A prospective study using the KerraCel™ dressing on multiple wound types

ISRCTN ISRCTN33932204
DOI https://doi.org/10.1186/ISRCTN33932204
IRAS number 288315
Secondary identifying numbers KERA_CEL-PMCF007, IRAS 288315, CPMS 47700
Submission date
15/09/2021
Registration date
15/11/2021
Last edited
24/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The KerraCel™ dressing is a CE-marked product that has been on the market since 2013. It contains gelling fibers that can soak up the fluid that can be created by wounds on the skin. The aim of the study is to collect additional information on the dressing to show that it is working as intended.

Who can participate?
Patients aged 22 years or older and being seen for these types of wounds: Oncology wounds, traumatic wounds, cavity wounds, skin donor site. Examples of these can be: Oncology - radiation burns, cancerous wounds or wounds that occur after surgical removal of cancer. Traumatic - abrasions (deep scrapes) or lacerations. Cavity - wounds in a cavity (such as addomen or chest). Donor sites where skin has been removed for grafting.

What does the study involve?
For patients who meet the requirements to participate, you will be seen 4 times in the office/clinic. On the first visit, you will have a picture taken of the wound and the dressing put over the wound. You will come in 2 additional times, approximately 7 days apart from each visit, to have another picture of the wound taken and another dressing placed over the wound. A final visit will occur (again approximately 7 days from the 3rd visit), where the dressing will be removed and another picture is taken. No surveys will be completed for this study and only small amounts of information such as medical history, medication use, and information about your wound will be collected.

What are the possible benefits and risks of participating?
Possible benefits of the study are the wound dressing may help manage your wound healing, additional follow-up by the staff at the hospital since this is a study, use of a dressing not currently in use at the facility.

Possible risks of participating are the same risks that would occur for treating any open wound with a wound dressing: skin irritation, redness, possible infection, delay in wound healing. One possible risks for this type of dressing is some of the gel material could remain in the wound.

Where is the study run from?
Wythenshawe Hospital (UK)

When is the study starting and how long is it expected to run for?
April 2021 to June 2023

Who is funding the study?
KCI® USA, Inc (now a part of 3M) (USA)

Who is the main contact?
Mrs Lawrie Rogerson-Wynne, Lawrie.rogerson@mft.nhs.uk

Contact information

Mrs Lawrie Rogerson-Wynne
Public

Research Office, First floor, NIHR Research Building
Wythenshawe Hospital
Southmoor Road
Manchester
M23 9QZ
United Kingdom

Phone +44 (0)161 291 4850
Email Lawrie.rogerson@mft.nhs.uk
Mr Eric Synatschk
Scientific

KCI USA, Inc.
6203 Farinon Drive
San Antonio
78249
United States of America

Phone +1 5126625943
Email esynatschk@mmm.com

Study information

Study designSingle center observational study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleA prospective, observational, Post Market Clinical Follow-up (PMCF) study in patients using 3M™ KerraCel™ Gelling Fiber dressing
Study objectivesCurrent hypothesis as of 18/03/2022:
The aim of this study is to describe the population and indications of the KerraCel™ Dressing to demonstrate that the product is performing as expected and is safe specifically on the identified wound types, where it has been identified that additional evidence is needed to support the Clinical Evaluation Report (CER).

_____


Previous hypothesis:
The aim of this study is to describe the population and indications of the KerraCel™ Dressing to demonstrate that the product is performing as expected and is safe specifically on oncological and traumatic wounds, where it has been identified that additional evidence is needed to support the Clinical Evaluation Report (CER).
Ethics approval(s)Approved 23/04/2021, London-Westminster Research Ethics Committee (The Old Chapel, Royal Standard Place, Nottingham, NG1 6FS, UK; +44 (0)207 104 8388; westminster.rec@hra.nhs.uk), ref: 21/PR/0337
Health condition(s) or problem(s) studiedOncological wounds (e.g. radiation burns, cancerous wounds and surgical wounds once the cancerous tissue has been removed), traumatic wounds (e.g. abrasions and lacerations), cavity wounds (such as abdominal or thoracic) and wounds created from skin donor sites
InterventionPatients will be seen and evaluated by a clinician to determine if their wound is appropriate to be treated with the KerraCel™ dressing. If yes, the clinician will make general observations of the wound and then dress the wound. Pictures will be taken of the wound initially and at each dressing change.

Patients will be seen 4 times in the office/clinic. On the first visit, a picture is taken of the wound and the dressing put over the wound. At 2 additional visits, approximately 7 days apart from each visit, another picture of the wound is taken and another dressing is placed over the wound. A final visit will occur (again approximately 7 days from the 3rd visit), where the dressing will be removed and another picture taken.
Intervention typeDevice
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)3M™ KerraCel™ Gelling Fiber Dressing
Primary outcome measureTreatment-related adverse events measured using patient records up to the final visit (~21-28 days)
Secondary outcome measuresWound healing and wound bed preparation by visual inspection of at baseline, ~day 7, 14, 21-28:
1. Decrease in wound size (volume, area, or depth)
2. Increase in % of wound granulation tissue
3. Wound moisture evaluation defined as wound exudate levels indicated as optimal
4. Decrease in % of nonviable tissue
Overall study start date23/04/2021
Completion date21/06/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit22 Years
SexBoth
Target number of participants50
Total final enrolment48
Key inclusion criteriaCurrent inclusion criteria as of 18/03/2022:
1. Subjects who have been diagnosed with an oncological wound (e.g. radiation burns, cancerous wounds, and surgical wounds once the cancerous tissue has been removed), or traumatic wound (e.g. abrasions and lacerations), or cavity wound (wounds in a cavity) or skin donor site
2. Must be able to provide informed consent
3. Only one wound may be treated per subject for the study
4. Aged ≥22 years
_____

Previous inclusion criteria:
1. Subjects who have been diagnosed with an oncological wound (e.g. radiation burns, cancerous wounds, and surgical wounds once the cancerous issue has been removed) or traumatic (e.g. abrasions and lacerations) wound.
2. Must be able to provide informed consent.
3. Only one wound may be treated per subject for the study.
4. Age ≥22 years.
Key exclusion criteriaCurrent exclusion criteria as of 18/03/2022:
1. Has a known allergy to the dressing material
2. Has a wound that has uncontrolled heavy bleeding
3. Wound or burn larger than 20 cm in any direction
4. Pregnant or breastfeeding

_____


Previous exclusion criteria:
1. Has a wound that requires packing of a body cavity with the KerraCel™ dressing, per the manufacturer’s instructions for use.
2. Has a wound that has not achieved hemostasis, per the manufacturer’s instructions for use.
3. Wound or burn larger than 20cm in any direction.
4. Pregnant or breastfeeding.
Date of first enrolment01/09/2021
Date of final enrolment09/06/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Wythenshawe Hospital
University of Manchester & Manchester University NHS Foundation Trust
Southmoor Road
Manchester
M23 9QZ
United Kingdom

Sponsor information

KCI (United States)
Industry

6203 Farinon Drive
San Antonio
78249
United States of America

Phone +1 800 275-4524
Email esynatschk@mmm.com
Website https://www.acelity.com/
ROR logo "ROR" https://ror.org/00wc6ay63

Funders

Funder type

Industry

Kinetic Concepts
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Kinetic Concepts, Inc., KCI USA, KCI
Location
United States of America

Results and Publications

Intention to publish date15/09/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planAt this time, there is no plan to publish the data from this study. This data is intended to be post-market data to support the clinical evidence of the product. The final report is planned for 08/12/2022.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to the researchers' intent not to publish the data in any journal article or for any business purposes. They will post the study results on the ISRCTN registry as required but that will be the extent of the data shared for this study.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

24/07/2025: The intention to publish date was changed from 27/02/2025 to 15/09/2025.
29/01/2025: The intention to publish date was changed from 31/01/2025 to 27/02/2025.
28/11/2024: The intention to publish date was changed from 08/05/2024 to 31/01/2025. The results have been delayed due to an interest in independent analysis of the captured images. Once this has been completed, the report and results will be finalized.
25/03/2024: IPD sharing plan added.
19/03/2024: The intention to publish date has been changed from 29/03/2024 to 08/05/2024.
27/12/2023: The intention to publish date has been changed from 15/02/2024 to 29/03/2024.
15/09/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/06/2023 to 09/06/2023.
2. The overall end date was changed from 30/09/2023 to 21/06/2023.
3. The plain English summary was updated to reflect these changes.
4. The total final enrolment was added.
5. The intention to publish date was changed from 15/12/2023 to 15/02/2024.
27/04/2023: The recruitment end date was changed from 29/06/2023 to 30/06/2023.
11/04/2023: The following changes have been made:
1. The recruitment end date has been changed from 20/04/2023 to 29/06/2023.
2. The overall trial end date has been changed from 15/07/2023 to 30/09/2023 and the plain English summary updated accordingly.
3. The intention to publish date has been changed from 15/10/2023 to 15/12/2023.
18/03/2022: The following changes have been made:
1. The public title has been changed from "A prospective study using the KerraCel™ dressing on cancerous and traumatic wounds" to "A prospective study using the KerraCel™ dressing on multiple wound types".
2. The scientific title has been changed from "A prospective, observational, Post Market Clinical Follow-up (PMCF) study in patients using KerraCel™ dressing on oncological and traumatic wounds" to "A prospective, observational, Post Market Clinical Follow-up (PMCF) study in patients using 3M™ KerraCel™ Gelling Fiber dressing".
3. The study hypothesis has been changed.
4. The overall trial end date has been changed from 01/09/2022 to 15/07/2023 and the plain English summary updated accordingly.
5. The condition has been changed from "Patients who are seen for oncological wounds (e.g. radiation burns, cancerous wounds and surgical wounds once the cancerous tissue has been removed) and traumatic (e.g. abrasions and lacerations) wounds" to "Oncological wounds (e.g. radiation burns, cancerous wounds and surgical wounds once the cancerous tissue has been removed), traumatic wounds (e.g. abrasions and lacerations), cavity wounds (such as abdominal or thoracic) and wounds created from skin donor sites".
6. The drug name has been changed from "KerraCel™ Dressing" to "3M™ KerraCel™ Gelling Fiber Dressing".
7. The participant inclusion criteria have been changed.
8. The participant exclusion criteria have been changed.
9. The target number of participants has been changed from 40 to 50.
10. The recruitment end date has been changed from 30/09/2022 to 20/04/2023.
11. The intention to publish date has been changed from 08/12/2022 to 15/10/2023.
12. The plain English summary has been updated to reflect these changes.
07/12/2021: Internal review.
28/09/2021: Trial's existence confirmed by London-Westminster Research Ethics Committee.