Preventive Application of Single-use Negative Pressure Wound Therapy (sNPWT) in the Postoperative Course of Radiotreatated Limb Sarcoma Surgery a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- Primary objective and endpoint
研究概览
简要总结
Patients will be recruited at the time of the pre-admission visit. During the screening visit the patient will undergo a physical examination and his medical history will be collected. Oncological history and tumor characteristics will be considered and CT-scan imaging will be analysed. ECOG performance status will be reported. If inclusion criteria are respected, the patient will be randomized. The application of the PICO14 study device or standard dressing (dry gauze and plaster) will then be carried out on the day of surgery. For subjects randomized to the treatment arm (Arm A), dressing change with the application of the new PICO14 will occur at day 4+1, day 8±1, and day 14±2. For subjects randomized to the control arm (Arm B), the standard dressing with gauze and plaster is applied. Regardless of the randomization arm the wound assessment via ASEPSIS score will occur at day 4+1, 8±1 and 14±2. During FUP, the dressing can be changed autonomously by the patient if necessary. The information will be recorded on the occasion of the next visit or an extraordinary visit. On day 21, sutures will be removed.
On day 30±2, the total ASEPSIS score will be calculated, in order to evaluate the wound healing.
From day 14±2, regardless of the randomization arm all patients will be treated with standard dressing.
Follow-up visits can be scheduled up to 90 days after surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female ≥ 18 years of age
- •diagnosis of primary high-grade (grade III) soft tissue sarcoma of the limbs (confirmed histopathologically)
- •performed neoadjuvant radiotherapy (short or long-term)
- •candidates for wide radical excision surgery
- •negative CT scan staging for distant metastasis
- •Signing of Informed consent
排除标准
- •diagnosis of benign neoplasm
- •diagnosis of retroperitoneal or trunk sarcomas;
- •candidates to hindquarter or forequarter amputation surgery;
- •incomplete wide excision;
- •vascular resection;
- •other loco-regional treatments (e.g. isolated limb perfusion or electrochemotherapy).
结局指标
主要结局
Primary objective and endpoint
时间窗: Through study completion, an average of 2 years
Assess, in patients with wide excision surgery of radio treated limb sarcoma, if the preventive application of single-use negative pressure wound dressing (PICO 14) may reduce the incidence of wound complications at 30° day compared to the standard procedure currently in use. Primary objective will be evaluated according to the ASEPSIS score. For each patient the Daily ASEPSIS score will be calculated at days 4, 8 and 14 after surgery.
次要结局
- Secondary objective and endpoint(Through study completion, an average of 2 years)
- Fourth objective and endpoint(Through study completion, an average of 2 years)
- Third objective and endpoint(Through study completion, an average of 2 years)