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Trial registered on ANZCTR
Registration number
ACTRN12611000753954
Ethics application status
Approved
Date submitted
29/06/2011
Date registered
18/07/2011
Date last updated
6/12/2018
Date data sharing statement initially provided
6/12/2018
Date results provided
6/12/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Repairing a deep donor site using a new, dissolvable, plastic scaffold.
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Scientific title
An evaluation of function and appearance following reconstruction of a free-flap donor site after biodegradable polymer implant incorporation and secondary split skin grafting.
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Secondary ID [1]
262530
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post harvest Free flap donor site appearance and function
268198
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Condition category
Condition code
Skin
268326
268326
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0
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Following free-flap harvest (either anterolateral thigh flap or radial forearm flap), a biodegradable polyurethane dermal matrix sealed with a non-biodegradable polyurethane film will be implanted into the donor site. When integrated, the film is removed and a thin split skin graft applied to the integrated neo-dermis.
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Intervention code [1]
266875
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Treatment: Devices
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Comparator / control treatment
Comparison will be made against data collected in 2010 and 2011 in porcine wounds of similar depth where a variety of treatments were employed. These included healing by secondary intention, implantation of unsealed polymer matrices, implantation of sealed polymer matrices, matrices with immediate split skin graft application, matrices with delayed split-skin graft application, matrices with sealing membranes of different thicknesses.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Appearance of the donor site compared to historical data. Assessment will be by clinical appearance (incorporation of the foam is visible and progressive to day 7 then consolidates), ease of delamination of the sealing membrane in historical comparison to Integra dermal regeneration template, Visitrak wound measurement to assess degree of contraction.
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Assessment method [1]
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Timepoint [1]
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Weekly to 6 weeks, then monthly to 12 months
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Secondary outcome [1]
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Function of the donor site compared to historical data. This will be assessed by clinical means (pinching, shearing mobility, visibilty or otherwise of deeper structures (eg tendons in free radial forearm flap donor sites).
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Assessment method [1]
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Timepoint [1]
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Weekly to 6 weeks, then monthly to 12 months
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Eligibility
Key inclusion criteria
Ability to provide informed consent; requirement for free-flap surgery involving either anterolateral thigh flap or radial forearm flapfree
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy, severe debility precluding second anaesthetic; inability to provide informed consent
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Full discussion with patient deemed to need one of the two free flaps mentioned previously; acquisition of informed consent if willing.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Nil
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2011
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Actual
29/08/2012
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Date of last participant enrolment
Anticipated
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Actual
28/07/2013
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Date of last data collection
Anticipated
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Actual
29/02/2016
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
267347
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Commercial sector/Industry
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Name [1]
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NovoSkin Pty Ltd
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Address [1]
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38, Tom Packer Drive, Athelstone 5076, South Australia
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Country [1]
267347
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
NovoSkin Pty Ltd
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Address
38 Tom Packer Drive, Athelstone 5076, South Australia
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Royal Adelaide Hospital
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Address [1]
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Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Adelaide Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Level 3, Hanson Institute (IMVS Building) Royal Adelaide Hospital, North Terrace, Adelade 5000, South Australia
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Ethics committee country [1]
269324
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Australia
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Date submitted for ethics approval [1]
269324
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16/06/2011
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Approval date [1]
269324
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23/06/2011
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Ethics approval number [1]
269324
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110613
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Summary
Brief summary
Single group study of efficacy in improving free flap donor sites by first integrating a biodegradable polyurethane dermal matrix before skin grafting.
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Trial website
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Trial related presentations / publications
- Li A, Dearman BL, Crompton KE, Moore TG, Greenwood JE. Evaluation of a novel biodegradable polymer for the generation of a dermal matrix. Journal of Burn Care and Research 2009;30(4):717-728. - Greenwood JE, Li A, Dearman BL, Moore TG. Evaluation of NovoSorb novel biodegradable polymer for the generation of a dermal matrix. Part 1: In-vitro studies. Wound Practice and Research 2010;18(1):14-22. - Greenwood JE, Li A, Dearman BL, Moore TG. Evaluation of NovoSorb novel biodegradable polymer for the generation of a dermal matrix. Part 2: In-vivo studies. Wound Practice and Research 2010;18(1):24-34. - Greenwood JE. Biodegradable polyurethane as a dermal matrix. Journal of Burn Care and Research 2011; 32(2) (supplement):S58. - Greenwood JE, Dearman BL. Split-skin graft application over an integrating, biodegradable temporising polymer matrix: Immediate and delayed. Journal of Burn Care and Research (accepted). - Greenwood JE, Dearman BL. Comparison of a sealed, NovoSorb biodegradable temporising matrix (BTM) against Integra: a prospective, porcine study. Journal of Burn Care and Research (accepted).
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Public notes
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Contacts
Principal investigator
Name
32812
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A/Prof John E Greenwood
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Address
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Adult Burn Centre, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia
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Country
32812
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Australia
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Phone
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+61 8 8222 2233
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Fax
32812
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+61 8 8222 5676
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Email
32812
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[email protected]
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Contact person for public queries
Name
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John E Greenwood
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Address
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Adult Burn Centre, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia
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Country
16059
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Australia
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Phone
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+61 8 8222 2233
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Fax
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+61 8 8222 5676
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Email
16059
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[email protected]
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Contact person for scientific queries
Name
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John E Greenwood
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Address
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Adult Burn Centre, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia
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Country
6987
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Australia
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Phone
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+61 8 8222 2233
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Fax
6987
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+61 8 8222 5676
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Email
6987
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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