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NCT Number: NCT06941194

Preventive Application of Single-use Negative Pressure Wound Therapy (sNPWT) in the Postoperative Course of Radiotreatated Limb Sarcoma Surgery

Patients will be recruited at the time of the pre-admission visit. During the screening visit the patient will undergo a physical examination and his medical history will be collected. Oncological history and tumor characteristics will be considered and CT-scan imaging will be analysed. ECOG performance status will be reported. If inclusion criteria are respected, the patient will be randomized. The application of the PICO14 study device or standard dressing (dry gauze and plaster) will then be carried out on the day of surgery. For subjects randomized to the treatment arm (Arm A), dressing change with the application of the new PICO14 will occur at day 4+1, day 8±1, and day 14±2. For subjects randomized to the control arm (Arm B), the standard dressing with gauze and plaster is applied. Regardless of the randomization arm the wound assessment via ASEPSIS score will occur at day 4+1, 8±1 and 14±2. During FUP, the dressing can be changed autonomously by the patient if necessary. The information will be recorded on the occasion of the next visit or an extraordinary visit. On day 21, sutures will be removed.

On day 30±2, the total ASEPSIS score will be calculated, in order to evaluate the wound healing.

From day 14±2, regardless of the randomization arm all patients will be treated with standard dressing.

Follow-up visits can be scheduled up to 90 days after surgery.

Recruiting

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Key information

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istituto Oncologico Veneto

Padova, Italy/Padova, 35128, Italy

Location status: Recruiting

Location contact

Marcodomenico Mazza, MD

CONTACT

[email protected]

34722887055

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female ≥ 18 years of age
  • diagnosis of primary high-grade (grade III) soft tissue sarcoma of the limbs (confirmed histopathologically)
  • performed neoadjuvant radiotherapy (short or long-term)
  • candidates for wide radical excision surgery
  • negative CT scan staging for distant metastasis
  • Signing of Informed consent

Exclusion criteria

  • diagnosis of benign neoplasm
  • diagnosis of retroperitoneal or trunk sarcomas;
  • candidates to hindquarter or forequarter amputation surgery;
  • incomplete wide excision;
  • vascular resection;
  • other loco-regional treatments (e.g. isolated limb perfusion or electrochemotherapy).

Treatment and study plan

PICO 14

Device

PICO 14 application after neoadjuvant radiotherapy followed by surgery

Primary outcomes

  1. Primary objective and endpoint

    Time frame: Through study completion, an average of 2 years

    Assess, in patients with wide excision surgery of radio treated limb sarcoma, if the preventive application of single-use negative pressure wound dressing (PICO 14) may reduce the incidence of wound complications at 30° day compared to the standard procedure currently in use. Primary objective will be evaluated according to the ASEPSIS score. For each patient the Daily ASEPSIS score will be calculated at days 4, 8 and 14 after surgery.

Secondary outcomes

  1. Secondary objective and endpoint

    Time frame: Through study completion, an average of 2 years

    Evaluate and compare the incidence of long-term wound complications. All complications occurred between day 31 and day 90 after surgery will be collected and reported at the time of appearance, by ASEPSIS score

  2. Third objective and endpoint

    Time frame: Through study completion, an average of 2 years

    Verify the impact of the type of wound dressing in the length of hospital-stay. 2. The length of hospital stay will be calculated as the difference between the date of hospital discharge and the date of surgery

  3. Fourth objective and endpoint

    Time frame: Through study completion, an average of 2 years

    Evaluate the outpatient care time. 3. Outpatient care time will be calculated as the difference between the date of the last outpatient medication and the date of discharge.

Study contacts

Contact information is provided by the study sponsor or research team.

Marcodomenico Mazza, MD

CONTACT

[email protected]

34722887055

Sponsors and collaborators

Lead sponsor

Istituto Oncologico Veneto IRCCS

Other

Registry information

Official study title

Preventive Application of Single-use Negative Pressure Wound Therapy (sNPWT) in the Postoperative Course of Radiotreatated Limb Sarcoma Surgery a Randomized Clinical Trial

Acronym: PRALISS

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Apr 23, 2025
Registry last updated
Dec 2, 2025

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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