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NCT01924806: WoundWand

A Pilot Study of the WoundWand™ Debridement Device on Infection Prevention

Terminated NA Results posted Last updated 28 February 2020
What this trial tests

NA trial testing WoundWand™ Debridement Device in Lower Leg Wound in 11 participants. Terminated before completion.

Timeline
4 March 2014
Primary endpoint
9 February 2015
9 February 2015

Quick facts

Lead sponsorSmith & Nephew, Inc.
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment11
Start date4 March 2014
Primary completion9 February 2015
Estimated completion9 February 2015
Sites2 locations across France, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Smith & Nephew, Inc. — full company profile →

Who can join

18 and older, any sex, with Lower Leg Wound. 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.

Bacterial Diversity and Number of Bacteria Present in the Wound Primary · Day 1 (immediately pre- and post-debridement) and 4 weeks post-debridement

Primary endpoint was to determine bacterial diversity and number of bacteria present in the study wound at 4 weeks post- debridement using either WoundWand Debridement Device or Standard of Care. Punch biopsies were performed per standard practice to quantify the type and amount of bacteria present in wounds debrided with either Standard of Care Sharp Debridement or WoundWand Debridement Device. Debridement of contaminated tissue is essential to prevent wound infection, promote healing, and provide a neat wound edge for the prevention of scaring. A 3-4 mm punch biopsy for quantitative tissue

Subject 02-001 - Total Aerobes/Pre
GroupValue95% CI
WoundWand™ Debridement Device7.74
02-001 - Total Aerobes/Post
GroupValue95% CI
WoundWand™ Debridement Device7.25
02-001 - Total Aerobes/Week 4
GroupValue95% CI
WoundWand™ Debridement Device6.29
Subject 02-002 - Total Aerobes/Pre
GroupValue95% CI
Standard of Care Sharp Debridement8.37
02-002 - Total Aerobes/Post
GroupValue95% CI
Standard of Care Sharp Debridement7.05
02-002 - Total Aerobes/Week 4
GroupValue95% CI
Standard of Care Sharp Debridement5.31
Subject 02-003 - Total Aerobes/Pre
GroupValue95% CI
WoundWand™ Debridement Device9.14
02-003 - Total Aerobes/Post
GroupValue95% CI
WoundWand™ Debridement Device4.38
Photograph Area Measurements to Determine Reduction in Wound Size Secondary · Visit 2 through Visit 8 (12 weeks)

a) Reduction in wound size for up to 12 weeks post-debridement Photographs of the wound site were taken to determine the reduction in wound size and to assess healing progression of the study wound. Standardization of images was ensured by the Eykona® Wound Measurement System that uses small sterile 'targets' placed on the study wound to set the focus and position of the camera thus eliminating inconsistency between images acquisition time points. The photographs are stored on a USB (Universal Serial Bus) flash drive which will be archived with the study files.

Subject 02-001 Visit 2/Pre Debridement
GroupValue95% CI
WoundWand™ Debridement DeviceNA
02-001 Visit 2/Post Debridement
GroupValue95% CI
WoundWand™ Debridement Device80.24
02-001 Visit 3/Week 1
GroupValue95% CI
WoundWand™ Debridement Device57.24
02-001 Visit 4/Week 2
GroupValue95% CI
WoundWand™ Debridement Device58.36
02-001 Visit 5/Week 3
GroupValue95% CI
WoundWand™ Debridement Device50.15
02-001 Visit 6/Week 4
GroupValue95% CI
WoundWand™ Debridement Device52.12
02-001 Visit 7/Week 6
GroupValue95% CI
WoundWand™ Debridement Device35.61
02-001 Visit 7/Week 6 measurement 2
GroupValue95% CI
WoundWand™ Debridement Device29.70
Wound Status Using Bates-Jensen Wound Assessment - Total Score Secondary · Screening through Visit 8 (12 weeks)

The Bates-Jensen Wound Assessment Tool is a 13-item questionnaire (size, depth, edges, undermining, necrotic tissue type, exudate type, exudate amount, skin color surrounding wound, peripheral tissue edema, peripheral tissue induration, granulation tissue, epithelialization) used to assess wound status. Total score is determined by adding together the sub-scores from each of the 13 items, with a higher score indicating a more severe wound status. Each of the 13 item scores ranged from 1 to 5 possible points. Minimum score of 13 indicated the best outcome, maximum score of 65 indicated the wor

Visit 1/Screening
GroupValue95% CI
WoundWand™ Debridement Device33.2± 3.1
Standard of Care Sharp Debridement33.8± 4.8
Visit 2/Debridement
GroupValue95% CI
WoundWand™ Debridement Device35.2± 5.8
Standard of Care Sharp Debridement33.3± 5.6
Visit 3/Week 1
GroupValue95% CI
WoundWand™ Debridement Device31.0± 6.4
Standard of Care Sharp Debridement34.0± 5.0
Visit 4/Week 2
GroupValue95% CI
WoundWand™ Debridement Device27.8± 2.9
Standard of Care Sharp Debridement33.3± 5.4
Visit 5/Week 3
GroupValue95% CI
WoundWand™ Debridement Device25.2± 3.1
Standard of Care Sharp Debridement33.3± 6.1
Visit 6/Week 4
GroupValue95% CI
WoundWand™ Debridement Device25.5± 5.7
Standard of Care Sharp Debridement32.3± 7.6
Visit 7/Week 6
GroupValue95% CI
WoundWand™ Debridement Device18.7± 0.6
Standard of Care Sharp Debridement31.0± 10.1
Visit 8/Week 12
GroupValue95% CI
WoundWand™ Debridement Device16.0± 1.7
Standard of Care Sharp Debridement31.0± 20.9
Braden Scale for Predicting Pressure Sore Risk - Total Score Secondary · Screening through Visit 8 (12 weeks)

The Braden Scale, performed by the Investigator (or designee), is a 6-item questionnaire (sensory perception, moisture, activity, mobility, nutrition, and friction \&shear) used to assess the subject's level of risk for development of pressure ulcers. Total score is determined by adding together the sub-scores from each of the 6 items, with a lower score indicating a higher risk for developing pressure ulcers. Braden Scale thresholds: 19-23 = not at risk 15-18 = preventative interventions 13-14 = moderate risk 10-12 = high risk 6-9 = very high risk Sub-score ranges: Sensory perception: 1

Visit 1/Screening
GroupValue95% CI
WoundWand™ Debridement Device17.8± 2.6
Standard of Care Sharp Debridement18.5± 3.1
Visit 3/Week 1
GroupValue95% CI
WoundWand™ Debridement Device17.6± 2.9
Standard of Care Sharp Debridement18.0± 2.2
Visit 4/Week 2
GroupValue95% CI
WoundWand™ Debridement Device17.8± 3.1
Standard of Care Sharp Debridement18.0± 2.2
Visit 5/Week 3
GroupValue95% CI
WoundWand™ Debridement Device17.8± 3.6
Standard of Care Sharp Debridement18.3± 2.9
Visit 6/Week 4
GroupValue95% CI
WoundWand™ Debridement Device17.8± 2.8
Standard of Care Sharp Debridement18.5± 3.3
Visit 7/Week 6
GroupValue95% CI
WoundWand™ Debridement Device18.0± 1.7
Standard of Care Sharp Debridement20.0± 4.4
Visit 8/Week 12
GroupValue95% CI
WoundWand™ Debridement Device19.3± 3.8
Standard of Care Sharp Debridement20.0± 4.4

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs were collected from the time of enrollment until study completion at 12 weeks post debridement, study withdrawal, or study termination, whichever came first.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

WoundWand™ Debridement Device
Serious: 0/5 (0%)
Deaths: 0/5
Standard of Care Sharp Debridement
Serious: 0/4 (0%)
Deaths: 0/4
Other adverse events (6 terms — click to expand)

ReactionSystemWoundWand™ Debridement Dev…Standard of Care Sharp Deb…
Chronic woundInfections and infestations
2:1 AV block and bradycardiaCardiac disorders
Micro groin wound infectionInfections and infestations
Infection to woundInfections and infestations
Infection to foot ulcerInfections and infestations
Serratia growth on boneInfections and infestations

Data from ClinicalTrials.gov NCT01924806 adverse events section.

Sponsor's own description

A Pilot Study of the WoundWand™ Debridement Device on Infection Prevention

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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