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NCT01528033: SAWHI

Treatment Study of Vacuum Assisted Closure for Postsurgical Subcutaneous Abdominal Wound Healing Impairments

Completed NA Results posted Last updated 25 June 2020
What this trial tests

NA trial testing Vacuum Assisted Closure® in Wound Healing Disorder in 539 participants. Completed in 11 June 2018.

Timeline
2 August 2011
Primary endpoint
14 March 2018
11 June 2018

Quick facts

Lead sponsorUniversity of Witten/Herdecke
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment539
Start date2 August 2011
Primary completion14 March 2018
Estimated completion11 June 2018
Sites15 locations across Belgium, Germany

Drugs / interventions tested

Conditions studied

Sponsor

University of Witten/Herdecke

Who can join

18 and older, any sex, with Wound Healing Disorder or Impaired Wound Healing. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time to Complete Wound Closure Primary · 42 days

Time (number of days) to achieve complete wound closure verified by photo documentation and blinded, computer-based wound quality assessment as well as wound closure confirmation after 14 consecutive days (14 days -0 / + 3) Complete wound closure is defined as: 100% epithelialization No drainage from the wound No need for adjuvant therapy or dressing No presence of sutures

GroupValue95% CI
NPWT36.135.0 – 37.2
SCWT39.138.3 – 40.0
Incidence of Confirmed and Verified Wound Closure Secondary · 42 days

Incidence of confirmed and verified wound closure achieved after a maximum study observation / treatment period of 42 days (+ 14 days to observe sustained closure)

GroupValue95% CI
NPWT92
SCWT54
Recurrence Secondary · 132 days

Recurrence of wound opening after confirmed wound closure

GroupValue95% CI
NPWT0
SCWT0

Adverse events — posted to ClinicalTrials.gov

Time frame: 42 days for Adverse Events (AEs) and unsustained wound closures 132 days for Serious Adverse Events (SAEs). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NPWT
Serious: 22/234 (9%)
Deaths: 24/256
SCWT
Serious: 12/201 (6%)
Deaths: 15/251

Serious adverse events (3 terms)

ReactionSystemNPWTSCWT
Wound-relatedSkin and subcutaneous tissue disorders
Adverse Device Events (NPWT-related)Surgical and medical procedures
Conventional Wound Treatment-relatedSkin and subcutaneous tissue disorders
Other adverse events (3 terms — click to expand)

ReactionSystemNPWTSCWT
Wound-relatedSkin and subcutaneous tissue disorders
Adverse Device Events (NPWT-related)Surgical and medical procedures
Conventional Wound Treatment - relatedSkin and subcutaneous tissue disorders

Most-reported serious reactions: Wound-related, Adverse Device Events (NPWT-related), Conventional Wound Treatment-related.

Data from ClinicalTrials.gov NCT01528033 adverse events section.

Sponsor's own description

This clinical study is performed in several German, Dutch and Belgian hospitals to evaluate the efficacy of Vacuum Assisted Closure® (V.A.C.®) for the treatment of postsurgical abdominal wound healing impairments after surgery. Therefore the underlying layer of fibrous tissue that permeates the internal organs must be intact. Main outcome measure is the time until complete wound closure that sustained for a minimum of 14 days. Furthermore the therapy options will be examined regarding several other clinical, safety, patient reported and economic parameters. Patients will be assigned equally and by chance to both treatment groups. Study participants as well as the attending doctors and nurses will be informed about the assignment to the respective treatment arm. The primary outcome measure and some of the secondary parameters like reappearance of the wound and the development of the wound size over time, examined within an active study treatment time of 42 days, will be photographed and analysed under the use of a central computer system. The central analysing personal will not be informed about patient details or therapy allocation. Patients with at first closed belly wounds with wound healing disorder in the postoperative course after surgery without an opening of the underlying layer of fibrous tissue are eligible to be included in the trial if the diagnosis of a wound healing impairment in the postoperative course is manifested as a wound with spontaneous dehiscence, a wound that requires an active reopening of the suture by the treating physician or a wound that cannot be closed by primary intention and requires further treatment to achieve permanent closure. Study participants will be selected and enrolled within clinical surgical departments which provide the respective personal, structural and scientific background for the conduction of the trial project. Trial therapy will be started in-hospital and may be continued in ambulatory care. It is very important to examine the therapy options also in the ambulant care setting thus study participants with good health who are able to continue the specific wound treatment in ambulant should be transferred to the ambulant service as soon as possible.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Negative Pressure Wound Therapy vs Conventional Wound Treatment in Subcutaneous Abdominal Wound Healing Impairment: The SAWHI Randomized Clinical Trial.
    Seidel D, Diedrich S, Herrle F, Thielemann H, et al · · 2020 · cited 37× · PMID 32293657 · DOI 10.1001/jamasurg.2020.0414
  2. Treatment of subcutaneous abdominal wound healing impairment after surgery without fascial dehiscence by vacuum assisted closure™ (SAWHI-V.A.C.®-study) versus standard conventional wound therapy: study protocol for a randomized controlled trial.
    Seidel D, Lefering R, Neugebauer EA. · · 2013 · cited 8× · PMID 24252551 · DOI 10.1186/1745-6215-14-394
  3. NPWT Resource Use Compared With Conventional Wound Treatment in Subcutaneous Abdominal Wounds With Healing Impairment After Surgery: SAWHI Randomized Clinical Trial Results.
    Seidel D, Lefering R. · · 2022 · cited 7× · PMID 34117147 · DOI 10.1097/sla.0000000000004960
  4. Health economic assessment of negative pressure wound therapy use in the management of subcutaneous abdominal wound healing impairment (SAWHI) in the out-of-hospital setting.
    Brennfleck FW, Bongards C. · · 2023 · cited 5× · PMID 35833308 · DOI 10.1111/iwj.13894
  5. Ambulatory negative pressure wound therapy of subcutaneous abdominal wounds after surgery: results of the SAWHI randomized clinical trial.
    Seidel D, SAWHI study group. · · 2022 · cited 1× · PMID 36503505 · DOI 10.1186/s12893-022-01863-x
  6. Revue de presse.
    · 2020 · PMID 32834887 · DOI 10.1016/j.jchirv.2020.06.001
  7. Press review
    · 2020

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