double-blind, Comparative, Superiority, Multi-centre Investigation Evaluating the Efficacy of an Absorbent Foam Dressing Containing Silver (Mepilex Ag) Versus the Same Dressing Without Silver Used on Subjects With Venous Leg Ulcers or Mixed Ulcers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Molnlycke Health Care AB

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Compare the efficacy of using an absorbent foam silver dressing (Mepilex Ag) versus the equivalent dressing without silver in subjects suffering from venous leg ulcer or mixed ulcer with an ABPI ≥ 0.8 and with inflammatory signs. Efficacy will be defined as absolute wound size reduction.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Venous Leg Ulcers, Mixed Leg Ulcers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
201 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mepilex product
Arm Type
Placebo Comparator
Arm Title
Mepilex Ag
Arm Type
Active Comparator
Intervention Type
Device
Intervention Name(s)
Mepilex Ag
Intervention Description
Mepilex is designed for a wide range of exuding wounds such as leg and foot ulcers, pressure ulcers and traumatic wounds, e.g. skin tears and secondary healing wounds.
Intervention Type
Device
Intervention Name(s)
Mepilex without Ag
Intervention Description
Mepilex is designed for a wide range of exuding wounds such as leg and foot ulcers, pressure ulcers and traumatic wounds, e.g. skin tears and secondary healing wounds.
Primary Outcome Measure Information:
Title
Efficacy Will be Defined as Absolute Wound Size Reduction.
Description
Efficacy will be defined as absolute wound size reduction.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Change in Inflammatory Signs
Description
Change in inflammatory signs
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects with colonised/ local infection in a venous leg ulcer or mixed leg ulcer with an ABPI ≥ 0,8 and < 1.3 A history of an appropriate compression therapy for at least 2 weeks prior to randomisation Subjects with colonised/local infection presenting with three of five following specified signs: pain between dressing changes exuding wounds erythema on peri-wound skin oedema odour An ulcer size of at least 4 cm2 and a maximum size witch could be covered by one investigational product of 15x15 cm. Ulcer duration 6 weeks to 1 year In case of multiple ulcers: target ulcer must be at least 3 cm distant from other ulcers. Both gender with an age ≥ 18 years Signed informed consent Exclusion Criteria: > 10% necrotic (black) or fibrinous (yellow) tissue covering the wound bed Infected wounds in need of systemic antibiotic treatment Use of anti-microbial dressings or topical agents such as antiseptics, local antibiotics and steroids within 7 days from inclusion on the wound intended to be included Previous treatment with silver product 2 weeks prior to inclusion Previous treatment with MepilexAg® on the target ulcer Use of systemic antibiotics for any reason during the previous 7 days Venous surgery 2 weeks prior to inclusion or planned surgery within 8 weeks after inclusion Diagnosed underlying disease(s) (e.g. HIV/AIDS, cancer/malignancy and severe anaemia) judged by the investigator to be a potential interference in the wound evaluation Subjects with poorly controlled diabetes mellitus i.e. HbA1c >8% Subjects treated with systemic immunosuppressive or glucocorticosteroids, except subjects taking occasional doses or doses less than 10mg prednisolon/day or equivalent. Subjects inhaling glucocorticosteroids for asthma should not be excluded. Known allergy/hypersensitivity to any of the components of the investigation products. Subjects with physical and/or mental conditions that are not expected to comply with the investigation due to poor medical condition Participation in other clinical investigation(s) within 1 month prior to start of the investigation. Previously randomised to this investigation. Life expectance of the subject less than 3 months Pregnant or breast-feeding women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sylvie Meaume, Dr
Organizational Affiliation
Hopital Rotchild - Jean Rostand, Paris
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fakultní nemocnice U svate Anny, St. Anne´s University Hospital
City
Brno
ZIP/Postal Code
65691
Country
Czech Republic
Facility Name
Dermatovenerologická klinika, University Hospital Bohunice,
City
Brno
Country
Czech Republic
Facility Name
Nemocnice Jihlava
City
Jihlava
ZIP/Postal Code
586 01
Country
Czech Republic
Facility Name
Krajská nemocnice Liberec
City
Liberec
ZIP/Postal Code
46063
Country
Czech Republic
Facility Name
Dermatovenerologická klinike, Univerzita Karlova
City
Plzen
ZIP/Postal Code
305 99
Country
Czech Republic
Facility Name
Fakultní nemocnice Na Bulovce
City
Prague
ZIP/Postal Code
180 00
Country
Czech Republic
Facility Name
chirugické oddělení, Fakultní nemocnice Královské Vinohrady
City
Praha
ZIP/Postal Code
10 PSČ 100 34
Country
Czech Republic
Facility Name
Nemocnice Podlesí a.s.
City
Třinec
ZIP/Postal Code
73961
Country
Czech Republic
Facility Name
Uherskohradišťská nemocnice a. s.
City
Uherské Hradiště
ZIP/Postal Code
68668
Country
Czech Republic
Facility Name
Masarykova Hospital, Dermatology dept.
City
Usti nad Labem
ZIP/Postal Code
401 13
Country
Czech Republic
Facility Name
Dermatovenerologie Rendlová s.r.o.
City
České Budějovice
ZIP/Postal Code
37001
Country
Czech Republic
Facility Name
Dermatology Department, University Hospital, Hopital Sud
City
Amiens cedex
ZIP/Postal Code
80054
Country
France
Facility Name
Polyclinique de Picardie Service d'Angiologie Phlébologie
City
Amiens
ZIP/Postal Code
80000
Country
France
Facility Name
Hôpital privé d'Antony Service de Dermatologie
City
Antony
ZIP/Postal Code
92160
Country
France
Facility Name
Hôpital Saint Jacques - CHU Besançon
City
Besançon
ZIP/Postal Code
25030
Country
France
Facility Name
Résidence le Bristol
City
Boulogne-sur-mer
ZIP/Postal Code
62200
Country
France
Facility Name
Service de Dermatologie, Centre Hospitalier Regional Universitaire
City
Caen cedex 9
ZIP/Postal Code
140 33
Country
France
Facility Name
CHU Le Bocage Service Dermatologie
City
Dijon Cedex
ZIP/Postal Code
21079
Country
France
Facility Name
Hôpital Albert Michallon Service de médecine vasculaire
City
Grenoble Cedex 9
ZIP/Postal Code
38 043
Country
France
Facility Name
CHG La Roche-sur-Yon Service de D'Angiologie,Les Oudairies
City
La Roche-sur-Yon
ZIP/Postal Code
85925
Country
France
Facility Name
Centre Hospitalier le Mans Service de Dermatologie
City
Le Mans cedex 9
ZIP/Postal Code
72037
Country
France
Facility Name
Cabinet D'Angeiologie
City
Lille
ZIP/Postal Code
690 00
Country
France
Facility Name
Hopital Maringer-Villemin- Fournier
City
Nancy
Country
France
Facility Name
Pharmacie Centrale-Service Arsenal
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
APHP Hôpital Lariboisère
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Hôpital Rotchild - Jean Rostand
City
Paris
ZIP/Postal Code
75012
Country
France
Facility Name
Hôpital Saint Joseph
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Hopital Robert Debré Service de Dermatologie
City
Reims
Country
France
Facility Name
Hopital Charles Nicolle
City
Rouen cedex
Country
France
Facility Name
Cabinet d'Angiologie, 1 bis rue de Salgareda
City
St Alban
ZIP/Postal Code
31140
Country
France
Facility Name
Maison de Santé Protestante de Bordeaux-Bagatelle
City
Talence Cedex
Country
France
Facility Name
Hopital Beauregard / Secrétariat de Dermatologie
City
Thionville
ZIP/Postal Code
57100
Country
France
Facility Name
Service de dermatologie
City
Toulon cedex
Country
France
Facility Name
Clinique Pasteur
City
Toulouse
ZIP/Postal Code
31076
Country
France
Facility Name
Universtätsmedizin Charité Klinik für Dermatologie, Allergologie und Venerologie
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken -
City
Bochum
ZIP/Postal Code
44805
Country
Germany
Facility Name
Universitätsklinikum Hamburg-Eppedorf
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
Bramfelder Chaussee 200
City
Hamburg
ZIP/Postal Code
22177
Country
Germany
Facility Name
Universität klinikum Jena, Klinik für dermatologie und dermatologische
City
Jena
ZIP/Postal Code
07740
Country
Germany
Facility Name
Universitätsklinikum Schleswig-Holstein Campus Lübeck
City
Lübeck
ZIP/Postal Code
23538
Country
Germany
Facility Name
University Hospital Regensburg
City
Regensburg
Country
Germany
Facility Name
Universitäts-Hautklinik
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Dermatology department
City
Amsterdam
ZIP/Postal Code
1081
Country
Netherlands
Facility Name
St. Antonius Ziekenhuis
City
Utrecht
Country
Netherlands

12. IPD Sharing Statement

Learn more about this trial

Evaluating the Efficacy of an Absorbent Foam Dressing Containing Silver (Mepilex Ag) Versus the Same Dressing Without Silver Used on Subjects With Venous Leg Ulcers or Mixed Ulcers

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