Trial Radar IA | ||
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Lo studio clinico NCT06185465 per Irrigation Solution, Ferita cronica, Lesione da pressione, Ulcera del piede diabetico, Ustioni è in arruolamento. Consulti la vista a schede del Radar degli Studi Clinici e gli strumenti di scoperta IA per tutti i dettagli. Oppure, ponga pure una domanda qui. | ||
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Effectiveness and Safety of Using Prontosan to Treat Bacterial Biofilm
I dettagli dello studio clinico sono disponibili principalmente in inglese. Tuttavia, Trial Radar IA può essere d'aiuto! Basta cliccare su 'Spiega lo studio' per visualizzare e discutere le informazioni sullo studio nella lingua selezionata.
La sperimentazione clinica NCT06185465 è uno studio interventistico per Irrigation Solution, Ferita cronica, Lesione da pressione, Ulcera del piede diabetico, Ustioni, attualmente in arruolamento. Avviato il 3 gennaio 2024, prevede di arruolare 60 partecipanti. Sotto la guida di The First Hospital of Jilin University, dovrebbe concludersi entro il 28 febbraio 2025. I dati più recenti da ClinicalTrials.gov sono stati aggiornati l'ultima volta il 23 febbraio 2024.
Sommario breve
The goal of this prospective, multi-center, randomized, parallel-controlled, open-label clinical study is to evaluate the effectiveness and safety of Prontosan wound irrigation solution comparing with Normal Saline on the removal of wound bacterial biofilm through observing the morphological characteristics and development of bacterial biofilm in chronic wound patients with secondary infections. The main questions it aims to answer are:
- Difference in scoring the positive rate of bacterial biofilm before the first treatment and on the 7th day of treatment in Group A and Group B
- Difference in scoring the positive rate of bacterial biofilm before the first treatment and on the 3rd day of treatment in Group A and Group B .
- Positive detection rate of bacterial biofilm in group and group B before the first treatment, and on the 3rd and 7th day of treatment, and difference of the positive detection rate of biofilm among the two groups.
- 4-phase typing of bacterial biofilm detected in Group A, Group B and Group C before the first treatment, and on the 3rd and 7th day of treatment, and the proportion difference of 4-phase typing of biofilm among the two groups.
- Wound healing rate
- Skin Infection Rating Scale (SIRS) score.
- Distribution of inflammatory cells on the wound.
- Detection rate of bacteria/drug-resistant bacteria on the wound and their correlation with the detection rate of bacterial biofilm.
Participants will be randomized to experimental group or Control group, Prontosan Wound Irrigation Solution or normal saline will be extracted with syringe (Dosage 1-2ml/cm2), and the wound is rinsed 1 cm from the wound. Then, Prontosan wound irrigation solution or normal saline is used to saturate the gauze, and the gauze is applied to the wound for 15 minutes. After removing the gauze, cover it with oil gauze, then cover it with 8 layers of gauze and wrap it with a bandage.
Titolo ufficiale
Effectiveness and Safety of Using Prontosan Wound Irrigation Solution to Treat Bacterial Biofilm in Chronic Wound Patients With Secondary Infections: a Randomized, Controlled, Open Multicenter Study.
Condizioni
Irrigation SolutionFerita cronicaLesione da pressioneUlcera del piede diabeticoUstioniAltri ID dello studio
- 2023-075
Numero NCT
Data di inizio (effettiva)
2024-01-03
Ultimo aggiornamento pubblicato
2024-02-23
Data di completamento (stimata)
2025-02-28
Arruolamento (previsto)
60
Tipo di studio
Interventistico
FASE
N.D.
Stato
In arruolamento
Parole chiave
Prontosan wound irrigation solution
Prontosan
Chronic wound
Pressure Injury
Burns
Diabetic Foot Ulcer
Prontosan
Chronic wound
Pressure Injury
Burns
Diabetic Foot Ulcer
Scopo principale
Trattamento
Allocazione
Randomizzato
Modello di intervento
In parallelo
Mascheramento
Singolo
Bracci / Interventi
| Gruppo/Braccio di partecipanti | Intervento/Trattamento |
|---|---|
SperimentaleProntosan Wound Irrigation Solution rinse The test group is selected according to the randomization number of enrollment. For experimental group, Prontosan Wound Irrigation Solution is extracted with syringe (Dosage 1-2ml/cm2), and the wound is rinsed 1 cm from the wound. Then, Prontosan wound irrigation solution is used to saturate the gauze, and the gauze is applied to the wound for 15 minutes. After removing the gauze, cover it with oil gauze, then cover it with 8 layers of gauze and wrap it with a bandage. | Prontosan Wound Irrigation Solution After debridement surgery, the test group is selected according to the randomization number of enrollment. For experimental group, Prontosan Wound Irrigation Solution is extracted with syringe (Dosage 1-2ml/cm2), and the wound is rinsed 1 cm from the wound. Then, Prontosan wound irrigation solution is used to saturate the gauze, and the gauze is applied to the wound for 15 minutes. After removing the gauze, cover it with oil gauze, then cover it with 8 layers of gauze and wrap it with a bandage. |
Comparatore attivoNormal Saline rinse For control group, Normal saline is extracted with syringe (Dosage 1-2ml/cm2), and the wound is rinsed 1 cm from the wound. Then, Normal saline is used to saturate the gauze, and the gauze is applied to the wound for 15 minutes. After removing the gauze, cover it with oil gauze, then cover it with 8 layers of gauze and wrap it with a bandage. | soluzione fisiologica After debridement surgery, the test group is selected according to the randomization number of enrollment. For control group, normal saline is extracted with syringe (Dosage 1-2ml/cm2), and the wound is rinsed 1 cm from the wound. Then, normal saline is used to saturate the gauze, and the gauze is applied to the wound for 15 minutes. After removing the gauze, cover it with oil gauze, then cover it with 8 layers of gauze and wrap it with a bandage. |
Esito primario
Esito secondario
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Difference in scoring the positive rate of bacterial biofilm before the first treatment and on the 7th day of treatment in Group A and Group B | Difference in scoring the positive rate of bacterial biofilm=the total score of 3 tissues before treatment- the total score of 3 tissues treatment after 7days. To compare the score difference between 2 groups after the difference is calculated. | Day0, Day7 |
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Difference in scoring the positive rate of bacterial biofilm before the first treatment and on the 3rd day of treatment in Group A and Group B | Difference in scoring the positive rate of bacterial biofilm=the total score of 3 tissues before treatment- the total score of 3 tissues treatment after 3 days. To compare the score difference between 2 groups after the difference is calculated | Day0, Day3 |
Positive detection rate of bacterial biofilm in group and group B before the first treatment, and on the 3rd and 7th day of treatment, and difference of the positive detection rate of biofilm among the two groups | If any of the 3 samples is tested positive for the biofilm, the result will be judged positive (+); If no biofilm is detected in the 3 samples, the result will be judged negative (-). | Day0, Day3,Day7 |
4-phase typing of bacterial biofilm detected in Group A, Group B and Group C before the first treatment, and on the 3rd and 7th day of treatment, and the proportion difference of 4-phase typing of biofilm among the two groups | Typing I: 0 point is scored in case of free bacteria, i.e., dispersed phase of monomer bacteria; Typing II: 0 points are scored in case of bacterial adhesion, i.e., aggregation phase of monomer bacteria; Typing III\&IV: 3 points are scored in case of mature bacterial biofilm, i.e., closed phase of colony bacteria; 3 points are scored in case of spreading of bacterial biofilm, i.e., open phase of colony bacteria. | Day0, Day3,Day7 |
Wound healing rate | The wound is covered with sterile mesh film before the first treatment, and on the 3rd and 7th day of treatment, the wound area is measured and recorded, and the difference in wound healing rate among the two groups is compared. | Day0, Day3,Day7 |
Skin Infection Rating Scale (SIRS) score | o Skin Infection Rating Scale (SIRS) scoring is conducted and recorded before the first treatment, and on the 3rd and 7th day of treatment to compare the differences of SIRS scores among the two groups.
SIRS scoring Items include Exudate / pus, Scabbing, Erythema/Inflammation, Tissue edema, Tissue fever, Pruritus and Pain. The scores of every items are 0=none, 1=mild, 2= Moderate, 3= severe. | Day0, Day3,Day7 |
Distribution of inflammatory cells on the wound | The H-E staining pathological sections of inflammatory cells on the wound are carried out before the first treatment, and on the 3rd and 7th day of treatment to compare the differences in the distribution type (Monocytes/Neutrophils/Lymphocytes) and quantity(No infiltration, mild infiltration, moderate infiltration, severe infiltration) of inflammatory cells on the wound among the two groups.
mild infiltration refers to the infiltration of less than or equal to 10 inflammatory cells； moderate infiltration refers to the infiltration of 11-50 inflammatory cells; severe infiltration refers to the infiltration of more than 50 inflammatory cells. | Day0, Day3,Day7 |
Detection rate of bacteria/drug-resistant bacteria on the wound and their correlation with the detection rate of bacterial biofilm | According to the test results, the number of bacteria positive cases and number of drug-resistant positive bacteria cases are counted, and the difference in anti-infection ability of the two groups after 3 and 7 days of wound treatment is compared by the number of positive cases/total number of burn patients in each group and the number of drug-resistant bacteria positive cases/total number of burn patients in each group. | Day0, Day3,Day7 |
Criteri di eleggibilità
Età idonea
Adulto, Adulto anziano
Età minima
18 Years
Sessi idonei
Tutti
- 1. Voluntarily sign the informed consent form;
- 2. ≥18 years old;
- 3. Patients with chronic wound, eg. burns, and pressure injuries with stage 3 and 4. Diabetes foot ulcer with Wagner grade 2; (Staging and Wagner grading of stress injury can be found in attachments 1 and 2);
- 4. The length and width of a single wound in the wound area where the sampling point is located must be ≥2 cm, and the maximum length and width must be ≤10 cm;
- 5. The rapid smear test results of bacteria on the wound were positive;
- 6. The clinical symptoms of wound infection meet the following conditions: skin infection level scale score (SIRS) ≥ 8;
- 7. Patients identified by the investigator as having biofilm formation on the wound;
- 8. No eschar covering the wound surface.
- 1. Patients administered with systemic antibiotics 48 hours before enrollment;
- 2. Patients with severe autoimmune diseases;
- 3. Patients with pressure injuries classified as Stage I and II; (Please refer to Attachment 1 for for pressure injury staging);
- 4. Diabetes foot ulcer with Wagner grade0- 1 and more than 3; (Wagner grading of stress injury can be found in attachments 2);
- 5. Female in pregnancy or lactation period;
- 6. Those who have participated in clinical trials of drugs or devices within one month before the first treatment;
- 7. Patients who are allergic to any component of the research device;
- 8. Those who are currently using tumor chemotherapy drugs during screening;
- 9. Any condition that, in the opinion of the investigator, may increase the risk to the subjects or otherwise affect the evaluation of efficacy.
The First Hospital of Jilin University- Shenzhen Second People's Hospital
- Università medica del Fujian309 studi clinici attivi da esplorare
Contatti principali dello studio
Contatto: Jia'ao Yu, Professor, +86 13804337395, [email protected]
Contatto: Xinxin Gao, Ph.D., +86 13804337395, [email protected]
3 Centri dello studio in 1 paesi
Fujian
Fujian Medical University Union Hospital, Fuzhou, Fujian, China
Chenjian Zhong, Ph.D, Contatto
Xintian Zhang, Contatto
Non ancora in arruolamento
Jilin
First Hospital of Jilin University, Changchun, Jilin, China
Xinxin Gao, Ph.D, Contatto, +86 13804337395, [email protected]
In arruolamento
Shenzhen
Shenzhen Second People's Hospital, Shenzhen, Shenzhen, China
Yating Wei, Ph.D, Contatto
Rong Zhong, Contatto
Non ancora in arruolamento