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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00324311
Registration number
NCT00324311
Ethics application status
Date submitted
10/05/2006
Date registered
11/05/2006
Date last updated
10/05/2011
Titles & IDs
Public title
Enzymatic Debridement in Burns Patients: A Comparison to Standard of Care
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Scientific title
Enzymatic Debridement in Burns Patients (Children & Adults): A Comparison to Standard of Care (Protocol MW 2004-11-02)
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Secondary ID [1]
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MW2004-11-02
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Burn
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Condition category
Condition code
Injuries and Accidents
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Burns
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - DGD
Experimental: DGD -
Active comparator: SOC -
Treatment: Drugs: DGD
Lyophilized, sterile mixture of proteolyzed enzymes; mixed with gel,for topical application.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Co-primary: % treated wound excised (by tangential/minor/Versajet excision) or dermabrasion, in first surgery, of deep partial wounds
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Assessment method [1]
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Timepoint [1]
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Surgical excision/dermabrasion performed as initial debridement (surgical SOC group) or as first post-debridement procedure (DGD or non-surgical SOC groups)
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Primary outcome [2]
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Co-primary: % treated wound autografted of deep partial wounds
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Assessment method [2]
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Timepoint [2]
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Post-debridement autografts
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Secondary outcome [1]
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% treated wound excised (by tangential/minor/Versajet excision) or dermabrasion, in first surgery, for all wounds
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Assessment method [1]
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Timepoint [1]
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As for primary endpoint
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Secondary outcome [2]
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Time to complete wound closure
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Assessment method [2]
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Timepoint [2]
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% epithelialization assessed post-debridement at weekly intervals until all a patient's wounds closed
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Secondary outcome [3]
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Timely eschar removal
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Assessment method [3]
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Timepoint [3]
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Debridement procedures
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Secondary outcome [4]
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Blood loss
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Assessment method [4]
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Timepoint [4]
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Throughout study
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Eligibility
Key inclusion criteria
1. Males and females between 4 years to 55 years of age,
2. Thermal burns caused by fire/flame, scalds or contact,
3. Deep partial thickness (mixed deep dermal) and/or full thickness (3°) burn wounds = 5% and = 30% Total Body Surface Area (TBSA); all these wounds must receive study treatment,
4. At least one wound of = 2% TBSA deep partial thickness and/or full thickness burn,
5. Total burn wounds = 30% TBSA,
6. Signed written informed consent.
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Minimum age
4
Years
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Maximum age
55
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Deep partial thickness and/or full thickness facial burn wounds, > 0.5% TBSA; study treatment of facial burns is not allowed,
2. Study treatment of perineal and/or genital burns (A patient with these wounds may be enrolled but the wounds may not be designated as target wounds),
3. Circumferential anterior/posterior trunk full thickness fire/flame burns, > 15% TBSA, (Circumferential is defined as encircling = 80% of the trunk circumference.)
4. Pre-enrollment escharotomy,
5. Heavily contaminated burns or pre-existing infections,
6. Signs that may indicate smoke inhalation,
7. General condition of patient would contraindicate surgery,
8. Pregnant women (positive pregnancy test) or nursing mothers,
9. Poorly controlled diabetes mellitus (HbA1c>9%),
10. Cardio-pulmonary disease (MI within 4 weeks prior to injury, pulmonary hypertension, COPD or pre-existing oxygen-dependent pulmonary diseases),
11. Pre-existing diseases which interfere with circulation (PVD, edema, lymphedema, surgery to the regional lymph nodes, obesity, varicose veins),
12. Immediate life threatening conditions (such as immuno-compromising diseases, life threatening trauma, severe pre-existing coagulation disorder, cardiovascular, liver or neoplastic disease),
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/02/2010
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Sample size
Target
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Accrual to date
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Final
182
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Royal Hospital Perth - Perth
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Recruitment postcode(s) [1]
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- Perth
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Goiania
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Brazil
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State/province [2]
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Sao Paulo
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France
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State/province [3]
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Marseille
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France
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Paris
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Germany
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Berlin
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Germany
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State/province [6]
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Ludwigshafen
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Germany
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Mannheim
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Israel
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State/province [8]
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Beer Sheba
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Italy
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State/province [9]
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Cesena
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Italy
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Palermo
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Poland
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State/province [11]
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Warsaw
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Romania
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State/province [12]
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Bucharest
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Country [13]
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Slovakia
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State/province [13]
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Bratislava
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Slovakia
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State/province [14]
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Kosice-Saca
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Country [15]
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United Kingdom
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State/province [15]
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East Grinstead
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Country [16]
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United Kingdom
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State/province [16]
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Wakefield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
MediWound Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Burns represent one of the most severe and dreaded traumas. Burned and traumatized tissue is known as eschar. The dead eschar, if not removed, often becomes heavily contaminated and is the source of local and/or systemic infection or sepsis. The local inflammation and infection destroy healthy surrounding tissues and extends the original damage. In order to prevent these complications, and in order to minimize the risk of infection, it is imperative to evaluate the burn and remove all of the offending eschar at the earliest possible opportunity. This removal of dead tissue is termed "debridement". The most direct debridement method for eschar removal is surgery. Traditional, conservative non-surgical debridement is a lengthy process which often involves many complications. The objective of this study is to evaluate the safety and enzymatic debriding efficacy of Debrase Gel Dressing (DGD) in hospitalized patients with deep partial thickness and/or full thickness thermal burns and to compare DGD to standard of care (SOC).
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Trial website
https://clinicaltrials.gov/study/NCT00324311
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Trial related presentations / publications
Rosenberg L, Lapid O, Bogdanov-Berezovsky A, Glesinger R, Krieger Y, Silberstein E, Sagi A, Judkins K, Singer AJ. Safety and efficacy of a proteolytic enzyme for enzymatic burn debridement: a preliminary report. Burns. 2004 Dec;30(8):843-50. doi: 10.1016/j.burns.2004.04.010. Rosenberg L, Krieger Y, Bogdanov-Berezovski A, Silberstein E, Shoham Y, Singer AJ. A novel rapid and selective enzymatic debridement agent for burn wound management: a multi-center RCT. Burns. 2014 May;40(3):466-74. doi: 10.1016/j.burns.2013.08.013. Epub 2013 Sep 26.
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Public notes
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Contacts
Principal investigator
Name
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Lior Rosenberg, MD
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Address
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MediWound Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00324311
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