Safety and Efficacy Study of FS 4 IU VH S/D (Fibrin Sealant With 4IU/mL Thrombin, Vapor Heated, Solvent/Detergent Treated) to Adhere Split Thickness Skin Grafts and Improve Wound Healing in Burn Patients
Phase 3
Completed
- Conditions
- Deep Partial or Full Thickness Wounds
- Registration Number
- NCT00157131
- Lead Sponsor
- Baxter Healthcare Corporation
- Brief Summary
The primary objective of this study is to evaluate skin graft adherence and wound healing in burn patients to evaluate whether FS 4IU VH S/D is equivalent or superior to the current standard of care (staples). The primary endpoint is achievement of complete (100%) wound closure within 28 days.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
Inclusion Criteria
- Subjects or their legal representatives, who have read, understood and signed a written informed consent.
- Subjects of either sex.
- Female subjects of childbearing potential with a negative urine or serum pregnancy test on admission.
- Subjects who are <= 65 years of age including pediatric subjects of all ages.
- Subjects with total burn wounds measuring <= 40% TBSA.
- Subjects with a contiguous deep partial thickness/full thickness wound, between 2% and 8% TBSA or two comparable, bilateral wounds each measuring between 1% and 4% TBSA.
- Wounds designated as test sites require autologous sheet skin grafts with a thickness of 8/1000" - 16/1000"
- Subjects who are able, and willing to comply with the procedures required by the protocol.
Exclusion Criteria
- Subjects with electrical burns.
- Subjects with chemical burns
- Digits and genitalia are excluded as test sites.
- Subjects with infection at test area/test sites.
- Subjects with test sites previously randomized and treated in this study.
- Subjects with venous or arterial vascular disorder that directly affects a designated test area/test site.
- Subjects with pre-existing hemolytic anemia
- Subjects with diabetes mellitus.
- Subjects with documented history of pathologically or pharmacologically induced immune deficiency.
- Subjects judged to be chronically malnourished.
- Subjects that are judged to have significant pulmonary compromise.
- Subjects receiving systemic corticosteroids within 30 days prior to skin grafting (not including inhaled steroids).
- Subjects with known or suspected hypersensitivity to bovine proteins.
- Subjects participating in another clinical trial that is evaluating an unapproved drug or device.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Complete wound closure by Day 28 after treatment with either FS 4IU VH S/D or staples as determined by a blinded independent review of the Day 28 photographs 28 days after treatment Adverse experiences (AEs) deemed possibly or probably related to treatment with FS 4IU VH S/D 12 months after treatment
- Secondary Outcome Measures
Name Time Method Presence of hematoma/seroma on Day 1 1 day after treatment Percent area of hematoma/seroma on Day 1 1 day after treatment 100% engraftment by Day 5 5 days after treatment Percent area of engraftment on Day 5 5 days after treatment Complete wound closure by Day 14 14 days after treatment Scar maturation assessed by blinded Vancouver Scar Scale evaluations on Months 3, 6, 9, and 12 3, 6, 9, and 12 months after treatment Percent area of closure by Days 14 and 28 14 and 28 days after treatment
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie fibrin sealant's role in wound healing for burn patients?
How does FS 4IU VH S/D compare to staples in split thickness skin graft adherence and wound closure rates?
Are there specific biomarkers that predict improved wound healing outcomes with fibrin sealants in deep partial or full thickness burns?
What are the known adverse events associated with vapor heated solvent/detergent treated fibrin sealants in burn care?
What combination therapies or competitor products show promise in enhancing skin graft adherence for burn wound healing?