PROtease modulating dressings in the treatment of chronic wounds: finding bioMARKers to predict healing response

ISRCTN ISRCTN35502943
DOI https://doi.org/10.1186/ISRCTN35502943
Secondary identifying numbers N/A
Submission date
13/06/2006
Registration date
11/08/2006
Last edited
07/06/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jane Nixon
Scientific

Clinical Trials Research Unit
University of Leeds
17 Springfield Mount
Leeds
LS2 9NG
United Kingdom

Study information

Study designProspective multi-centre cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Not specified
Study typeScreening
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titlePROtease modulating dressings in the treatment of chronic wounds: finding bioMARKers to predict healing response
Study acronymProMark
Study objectivesA chronic leg ulcer is defined as a wound between the knee and ankle joint that has not healed within four weeks. The aim of this study is to identify biomarkers which differentiate between leg ulcer patients whose wounds will and will not respond to treatment with protease modulating dressings.
Ethics approval(s)Original protocol: Leeds (West) Research Ethics Committee, 07/09/2006, ref: 06/Q1205/155
Version 2.0: 19/10/2006
Version 3.0: 17/05/2007
Health condition(s) or problem(s) studiedChronic leg ulcer
InterventionPatients will be randomised to receive 12 weeks therapy with either:
1. PROMOGRAN™ Wound Modulating Matrix
2. PROMOGRAN PRISMA™ Wound Balancing Matrix
Intervention typeOther
Primary outcome measureResponse to treatment defined as either a more than or equal to 50% wound area reduction from the baseline to the 12 week wound area measurements or complete healing by 12 weeks
Secondary outcome measures1. Initial response to treatment at 6 weeks defined a more than or equal to 50% wound area reduction from the baseline to the 6 week wound area measurements or complete healing by 6 weeks
2. Percentage baseline wound area reduction by 12 weeks
3. Safety - serious adverse events
Overall study start date01/03/2007
Completion date30/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants120
Key inclusion criteria1. Aged 18 or over with a venous leg ulcer
2. Duration of ulcer greater than or equal to 30 days
3. Ulcer greater than or equal to 1 cm^2 in area
4. Ankle Brachial Pressure Index (ABPI) greater than or equal to 0.80
5. Written informed consent
6. Able to comply with study treatment and follow-up schedule
Key exclusion criteriaCurrent exclusion criteria as of 07/07/2008:
1. Participating in another wound related study or intervention trial
2. Clinical signs of an infection of the target ulcer
3. Sharp debridement within past seven days
4. Pre-study (one month) treatment with therapies which affect wound healing including immunosuppressive therapy, dialysis, systemic corticosteroids, radiation therapy, chemotherapy, vascular or plastic surgery to the affected limb
5. Expected to require treatment with therapies which affect wound healing including immunosuppressive therapy, dialysis, systemic corticosteroids, radiation therapy or chemotherapy during the study period
6. Planned or expected to require vascular or plastic surgery to the affected limb, during the study period
7. Pre-study use (at any time) of the study dressings (PROMOGRAN™ Matrix and/or PROMOGRAN™ PRISMA Matrix)
8. Pre-study (one month) use of Active Wound Care Therapies
9. Pre-study (one week) use of silver-based products, larval therapy, iodine/povidone-iodine products, enzymatic debriding agents, topical corticosteroids, topical antibiotics, topical antifungal treatments, or antimicrobial agents (cleansing agents/dressings/topical treatments)
10. Known hypersensitivity to any of the dressing components
11. Life expectancy less than six months

Previous exclusion criteria:
1. Participating in another wound related study or intervention trial
2. Diabetes
3. Clinical signs of an infection of the target ulcer
4. Sharp debridement within past seven days
5. Pre-study (one month) treatment with therapies which affect wound healing including immunosuppressive therapy, dialysis, systemic corticosteroids, radiation therapy, chemotherapy, vascular or plastic surgery to the affected limb
6. Expected to require treatment with therapies which affect wound healing including immunosuppressive therapy, dialysis, systemic corticosteroids, radiation therapy or chemotherapy during the study period
7. Planned or expected to require vascular or plastic surgery to the affected limb, during the study period
8. Pre-study use (at any time) of the study dressings (PROMOGRAN™ Matrix and/or PROMOGRAN™ PRISMA Matrix)
9. Pre-study (one month) use of Active Wound Care Therapies
10. Pre-study (one week) use of silver-based products, larval therapy, iodine/povidone-iodine products, enzymatic debriding agents, topical corticosteroids, topical antibiotics, topical antifungal treatments, or antimicrobial agents (cleansing agents/dressings/topical treatments)
11. Known hypersensitivity to any of the dressing components
12. Life expectancy less than six months
Date of first enrolment01/03/2007
Date of final enrolment30/12/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Leeds
Leeds
LS2 9NG
United Kingdom

Sponsor information

Johnson & Johnson Wound Management (UK)
Industry

Johnson and Johnson Medical Ltd
Airebank Mills
Gargrave, Skipton
North Yorkshire
BD23 3RX
United Kingdom

Website http://www.jnjgateway.com/home.jhtml?loc=GBENG&page=viewContent&contentId=09008b98804404e4
ROR logo "ROR" https://ror.org/03qwpn290

Funders

Funder type

Industry

Yorkshire Forward (UK)

No information available

Johnson & Johnson Wound Management (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

12/02/2008: The overall trial end date was amended and approved; the previous dates are as follows:
Original overall trial start date: 01/09/2006
Original overall trial end date: 30/06/2007
Amended overall trial start date 1 (amended 19/02/2007): 01/03/2007
Amended overall trial end date 1 (amended 19/02/2007): 01/10/2007