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Completed

NCT Number: NCT02852148

ACTICOAT™ for the Treatment of Burns and Chronic Wounds

The aim of the study is to evaluate participant reported quality of life, safety, and overall performance with ACTICOAT in a clinical setting.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Northumbria Healthcare NHS Foundation Trust, Ashington, United Kingdom

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About this study

ACTICOAT is a silver coated antimicrobial barrier wound dressing for the treatment of a variety of wound types. It is widely used in routine clinical practice within the UK. ACTICOAT is CE marked and will be used within the intended indications for use. The proposed study is required for regulatory purposes.

Primary Objective: To evaluate change in health related quality of life, associated with treatment. The primary outcome measure / endpoint will be change in EQ-5D 5L mean single index utility scores from baseline to 3 weeks.

The study will also seek to gather and report relevant safety and performance data and evaluate change, where applicable, for outcomes including: clinical signs and symptoms of infection; wound length / width / depth; wound healing measures; tissue staining; pain, adherence, and pain on application / removal; wear time; adverse events and device deficiencies.

In total 25 participants will be recruited into the trial, comprising a minimum of 8 participants with a full or partial thickness burn and a minimum of 8 participants with a full or partial thickness chronic wound. All participants will have their wound dressed using ACTICOAT, and will be followed-up for 3 weeks.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Must provide informed consent to participate in the study.
  • Eighteen (18) years of age or older.
  • Males and females.
  • Able to follow instructions and be deemed capable of completing the EQ-5D 5L Questionnaire appropriately.
  • Willing and able to make all required study visits, and provide a daytime telephone number on which they can be contacted directly.
  • Presenting with either a chronic wound or burn which is deemed suitable for treatment with ACTICOAT and meets either of the following requirements:
  • A full or partial thickness chronic (≥ 4 weeks duration) wound, consisting of a Venous Leg Ulcer, Pressure Ulcer or Diabetic Foot Ulcer, which in the opinion of the Investigator, or delegated Sub-Investigator, appears to be infected based on documented clinical signs and symptoms of infection.
  • A recently acquired (≤ 7 days) non-infected burn, comprising a full or partial thickness wound, covering a minimum 0.5% TBSA. The maximum must be less than 10% TBSA. Absence of infection will be determined by the Investigator / Sub-Investigator.

Exclusion criteria

  • Contraindications or hypersensitivity to the use of the test article, ancillary products or their components (e.g., known sensitivity to silver).
  • Participation in the treatment period of another clinical trial within thirty (30) days of Visit 1.
  • Treatment with any other silver dressing (i.e. non ACTICOAT dressing) within seven (7) days of Visit 1.
  • Patients with skin features which in the opinion of the Investigator, will interfere with the study assessments.
  • Patients requiring concomitant use of NPWT on the reference wound.
  • Patients who have participated previously in this clinical trial and who have healed or been withdrawn.
  • Patients with a history of poor compliance with medical treatment.
  • Patients who, in the opinion of the Investigator, are experiencing burn shock.
  • Patients with any other medical or physical condition that, in the opinion of the Investigator, would preclude safe subject participation in the study.

Treatment and study plan

ACTICOAT

Device

ACTICOAT is a silver coated antimicrobial barrier dressing. ACTICOAT dressings consist of three layers: an absorbent inner core of polyester and rayon sandwiched between outer layers of silver coated, low adherent, high density polyethylene mesh.

Primary outcomes

  1. Change in EQ-5D 5L mean single index utility scores (EuroQol Research Foundation 2015).

    Time frame: 21 days

Secondary outcomes

  1. Clinical signs and symptoms of infection

    Time frame: 21 days

    Wound infection checklist. Simple checklist consisting of thirteen separate 'observable signs of critical colonisation or infection at the reference wound', namely: 'Wound static or deteriorating'; 'Increased exudate/secretion levels'; 'Increased temperature around wound'; 'Discoloration of granulation tissue'; 'Increased pain'; 'Tissue necrosis'; 'Oedema'; 'Dehiscence'; 'Friable granulation'; 'Local erythema'; 'Purulent drainage'; 'Odour'; 'Other'. Total scale score = the sum of checked items, ranging from 0 to 13

  2. Wound length

    Time frame: 21 days

  3. Wound width

    Time frame: 21 days

  4. Wound depth

    Time frame: 21 days

  5. Reference wound healed (% re-epithelialized)

    Time frame: 21 days

  6. Amount of healthy tissue (% tissue types)

    Time frame: 21 days

  7. Condition of surrounding skin

    Time frame: 21 days

    Condition of surround skin checklist. Simple checklist consisting of six items used to document the 'condition of the surrounding skin' around the wound, namely: 'Healthy'; 'Fragile'; 'Inflamed'; 'Macerated'; 'Dry and flaky'; 'Other'. No summation of items

  8. Extent of tissue staining

    Time frame: 21 days

    Tissue staining checklist. Simple checklist for documenting any observed instances and 'Extent of tissue staining' following use of the dressing, and consisting of four items, namely: 'None'; 'Slight'; 'Moderate'; and 'Extensive'. No summation of items

  9. Pain on dressing application

    Time frame: 21 days

    Pain/stinging Likert scale for dressing application. Eleven point Likert scale for use in recording 'Level of pain/stinging experienced by the subject on application of the ACTICOAT dressing(s)', ranging from 0 (no pain/stinging) to 10 (extreme pain/stinging)

  10. Pain on dressing removal

    Time frame: 21 days

    Pain Likert scale for dressing removal. Eleven point Likert scale for use in recording 'Level of pain experienced by the subject on removal of the ACTICOAT dressing(s)', ranging from 0 (no pain) to 10 (extreme pain).

  11. Ease of dressing application

    Time frame: 21 days

    Ease of dressing application question. Single item asking 'Was it easy to apply the ACTICOAT dressing(s)?', with a simple response format of 'Yes' or 'No - please give reason', accompanied by a further free text response option for reason(s) why the dressing was not easy to apply

  12. Ease of dressing removal

    Time frame: 21 days

    Ease of dressing removal question. Single item asking 'Was the ACTICOAT dressing easy to remove?', with a simple response format of 'Yes' or 'No - please explain', accompanied by a further free text response option for reason(s) why the dressing was not easy to remove

  13. Serious adverse events

    Time frame: 21 days

    Record of absolute number of serious adverse events observed in the study, together with associated details

  14. Non-serious adverse events

    Time frame: 21 days

    Record of the absolute number of non-serious adverse events observed in the study, together with associated details

  15. Device deficiencies

    Time frame: 21 days

    Record of the absolute number of device deficiencies observed in the study, together with associated details

Sponsors and collaborators

Lead sponsor

Smith & Nephew, Inc.

Industry

Registry information

Official study title

A Prospective, Non-comparative, Multicentre Study to Evaluate a Silver Coated Antimicrobial Barrier Wound Dressing (ACTICOAT™) in the Treatment of Burns and Chronic Wounds.

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Aug 2, 2016
Registry last updated
Apr 4, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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