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Trial registered on ANZCTR
Registration number
ACTRN12614001068651
Ethics application status
Approved
Date submitted
22/09/2014
Date registered
7/10/2014
Date last updated
7/10/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Examination of the effect of Negative Pressure Wound Therapy in Acute Paediatric Burns on Re-epithelialisation, Pain and Injury Progression – A pilot study
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Scientific title
Examination of the effect of Negative Pressure Wound Therapy in Acute Paediatric Burns on Re-epithelialisation, Pain and Injury Progression – A pilot study
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Secondary ID [1]
285383
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Nil
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Universal Trial Number (UTN)
U1111-1162-0654
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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:
Paediatric burns
293118
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Condition category
Condition code
Injuries and Accidents
293388
293388
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0
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Burns
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Negative pressure wound therapy (Smith and Nephew (TM) Renasys Go)- applied at time of randomisation to intervention group within 12 hours of burn injury and left insitu for three days until first dressing change. From day three onwards all children (regardless of group) will receive standard dressing which for our centre is Acticoat (TM) and Mepitel (TM) secured with hypafix. Feeding tubes are incorporated into the dressing to allow for regular irrigation by parents at home to keep dressing moist.
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Intervention code [1]
290298
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Treatment: Devices
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Comparator / control treatment
Standard dressing at our centre which is Acticoat (TM) and Mepitel (TM) secured with hypafix. Feeding tubes are incorporated into the dressing to allow for regular irrigation by parents at home to keep dressing moist.
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Control group
Active
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Outcomes
Primary outcome [1]
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Wound progression - assess difference in laser doppler imaging from day of injury to day 3.
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Assessment method [1]
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Timepoint [1]
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Day 3 post injury
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Primary outcome [2]
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Wound re epithelialisation
- Clinical judgement by surgeon treating the patient
- Blinded second assessment from digital photographs
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Assessment method [2]
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Timepoint [2]
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Expected day 10-14 following injury
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Primary outcome [3]
293222
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Pain
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Assessment method [3]
293222
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Timepoint [3]
293222
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Pain while dressing in situ (days 1-3 following injury). Pain at dressing change. Assessed via multiple methods - FACES-R/VAS-P/FLACC
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Secondary outcome [1]
310619
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Ease of management of dressing - 5 point Likert scale
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Assessment method [1]
310619
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Timepoint [1]
310619
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Day 3 following injury at first dressing change
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Eligibility
Key inclusion criteria
Children with acute partial thickness burns presenting to the Department of Emergency Medicine, Royal Children’s Hospital aged 3-15.
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Minimum age
3
Years
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Maximum age
15
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
Age younger than 3 years or older than 16 years
Superficial (erythema only) & full thickness burns
Burns >10% TBSA
Chemical and friction burns
Known sensitivity to silver
Non English speaking
Cognitive impairment
Current involvement with Department Communities (Child Safety)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The surgical registrar will identify eligible patients and ask if a member of the research team can approach the family and discuss the project. Informed consent will be gained. Sequentially numbered, sealed, opaque envelopes prepared by an independent party will be used for treatment allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
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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
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
This is a proof of concept, feasibility pilot study. As this is a pilot study statistical analysis will be limited. Data will be presented as mean (standard deviation) or median (range) where appropriate. Comparison between groups will be undertaken, however the investigators acknowledge the limitations of this given it is a pilot study. Data from this study will be utilised to design a larger prospective RCT if the pilot study determines that the study is feasible.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
22/09/2014
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Actual
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Date of last participant enrolment
Anticipated
21/09/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
3013
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Royal Children's Hospital - Herston
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Recruitment postcode(s) [1]
8726
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4029 - Royal Brisbane Hospital
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Funding & Sponsors
Funding source category [1]
289993
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Commercial sector/Industry
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Name [1]
289993
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Smith and Nephew Australia
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Address [1]
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Healthcare Division
PO Box 242
Mount Waverley VIC 3149
Australia
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Country [1]
289993
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Australia
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Primary sponsor type
University
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Name
Queensland Children's Medical Research Institute, University of Queensland
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Address
Level Four Foundation Building
Royal Children's Hospital
Herston Road
Herston
Qld 4029
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Country
Australia
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Secondary sponsor category [1]
288678
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None
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Name [1]
288678
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Address [1]
288678
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Country [1]
288678
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291702
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Children's Health Services Queensland HREC
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Ethics committee address [1]
291702
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Level 3 Foundation Bldg Royal Children's Hospital Herston Rd Herston 4029 Qld
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Ethics committee country [1]
291702
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Australia
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Date submitted for ethics approval [1]
291702
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16/05/2014
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Approval date [1]
291702
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27/05/2014
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Ethics approval number [1]
291702
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HREC/14/QRCH/78
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Ethics committee name [2]
291703
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University of Queensland HREC
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Ethics committee address [2]
291703
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University Queensland St Lucia 4067 Qld
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Ethics committee country [2]
291703
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Australia
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Date submitted for ethics approval [2]
291703
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03/06/2014
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Approval date [2]
291703
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05/06/2014
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Ethics approval number [2]
291703
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2014000757
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Summary
Brief summary
The ultimate goal of burn wound management is to promote early healing as this has considerable influence on the long term quality and appearance of scarring. Negative pressure wound therapy (NPWT) is a device that is applied to a wound to ultimately help promote healing. It is widely used in both hospitals and the home on a wide range of wounds. A dressing is applied to the wound bed and covered with a transparent film dressing and attached to the therapy device using tubing and a canister. A number of studies have demonstrated improved graft take following split skin graft when NWPT was used compared to standard dressings. However, there is very little information regarding the use of NWPT as a primary treatment for burns with respect to wound progression and pain management. A small number of studies have demonstrated improvement in acute burn wounds with the application of NPWT in the first 48 - 72 hours following injury. In addition, clinically we have seen a reduction in pain with the use of NPWT. The aim of this pilot study is to determine the feasibility of the novel application of NPWT on acute burn wounds. The outcomes of interest being pain, burn wound progression and healing. All children presenting to the Royal Children's Hospital Department of Emergency Medicine with a partial thickness burn injury aged 3 - 15 years of age will be considered for the study. Treating surgical registrars of all children meeting the inclusion/exclusion criteria presenting to the Royal Children’s Hospital, Brisbane will determine eligibility for enrolment in the study. With the parent/caregivers permission an investigator aligned with the study will discuss the study with the parents/caregivers and seek informed consent. Once informed consent is obtained participants will be randomised to one of two treatment groups (standard dressings or standard dressings plus NPWT). Dressings (+/negative pressure depending on group allocation) will be changed at day three post burn injury. Following day three all children will be managed with standard dressings until full re epithelialisation or grafting. Negative pressure will not be reapplied from day three onwards. Outcome measures include burn wound progression measured using laser Doppler imaging on day 0 and day 3, wound healing and pain.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
51622
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Prof Roy Kimble
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Address
51622
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Department Paediatrics and Child Health
Level 3 Foundation Bldg
Royal Children's Hospital
Herston Rd
Herston 4029 Queensland
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Country
51622
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Australia
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Phone
51622
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+61 7 3636 8513
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Fax
51622
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Email
51622
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[email protected]
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Contact person for public queries
Name
51623
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Kellie Stockton
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Address
51623
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Queensland Children's Medical Institute
Level 4 Foundation Bldg
Royal Children's Hospital
Herston Rd
Herston 4029
Queensland
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Country
51623
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Australia
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Phone
51623
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+61 7 3636 1278
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Fax
51623
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Email
51623
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[email protected]
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Contact person for scientific queries
Name
51624
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Kellie Stockton
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Address
51624
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Queensland Children's Medical Institute
Level 4 Foundation Bldg
Royal Children's Hospital
Herston Rd
Herston 4029
Queensland
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Country
51624
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Australia
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Phone
51624
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+61 7 3636 1278
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Fax
51624
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Email
51624
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[email protected]
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No information has been provided regarding IPD availability
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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