ISRCTN ISRCTN13554350
DOI https://doi.org/10.1186/ISRCTN13554350
Secondary identifying numbers Protocol Number: CBSNOV03052023
Submission date
20/08/2025
Registration date
24/09/2025
Last edited
24/09/2025
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

Background and study aims
A pressure ulcer is a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction. These wounds occur frequently among individuals who have difficulty moving, or cannot reposition themselves, such as the frail elderly, individuals undergoing surgery, or individuals with spinal cord injury. However, anyone of any age could develop a pressure ulcer if they are exposed to prolonged, unrelieved pressure and shear forces. Comprehensive assessment of the individual and his or her pressure ulcer informs the development of the most appropriate management plan and ongoing monitoring of wound healing. Currently in clinical practice pressure ulcers are monitored using the clinical judgment of a health professional supported by pressure ulcer assessment tools. A pressure ulcer classification system is used to aid in the description of the extent of skin and tissue damage presenting as a pressure ulcer. Treatment for pressure ulcers varies depending on the grade of the ulcer. The aim of this study is to evaluate the safety and effectiveness of EHO-85 (SKINDOX®) vs hyperoxygenated fatty acid in patients with stage I pressure ulcers.

Who can participate?
Patients aged over 18 years with stage I pressure ulcers

What does the study involve?
Participants will be randomly allocated to treatment with SKINDOX® (EHO-85) or hyperoxygenated fatty acids. The aim is to evaluate the safety and effectiveness of the two treatments. Participants will receive the assigned treatment according to standard care practices. The study includes three visits for a duration of 45 days to assess the condition of the skin, discomfort level, quality of life and any adverse events.

What are the possible benefits and risks of participating?
This product may be beneficial for the regeneration of tissues and the improvement of metabolic processes. The participants did not receive any specific and/or direct benefits from participating in this study. There are no known risks in using this product. However, it is recommended not to use the product in the case of individual hypersensitivity or allergy to one or more components.

Where is the study run from?
Noventure S.L. (Spain)

When is the study starting and how long is it expected to run for?
January 2024 to October 2024

Who is funding the study?
Noventure S.L. (Spain)

Who is the main contact?
Félix Berrocal Orvay, fberrocal@noventure.com

Contact information

Mrs Alina Iordache
Public, Scientific, Principal investigator

47 Theodor Pallady
Bucharest
032275
Romania

Phone +40 (0)21 320 32 81
Email alina.iordache@cebis-int.com

Study information

Study designOpen-label multicenter comparative clinical study
Primary study designObservational
Secondary study designComparative
Study setting(s)GP practice
Study typeSafety, Efficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleOpen-label, multicenter clinical study to evaluate the safety and efficacy of EHO-85 (SKINDOX®) vs hyper-oxygenated fatty acid in adult patients diagnosed with pressure ulcer stage I
Study objectivesPrimary objectives:
To assess the efficacy of EHO 85 (SKINDOX®) versus hyperoxygenated fatty acid in reducing the clinical symptomatology associated with pressure ulcer stage 1.

Secondary objectives:
To assess the safety and effectiveness of EHO 85 (SKINDOX®) versus hyperoxygenated fatty acid by collecting the safety events that occur during product administration until study closure.
Ethics approval(s)

1. Approved 15/01/2024, Local Ethics Committee for Clinical Trials of S.C. Syncro Clinical Research S.R.L. (Str. Stadionului no. 16, Brașov, 500064, Romania; +40 (0)368 006 915; contact@syncromedic.ro), ref: 77/15.01.2024

2. Approved 19/04/2024, Local Ethics Committee for Clinical Trials at Medical Centre Prolet LTD (25 Olimpi Panov Str., Rousse, 7000, Bulgaria; +359 (0)887 842 514; med.center.prolet@gmail.com), ref: 000000026/19.04.2024

Health condition(s) or problem(s) studiedPressure ulcer stage I
InterventionEach patient signed the informed consent form for participating in the study. After the consent signature, the data collection started. The doctors collected prospective data related to the clinical efficacy and safety. The following assessment tools were used during the study:
1. VAS QoL (0-100 mm Visual Analogue Scale score)
2. Discomfort evaluation
3. Transparent Disc Technik assessment
4. Braden Scale score
5. Satisfaction in using the product

Patients who are eligible for the study treatment will receive EHO 85 (SKINDOX®) or hyperoxygenated fatty acid. The products will be allocated 1:1. Each product will be administered for a period of 2 weeks.

EHO-85 (SKINDOX®):
The product was applied two to three times daily on risk or susceptible areas, spreading it gently with the fingertips and massaging to facilitate absorption. Hands were washed after each application. The product was administered for a period of 2 weeks. In case Braden scale was present equal or higher risk in developing pressure ulcers, than it was decided to continue on product administration for 1 month.

Hyperoxygenated fatty acid (Corpitol Emulsion):
The necessary amount of Corpitol Emulsion was applied on the red, dry area at risk of ulceration. This was repeated two to three times a day. The product was gently spread and massaged to help the penetration of the Corpitolinol 60 microparticles. The product was administered for a period of 2 weeks. In case Braden scale was present equal or higher risk in developing pressure ulcers, then it was decided to continue on product administration for 1 month.

Visit 2 (Day 14) took place after 2 weeks of product administration. During this visit (V2), the investigator evaluated the risk of developing PU using the Braden Scale. In case any risk was determined, the investigator has the possibility to advise product administration for an additional month. Additionally, at Visit 3 (Day 45), the investigator evaluated the satisfaction in product utility through a 5-point Likert scale: 1- Very Unsatisfied; 2- Unsatisfied; 3- Neutral; 4-Satisfied; 5- Very Satisfied.
Intervention typeOther
Primary outcome measure1. Transparent Disc Technik (TDT) measured at Visit 1 (Day 0), Visit 2 (Day 14) and Visit 3 (Day 45)
2. Quality of life measured using a Visual Analogue Scale (from 0 mm - very low to 100 mm - very high) at Visit 1 (Day 0), Visit 2 (Day 14) and Visit 3 (Day 45)



Secondary outcome measures1. Time to quality of life improvement measured using the VAS QoL (from 0 mm - very low to 100 mm - very high), recorded at each visit (Visit 1 [Day 0], Visit 2 [Day 14] and Visit 3 [Day 45]), and calculated as the time from baseline (Visit 1 [Day 0]) to the first observed improvement
2. Time to discomfort level reduction measured using a 7-point Likert scale (1 = Totally unacceptable to 7 = Perfectly acceptable), assessed at Visit 1 (Day 0), Visit 2 (Day 14) and Visit 3 (Day 45). Time to reduction is calculated as the interval from baseline to the first recorded improvement in score
3. Proportion of patients experiencing adverse events (AEs) recorded throughout the entire study period (Visit 1 to Visit 3) using AE forms
Overall study start date15/01/2024
Completion date07/10/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit100 Years
SexAll
Target number of participants50
Total final enrolment50
Key inclusion criteriaAdult patients (>18 years) with pressure ulcer stage 1 (non-blanching erythema [category I PU])
Key exclusion criteria1. Hypersensitivity or individual allergy to one or more components of the product
2. Known drug and/or alcohol abuse
3. Known medical history of peripheral artery disease
4. Other – different – clinical conditions of skin layers
5. Chronic pathological skin conditions
Date of first enrolment12/04/2024
Date of final enrolment23/08/2024

Locations

Countries of recruitment

  • Bulgaria
  • Romania

Study participating centres

Syncro MD Medical Center
Bloc Alphaville Arena, Corp 3, Str. Stadionului 16
Brașov
500064
Romania
AIDE-SANTE SRL
21 Rm. Valcea Street
Bucharest
031804
Romania
Medical Center Prolet EOOD
25 Olimpi Panov Str., fl. 2
Ruse
7000
Bulgaria

Sponsor information

Funders

Funder type

Industry

Noventure S.L.

No information available

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planIndividual Participant Data (IPD) will be shared but only in anonymized form to protect participant privacy. The datasets generated during and/or analysed during the current study will be available upon request from the main contact person, based on the purpose of processing.

Editorial Notes

20/08/2025: Study's existence confirmed by the Local Ethics Committee for Clinical Trials of S.C. Syncro Clinical Research S.R.L.