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Clinical Trials/NCT02417818
NCT02417818CompletedNot Applicable

Effects of Plasma Therapy in Cutaneous Microcirculation of Different Wounds

University Hospital Schleswig-Holstein1 site in 1 country240 target enrollmentStarted: March 1, 2015Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
240
Locations
1
Primary Endpoint
Change in microcirculation (composite measure)

Study Overview

Brief Summary

In plastic and reconstructive surgery, treatment strategies of second-degree burns, superficial wounds, burn scars, flaps and chronic wounds aim at reducing infection and improving microcirculation. Although previous studies indicate that Plasma Therapy can accelerate wound healing, only a few studies focused on the elucidation of its mechanisms of action. Therefore, the aim of this study is to evaluate the microcirculatory effects of Plasma Therapy on second-degree burns, superficial wounds, burn scars, flaps and chronic wounds in a human in-vivo setting for the first time.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Participant)

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
  • •Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
  • •Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
  • •Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident. No soft tissue injury must be evident.
  • •Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
  • •Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
  • •Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
  • •Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups E-G must be evident. No soft tissue injury must be evident.
  • •Group I (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn wound.
  • •Group J (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn wound.
  • •Group K (n=20): Consent-capable male and female patients ≥18 years of age received a flap.
  • •Group L (n=20): Consent-capable male and female patients ≥18 years of age received a flap.

Exclusion Criteria

  • •General exclusion criteria
  • •below 18 years of age
  • •wounds requiring artificial respiration, since consent for the study participation is unobtainable
  • •Exclusion criteria groups A, B, D, E, F, H:
  • •peripheral arterial occlusive disease
  • •vasculitis
  • •diabetes mellitus
  • •chronic kidney or liver disease
  • •cardiac dysfunction
  • •arterial hypo- or hypertension
  • •Anamnestic exclusion criteria
  • •ongoing immunosuppressive or chemotherapy treatment
  • •drug abuse
  • •systemic skin diseases
  • •systemic and local cortisone therapy

Arms & Interventions

Second-Degree Burn

Experimental

Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.

Intervention: Plasma Therapy (PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Skin Excision (for Skin Graft)

Experimental

Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.

Intervention: Plasma Therapy (PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Chronic Wound

Experimental

Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.

Intervention: Plasma Therapy (PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Intact Skin

Active Comparator

Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident.

Intervention: Plasma Therapy (PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Second-Degree Burn (repetitive)

Experimental

Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Skin Excision (for Skin Graft) (repetitive)

Experimental

Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Chronic Wound (repetitive)

Experimental

Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Intact Skin (repetitive)

Active Comparator

Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Hypertrophic burn scar

Experimental

Group F (n=20): Consent-capable male and female patients ≥18 years of age who suffer from a hypertrophic burn scar.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Hypertrophic burn scar (repetitive)

Experimental

Group F (n=20): Consent-capable male and female patients ≥18 years of age who suffer from a hypertrophic burn scar.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Flap

Experimental

Group F (n=20): Consent-capable male and female patients ≥18 years of age who received a flap.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Plasma Therapy (PlasmaDerm) (Device)

Flap (repetitive)

Experimental

Group F (n=20): Consent-capable male and female patients ≥18 years of age who received a flap.

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)

Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)

Outcomes

Primary Outcomes

Change in microcirculation (composite measure)

Time Frame: Baseline and 1 minute post-dose

* capillary blood flow \[arbitrary units AU\] * capillary blood velocity \[AU\] * tissue oxygen saturation \[%\] * relative postcapillary venous filling pressure \[AU\]

Secondary Outcomes

  • Change in microcirculation (areolar measure)(Baseline, while and 1 minute post-dose)

Investigators

Sponsor
University Hospital Schleswig-Holstein
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Tobias Kisch

MD

University Hospital Schleswig-Holstein

Study Sites (1)

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