Study to Examine Clinical Performance and Safety of Cutimed® Gelling Fiber in Routine Clinical Practice

Completed

• Conditions: Abrasion; Burn, Partial Thickness; Laceration; Pressure Ulcer; Oncology Wound; Leg Ulcer; Diabetic Foot Ulcer; Surgical Wound

• Registration Number: NCT05148390
• Lead Sponsor: BSN Medical GmbH

Brief Summary

This is a post - market study with a wound dressing, a CE-marked medical device available on the european market. The device will be used in routine clinical practice, i.e. within its intended purpose and without any additional invasive or stressing examinations for the patients.

Up to 36 adult patients with wounds suitable to be treated with the medical device and meeting the inclusion/exclusion criteria will be enrolled at two participating German sites.

During 5 on-site visits within 28 days routine weekly dressing changes the Health Care Professional will examine the wound and will perform required wound care and dressing changes. Pictures of the wound with and without dressing will be taken at each visit and used for automatic analysis. The subjects will be asked to rate their general wound pain and the pain perceived during dressing changes. A wound-related quality of life questionnaire will be presented to the subjects twice and the subject and HCP will rate their safisfaction with the product.

Detailed Description

This Post Market Clinical Follow up (PMCF) study will examine product features of the CE-marked wound dressing after having received market authorization regarding the fulfilment of predefined requirements for the successful management of skin integrity during wound care. The primary purpose of this study is to evaluate clinical safety and performance of the product when used on several wounds in routine wound care without any additional invasive or burdensome methods and within the intended use.

As primary objective the dressing´s absorption performance and its ability to prevent exudate accumulation in the wound will be investigated. Further, device disintegration, need of debridement, wound and skin conditions, treatment related pain, general wound pain, dressing adhesion and quality of life as well as Helath Care professional's (HCP´s) and patient´s satisfaction are considered as secondary outcomes.

In total, 36 eligible subjects will be enrolled at 2 German sites, including 15 % dropouts.

5 on-site visits are to be performed by the subjects in the scope of routine weekly wound care/dressing change visits during 28 days (Day 0, Day7, Day 14, Day21, Day28). The IMD will be applied during each on-site visit including wound care, wound examination/documentation and dressing change according to HCP's judgment and individual circumstances of the wound. Photographic documentation of the wound and the wound with applied dressings will be performed and used for further automatic wound/tissue analyis. General wound pain as well as pain perceived during dressing change will be documented, as well as Wound-related Quality of life as well as Patient's/HCP's satisfaction with the product.

Study Timeline

• Study First Submitted: 2021-11-05
• Study First Submitted QC: 2021-11-24
• Study First Posted: 2021-12-08
• Study Start: 2022-04-24
• Primary Completion: 2023-07-26
• Study Completion: 2023-07-26
• Status Verified: 2023-11
• Last Update Submitted: 2024-02-20
• Last Update Posted: 2024-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• mentally and physically able to participate in study
• written informed consent to participate in the study
• Diagnosed wound indicated for treatment with Cutimed® Gelling Fiber for 4 weeks (except for internal body cavities and closed wounds)
• Subjects with more than one ulcer are eligible for inclusion, however only one ulcer per subject will be included in the study.

Exclusion Criteria

• Sensitivity to or allergic reaction to the dressing or its components
• Participation in any other clinical study investigating drugs or medical devices
• Subjects presenting with wounds including internal body cavities or closed wounds
• Alcohol and drug addiction
• Pregnant or breast-feeding subjects
• Underlying diseases are not treated according to respective country-specific guidelines

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Exudate absorption by IMD ('yes', 'no')	day 28	Percentage of subjects with exudate absorbed by the IMD per visit
Exudate accumulation in the wound by IMD ( 'no', 'minimal amount', 'medium amount', 'high amount')	day 28	Percentage of subjects with remaining exudate in wound per amount and visit

Secondary Outcome Measures

Name	Time	Method
Ease of removal	Throughout days 7, 14, 21 and 28	Percentage of subjects per ease of removal ('very easy', 'easy', 'difficult', 'very difficult') per visit
Changes in wound-pain	Throughout days 7, 14, 21 and 28	Mean pain perceived by subject using a pain ruler (scale 0-10) per visit
Incidence of device disintegration (removability in one piece)	Throughout days 0, 7, 14, 21 and 28	Total occurence of IMD disintegration during removal
Changes in peri-wound skin condition	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per peri-wound skin condition ('intact', 'macerated', 'redness', 'dry/flaky', 'edematous' ,'weeping') per visit
Pain on removal	Throughout days 7, 14, 21 and 28	Mean pain perceived by subject using a pain ruler (scale 0-10) per visit
Changes in wound tissue type	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per wound tissue type ('epithelialization tissue', 'granulation tissue', 'slough', 'eschar/necrotic tissue', 'other') per visit
Incidence of adverse events related to IMD	Throughout days 0, 7, 14, 21 and 28	Total occurence of IMD related adverse events
Changes in debridement ease	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per debridement ease ('easy', 'moderate', 'heavy', 'not applicable') per visit
Changes in wound margin condition	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per wound margin condition('intact', 'macerated', 'redness', 'ragged') per visit
Ease of application	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per ease of application ('very easy', 'easy', 'difficult', 'very difficult') per visit
Changes in Wound-quality of life Wound-QoL	Day 0 and Day 28	percentage change in Wound-QoL total scores and subscale scores ('body', 'psyche', 'everyday life' and standalone item) between both visits
Changes in need for debridement	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects with need for debridement per visit
Conformability during application	Throughout days 0, 7, 14, 21 and 28	Percentage of subjects per conformability ('very good', 'good', 'poor', 'very poor') per visit
Dressing adherence on removal	Throughout days 7, 14, 21 and 28	Percentage of subjects per adherence ('none', 'minor', 'moderate', 'marked') per visit
HCP Overall satisfaction	day 28	Percentage per HCP overall satisfaction category ('Very good', 'Good', 'Satisfactory', 'Sufficient', 'Insufficient') for final visit
Subject Overall satisfaction	day 28	Percent of patient overall satisfaction category ('Very good', 'Good', 'Satisfactory', 'Sufficient', 'Insufficient') for all patients at visit 5

Trial Locations

Locations (1)

Christliches Klinikum Melle GmbH, Unfallchirurgie; 🇩🇪 Melle, Germany