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Evaluation of the Effects of HP828-101 Versus Standard of Care in the Management of Partial or Full Thickness Wounds

Primary Purpose

Diabetic Foot Ulcers, Pressure Ulcers

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
HP828-101
Hydrogel/Hydrocolloid
Sponsored by
Healthpoint
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Diabetic Foot Ulcers focused on measuring pressure ulcers, PU, diabetic foot ulcers, DFU, Bates-Jensen Wound Assessment

Eligibility Criteria

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

Inclusion Criteria:

  • The informed consent document must be read, signed, and dated by the subject or the subject's legally authorized representative before conducting any study procedures or exams. In addition, the informed consent document must be signed and dated by the individual who consents the subject before conducting Visit 1. A photocopy of the signed informed consent document must be provided to the subject, and the original signed document placed in the subject's chart. For subjects that agree to have their wound photographed for the trial, a photo release consent form must be signed and documented as well.
  • Age 18 years or older, of either sex, and of any race or skin type, provided that their skin color, in the opinion of the Investigator, will not interfere with the study assessments.
  • Females, if of child-bearing potential, have a negative urine pregnancy test and agree to use acceptable contraception during the study. Adequate birth control methods are defined as: hormonal-topical, oral, implantable, or injectable contraceptives; mechanical-spermicide in conjunction with a barrier such as a condom or diaphragm; IUD; or surgical sterilization of partner.
  • Have a partial or full thickness PU on the foot or ankle or DFU of <= 6 months duration and between ≥1.0 and ≤ 12.0 cm² in area.
  • Are willing to make all required study visits.
  • Are willing to follow instructions, in the opinion of the Investigator.
  • Have, within 12 weeks prior to randomization, a serum albumin level ≥ 2.0 g/dL (20 g/L); Alkaline phosphatase, AST, ALT, serum creatinine, and BUN levels < 3 x upper limit of normal; HbA1C ≤ 12%; and Hemoglobin >= 8 g/dL. The most recently obtained value must be evaluated against these criteria. Please refer to Appendix 18.1.5
  • Have arterial supply adequacy confirmed by an Ankle Brachial Index (ABI) >= 0.7 and ≤ 1.1 or if the ABI is > 1.1, either a TcPO2 >= 40 mmHg, as measured on the foot, or great toe pressure ≥ 50 mm/Hg,
  • For ulcers that will require surgical debridement prior to enrollment, the wound must be expected to remain a partial thickness wound after debridement.

Exclusion Criteria:

  • Have a known hypersensitivity to any of the test articles or their components.
  • Have received therapy with another investigational agent within thirty (30) days of Visit 1.
  • Are pregnant or nursing.
  • Have clinical evidence of bacterial or fungal infection of the wound per visual/clinical assessment.
  • Have a severe burn, immunodeficiency disorder, hematologic disorder, or metastatic malignancy.
  • Have had documented osteomyelitis on the target ulcer leg within 6 months preceding the screening visit.
  • Have severe edema of the target ulcer leg.
  • If being treated with Xenaderm, must stop treatment prior to enrolling in the study.
  • Have received treatment with glucocorticoids for > 10 consecutive days within 6 months prior to the start of the study.
  • Have received chemotherapy or radiation therapy within the past 5 years.
  • Therapy of the target ulcer with tissue-engineered cell-based skin equivalents within 30 days preceding the Screening Visit (e.g., Apligraf®).
  • Therapy of the target ulcer with topical growth factors within 1 week preceding the Screening Visit.
  • Current therapy with systemic or topical antibiotics or systemic therapy with cytotoxic drugs.

Sites / Locations

  • Trovare Clinical Research
  • Absolute Foot Care
  • Roy Kroeker
  • Innovative Medical Technologies
  • San Diego Research Center
  • Foot and Ankle Associates of Florida
  • Weil Foot and Ankle Institute
  • Prigoff-Bowers LLP
  • Richard Galperin, DPM
  • Robert Wunderlich, DPM
  • Dixie Regional Wound Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

HP828-101

Standard of Care

Arm Description

For DFU SoC is a hydrogel. For PU SoC is a hydrocolloid gel.

Outcomes

Primary Outcome Measures

Adequate Management of the Wound Assessed by a Left Movement (Improvement) in the Modified Bates Jensen Wound Assessment Tool.
Modified Bates-Jensen Wound Assessment (BWAT-m) Scores for those characteristics measured (wound size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, periwound color and edema, granulation tissue, and epithelialization) were each graded on a 5-point scale, with 1 being the best and 5 being the worst.

Secondary Outcome Measures

Number of Participants With Wound Closure by Day 22.
Pain Assessed by a 100-mm VAS Scale.
100-mm VAS scale was used to evaluate pain, with 1 being healthy tissue (no pain) up to 100 (wound degeneration and severe pain)
Moist Wound Environment as Per the Bates-Jensen Wound Assessment Tool (BWAT)
Modified Bates-Jensen Wound Assessment (BWAT-m) Scores for those characteristics measured (wound exudate type and amount) were each graded on a 5-point scale, with 1 being the best and 5 being the worst.

Full Information

First Posted
August 27, 2009
Last Updated
December 11, 2013
Sponsor
Healthpoint
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1. Study Identification

Unique Protocol Identification Number
NCT00971048
Brief Title
Evaluation of the Effects of HP828-101 Versus Standard of Care in the Management of Partial or Full Thickness Wounds
Official Title
Evaluation of the Effects of HP828-101 Versus Standard of Care in the Management of Partial or Full Thickness Wounds
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
September 2009 (undefined)
Primary Completion Date
January 2011 (Actual)
Study Completion Date
January 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Healthpoint

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare HP828-101 to standard of care for the management of partial or full thickness wounds
Detailed Description
The primary objective is to compare HP828-101 to standard of care for the management of partial or full thickness wounds, evaluated using the Bates Jensen Wound Assessment Tool (BWAT). The secondary objectives are comparison of the proportion of subjects with wound closure by day 22, comparison of pain assessed using a visual analog scale (VAS), and evaluation of moist wound environment as per the BWAT.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Foot Ulcers, Pressure Ulcers
Keywords
pressure ulcers, PU, diabetic foot ulcers, DFU, Bates-Jensen Wound Assessment

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
88 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HP828-101
Arm Type
Experimental
Arm Title
Standard of Care
Arm Type
Active Comparator
Arm Description
For DFU SoC is a hydrogel. For PU SoC is a hydrocolloid gel.
Intervention Type
Device
Intervention Name(s)
HP828-101
Other Intervention Name(s)
New device, no brand name identified-Code name is HP828-101
Intervention Description
Topical test article applied once daily
Intervention Type
Device
Intervention Name(s)
Hydrogel/Hydrocolloid
Other Intervention Name(s)
3M Tegaderm Hydrogel for DFU, ConvaTec DuoDERM Hydroactive Gel for PU
Intervention Description
Hydrogel for DFU and Hydrocolloid for PU (3M Tegaderm Hydrogel for DFU; ConvaTec DuoDERM Hydroactive Gel for PU); Topical test articles applied once daily
Primary Outcome Measure Information:
Title
Adequate Management of the Wound Assessed by a Left Movement (Improvement) in the Modified Bates Jensen Wound Assessment Tool.
Description
Modified Bates-Jensen Wound Assessment (BWAT-m) Scores for those characteristics measured (wound size, depth, edges, undermining, necrotic tissue type and amount, exudate type and amount, periwound color and edema, granulation tissue, and epithelialization) were each graded on a 5-point scale, with 1 being the best and 5 being the worst.
Time Frame
22 - 29 days
Secondary Outcome Measure Information:
Title
Number of Participants With Wound Closure by Day 22.
Time Frame
22 days
Title
Pain Assessed by a 100-mm VAS Scale.
Description
100-mm VAS scale was used to evaluate pain, with 1 being healthy tissue (no pain) up to 100 (wound degeneration and severe pain)
Time Frame
At every visit: Day 8, Day 15, Day 22, Day 29
Title
Moist Wound Environment as Per the Bates-Jensen Wound Assessment Tool (BWAT)
Description
Modified Bates-Jensen Wound Assessment (BWAT-m) Scores for those characteristics measured (wound exudate type and amount) were each graded on a 5-point scale, with 1 being the best and 5 being the worst.
Time Frame
At every visit: Day 8, Day 15, Day 22, Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The informed consent document must be read, signed, and dated by the subject or the subject's legally authorized representative before conducting any study procedures or exams. In addition, the informed consent document must be signed and dated by the individual who consents the subject before conducting Visit 1. A photocopy of the signed informed consent document must be provided to the subject, and the original signed document placed in the subject's chart. For subjects that agree to have their wound photographed for the trial, a photo release consent form must be signed and documented as well. Age 18 years or older, of either sex, and of any race or skin type, provided that their skin color, in the opinion of the Investigator, will not interfere with the study assessments. Females, if of child-bearing potential, have a negative urine pregnancy test and agree to use acceptable contraception during the study. Adequate birth control methods are defined as: hormonal-topical, oral, implantable, or injectable contraceptives; mechanical-spermicide in conjunction with a barrier such as a condom or diaphragm; IUD; or surgical sterilization of partner. Have a partial or full thickness PU on the foot or ankle or DFU of <= 6 months duration and between ≥1.0 and ≤ 12.0 cm² in area. Are willing to make all required study visits. Are willing to follow instructions, in the opinion of the Investigator. Have, within 12 weeks prior to randomization, a serum albumin level ≥ 2.0 g/dL (20 g/L); Alkaline phosphatase, AST, ALT, serum creatinine, and BUN levels < 3 x upper limit of normal; HbA1C ≤ 12%; and Hemoglobin >= 8 g/dL. The most recently obtained value must be evaluated against these criteria. Please refer to Appendix 18.1.5 Have arterial supply adequacy confirmed by an Ankle Brachial Index (ABI) >= 0.7 and ≤ 1.1 or if the ABI is > 1.1, either a TcPO2 >= 40 mmHg, as measured on the foot, or great toe pressure ≥ 50 mm/Hg, For ulcers that will require surgical debridement prior to enrollment, the wound must be expected to remain a partial thickness wound after debridement. Exclusion Criteria: Have a known hypersensitivity to any of the test articles or their components. Have received therapy with another investigational agent within thirty (30) days of Visit 1. Are pregnant or nursing. Have clinical evidence of bacterial or fungal infection of the wound per visual/clinical assessment. Have a severe burn, immunodeficiency disorder, hematologic disorder, or metastatic malignancy. Have had documented osteomyelitis on the target ulcer leg within 6 months preceding the screening visit. Have severe edema of the target ulcer leg. If being treated with Xenaderm, must stop treatment prior to enrolling in the study. Have received treatment with glucocorticoids for > 10 consecutive days within 6 months prior to the start of the study. Have received chemotherapy or radiation therapy within the past 5 years. Therapy of the target ulcer with tissue-engineered cell-based skin equivalents within 30 days preceding the Screening Visit (e.g., Apligraf®). Therapy of the target ulcer with topical growth factors within 1 week preceding the Screening Visit. Current therapy with systemic or topical antibiotics or systemic therapy with cytotoxic drugs.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Innes Cargill, PhD
Organizational Affiliation
Healthpoint, Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Trovare Clinical Research
City
Bakersfield
State/Province
California
ZIP/Postal Code
93311
Country
United States
Facility Name
Absolute Foot Care
City
Chula Vista
State/Province
California
ZIP/Postal Code
91910
Country
United States
Facility Name
Roy Kroeker
City
Fresno
State/Province
California
ZIP/Postal Code
93710
Country
United States
Facility Name
Innovative Medical Technologies
City
Los Angeles
State/Province
California
ZIP/Postal Code
90063
Country
United States
Facility Name
San Diego Research Center
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Foot and Ankle Associates of Florida
City
Altamonte Springs
State/Province
Florida
ZIP/Postal Code
32701
Country
United States
Facility Name
Weil Foot and Ankle Institute
City
Des Plaines
State/Province
Illinois
ZIP/Postal Code
60016
Country
United States
Facility Name
Prigoff-Bowers LLP
City
Dallas
State/Province
Texas
ZIP/Postal Code
75224
Country
United States
Facility Name
Richard Galperin, DPM
City
Dallas
State/Province
Texas
ZIP/Postal Code
75224
Country
United States
Facility Name
Robert Wunderlich, DPM
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78212
Country
United States
Facility Name
Dixie Regional Wound Clinic
City
St. George
State/Province
Utah
ZIP/Postal Code
84770
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12394337
Citation
Ovington LG. The evolution of wound management: ancient origins and advances of the past 20 years. Home Healthc Nurse. 2002 Oct;20(10):652-6. doi: 10.1097/00004045-200210000-00009.
Results Reference
background
PubMed Identifier
7553187
Citation
Winter GD. Formation of the scab and the rate of epithelisation of superficial wounds in the skin of the young domestic pig. 1962. J Wound Care. 1995 Sep;4(8):366-7; discussion 368-71. No abstract available.
Results Reference
background
PubMed Identifier
14087904
Citation
HINMAN CD, MAIBACH H. EFFECT OF AIR EXPOSURE AND OCCLUSION ON EXPERIMENTAL HUMAN SKIN WOUNDS. Nature. 1963 Oct 26;200:377-8. doi: 10.1038/200377a0. No abstract available.
Results Reference
background
PubMed Identifier
17936480
Citation
Andersen CA, Roukis TS. The diabetic foot. Surg Clin North Am. 2007 Oct;87(5):1149-77, x. doi: 10.1016/j.suc.2007.08.001.
Results Reference
background
PubMed Identifier
10655794
Citation
Frykberg RG. Epidemiology of the diabetic foot: ulcerations and amputations. Adv Wound Care. 1999 Apr;12(3):139-41. No abstract available.
Results Reference
background
Citation
Sussman C, Bates-Jensen B. Wound Care - A Collaborative Practice Manual for Health Professionals. 3rd Ed. Philadelphia: Lippincott Williams & Wilkins, 2006.
Results Reference
background
Citation
Hess CT. Wound Care. 5th Ed ed. Philadelphia: Lippincott Williams & Wilkins, 2005.
Results Reference
background
PubMed Identifier
17199833
Citation
Steed DL, Attinger C, Colaizzi T, Crossland M, Franz M, Harkless L, Johnson A, Moosa H, Robson M, Serena T, Sheehan P, Veves A, Wiersma-Bryant L. Guidelines for the treatment of diabetic ulcers. Wound Repair Regen. 2006 Nov-Dec;14(6):680-92. doi: 10.1111/j.1524-475X.2006.00176.x. No abstract available.
Results Reference
background
PubMed Identifier
9534889
Citation
Agren MS. An amorphous hydrogel enhances epithelialisation of wounds. Acta Derm Venereol. 1998 Mar;78(2):119-22. doi: 10.1080/000155598433449.
Results Reference
background
PubMed Identifier
17199832
Citation
Whitney J, Phillips L, Aslam R, Barbul A, Gottrup F, Gould L, Robson MC, Rodeheaver G, Thomas D, Stotts N. Guidelines for the treatment of pressure ulcers. Wound Repair Regen. 2006 Nov-Dec;14(6):663-79. doi: 10.1111/j.1524-475X.2006.00175.x. No abstract available.
Results Reference
background

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Evaluation of the Effects of HP828-101 Versus Standard of Care in the Management of Partial or Full Thickness Wounds

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