Prospective post-market study of an incision management system in closed surgical incisions
| ISRCTN | ISRCTN96442225 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN96442225 |
| IRAS number | 292120 |
| Secondary identifying numbers | KCI.PREVENA.2020.01, CPMS SURG 47748, IRAS 292120 |
- Submission date
- 08/12/2020
- Registration date
- 01/09/2021
- Last edited
- 15/12/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Surgery
Plain English summary of protocol
Background and study aims
The aim of this study is to compare the safety and performance of closed incision Negative Pressure Therapy (ciNPT) using PREVENA™ Dressings that do not contain silver with negative pressure therapy using the V.A.C.® GRANUFOAM™ Dressing over closed surgical incisions and to show that there is none to little difference between the two dressing types.
Who can participate?
Patients aged 22 and over undergoing surgery with a suitable surgical incision
What does the study involve?
The standard V.A.C.® Therapy group will be enrolled first. After enrollment is complete for the control group, the treatment group will be enrolled beginning with the PREVENA PLUS™ CUSTOMIZABLE™ Dressing-No Ag and then the PREVENA™ PEEL & PLACE™ Dressing-No Ag. Participants will have a dressing placed over the sutured or stapled incision immediately after surgery. The dressing will be worn for 5-7 days after surgery before stopping the negative pressure and dressing removal. Participants will return for a 30-day follow up visit.
What are the possible benefits and risks of participating?
The PREVENA™ Dressings (No Ag) are intended to manage the environment of closed surgical incisions and surrounding intact skin in patients at risk for developing postoperative complications, such as infection, by maintaining a closed environment by applying negative pressure therapy to the incision.
The V.A.C.® GRANUFOAM™ Dressings, when used on closed surgical incisions, are intended to manage the environment of the surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exudates by applying negative pressure wound therapy.
Possible risks from participating in the study are:
Skin and tissue risks: skin surface stripping, bruising, softening and breakdown of skin tissue from prolonged exposure to moisture, minor soft tissue damage, local skin reaction (ie, redness, rash, significant itching, hives), minor bleeding, pain.
Other risks: bleeding complications (associated with the surgical procedure, other therapies, and medical conditions), increased risk of bleeding from the incision associated with the use of blood thinners, localized infection, exposure-related infection, first-degree burn (if therapy unit gets warm), minor drying of the wound (due to dressing leak), moderate soft tissue damage (i.e., due to trip hazard, tubing entanglement), worsening of the wound (due to lack of visibility of incision site through dressing), physical discomfort, disruption of the surgical incision.
Where is the study run from?
Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust (UK)
When is the study starting and how long is it expected to run for?
June 2020 to February 2022
Who is funding the study?
KCI Medical (Ireland)
Who is the main contact?
Mr Jens Vydt
jvydt@syntactx.com
Contact information
Public
Tolstraat 26
Herzele
9550
Belgium
| Phone | +32 (0)476991314 |
|---|---|
| jvydt@syntactx.com |
Study information
| Study design | Multicenter post-market prospective open-label non-randomized cohort active comparator-controlled study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised study |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | No participant information sheet available |
| Scientific title | Prospective, active comparator-controlled, post-market study observing the safety and performance of the PREVENA™ (No Ag) incision management system compared to negative pressure wound therapy (NPWT) in closed surgical incisions in 40 study participants |
| Study objectives | This study is not statistically powered, therefore, no hypothesis testing will be conducted on primary or secondary endpoints. However, the objective of this study is to compare the safety and performance of ciNPT using PREVENA™ Dressings that do not contain silver with negative pressure therapy using the V.A.C.® GRANUFOAM™ Dressing over closed surgical incisions. |
| Ethics approval(s) | Approved 17/05/2021, London - West London & GTAC Research Ethics Committee (Health Research Authority, NHSBT Newcastle Blood Donor Centre, Holland Dr, Newcastle upon Tyne, NE2 4NQ, UK; +44 (0)207 104 8171; kevin.ahmed@hra.nhs.uk), REC ref: 21/PR/0578 |
| Health condition(s) or problem(s) studied | Incision management therapy for patients undergoing a surgery with an applicable surgical incision |
| Intervention | Control: Negative Pressure Wound Therapy (NPWT) Dressing: V.A.C.® GRANUFOAM™ with nonadherent interface layer To be used along with one of the following negative pressure therapy units as a source of continuous 125 mmHg of negative pressure therapy: ACTIV.A.C.™ Therapy Unit V.A.C.ULTA™ Therapy Unit V.A.C.VIA™ Therapy Unit Treatment: Closed Incision Negative Pressure Therapy (ciNPT) Dressing PREVENA™ PEEL & PLACE™ Dressing (20 cm) (No Ag) or PREVENA PLUS™ CUSTOMIZABLE™ Dressing (No Ag) To be used along with the following source of continuous 125 mmHg of negative pressure therapy: PREVENA PLUS™ 125 Therapy Unit. The standard VACUUM ASSISTED CLOSURE™ Therapy (V.A.C.® Therapy) group will be enrolled first. After all enrollment (20 participants) is complete for the control cohort, the treatment group (20 Subjects) will be enrolled beginning with the PREVENA PLUS™ CUSTOMIZABLE™ Dressing-No Ag (10 subjects) and then the PREVENA™ PEEL & PLACE™ Dressing-No Ag (10 participants). |
| Intervention type | Device |
| Pharmaceutical study type(s) | |
| Phase | Not Applicable |
| Drug / device / biological / vaccine name(s) | PREVENA™ PEEL & PLACE™ Dressing, PREVENA PLUS™ CUSTOMIZABLE™ Dressing, PREVENA PLUS™ 125 Therapy Unit, VACUUM ASSISTED CLOSURE™ Therapy (V.A.C.® Therapy), V.A.C.® GRANUFOAM™, ACTIV.A.C.™ Therapy Unit, V.A.C.ULTA™ Therapy Unit, V.A.C.VIA™ Therapy Unit |
| Primary outcome measure | The incidence of treatment-related adverse events from treatment application, measured using number of events and subject incidence of Treatment Related Adverse Events (TRAE) reported until 30-day follow-up |
| Secondary outcome measures | The incidence of surgical site complications (SSC) and surgical site infections from treatment application, measured using occurrence of any SSC reported from treatment start date until 30-day follow-up |
| Overall study start date | 03/06/2020 |
| Completion date | 01/02/2022 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 40 |
| Total final enrolment | 42 |
| Key inclusion criteria | Pre-operative inclusion criteria: The particpant: 1. Is able to provide their own informed consent 2. Is ≥22 years of age Intra-operative inclusion criteria: The particpant: 3. Has a surgically closed incision with a length of less than 20 cm such that the entirety of the incision can be covered by the negative pressure dressing 4. Has a wound that meets CDC Wound Classification 1 or 2 (Clean or Clean-Contaminated) |
| Key exclusion criteria | Pre-operative exclusion criteria: The particpant: 1. Has one or more of the following conditions: 1.1. Uncontrolled diabetes 1.2. BMI greater than 35 1.3. Is currently smoking 2. Has a dehisced surgical wound in the area of the planned incision site 3. Has an oncologic wound in the area of the planned incision site 4. Has an open wound in the area of the planned incision site 5. Has an allergy to acrylic adhesives 6. Is pregnant at the time of study treatment and the planned surgical procedure is an operation other than a Cesarean section (C-section) 7. Is breastfeeding and the planned incision is located on the breast or the area near the breast 8. Is participating in another interventional clinical trial 9. Has signs/symptoms or a documented systemic infection (bacterial, viral or fungal) Intra-operative exclusion criteria: 10. Has a wound that meets CDC Wound Classification 3 or 4 11. Has cellulitis of the incision area 12. Requires use of a nonadherent interface layer containing silver 13. Has inadequate hemostasis of the incision 14. Has ischemia to the incision or incision area 15. Is using V.A.C. VERAFLO™ Therapy (instillation) over the incision site 16. Requires the use of drainage or pain control devices that exit through the surgical incision, or the area covered by the dressing/drape |
| Date of first enrolment | 02/07/2021 |
| Date of final enrolment | 22/11/2021 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centres
Oxford
OX3 7HE
United Kingdom
Manchester
M13 9WL
United Kingdom
Westminster Bridge Road
London
SE1 7EH
United Kingdom
Sponsor information
Industry
25/28 North Wall Quay
Dublin 1
Dublin
D01 H104
Ireland
| Phone | +1 (0)2104158371 |
|---|---|
| ktouchstone@mmm.com | |
| Website | http://www.kci-medical.ie/ |
"ROR" |
https://ror.org/0137xm018 |
Funders
Funder type
Industry
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | At 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 25/03/2022. |
| IPD sharing plan | The datasets generated during and/or analyzed during the current study are not expected to be made available due to the high commercial sensitivity of the study products |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Basic results | 14/12/2022 | 15/12/2022 | No | No | |
| HRA research summary | 28/06/2023 | No | No |
Additional files
Editorial Notes
15/12/2022: The basic results have been uploaded to the trial outputs table. Total final enrolment and IPD sharing statement added.
20/09/2021: St Thomas' Hospital was added as a trial participating centre.
27/05/2021: Trial's existence confirmed by the Health Research Authority.
